Physiotherapy For Neurological Issues

Neurological physiotherapy involves the treatment of people suffering from movement and function disorders due to problems within the body’s nervous and neuro-muscular system. for example, Traumatic Brain Injury or Stroke, Multiple Sclerosis, Spinal Cord Injury and Parkinson’s disease. The entire process includes the diagnosis, treatment and rehabilitation of the patient suffering from a neurological disorder or issue. Treatment is provided in the form of neuro rehabilitation exercises by a Neuro Physiotherapist.

Neurological conditions require the following:

  1. Improve patients range of motion– many patients who seek neuro physiotherapy have suffered an unforeseen, acute injury or neurological issue. Many of these patients have experienced a loss in their range of motion.


  1. Help build muscle strength and improve movement– often when a person experiences a stroke, an injury to their spinal cord or nervous system, or suffers an illness such multiple sclerosis it is not uncommon for them to lose the use of a part of their body. When a person does not use a part of their body for an extended period, the muscle can begin to atrophy. To prevent the muscle from deteriorating the therapist will assist the patient in several exercises that will promote muscle growth and increase the strength of the muscle. This is often a part of therapy that takes the most time.


  1. Core stabilization – When a person experiences a spinal injury or is born with an illness that affects the spine their core is also affected. The spine is aided by the core of the body and aids in maintaining the other parts of the body.


  1. Motor control enhancement – People who suffer from neurological impairments often find they have either a decrease or loss in motor control. This can make their life increasingly difficult. A person’s motor ability is what allows them to perform life’s simple but crucial tasks. A person who has experienced a loss of motor control may experience; difficulty holding utensils, bathing, tying their shoe, getting dressed, and other tasks that many others do without a second thought. Improving this aspect in a patient is crucial as it drastically improves their life.


  1. Balance training – Stroke patients and people who have experienced other brain injuries routinely find they suddenly have a difficulty with their balance. Many people who experience brain injuries cannot walk for a period or discover they have trouble walking and when a person cannot walk, they begin to experience balance issues.


  1. Stamina – After a brain injury, a person often loses the ability to engage in needed cardiovascular exercise, such as walking and running. When a person does not get enough exercise, they begin to experience a loss of stamina.


  1. Prosthesis adjustment – Individuals who have lost a limb often find it very tasking to adjust to their new limb. Many find that its harder to adjust mentally to their new reality.


  1. Adjusting to daily assistant equipment– Individuals whose injury require them to use a wheelchair or crutches to walk may find it difficult to do so. The therapist can assist the patient in using the equipment in a way that would not inhibit their range of motion in a significant manner.

Neuro Physiotherapy objectives:

Neuro Physiotherapy aims to identify and maximize movement potential and your quality of life. Your treatment program is specific to you and based on your goals identified during your initial assessment session. These may include: education, training, posture awareness, strengthening, stretching, sitting balance, standing balance, and walking practice.


For Neuro physiotherapy, Consult Our Experts or book Physiotherapy at home @ CB Physiotherapy At Home

Kinesio Taping for Sports Physiotherapy & Rehab

Kinesiology taping (KT) is a therapeutic tool and has become increasingly popular within the sporting arena. Taping has been used for a long time for the prevention and treatment of sporting injuries. The original elastic adhesive tape was developed by Dr. Kenzo Kase in 1979.The Kinesio Taping Method is designed to facilitate the body’s natural healing process while allowing support and stability to muscles and joints without restricting the body’s range of motion. It is used to successfully treat a variety of orthopedic, neuromuscular, neurological and medical conditions.

Application of Tape
• Ensure to assess the patient thoroughly in order to identify the most appropriate application.
• Do NOT apply tape to any area of skin that is damaged by: scrapes; cuts; burns; sunburn or any type of skin rash/irritation.
• Skin should be free of oils and lotion prior to application.
• If body hair is limiting adhesion you may need to trim or shave the area.
• If patient has been exercising, ensure perspiration has completely stopped before application.
• If you are using a roll of tape, measure and cut carefully.
• Avoid contact with water at least for an hour after applying the Kinesio taping.

Specific Uses of Kinesio Taping
Facilitation: Kinesiology tape can be used to help improve muscular firing and contraction patterns. This can lead to normalized muscular tone and can also help improve the overall performance.
Inhibition and pain management: Kinesiology tape can be used to reduce pain and muscle spasm that may occur after injury. It can be very helpful in decreasing the swelling.
Support and stability: If you have a condition that requires a specific joint to be held in place, kinesiology taping is one of the best options. The tape can support your joint while not restricting the motion.
Swelling management: The swelling caused by some injury or surgery can be minimized by kinesio taping, kinesiology tape may help to decrease the swelling by decreasing pressure between the skin and underlying tissues.

For Kinesio Taping and Sports physiotherapy, Consult Our Experts or book Physiotherapy at home @ CB Physiotherapy At Home

Physiotherapy Treatment for Golfers Elbow

Golfer’s elbow is an injury to the muscles that flex your wrist and fingers. The site of injury is typically the medial epicondyle. It often occurs due to overusing the forearm muscles and tendons and those around the elbow joint. The tendons insert onto the medial epicondyle of the humerus (the long bone of the upper arm). This gives the problem its other name which is medial epicondylitis.


Typically, the Golfers Elbow sufferer will experience pain when performing gripping tasks or resisted wrist/finger extension. Pain can also be present when the muscles are stretched. There will be tenderness directly over the bony epicondyle, and there may be trigger points in the wrist muscles.

Pain and tenderness: Usually felt on the inner side of your elbow, the pain sometimes extends along the inner side of your forearm. Pain typically worsens with certain movements.

Stiffness: Your elbow may feel stiff, and making a fist might hurt.

Weakness: You may have weakness in your hands and wrists.

Numbness or tingling: These sensations might radiate into one or more fingers usually the ring and little fingers.

Golfers elbow may cause the most pain when you:

  • Lift something
  • Make a fist or grip an object, such as a tennis racket
  • Raise your hand or straighten your wrist


Rest: Resting the arm is important. A break in activity allows the tears in the tendon attachment to heal. Using ice packs, anti-inflammatory drugs, soft tissue massages, stretching exercises, and ultrasound therapy can help to reduce the pain.

 Physiotherapy Treatment:

  • Manual Therapy: Your Physiotherapist may use hands-on tissue manipulation techniques to create a small amount of micro-trauma to the area to re-start the inflammation process.
  • Exercises: Specific exercises that have a goal of stressing the tissue to just beyond its current capability can be used as a pro-inflammatory technique.
  • Strapping or taping the forearm: Supporting the area can help realign the muscle fibers and relieve pressure on the area. A physician may recommend using a splint for 2 to 3 weeks to take the elbow out of action.


For Physiotherapy Treatment of Golfers Elbow, Consult Our Experts or book Physiotherapy at home @ CB Physiotherapy At Home


Physiotherapy – Non-Surgical / Drug-Free Treatment

Physiotherapy is medical treatment for the problems of joints, muscles or nerves by physical methods such as massage, heat treatment, exercise rather than by drugs or surgery. Different methods such as interferential therapy, ultrasonic, short wave diathermy, wax therapy, and muscle strengthening exercises are performed by physiotherapists to reduce the pain or to regain the mobility. physiotherapy has evolved as a very useful treatment to cure many diseases, pain and other health related issues since very long. Proper physiotherapy can help a patient to recover without taking medicines or undergoing some painful surgery.

Different types of physiotherapy Techniques

  • Joint mobilization (gentle gliding) techniques
  • Joint manipulation
  • Physiotherapy Instrument Mobilization (PIM).
  • Minimal Energy Techniques (METs),
  • Muscle stretching
  • Neurodynamics
  • Massage and soft tissue techniques

Other Techniques

  • Physiotherapy Taping
  • Acupuncture and Dry Needling
  • Physiotherapy Exercises
  • Biomechanical Analysis
  • Sports Physiotherapy

In India Physiotherapy treatment has traditionally been used for rehabilitation of patients from Stroke, Surgery and spine related issues. With positive results, more people are now opting for non-surgical / drug free treatment of multiple health issues. Although demand for Physiotherapy in Bangalore, Delhi, Mumbai, Kolkatta , Chennai and other major cities is much higher, but in rest of the country as well there is huge scope for physiotherapy.

Physiotherapy at home / Home care physiotherapy

Physiotherapy at home service may be an option even though people don’t know about it. Home physiotherapy occurs when a physiotherapist come to your home to render the rehabilitation services. This may include manual therapy or equipments like IFT, Ultrasound may be used as well. The portable equipments are carried by physiotherapist to provide treatment as per the patient’s requirement.

Most of the people think that Home physiotherapy is only for those individuals who cannot get out of bed. The actual reality is that home physiotherapy can help people in different situations such as those who are:

  • Having acute or severe condition and  leaving home could cause their health to worsen
  • The functional mobility of the patient is limited and cannot travel to see a physiotherapist.
  • Lack of transportation or access to transportation.
  • Suffering from Vertigo.
  • Aged Patient.

Though, a person who simply desires a private physiotherapy session can also avail the facility of home physiotherapy.

Home Physiotherapy is mostly delivered through local nearby Physiotherapists / Physiotherapy Clinics. In recent times some companies have had significant success in ensuring quality service for physiotherapy at home service, but these are currently limited to providing physiotherapy in big cities ( Bangalore , Mumbai, Delhi , Chennai etc. )

How Home physiotherapy helps:

  • A physiotherapist will visit your home for the treatment thus you don’t have to leave your comfort zone.
  • Home physiotherapy helps you to recover in Comfortable and Familiar Surroundings.
  • For regular physiotherapy requirements it is advisable to choose a physiotherapist near your location ( Search physiotherapist near me in google to get the list)
  • If you are advised by your Doctor to avoid travel then home physiotherapy is the best option for you.
  • A physiotherapist can teach some normal exercises to one of your family members so that they can also help you to do certain exercises.
For Physiotherapy Treatment , Consult Our Experts or book Appointment @ CBPhysiotherapy:


Physiotherapy Treatment for Vertigo


Vertigo is a common problem that affects a large number of people every year. And although it isn’t a life-threatening issue, it can affect the quality of life. Vertigo attacks leave a person feeling a sense of spinning or whirling. Simple movement of the head and body just make the symptoms worse.

Symptoms of Vertigo

Vertigo is often activated by moving your head. People with vertigo typically describe it as feeling like they are:

  • Tilting
  • Whirling
  • Unbalanced
  • Swaying
  • Pulled to one direction
  • Spinning

Other symptoms that may accompany vertigo include:

  • Sweating
  • Vomiting
  • Abnormal or jerking eye movements
  • Headache
  • Feeling nauseated
  • Ringing in the ears or hearing loss

How Physiotherapy helps Vertigo Patients:

A professional physiotherapist can be very helpful to deal with Vertigo and issues associated with it. The main advantages of physical therapy for the treatment of Vertigo are as follows:

  • A physiotherapist will first assess your problem and see how mild or severe your case of vertigo is. This is the first step, and it lays the foundation for the rest of your treatment plan. Simply adopting one of the maneuver techniques yourself can do you more harm than good, and so a visit to the physical therapist can help you get your treatment running the right way, and keep it on course.
  • Once the symptoms have been evaluated, the physiotherapist will suggest the exercises and treatment that can reduce the intensity of the vertigo attacks, or in some cases, eliminate them entirely. Physiotherapist may set an exercise routine to follow depending upon the individual needs.
  • Regular checks will be done to evaluate if there is any reduction in the symptoms of vertigo. Regular evaluation helps the progress, and can also help to determine the effectiveness of the exercises that your therapist has advised to do. Depending on the results, you may be advised to continue, change, or stop your exercise routine.


For Physiotherapy Treatment of Vertigo, Consult Our Experts or book homoe visit for Physiotherapy @ CB Physiotherapy :


Physiotherapy Treatment for Bell’s palsy

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
  • Drooling
  • Pain around the jaw or in or behind the ear on the affected side
  • Increased sensitivity to sound on the affected side
  • Headache
  • A decrease in ability to taste
  • Changes in the amount of tears and saliva

Physiotherapy Treatment:

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:
  1. Improve the coordination of your facial muscles
  2. Refine your facial movements for specific functions, such as speaking or closing your eye
  3. Refine movements for facial expressions, such as smiling
  4. 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

Physiotherapy Treatment for Knee Arthritis

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


  • Physiotherapy Treatment:

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:

  1. Reduce your knee pain and inflammation.
  2. Normalize your knee joint range of motion.
  3. Strengthen your knee.
  4. Strengthen your lower limb: calves, hip and pelvis muscles.
  5. Improve your patellofemoral (knee cap) alignment and function.
  6. Normalize your muscle lengths.
  7. Improve your proprioception, agility and balance.
  8. Improve your technique and function eg walking, squatting.
  • Knee Braces:

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.

  • Surgery:

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



Neck pain & how physiotherapy can help.

Neck Pain

Lifestyles are becoming more sedentary and people are often forced to commit to long commutes to work; electronic devices have fast become part of the modern world, thus neck pain is notably on the increase.  Neck pain is a musculoskeletal disorder which can manifest itself in a number of ways.  More often than not, neck pain is localised to the neck region itself, but it can be more widespread and travel into the shoulder and arms.

There might even be associated headache and/or a restriction in range of movement.  It is rare that neck pain has a more serious cause.

Some of the most common conditions that we treat are:¬-

A Twisted Or Locked Neck

Some people suddenly wake up one morning to find their neck twisted to one side and stuck in that position. This is known as acute torticollis and is caused by injury to the neck muscles.

The exact cause of acute torticollis is unknown, but it can be caused by poor posture, sleeping without adequate neck support, or carrying heavy unbalanced loads (for example, carrying a heavy bag with one arm).

Acute torticollis can take up to a week to get better, but it usually only lasts 24 to 48 hours.  Should it persist then physiotherapy may be needed to help aleviate the symptoms.

Wear and Tear In The Neck

Sometimes neck pain is caused by ‘wear and tear’ that occurs to the bones and joints in your neck. This is a type of arthritis called cervical spondylosis.

Cervical spondylosis occurs naturally with age. It does not always cause symptoms, although in some people the bone changes can cause neck stiffness.

Nearby nerves can also be affected as they are compressed, resulting in pain that radiates down the arms.  Pins and needles and numbness may also be present.

Most cases will improve with treatment in a few weeks.

Whiplash Associated Disorder (WAD)

Whiplash is a neck injury caused by a sudden, vigorous movement of the head forwards, backwards or sideways.

It often occurs after a sudden impact such as a road traffic accident. The tendons and ligaments of the neck become overstretched and damaged due to the forceful movement of the head.

As well as neck pain and stiffness, whiplash can cause tenderness in the neck muscles, reduced and painful neck movements, headaches and dizziness.

Pinched/Compressed Nerve

Neck pain caused by a compressed nerve is known as cervical radiculopathy. It is usually caused by one of the discs between the bones of the upper spine (vertebrae) bulging outwards on to a nearby nerve.

The condition is more common in older people because your spinal discs start to lose their water content as you get older, making them less flexible and more likely to become damaged.

The pain can sometimes be controlled with painkillers and by following simple advice from a physiotherapist, although surgery may be recommended for some people.

Tips To Help Prevent Neck Pain

  • Check your posture, ensuring that you are able to maintain an upright position
  • Gently strengthen your neck muscles, to help support your head
  • Take regular breaks from desk work, driving or any activity in which you have to hold your neck in one position
  • Avoid reading for lengthy periods in bed or using too many pillows
  • Ease tight muscles by shrugging and lowering your shoulders
  • If you are prone to stress, practise relaxation to help reduce tension in your neck and shoulders
  • Keep your neck active and mobile in order to prevent stiffness

For Physiotherapy Treatment of neck pain , Consult Our Experts or book Physiotherapy at home @ CB Physiotherapy At Home (Services available in Bangalore, Mumbai, Delhi)


Post Stroke Rehabilitation – Physiotherapy

After a stroke, our brains cannot grow new cells to replace the ones that have been damaged, but the brain has the ability to reorganise its undamaged cells and make up for what has been lost. This is called neuroplasticity. This process can be guided by the neuro rehabilitation you receive following your stroke, and your physiotherapist will provide expert guidance on how to relearn movement and regain function.

Neuro – Physiotherapists often work with other professionals to help you with the range of problems that stroke can cause. You may be helped by occupational therapists, speech and language therapists, doctors, nurses and social workers.

What a Neuro -Physiotherapist does

Depending on your needs, your physiotherapist will:

  • Help the stroke nurses set up your plan of care to keep you as well as possible and avoid any complications that might slow down your recovery
  • Advise on how you should be positioned when lying or sitting, and how often you need to be moved
  • Decide when you should begin to get up out of bed and start walking and what equipment (if any) is needed to move or support you
  • Motivate you to be actively involved in your physiotherapy sessions to help you relearn normal patterns of movement
  • Offer therapy to strengthen your limbs and teach you how to move again as independently as possible
  • Work together with the rehabilitation team, and your carer, family or friends to support your recovery in a coordinated way
  • Advise you, your family and any carers how you can do as much as possible for yourself and move around as much as possible.

When can physiotherapy begin?

From 24 hours after a stroke, you will be encouraged to get up and about as much as you are able to, whether this is continuing with your previous activities or just sitting in a chair.

In the early stages, and for people with relatively mild problems, physiotherapy will focus on preventing complications and restoring your ability to move and be active again.

As time goes on, physiotherapy focuses on helping you to become more independent and do what is important to you, for example using equipment or doing things a different way.

For Post Stroke Rehabilitation at Home , Consult Our Experts or book Physiotherapy at home @ CB Physiotherapy At Home


How Physiotherapy Can Help with Lower Back Pain

Your back is one of the most intricate, frequently used parts of the body. If you suffer from lower back pain, physiotherapy can help restore your body to the way it was prior to your injury. Physiotherapists use both active and passive forms of physical therapy to help you get back on track.

How Physiotherapy Can Help Lower Back Pain

Here are some ways that each type of therapy can help reduce pain in your lower back:

Passive Physiotherapy

Passive physical therapy is used to treat lower back pain using many different modalities. This process involves therapy performed by the physiotherapist to the passive patient to help reduce muscle inflammation and muscle spasms.

There are many forms through which passive physical therapy can be applied:

  • Hot and Cold Therapy. This is one of the most commonly used types of therapy. Depending on the patient, the physiotherapist will use a heat pack or ice massage to reduce inflammation and ease pain in the lower back. This type of therapy is most effective early on in treatment.
  • This type of therapy involves applying steroids through the skin with an electrical current. This is a fast acting, effective method to reduce the inflammation and acute pain in the lower back.
  • TENS Units. Transcutaneous Electrical Nerve Stimulators uses a low voltage electric current to help reduce the sensation of pain in the lower back.
  • Ultrasound. This system uses energy and heat to reduce pain and speed healing in the lower back muscles.

Active Physical Therapy

This type of physiotherapy involves active participation from the patient to help strengthen and rehabilitate the spine. Active physiotherapy comprises many exercises:

  • General stretching is a great way to reduce pain for patients suffering from chronic lower back pain. For stretching to be effective, it’s important to stretch all areas of the body—not just the back. Hamstring and glute stretches are usually recommended.
  • Muscle Strengthening. A weak back and core might be the reason for your acute or chronic lower back pain. Dynamic lumbar stabilization or other exercises prescribed by your physiotherapist will ensure your back is healing properly.
  • Aerobic Conditioning. For reduction of pain in the long term, physiotherapists may engage patients in low-impact aerobic conditioning like water therapy or cycling.

At some point in life, most of us will experience a certain level of back pain. To keep a healthy spine, it’s important to stay active and stretch often, ensuring a strong, healthy spine.

Call 011-39589169 today to discuss your physical therapy needs.

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