Dr. Dinesh kumar joshi

12/11/2019

Frozen shoulder or adhesive capsulitis is a common source of shoulder pain. It occurs in about 2% to 5% of the population and commonly presents in 40 to 60-year-olds. It is more prevalent in women (70%)

While frozen shoulder is commonly missed or confused with a rotator cuff injury, it has a distinct pattern of symptoms resulting in severe shoulder pain, loss of shoulder function and eventually stiffness

Frozen shoulder causes your shoulder joint capsule to shrink (to < 5 cm3) and significantly thicken (from ~1mm to ~5mm!), which leads to pain and a stiff shoulder joint capsule resulting in a reduced range of shoulder movement. Your shoulder capsule is the deepest layer of soft tissue around your shoulder joint and plays a major role in keeping your humerus within the shoulder socket

STAGE OF FROZEN SHOULDER

Freezing

Phase one is characterised by pain around the shoulder initially, followed by a progressive loss of range of movement. Sometimes referred to as the RED phase due to the capsule colour (inflammation and bleeding) if you undergo arthroscopic surgery. This usually lasts anywhere from 3 to 9 months! Aggressive treatment should be avoided in this phase

Frozen

Phase two is where stiffness is dominate. The early transition from phase one to two can be painful. Late phase two is generally pain-free but functionally limiting due to the stiffness. This stage can commonly last from 9 to 15 months.

Thawing

Phase three. During this final phase, there is a gradual return of range of movement. The stage can last 15 to 24 months

EXERCISE to relieve pain......

1. Pendulum stretch

Do this exercise first. Relax your shoulders. Stand and lean over slightly, allowing the affected arm to hang down. Swing the arm in a small circle — about a foot in diameter. Perform 10 revolutions in each direction, once a day. As your symptoms improve, increase the diameter of your swing, but never force it. When you're ready for more, increase the stretch by holding a light weight (three to five pounds) in the swinging arm.

2. Towel stretch

Hold one end of a three-foot-long towel behind your back and grab the opposite end with your other hand. Hold the towel in a horizontal position. Use your good arm to pull the affected arm upward to stretch it. You can also do an advanced version of this exercise with the towel draped over your good shoulder. Hold the bottom of the towel with the affected arm and pull it toward the lower back with the unaffected arm. Do this 10 to 20 times a day.

3. Finger walk

Face a wall three-quarters of an arm's length away. Reach out and touch the wall at waist level with the fingertips of the affected arm. With your elbow slightly bent, slowly walk your fingers up the wall, spider-like, until you've raised your arm as far as you comfortably can. Your fingers should be doing the work, not your shoulder muscles. Slowly lower the arm (with the help of the good arm, if necessary) and repeat. Perform this exercise 10 to 20 times a day.

4. Cross-body reach

Sit or stand. Use your good arm to lift your affected arm at the elbow, and bring it up and across your body, exerting gentle pressure to stretch the shoulder. Hold the stretch for 15 to 20 seconds. Do this 10 to 20 times per day.

5. Armpit stretch

Using your good arm, lift the affected arm onto a shelf about breast-high. Gently bend your knees, opening up the armpit. Deepen your knee bend slightly, gently stretching the armpit, and then straighten. With each knee bend, stretch a little further, but don't force it. Do this 10 to 20 times each day.

Starting to strengthen
As your range of motion improves, add rotator cuff–strengthening exercises. Be sure to warm up your shoulder and do your stretching exercises before you perform strengthening exercises.

6. Outward rotation

Hold a rubber exercise band between your hands with your elbows at a 90-degree angle close to your sides. Rotate the lower part of the affected arm outward two or three inches and hold for five seconds. Repeat 10 to 15 times, once a day.

7. Inward rotation

Stand next to a closed door, and hook one end of a rubber exercise band around the doorknob. Hold the other end with the hand of the affected arm, holding your elbow at a 90-degree angle. Pull the band toward your body two or three inches and hold for five seconds. Repeat 10 to 15 times, once a day

12/10/2019

Spondylosis is age-related change of the bones (vertebrae) and discs of the spine. These changes are often called degenerative disc disease and osteoarthritis.

These changes don't always cause symptoms. But they are a common cause of spine problems that can range from mild to severe

11/10/2019

Get the best physiotherapy treatment at Dr. joshi's physiotherapy clinic , Goregaon west .
Book appointment for physiotherapy services now
call now @ 8619565681

* TREATMENT AVAILABLE FOR**

Back pain
Neck pain
Shoulder pain
frozen shoulder
Knee pain
Slip disc
Sciatica
Tennis elbow
Heel pain
Cervical spondylitis
Muscle spasm
Arthritis

Treatment is done by;;;;;;;;;;;
LASER therapy,
ultrasound therapy ,
IFT ,
TENS,
Russian current ,
neuromuscular stimulation ,
cupping therapy,
kinesio tapping,
manual therapy and many more

10/10/2019

Get the best physiotherapy treatment at Dr. joshi's physiotherapy clinic , Goregaon west .
Book appointment for physiotherapy services now
call now @ 8619565681

**************** TREATMENT AVAILABLE FOR******************

Back pain
Neck pain
Shoulder pain
frozen shoulder
Knee pain
Slip disc
Sciatica
Tennis elbow
Heel pain
Cervical spondylitis
Muscle spasm
Arthritis

Treatment is done by;;;;;;;;;;;
LASER therapy,
ultrasound therapy ,
IFT ,
TENS,
Russian current ,
neuromuscular stimulation ,
cupping therapy,
kinesio tapping,
manual therapy and many more

10/10/2019

Osteoarthritis symptoms often develop slowly and worsen over time. Signs and symptoms of osteoarthritis include:

Pain. Affected joints might hurt during or after movement.
Stiffness. Joint stiffness might be most noticeable upon awakening or after being inactive.
Tenderness. Your joint might feel tender when you apply light pressure to or near it.
Loss of flexibility. You might not be able to move your joint through its full range of motion.
Grating sensation. You might feel a grating sensation when you use the joint, and you might hear popping or crackling.
Bone spurs. These extra bits of bone, which feel like hard lumps, can form around the affected joint.
Swelling. This might be caused by soft tissue inflammation around the joint.

24/09/2019

18/09/2019

Free physiotherapy Doctor consultation

Don't miss the chance to ask your all quires related to
'back pain , neck pain, knee pain, shoulder pain, joint pain and muscle pain and postural problem ''

CALL NOW @ 8619565681

17/09/2019

knee osteoarthritis......

Having knee osteoarthritis can sometimes seem like a double-edge sword. Overusing your knees can worsen your joint health and knee OA, but the less you move your knees, the weaker they can get. You need to find that balance of keeping your knee joints moving just enough so they're strong and healthy, and physical therapy helps you do that.

With knee OA, the muscles surrounding the knee can become weak, and the knee joints can become stiff. This makes it difficult to do everyday tasks, such as walking or getting out of bed

Physical therapy can help to reduce the pain, swelling, and stiffness of knee osteoarthritis, and it can help improve knee joint function. It can also make it easier for you to walk, bend, kneel, squat, and sit. In fact, a 2000 study found that a combination of manual physical therapy and supervised exercise has functional benefits for patients with knee osteoarthritis and may delay or prevent the need for surgery

Physical therapy can help to reduce the pain, swelling, and stiffness of knee osteoarthritis, and it can help improve knee joint function. It can also make it easier for you to walk, bend, kneel, squat, and sit. The two main types of physical therapy—passive and active treatments—can help make your knee OA more manageable. With passive treatments, the physical therapist does the majority of the work. But with active treatments, you do more of the work, such as at-home exercises

09/09/2019

hello everyone
many women has asked me that how to overcome with back pain after delivery or after cesarean delivery so today i am going to tell you all about this

how to get rid off back pain after delivery?....

cause of back pain after delivery....

Those same pregnancy hormones that loosened your ligaments and joints in preparation for childbirth are still to blame. In addition to that, you are most likely suffering from strained back and abdominal muscles from pushing in the delivery room or pain from a C-section, the lifting of your baby, and possibly from holding your baby the wrong way.

“Low back pain is a common prenatal and postnatal pregnancy concern, but it is treatable with physical therapy,” “Strategic strength training, proper body mechanics, management of muscle spasm, and stretching exercises can help alleviate the pain.”

Back and pelvic pain during pregnancy often subside once the baby is born, but that is not the case for approximately one third of women. Education and exercise therapy can help. physical therapist can teach you the right exercises and explain how to alter the way you perform some activities to best reduce your pain. He or she can also help you decide if other treatments such as braces or manual therapy are necessary

physiotherapy treatment....

Goal: To improve pulmonary function and decrease the risk of pneumonia

Breathing instructions should be given.
Coughing and / or huffing technique should be taught.
Goal: To decrease incisional pain with coughing, movement or breast feeding.

Post operative TENS can be given.
Support incision site with pillow when coughing or breastfeeding.
Incisional support with pillows or hands with movement ,education regarding incisional care and risk of injury.
Goal: To prevent post surgical vascular or gastrointestinal complications.

Active leg exercises should be taught.
Early ambulation should be encouraged.
Abdominal massage to peristalsis can be taught.
Goal: To enhance incisional circulation and healing; prevent adhesion formation.

Gentle abdominal exercise with incisional support should be taught ..
scar mobilisation can be done.
friction massage can be given.
Goal: To decrease post surgical discomfort from flatulence,itching or catheter.

Instructions regarding positioning should be given.
massage can be given.
supportive exercises can be taught.
Goal: To correct posture.

Posture instructions should be given, particularly regarding child care.
Goal: To prevent injury and reduce low back pain.

Instructions regarding incisional splinting and positioning for ADLs should be given.
Instructions regarding body mechanics should be given.
Goal: To prevent pelvic floor dysfunction

Pelvic floor exercises should be taught.
Education regarding risk factors and types of pelvic floor dysfunction should be given.
Goal: To develop abdominal strength

Abdominal exercise progression , including corrective exercises for diastasis rectii should be taught

08/09/2019

Health is the greatest strength
happy world physiotherapy day to all physiotherapist

07/09/2019

Back muscle pain or its aliases: pulled back muscle, back muscle spasm, torn back muscle or back muscle strain, is very common.

In fact, back muscle pain is the most common source of back pain. The good news is, that it is also one of the quickest to heal and rehabilitate.

What Causes Back Muscle Pain?
Most causes of low back pain are muscle, ligament or joint related. Commonly, these back injuries are caused by muscular strains, ligament sprains and joint dysfunction, particularly when pain arises suddenly during or following physical loading of your spine. Muscle fatigue, excessive loads, high speeds or poor lifting postures are the most common causes.

The causes of simple back pain are numerous but roughly fall into the following categories.

Back Muscle Strains
Muscle pain is the most common source of back pain. Muscle fatigue, excessive loads or poor lifting or sitting postures are the most common problems.

Inefficient, weak, or back muscles that lack endurance or normal contraction timing can lead to poor joint stabilisation and subsequent injury to your back muscles, ligaments, joints or even spinal discs.

Poor Posture
Poor posture when sitting, standing and lifting at work, can place unnecessary stress upon your spine. With muscle fatigue or overstretching, your ligaments and discs can stretch and this places spinal joint muscles and nerves under pain-causing pressure or strain, that results in back pain.

Ligament Sprains
Ligaments are the strong fibrous bands that limit the amount of movement at available at each spinal level. Stretching ligaments too far or too quickly will tear them with subsequent bleeding into the surrounding tissues, causing swelling, muscular spasm and pain.

Awkward lifting, sports injuries and motor vehicle accidents are very common causes. Just as in other regions of the body, physiotherapy hastens ligament healing and relieves pain so that you can enjoy life again as soon as possible.

What are Symptoms of Back Muscle Pain?
Back muscle pain symptoms may range from a mild ache to sudden debilitating back pain.

Typical back muscle pain symptoms include:

Localised back pain, with no radiation into your buttock or leg.
Back muscle tenderness and/or spasm.
Protective back stiffness.
Sudden back pain onset.
You will usually feels better when resting, and may find change of position painful eg sit to stand, rolling in bed, walking or bending