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PriorFit, Mumbai (2026)

06/07/2019

Priorfit physiotherapy
Arthroscopic Surgery is the most common orthopedic process, which helps in diagnosing and treating joint problems such as in the knee, ankle, shoulder, hip, and elbow. The term "arthroscopy" is a combination of two Greek terms - 'arthro' means joint and ‘scope’ means look. Arthroscopic surgery helps examine the inside of a joint. During the surgery, a small camera and optical fiber are inserted inside the affected joint through incisions. Obtained images are then projected onto a display screen.

ACL Surgery:

A healthy ACL holds the knee bones together and keeps it stable. ACL and Anterior Cruciate Ligament damages are common among athletes. ACL gets injured when it is stretched or shredded with sudden movement during the activities. An injured ACL can affect one’s daily life as the knee becomes weak to tolerate the pressure making it difficult for a person to play sports or to even walk. Minor injuries to ACL heal over time with some medications and somatic therapies. However, serious injury needs a replacement for the ACL, especially for athletes and young people who are more active. Elderly people are suggested treatments instead of surgery as they are less active. During the surgery, the torn or injured ligament is replaced with a new tissue to stabilize the injured knee. Arthroscopic surgery is typically used by the surgeons for the treatment of one’s ACL.

PCL Surgery:

The toughest ligament that exists in the knee is the PCL or Posterior Cruciate Ligament. Around 20% of the knee injuries are of injured PCL. It is placed in the back or rear of the knee. An injured PCL makes it difficult for the patient to perform the most basic activities like descending stairs, walking (they walk really slowly), turning or bending activities, swollen knee, and unstable knee. PCL injuries are classified as per their severity. There are in general three grades: first-grade injuries are categorized as minor tear of PCL, second-grade injuries have substantially torn PCL, and third grade PCL injuries have non-functional or completely torn PCL. The surgery is usually given when the patient has a third-grade injury to the PCL. The first two grade injuries can be treated with fewer medications and therapies.

Meniscus Surgery:

Menisci is the cartilage responsible for absorbing shock from the bones and stabilizing the knee. This cartilage is prone to injuries in most athletes who participate in contact sports (sports which involve direct physical contact between players). But it can also get injured while lifting heavy weights, squatting or kneeling. An injured meniscus makes it difficult to twist the knee or straighten the legs. A minor injury (grade one or two) of the meniscus is usually treated with medications and physical therapies but severity (grade three) and the location of the injury decides if the patient needs surgery or not. One might go through some lab tests before the doctor recommends for the surgery. There are three types of surgeries available for Meniscus depending upon the severity of the injury:

Arthroscopic surgery

Arthroscopic partial or fractional meniscectomy

Arthroscopic complete or total meniscectomy

Benefits of Knee Arthroscopy Surgeries:

Arthroscopic Surgery involves less introduction of instruments into the body than open surgeries. Hence, it is less invasive.

It heals much faster.

The post-surgical phase is less painful in Arthroscopic Surgeries than in any other form.

Decreases the risk of infection and there are fewer sutures as there are minor cuts/ incisions made for the surgery.

Less damage to the skin and tissue.

25/06/2019

The spine plays a very crucial role, both from a person’s movement and sensation point of view. It carries the nervous supply for a lot of internal organs and the lower body. By virtue of its structure, it also helps in movement through the disks. Due to various reasons, spinal injury is common, causing pain along the back, lower extremities, neck etc.

Medicines and exercise are the first line of treatment for most spinal injuries. The issue, however, is that these only provide relief from the pain and the medicines, but do not actually ‘rectify’ the underlying problem. Whether it is a herniated disk or a pinched nerve, the medicines and exercise can relieve the symptoms, but the disk continues to be herniated and the nerve continues to be pinched. Definite treatment is in the form of surgery, and with recent advancements in the field of spinal surgery, there are minimally invasive surgical options, which provide complete cure with minimal recovery time. Some of the benefits of this are listed below-

Smaller incision compared to traditional surgical procedures, where only the injured area is accessed

The surrounding tissues are untouched unless they are injured and require repair

Lesser bleeding compared to earlier techniques

Lesser painful procedure

Reduced hospitalization period

Quicker recovery and return to normal activities

The question, however, is whether this is indicated in everybody. A detailed discussion with your surgeon keeping the below points in mind will help identify the answer for this. The main driver should be the answer to the question – will the surgery be able to effectively relieve you of the pain and symptoms? Additionally, the following factors help in getting better results out of minimally invasive spinal surgery.

Presence of symptoms relating to nerve compression, including pain from the spine down the leg.

Recent onset of symptoms, with pain starting days to months before seeing the doctor. This indicates the condition is relatively new and so damage is minimal, indicating favourable outcome. Chronic pain conditions take slightly longer time compared to recent injuries.

People with an active lifestyle who engage in regular physical exercise are likely to have better benefits from the minimally invasive procedure.

Smoking reduces blood flow to the spine, leading to disk degeneration and weakening of bones. Healing is highly slowed down and recovery is overall delayed.

Excessive weight puts a strain on the back, and so healing can be delayed or badly affected with more complications. It is not a contraindication, but be prepared for a longer recovery period.

20/06/2019

Skin is one of the most obvious parts of our body, which ages with an increase in the number of candles on our birthday cake. As you age, joints tend to become stiffer and less flexible. The body does not recover from bumps and bruises as easily as it did before, and it becomes difficult to stand for extended time intervals. This is caused mostly by a breakdown of cartilage and inflammation of the synovium.

What is cartilage?
Cartilage is a flexible connective tissue. It connects the ends of two bones in a joint. It is softer than bone tissue but less flexible than muscle tissue. Cartilage is responsible for the smooth movement of joints.
With age, cartilage begins to degenerate. As the cartilage gets thinner, movement becomes more and more difficult. If left untreated, the cartilage may completely wear off leaving no buffer between the bones. This is one of the leading causes of knee replacement surgery.

What is synovium?
Synovium is a membrane responsible for keeping the cartilage healthy. It produces a thick fluid that keeps the cartilage and joint lubricated. In cases of osteoarthritis, this membrane can swell up and produce excess fluid. This in turn causes the joint to swell as well.

Along with age, factors like being overweight, genetics, gender and lifestyle also play a role in the condition of your joints. Being obese point towards a sedentary lifestyle and puts extra pressure on joints, leading to the thinning of cartilage. While men have higher chances of becoming osteoarthritis patients before 45, women have higher chances of developing this disease after 50. A healthy lifestyle is the easiest way to ensure that your joints work well even when you're old and grey.

Exercise
Movement of the joints keeps the fluid in them moving. It also prevents the cartilage from shrinking and stiffening up. Exercise also makes the bones stronger, and slows the rate of bone tissue deterioration. Stretching exercises are also a good way to maintain the flexibility of joints.

Healthy diet
Foods that are known as natural antihistamines, antioxidants and foods that fight inflammation promote healthy joints. Some of these are:

Green tea: It prevents the breakdown of collagen and cartilage
Nuts and seeds: These are rich in omega 3 fats that are essential for good bone health
Ginger: It relieves pain and joint swelling
Yogurt: It helps soothe tender joints and fights inflammation
Pomegranate: It protects the cartilage against damage
Hot and cold therapy can also help relieve joint pain and reduce inflammation. As you get older, avoid putting too much pressure on your joints and give them adequate rest. Lastly, avoid smoking, as people who smoke have an increased risk of cartilage loss.

12/06/2019

Do you wake up in the morning feeling like a log? Do you feel so irritated to move around with all the pain that you wish the day never started? People affected with disorders such as arthritis, rheumatism and fibromyalgia (a pain disorder which affects the soft tissue and the muscles in the body) are the most vulnerable to such kind of pain. Body stiffness in the morning can make it difficult for you to get out of the bed and go about your work for the day.

Here are some causes that may lead to such a condition:

Not exercising on a regular basis
Obesity
An unhealthy diet which does not provide you with all the necessary nutrients
Living in a damp and cold environment can stiffen up those muscles, contributing to this condition.
A bad sleeping posture such as sleeping on your side can reduce the flow of blood to the concerned muscles, leading to early morning body ache.
Tips to get rid of it?
You can follow these tips to get your body up and about in the morning, right from the time you wake up:

The first tip to get rid of morning stiffness is to get the required amount of sleep. The recommended amount is 6-8 hours of regular sleep. Avoid distractions such as the glare from the slickest smartphone you recently bought, or another mindless episode of Quantico on your TV set.
Stretch your body before you go to sleep; a proper stretching routine will help loosen up the muscles and reduce stress from the body.
Remember, cold aggravates almost any kind of pain. So, if the room is cold or damp, use heaters or blankets to make sure that you are not affected by the cold.
Taking a hot shower before going to bed is a very good way to relax your muscles and also promote better blood circulation.
You need to keep yourself hydrated; so drink at least 2-3 liters of water regularly. Dehydration can lead to body cramps that can prevent you from getting a good night’s sleep, a factor which will most certainly add to your morning fatigue and pain.
Eat a healthy diet which consists of vegetables and fruits. Avoid eating too much carbohydrates as it can overload your system.
Avoid or at least limit stress: Make use of relaxation techniques such as meditation to manage stress effectively. Meditating early in the morning can set the tone for the day.
Get regular exercise as it promotes stronger muscles and keeps your body free from almost all kinds of pain. But make sure not to overstrain those muscles as that can add to a separate set of worries for you. Try not to exercise if you find the pain really troublesome and bothering; rather, let it subside before you resume with your exercises.

12/06/2019

do u required knee replacement.?
knee replacement how physiotherapist help ?

Knee is a hinge joint where the lower leg bone tibia meets the thigh bone femur. During osteoarthritis, cartilage or ligament defects and degenerative arthritis, knee replacement surgery is recommended world-wide to get relief from extreme pain. Knee replacement surgery, also known as knee arthroscopy, is a surgical procedure, in which the affected knee joint is replaced with synthetic material. The most likely candidates for total knee replacement are the patients with severe destruction of the knee joint coupled with progressive pain and impaired function.

Modern technological advances have made computer assisted knee replacement surgery extremely popular around the globe. In this surgery, the surgeon is assisted by a computer to remove the optimum amount and angle of the bone, which otherwise is done by inspecting manually. This is an excellent example of surgery through small incision and it eliminates the chances of human error. A perfect alignment and balance is achieved and hence longevity is also increased to 20 - 30 years. Knee replacement surgery is also specific to gender as the anatomy of male and female patients is different.

There are many types of knee replacements, most common being the total knee replacement or Total Knee Arthroplasty. In addition, there is partial knee replacement, bilateral knee replacement, revision knee replacement and knee arthroscopy.

In knee replacement surgery, the worn out surfaces of joints of knee are replaced with artificial implant of plastic and metal. The lower end of the femur bone is removed and replaced with a metal shell. The upper end of the lower leg bone (tibia) is also removed and replaced with a channelled plastic implant with a metal stem. A plastic ball is also added under the kneecap depending on its condition. These artificial components are commonly referred as prosthesis. The design of these highly flexible implants replicate knee, with the rotating knee replacement implants assist in backward and forward swing of the legs.

Patients whose knee joints have been damaged by either trauma or progressive arthritis should consider total knee replacement surgery. Post-surgical hospital stay after knee joint replacement is usually three to five days. The surgery has a very high success rate and shows dramatic improvement after a month. This improvement is most notable one month or more after surgery. The pain caused by the damaged joint is reduced significantly when the new gliding surface is constructed during surgery. Initially, patient will walk with the help of a walking aid until the knee is able to support full body weight. After six weeks, patient can walk comfortably with minimal assistance. Patients with artificial joints are prescribed to take antibiotics during the course of any elective invasive procedures including dental work. Physiotherapy is an essential part of rehabilitation and it will increase the muscle strength and patient can enjoy most activities, except running and jumping.

08/06/2019

The point of doing a work out is to put your body through the motions and phases before you hit an intense spot of persistent action before cooling down. This helps in giving your body a well-balanced work out. But what many of us do not know is that a good workout schedule will also involve well-paced warm up sessions with exercises that will warm up the body and its various areas as well as the muscles so that the intensity does not hit the body suddenly and result in some sort of injury or undue fatigue.

So get it right with these eight warm up exercises that you aren't doing, but totally should!

Dynamic: Follow a dynamic routine and mix it up a little with various kinds of movements that will work the different areas of the body. Start with squats and move on to lunges before you do a few skips to warm up!
Jump: Try the jumping rope the next time you hit the gym and watch your heart rate go up just enough to get you all warm and loose, ready for that heavy duty work out. You can start with five minutes of this motion before moving on to your first set.
Dance: Did you know that switching on your favourite music and shuffling your feet before you start to gyrate a little can actually get you in the right frame of mind for a work out? So next time, warm up with a little dancing!
Balance: Warm up with a balancing act or two. Stand on one leg and do deadlifts with a dumb bell. Repeat the same motion for both arms. This helps in imitating the actual work out that you will be indulging in, which helps in warming up the relevant areas.
Stretches: Try doing stretches and jumping jacks for stability and to work your core strength before you hit the gym equipment. This will bring about better blood circulation and help you get your heart ready for the work out.
Swing: Use swinging movements with your arms and legs with circles and marches to help loosen up the muscles.
Walk: Do the animal walk with crab walks, frog jumps, bunny hops, inch worm motions and much more to unleash your energy.
Medicine Balls: Grab some medicine balls and do a few moves like the rotational twist, the front body push, the reverse eight and many more to get your body pumped up.
Warming up is an important part of working out, so remember to get your warm up routine right!

07/06/2019

A bone may break due to several reasons starting from a fall or an injury or a condition like osteoporosis that makes the bones brittle and leaves them susceptible to fractures. The fracture usually takes a few weeks to get fixed as the broken bones grow back together with the help of various forms of treatment including plaster and sling applied by the orthopedic specialist or general physician. Find out more about how bones heal with this article.

Types of fracture: Before we get to the subject of how bones heal, it is important to understand the various kinds of fractures recognized by doctors. The first kind is the complete fracture where the bone breaks into two distinct parts. The next kind is the greenstick fracture or hairline fracture where there is simply a crack on one side of the bone due to pressure. Further, there is a single fracture which occurs where there is breakage of the bone only in one place. A bowing fracture may occur when the bones bend instead of breaking completely. This kind of fracture is pretty common for children. The comminuted fracture happens when the bone is crushed or broken in many places. And finally, the open fracture is one where the bone ends up protruding from the skin.

Treatment: Once you have broken a bone, the doctor will conduct an X-ray which will help in understanding the type of fracture and the extent of the damage caused. The doctor will then apply a cast and plaster that will help in bringing the bone back to its normal position so that it grows back with the main bone. In case the bone has broken in various parts or there is a complete fracture, then the doctor may even insert metal pins.

Natural healers: Bones are known as natural healers that can heal with the process of new cells and vessel production which rebuilds the bone by covering the broken ends and closing the gap caused due to the damage or the crack.
Clot: Once a bone has broken, a blood clot or callus forms in the surrounding region, which kind of acts towards sealing the area.
Threads: Once these clots have formed, the new threads of the bone cells begin to grow slowly from the ends of the broken bones. This will grow on both sides of the affected and fractured bones, almost as if drawing a line from one broken end to another.
Absorption: Finally, the callus will be absorbed by the new cell and the gap will close.

07/06/2019

A brain stroke can affect anyone at any point of time when the supply of blood to the brain is interrupted. It can threaten major physical functions and can prove to be fatally dangerous at times. The brain stem which is placed right above the spinal cord controls the breathing, heartbeat and levels of blood pressure. It is also in charge of controlling some elementary functions such as swallowing, hearing, speech and eye movements.

What are the different types of strokes?
There are three main kinds of stroke: ischemic strokes, hemorrhagic strokes and transient ischemic attacks. The most common type of brain stroke is the ischemic stroke is caused by narrowing or blocking of arteries to the brain, which prevents the proper supply of blood to the brain. Sometimes it so happens that the blood clot that has formed elsewhere in the body have travelled via the blood vessels and has been trapped in the blood vessel which provides blood to the brain. When the supply of blood to a part of the brain is hindered, the tissue in that area dies off owing to lack of oxygen. The other variant of brain stroke is termed as hemorrhagic stroke is caused when the blood vessels in and around the brain burst or leak. Strokes need to be diagnosed and treated as quickly as possible in order to minimize brain damage. Remembering the F.A.S.T. acronym can help with recognizing the onset of stroke (Face, Arms, Speed, Time - explained below).

What are the common symptoms of a brain stroke?
The symptoms of the brain stroke are largely dependent on the area of the brain that has been affected. It can interfere with normal functioning, such as breathing and talking and other functions which human beings can perform without thinking such as eye movements or swallowing. Since all the signals from the brain as well as other parts of the body traverse through the brain stem, the interruption of blood flow often leads to numbness or paralysis in different parts of the body.

Who is likely to have a stroke?
Anyone is at a risk of developing brain stroke although ageing is directly proportional to the risk of having a stroke. Not only that an individual with a family history of brain stroke or transient ischemic attack is at a higher risk of developing stroke. People who have aged over 65 accounts for about 33 percent of all brain strokes. It is important to point here that individuals with high blood pressure, high blood sugar, cholesterol, cancer, autoimmune diseases and some blood disorders are at a higher risk of developing brain stroke.

There are a few factors which can increase the risk of developing stroke beyond any control. But there are certain lifestyle choices as well which aids in controlling the chances of being affected by stroke. It is crucial to refrain from long-term hormone replacement therapies as well as birth control pills, smoking, lack of physical activity, excessive use of alcohol and drug addiction. A brain stroke is a life-threatening medical condition, and when an individual has symptoms that resemble that of stroke, it is crucial to seek immediate medical help.

Treatment for stroke

Treatment depends on the type of stroke.
Ischemic strokes can be treated with 'clot-busting' drugs.
Hemorrhagic strokes can be treated with surgery to repair or block blood vessel weaknesses.
The most effective way to prevent strokes is through maintaining a healthy lifestyle.
What is TPA?
TPA is a thrombolytic or a “Clot Buster” drug. This clot buster is used to break-up the clot that is causing a blockage or disruption in the flow of blood to the brain and helps restore the blood flow to the area of the brain. It is given by intravenous (IV). This can be given only within 4.5 hrs of the onset of symptoms

Time is brain

Remember Every second Loss means brain cells die.
Rush to the nearest Stroke Centre whenever you experience such symptoms.
U can save the brain cells dying if you reach within 4.5 hrs by the CLOT BUSTER.
Endovascular procedures
Another treatment option is an endovascular procedure* called mechanical thrombectomy, strongly recommended, in which trained doctors try removing a large blood clot by sending a wired-caged device called a stent retriever, to the site of the blocked blood vessel in the brain

Stroke prevention
The good news is that 80 percent of all strokes are preventable. It starts with managing key risk factors, including

High blood pressure,
Cigarette smoking,
Diabetes
Atrial fibrillation and
Physical inactivity.
More than half of all strokes are caused by uncontrolled hypertension or high blood pressure, making it the most important risk factor to control.
Rehabilitation
The best way to get better after a stroke is to start stroke rehabilitation ("rehab"). In stroke rehab, a team of health professionals works with you to regain skills you lost as the result of a stroke.

07/06/2019

The Anterior Cruciate Ligament or ACL tear is a very common problem with athletes and with people who have an active lifestyle. In fact, this can also be caused by any accident due to sudden movement.

Importance of ACL

The ACL is the supporting ligament, which runs diagonally from back to front right in the middle of the knee, connecting the femur bone and the tibia, and helps the tibia not to come before the femur. Thus the balance of the knee during back and forth movements and the entire stability of the knee joint is secured by this very important piece of ligament.

What leads to an injury to the ACL?

Here are a few actions that may result in a ligament tear.

Sudden stopping while running or slowing down from a fast speed

Sudden change in direction

Uncontrolled jumping from a height

Direct hitting with an object or person

What happens when the ACL is torn?

If the ACL is torn, the stability of your knee is gone, and you feel as if you have no control over the joint. Moreover, it causes extreme pain and instant swelling. Swelling usually appears within 24 hours of the injury.

Treatment of ACL Injury

Recovery from an ACL tear is possible only after a surgery. Without surgery, the affected will not be able to return to sports or athletics, or may not be able to run and make swift movements again as before. However, to avoid surgery, there are non-invasive treatments for the aged and people who require moving less.

Non-invasive Treatment: Bracing is one treatment where braces are given to support the knee joint during movement and also to avoid further injury. This is effective for the elderly who need minimum movement and may manage daily activities with a braced knee. Also, crutches add to the support and let the weaker knee get rest. This is followed by physical therapy. But the swelling has to reduce before starting it. Many exercises and controlled movements over a long time help in getting back agility in movement gradually.

Surgical Treatment: Once the swelling subsides, doctors would plan for an Arthroscopic (Key-Hole Surgery) ACL reconstruction. In this Doctor make a graft of a tendon. This graft is inserted into the joint and fixed in anatomical position in femur and tibia Arthroscopically so that the newly created ACL functions like the natural one. This is the only way to get back the ligament in whole as the torn ligament cannot be stitched. Surgery is done through arthroscope and recovery time is 15 days for resuming day to day activities and 3 to 6 month for resuming sports activities with continued physical therapy after the surgery.

04/06/2019

One of the most common neurological conditions men and women suffer from is a headache. Headaches usually vary in terms of location, intensity and duration and may be treated with simple home remedies or over the counter medications. One of the most renowned types of headache is known as a migraine. Other common types of headaches include sinus headaches and tension headaches.

1)Migraines:
Migraines are very painful headaches that may be accompanied by a feeling of nausea, vomiting, increased sensitivity to light and a pounding pain in the head. They are caused by a change in concentration of neurotransmitters in the brain which in turn make blood vessels expand thereby bringing on a migraine.

2)Tension headaches:
The pain of a tension headache is considered mild or moderate in comparison to migraines. This type of headache is characterised by throbbing pain on both sides of the head and pain in the neck and behind the eyes. Tension headaches are caused by the contraction of muscles in the head and neck.

3)Cluster headaches:
Cluster headaches are characterised by a series of short yet intense headaches that may occur every day or several weeks or months. In most cases, they recur on a seasonal basis i.e., people tend to get them at the same time of the year. The pain caused by cluster headaches may be more severe than that of a migraine but these headaches do not last as long. They are caused by the activation of a specific nerve pathway that is responsible for facial sensations. Cluster headaches are the most uncommon type of headaches.
Rebound headaches: In most cases, a headache can be cured with over the counter remedies. However, excessive or incorrect use of these medications can cause a rebound headache. These medications may trigger another headache when their effect wears off. This makes the person retake the medicine leading to a vicious cycle. Rebound headaches are most often caused by medicines that contain caffeine.

4)Secondary headaches: While the above types of headaches are categorised as primary headaches, a headache that is caused by another condition is known as a secondary headache. Secondary headaches are commonly caused by severe hypertension, sinusitis, pharyngitis and other types of head trauma. Tumours, subdural hematoma or other conditions that take up space in the head can also cause secondary headaches. Secondary headaches are a greater cause for concern than primary headaches and should not be ignored.

All above head is curable with PEMF ( pulsed electro magnetic frequency) machine therapy.This is available at priorfit clinic.

31/05/2019

Heel pain is a common problem in the body where the affected person experiences pain radiating from the heel bone. Heel pain usually progresses slowly over time, it is recommended to consult a medical professional, if heel pain turns severe. The pain tends to most severe after one has been inactive for some time such as after waking up in the morning.

Causes

Heel pain is usually caused when tissues present in the bottom of the heel (Plantar fascia) is damaged. These tissues connect the heel bone with the bones of the feet and help in absorbing shocks. Tears are formed in these tissues when they are damaged or when they get thicker. These tissues are at an increased risk of wear and tear for those who are over 45 years old. The risks also tend to increase if the person is obese or whose occupation requires standing for lengthy periods of time.
Among other causes of heel pain are heel bone fractures, fat pad atrophy (a condition where a layer of fat present under the heel bone is reduced) and bursitis (inflammation of the fluid filled sacs present around the joints). Peripheral neuropathy is a condition where damage occurs in the peripheral nerves (that transmits signals between the central nervous system and the rest of the body), this can cause pain in the heel.

Symptoms

The symptoms of heel pain include:

1. Experiencing pain while jogging or walking
2. A feeling of pins pricking the heels after waking up in the morning
3. Inability to bend the heel
4. Painful swelling
5. Pain in the heel accompanied by fever

Prevention and treatment

Heel pain can be prevented by taking certain preventive measures such as restricting usage of high heeled shoes without proper support and stretching the heel regularly. Medications such as painkillers are used to treat symptoms of heel pain.

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