Vcare_physio

19/05/2021

Positioning is a very safe and effective treatment method to use if you are managing symptoms of covid-19 at home.

Many covid positive Patients will see an immediate response in their oxygen levels with positioning in prone lying i.e lying on your stomach. For people who do respond well it's recommended that you spend at least 20min in this position every hour.

Frequent turning and position changes can:
• Use gravity to help mobilise secretions
• Move and direct airflow to all parts of your lungs

Tummy lying is the best position to take pressure off your lungs bases allowing them to expand fully and maximize oxygen intake.
Lying alternately on each side is the next best position if prone lying isn't manageable.

A good idea would be to move between these 4 positions every 20 to 30 minutes.

Tummy lying - right side lying - sitting upright - left side lying.

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16/02/2021

POSTURE

Posture is the position in which we hold our bodies while standing, sitting, or lying down. Healthy posture is the correct alignment of body parts supported by the right amount of muscle tension against gravity. Our everyday movements and activities can affect this alignment and put stress on joints and muscles, sometimes resulting in pain and potentially permanent damage if left unchecked over time. Utilizing proper ergonomic and movement strategies can help prevent these problems.

Correct posture also:

Helps us keep bones and joints in correct alignment so that our muscles are used correctly, decreasing the abnormal wearing of joint surfaces that could result in degenerative arthritis and joint pain.

Reduces the stress on the ligaments holding the spinal joints together, minimizing the likelihood of injury.

Allows muscles to work more efficiently, allowing the body to use less energy and, therefore, preventing muscle fatigue.

Helps prevent muscle strain, overuse disorders, and even back and muscular pain.

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15/02/2021

DRINKING WATER

Everyone knows that it's important to stay hydrated – but what are the reasons why?

Drinking enough water, or staying hydrated, is the first rule of health and nutrition. Our bodies can supposedly last weeks without food and yet just a few days without water.

Water helps your body:
Keep a normal temperature
Lubricate and cushion joints
Protect your spinal cord and other sensitive tissues
Get rid of wastes through urination, perspiration, and bowel movements

Every day we discharge water through breath, urine, perspiration and bowel movement. For the body to work properly, we need to maintain the balance of water in our body and consume water rich fruits or drink water.

According to the National Academies of Sciences Engineering and Medicine an average healthy adult living in moderate climate needs:

About 15.5 cups (3.7 litres) of fluids for men

About 11.5 cups (2.7 litres) of fluids a day for women

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03/02/2021

03/02/2021

CYCLING

Cycling is a healthy, low-impact exercise that can be enjoyed by people of all ages, from young children to older adults. It is also fun, cheap and good for the environment.

It only takes two to four hours a week to achieve a general improvement to your health. Cycling is:

Low impact – it causes less strain and injuries than most other forms of exercise.

A good muscle workout – cycling uses all of the major muscle groups as you pedal.

Easy – unlike some other sports, cycling does not require high levels of physical skill. Most people know how to ride a bike and, once you learn, you don’t forget.

Good for strength and stamina – cycling increases stamina, strength and aerobic fitness.

As intense as you want – cycling can be done at very low intensity to begin with, if recovering from injury or illness, but can be built up to a demanding physical workout.

A fun way to get fit – the adventure and buzz you get from coasting down hills and being outdoors means you are more likely to continue to cycle regularly, compared to other physical activities that keep you indoors or require special times or places.

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02/02/2021

02/02/2021

SWIMMING

Swimming is an excellent way to work your entire body and cardiovascular system. An hour of swimming burns almost as many calories as running, without all the impact on your bones and joints.

Benefits
1. Works your whole body
2. Improves your sleep
3. Is appropriate for people with injuries, arthritis, and other conditions
4. Helps manage stress

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01/02/2021

Everyone knows that running is a great way to get into shape, but it also can benefit almost every part of your bod and lift your mood. Whether it's your favorite part of the day or something you have to push yourself through, the benefits are undeniable. The next time you're thinking of skipping a run, think of these six reasons to get your butt out the door.

1. Running Improves Your Health
2. It Prevents Disease
3. You Might Lose Weight
4. Running Boosts Your Confidence
5. It Relieves Stress
6. Running has the Power to Eliminate Depression

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20/09/2020

CARRYING ANGLE

When your arms are held out at your sides and your palms are facing forward, your forearm and hands should normally be about 5 to 15 degrees away from your body. This is the normal "carrying angle" of the elbow. This angle allows your forearms to clear your hips when you swing your arms, such as during walking. Increasing the carrying angle may lead to elbow instability and pain during exercise or in throwing activities of sports, may reduce function of elbow flexion, predispose to risk of elbow dislocation, and increase evidence of elbow fracture when falling on the outstretched hand and fracture of the distal humeral epiphysis.

Certain fractures of the elbow can increase the carrying angle of the elbow, causing the arms to stick out too much from the body. This is called an excessive carrying angle.

If the angle is decreased so that the arm points toward the body, it is called a "gunstock deformity."

19/09/2020

PLEURAL EFFUSION

A pleural effusion is a buildup of fluid between the layers of tissue that line the lungs and chest cavity.
The body produces pleural fluid in small amounts to lubricate the surfaces of the pleura. This is the thin tissue that lines the chest cavity and surrounds the lungs. Pleural effusion is an abnormal, excessive collection of this fluid.

There are two types of pleural effusion:
Transudative pleural effusion is caused by fluid leaking into the pleural space. This is from increased pressure in the blood vessels or a low blood protein count. Heart failure is the most common cause.
Exudative effusion is caused by blocked blood vessels or lymph vessels, inflammation, infection, lung injury, and tumors.

Risk factors of pleural effusion may include:
Smoking and drinking alcohol
Any previous complaint of high blood pressure
History of any contact with asbestos

Symptoms can include any of the following:
Chest pain, usually a sharp pain that is worse with cough or deep breaths
Cough
Fever and chills
Hiccups
Rapid breathing
Shortness of breath
Sometimes there are no symptoms.

The goal of treatment is to:
•Remove the fluid
•Prevent fluid from building up again
•Determine and treat the cause of the fluid buildup

Removing the fluid (thoracentesis) may be done if there is a lot of fluid and it is causing chest pressure, shortness of breath, or a low oxygen level. Removing the fluid allows the lung to expand, making breathing easier.

The cause of the fluid buildup must also be treated:
•If it is due to heart failure, you may receive diuretics (water pills) and other medicines to treat heart failure.
•If it is due to an infection, antibiotics will be given.
•In people with cancer or infection, the effusion is often treated by using a chest tube to drain the fluid and treating its cause.

Some of treatment techniques physiotherapy provides include;
Secretion clearance:
•Effective / productive coughing techniques.
•Postural drainage in sitting and lying.
•Manual assistance, including percussion, vibrations and shaking.
Breathing technique retraining:
•Controlling respiratory rate
•Diaphragmatic breathing
•Controlling / reducing breath volume
•Relaxation

18/09/2020

PES PLANUS ( FLAT FOOT)

Pes planus is a deformity of the foot where the longitudinal arch of the foot is abnormally flattened and can be congenital or acquired.
Pes planus may occur in up to 20% of the adult population, although the majority of patients are asymptomatic and require no treatment.
Here the medial longitudinal arch of the foot is dropped downward thereby there is a loss of the spring action causing excessive stress over the whole foot during every step.
Some causes are pott's fracture, crushed injury to the calcaneum, laxity of ligaments, bony ankylosis result in to a rigid flat foot remaining flat even during non-weight bearing.
Treatment:

16/09/2020

THORACIC OUTLET SYNDROME

A group of conditions that result from compression of the nerves or blood vessels that serve our arms.
The thoracic outlet is the space between our collarbone (clavicle) and our first rib. This narrow passageway is crowded with blood vessels, nerves and muscles.

Common causes of thoracic outlet syndrome include physical trauma from a car accident, repetitive injuries from job- or sports-related activities, certain anatomical defects.

The classical feature of the thoracic outlet syndrome is the nocturnal appearance of pins needles in the fingers which disappear when the patient changes position or sits up. The symptoms reappear on elevation of the arms overhead or on elevating the scapulae. Pressure on the lower trunk of brachial plexus results due to dropping of the pectoral girdle.

Signs and symptoms of vascular thoracic outlet syndrome can include:
Discoloration of your hand (bluish color)
Arm pain and swelling, possibly due to blood clots
Blood clot in veins or arteries in the upper area of your body
Lack of color (pallor) in one or more of your fingers or your entire hand
Weak or no pulse in the affected arm
Cold fingers, hands or arms
Arm fatigue with activity
Numbness or tingling in your fingers
Weakness of arm or neck
Throbbing lump near your collarbone

Conservative treatment : postural guidance and strengthening exercises to the shoulder girdle muscles. Weight carrying, cycling, driving and swimming to be avoided.
Repetitive performance of PNF scapular patterns with isometric hold are must included.
Surgical treatment is needed when there is evidence of neuro and/or vascular disturbances.
• Removal of cervical rib and fibrous band which are causing abnormal pressure on the subclavian vessels or brachial plexus.
• insertion of scalene Muscles is released to relieve the pressure.