Physiotherapy Home Care

Physiotherapy Home Care Physiotherapy Consultation and Healthcare support

Causes of sciatica
22/08/2025

Causes of sciatica

A reflex arc is the neural pathway that mediates a reflex, an involuntary and rapid response to a stimulus.
08/05/2025

A reflex arc is the neural pathway that mediates a reflex, an involuntary and rapid response to a stimulus.

Confusing "Spondy-" and "Syrinx-" Terminology
09/04/2025

Confusing "Spondy-" and "Syrinx-" Terminology

Motor Evaluation, Sensory Evaluation and Reflexes Test for Cervical Radiculopathy and Myelopathy
09/04/2025

Motor Evaluation, Sensory Evaluation and Reflexes Test for Cervical Radiculopathy and Myelopathy

Grading scale for Manual Muscle Testing
27/03/2025

Grading scale for Manual Muscle Testing

Hilarious Holi celebration activities that unite people and ignite joy.Here are some physiotherapy Home Care tips to hel...
14/03/2025

Hilarious Holi celebration activities that unite people and ignite joy.

Here are some physiotherapy Home Care tips to help you recover from Holi-related injuries or manage chronic conditions:

General Physiotherapy Home Care Tips
1. *Follow your physiotherapist's instructions*: Follow your physiotherapist's instructions for exercises, stretches, and other treatments.
2. *Take regular breaks*: Take regular breaks to rest and stretch, especially if you have a desk job or engage in repetitive activities.
3. *Stay hydrated*: Stay hydrated by drinking plenty of water throughout the day.
4. *Maintain good posture*: Maintain good posture to reduce strain on your muscles and joints.

Holi-Specific Physiotherapy Home Care Tips
1. *Apply ice or heat*: Apply ice or heat to reduce pain and inflammation, depending on the severity of your injury.
2. *Use compression bandages*: Use compression bandages to reduce swelling and provide support.
3. *Elevate your affected limb*: Elevate your affected limb to reduce swelling and promote healing.
4. *Practice gentle stretches*: Practice gentle stretches to maintain flexibility and range of motion.

Home Exercises for Common Holi-Related Injuries
1. *Neck stretches*: Practice neck stretches, such as chin tucks and ear-to-shoulder stretches, to reduce strain from looking up or down while playing with colors.
2. *Shoulder rolls*: Practice shoulder rolls, such as arm circles and shoulder blade squeezes, to reduce tension and strain from throwing colors.
3. *Wrist extensions*: Practice wrist extensions, such as wrist circles and wrist extensions, to reduce strain from holding color-filled balloons or water guns.

Home Remedies for Holi-Related Pain and Inflammation
1. *Turmeric paste*: Apply a turmeric paste to reduce pain and inflammation.
2. *Ginger tea*: Drink ginger tea to reduce pain and inflammation.
3. *Epsom salt bath*: Take an Epsom salt bath to reduce pain and inflammation.

Safety Precautions
1. *Consult your physiotherapist*: Consult your physiotherapist before starting any new exercises or treatments.
2. *Listen to your body*: Listen to your body and stop if you experience any pain or discomfort.
3. *Use proper equipment*: Use proper equipment, such as exercise balls and resistance bands, to prevent injuries.

Remember to consult your physiotherapist or healthcare professional if you experience any pain or discomfort during or after Holi celebrations. Happy Holi!

10/03/2025

Active breathing exercises, also known as respiratory training or breathing exercises, are techniques that help strengthen the lungs, improve breathing, and increase oxygenation of the body.

Benefits of Active Breathing Exercises
1. *Improved lung function*: Strengthening the lungs and improving breathing efficiency.
2. *Increased oxygenation*: Increasing oxygen levels in the body, which can improve energy levels and overall health.
3. *Reduced stress and anxiety*: Promoting relaxation and reducing stress and anxiety.
4. *Improved sleep*: Helping to regulate breathing patterns and improve sleep quality.
5. *Increased endurance*: Improving cardiovascular endurance and reducing fatigue.

Types of Active Breathing Exercises
1. *Diaphragmatic breathing*: Engaging the diaphragm to breathe deeply and efficiently.
2. *Pursed-lip breathing*: Breathing out slowly through pursed lips to slow down breathing.
3. *Box breathing*: Breathing in for a count of 4, holding for a count of 4, and breathing out for a count of 4.
4. *Alternate Nostril Breathing*: Breathing in through one nostril and out through the other to balance breathing.
5. *4-7-8 Breathing*: Breathing in through the nose for a count of 4, holding for a count of 7, and breathing out through the mouth for a count of 8.

Tips for Practicing Active Breathing Exercises
1. *Find a quiet space*: Find a quiet space to practice breathing exercises without distractions.
2. *Start slow*: Start with short exercises and gradually increase duration and intensity.
3. *Focus on technique*: Focus on proper technique and engage the diaphragm.
4. *Practice regularly*: Practice breathing exercises regularly to see improvements in lung function and overall health.
5. *Consult a healthcare professional*: Consult with a healthcare professional before starting any new exercise program.

03/03/2025

Derangement is a medical term that refers to a disruption or disturbance of the normal anatomical or physiological structure of a joint, system, or organ.

General Definition
Derangement can be defined as:

"A disruption or disturbance of the normal anatomical or physiological structure of a joint, system, or organ, leading to pain, stiffness, limited mobility, and/or neurological symptoms."

Specific Definitions
1. *Orthopedic definition*: Derangement refers to a disruption of the normal joint mechanics, leading to pain, stiffness, and limited mobility.
2. *Neurological definition*: Derangement refers to a disruption of the normal neurological function, leading to pain, numbness, tingling, and/or weakness.
3. *Spinal definition*: Derangement refers to a disruption of the normal spinal mechanics, leading to pain, stiffness, and limited mobility.

Key Components
1. *Disruption*: A disruption or disturbance of the normal anatomical or physiological structure.
2. *Joint or system*: Affecting a joint, system, or organ.
3. *Pain and stiffness*: Leading to pain, stiffness, and limited mobility.
4. *Neurological symptoms*: Possibly leading to neurological symptoms, such as numbness, tingling, or weakness.

There are several types of derangement, including:

1. Articular Derangement
- *Definition*: Disruption of the joint surfaces, leading to pain and stiffness.
- *Examples*: Shoulder, hip, knee, or spinal joint derangement.

2. Non-Articular Derangement
- *Definition*: Disruption of the surrounding soft tissues, such as ligaments, tendons, or muscles.
- *Examples*: Muscle strain, tendonitis, or ligament sprain.

3. Spinal Derangement
- *Definition*: Disruption of the normal spinal mechanics, leading to pain, stiffness, or neurological symptoms.
- *Examples*: Lumbar disc herniation, spinal stenosis, or spondylolisthesis.

4. Peripheral Derangement
- *Definition*: Disruption of the normal peripheral nerve function, leading to pain, numbness, or tingling.
- *Examples*: Carpal tunnel syndrome, sciatica, or peripheral neuropathy.

5. Functional Derangement
- *Definition*: Disruption of the normal functional movement patterns, leading to pain, stiffness, or limited mobility.
- *Examples*: Poor posture, movement dysfunction, or biomechanical imbalances.

6. Mechanical Derangement
- *Definition*: Disruption of the normal mechanical function of a joint or system, leading to pain, stiffness, or limited mobility.
- *Examples*: Joint instability, muscle imbalances, or biomechanical issues.

7. Neurological Derangement
- *Definition*: Disruption of the normal neurological function, leading to pain, numbness, tingling, or weakness.
- *Examples*: Radiculopathy, neuropathy, or neurological disorders.

Each type of derangement requires a specific approach to diagnosis, treatment, and management.

Shoulder derangement refers to the disruption or disturbance of the normal anatomical or physiological structure of the shoulder joint.

Types of Shoulder Derangement
1. *Glenohumeral joint derangement*: Disruption of the joint surfaces between the humerus (upper arm bone) and the glenoid (shoulder socket).
2. *Acromioclavicular joint derangement*: Disruption of the joint surfaces between the acromion (shoulder blade) and the clavicle (collarbone).
3. *Scapulothoracic joint derangement*: Disruption of the joint surfaces between the scapula (shoulder blade) and the thoracic spine.

Causes of Shoulder Derangement
1. *Trauma*: Injury or trauma to the shoulder joint, such as a fall or direct blow.
2. *Overuse*: Repetitive strain or overuse of the shoulder joint, such as in sports or work-related activities.
3. *Degenerative changes*: Wear and tear on the shoulder joint over time, leading to osteoarthritis or other degenerative conditions.
4. *Poor posture*: Chronic poor posture leading to strain on the shoulder joint.

Symptoms of Shoulder Derangement
1. *Pain*: Pain or stiffness in the shoulder joint or surrounding muscles.
2. *Limited mobility*: Reduced range of motion or stiffness in the shoulder joint.
3. *Muscle spasm*: Muscle spasms or guarding in the affected area.
4. *Instability*: Feeling of instability or looseness in the shoulder joint.

Treatment of Shoulder Derangement
1. *Manual therapy*: Joint mobilization, soft tissue mobilization, or shoulder manipulation.
2. *Exercise therapy*: Strengthening exercises, stretching exercises, or postural correction.
3. *Pain management*: Medications, injections, or other interventions to manage pain.
4. *Surgery*: In some cases, surgery may be necessary to repair or stabilize the shoulder joint.

Rehabilitation Goals
1. *Pain reduction*: Reduce pain and inflammation in the affected area.
2. *Mobility improvement*: Improve range of motion and mobility in the shoulder joint.
3. *Strength enhancement*: Strengthen the surrounding muscles to improve stability and support.
4. *Functional ability*: Improve functional ability and return to normal activities.

Spinal Derangement refers to a condition where the normal spinal mechanics are disrupted, leading to pain, stiffness, and limited mobility in the spine.

Types of Spinal Derangement
1. *Lumbar Derangement*: Affects the lower back (lumbar spine).
2. *Cervical Derangement*: Affects the neck (cervical spine).
3. *Thoracic Derangement*: Affects the upper back (thoracic spine).

Causes of Spinal Derangement
1. *Trauma*: Injury or trauma to the spine.
2. *Overuse*: Repetitive strain or overuse of the spine.
3. *Degenerative changes*: Wear and tear on the spine over time.
4. *Poor posture*: Chronic poor posture leading to strain on the spine.

Symptoms of Spinal Derangement
1. *Pain*: Pain or stiffness in the spine.
2. *Limited mobility*: Reduced range of motion or stiffness in the spine.
3. *Muscle spasm*: Muscle spasms or guarding in the affected area.
4. *Neurological symptoms*: Numbness, tingling, or weakness in the arms or legs.

Treatment of Spinal Derangement
1. *Manual therapy*: Spinal manipulation, joint mobilization, or soft tissue mobilization.
2. *Exercise therapy*: Strengthening exercises, stretching exercises, or postural correction.
3. *Pain management*: Medications, injections, or other interventions to manage pain.
4. *Surgery*: In some cases, surgery may be necessary to repair or stabilize the spine.

McKenzie Method
The McKenzie Method is a widely used approach for treating spinal derangement. It involves:

1. *Centralization*: Techniques to centralize pain and reduce symptoms.
2. *Directional preference*: Identifying the direction of movement that reduces symptoms.
3. *Stabilization*: Exercises to stabilize the spine and improve mobility.

The McKenzie Method is a valuable approach for treating spinal derangement, as it focuses on empowering patients to manage their own symptoms and improve their functional ability.

03/03/2025

The Upper Limb Tension Test (ULTT) is a physical examination technique used to assess neural tension and mobility in the upper limb.

Procedure
1. *Patient position*: The patient sits or stands with their arm relaxed by their side.
2. *Shoulder abduction*: The examiner abducts the patient's shoulder to 90 degrees.
3. *Elbow extension*: The examiner extends the patient's elbow.
4. *Wrist extension*: The examiner extends the patient's wrist.
5. *Finger extension*: The examiner extends the patient's fingers.
6. *Pain assessment*: The patient reports any pain, numbness, or tingling sensations in their arm or hand.

What to Assess
1. *Neural tension*: The test assesses neural tension in the brachial plexus, median nerve, and radial nerve.
2. *Nerve mobility*: The test evaluates nerve mobility and excursion in the upper limb.

Positive Findings
A positive ULTT may indicate:

1. *Thoracic outlet syndrome*: Compression of the brachial plexus or subclavian artery.
2. *Carpal tunnel syndrome*: Compression of the median nerve in the wrist.
3. *Radial nerve entrapment*: Compression of the radial nerve in the arm or forearm.
4. *Brachial plexus injury*: Trauma or injury to the brachial plexus.

Limitations
1. *False positives*: Pain from other sources, such as muscle strain or joint issues.
2. *False negatives*: Neural tension or nerve compression may not always cause pain during the test.

The ULTT is a valuable tool for healthcare professionals to assess neural tension and mobility in the upper limb, helping to diagnose and manage various upper limb conditions.

There are several variations of the Upper Limb Tension Test (ULTT), each with its own specific purpose and application:

1. Median Nerve Bias ULTT
- *Procedure*: Patient's wrist is extended, and fingers are flexed.
- *Assesses*: Median nerve tension and mobility.

2. Radial Nerve Bias ULTT
- *Procedure*: Patient's wrist is flexed, and fingers are extended.
- *Assesses*: Radial nerve tension and mobility.

3. Ulnar Nerve Bias ULTT
- *Procedure*: Patient's wrist is flexed, and fingers are flexed.
- *Assesses*: Ulnar nerve tension and mobility.

4. Brachial Plexus Bias ULTT
- *Procedure*: Patient's shoulder is abducted, and elbow is flexed.
- *Assesses*: Brachial plexus tension and mobility.

5. Modified ULTT with Neck Flexion
- *Procedure*: Patient's neck is flexed, and ULTT is performed.
- *Assesses*: Neural tension and mobility in the cervical spine and upper limb.

6. Modified ULTT with Shoulder Rotation
- *Procedure*: Patient's shoulder is rotated, and ULTT is performed.
- *Assesses*: Neural tension and mobility in the shoulder and upper limb.

7. Bilateral ULTT
- *Procedure*: ULTT is performed on both arms simultaneously.
- *Assesses*: Bilateral neural tension and mobility in the upper limbs.

Each variation of the ULTT provides valuable information about neural tension and mobility in the upper limb, helping healthcare professionals diagnose and manage various upper limb conditions.

03/03/2025

The Slump Test is a physical examination technique used to assess neural tension, nerve root irritation, and spinal mobility.

Procedure
1. *Patient position*: The patient sits on the examination table with their feet flat on the floor.
2. *Slumping motion*: The patient slouches forward, allowing their spine to flex.
3. *Knee extension*: The examiner extends the patient's knee, keeping the foot flexed.
4. *Ankle dorsiflexion*: The examiner dorsiflexes the patient's ankle.
5. *Pain assessment*: The patient reports any pain, numbness, or tingling sensations in their leg or back.

Positive Slump Test
A positive Slump Test indicates neural tension, nerve root irritation, or spinal mobility issues, which may cause:

1. *Pain*: Radiating pain or discomfort in the leg or back.
2. *Numbness or tingling*: Sensory changes in the leg or foot.
3. *Muscle weakness*: Weakness in the affected leg or foot.

Conditions Associated with Positive Slump Test
1. *Lumbar disc herniation*: Disc material compresses or irritates nearby nerves.
2. *Spinal stenosis*: Narrowing of the spinal canal compresses or irritates nearby nerves.
3. *Spondylolisthesis*: A vertebra slips out of place, compressing or irritating nearby nerves.
4. *Piriformis syndrome*: Compression of the sciatic nerve by the piriformis muscle.

Limitations and Variations
1. *False positives*: Pain from other sources, such as muscle strain or hip joint issues.
2. *False negatives*: Neural tension or nerve root irritation may not always cause pain during the Slump Test.
3. *Modified Slump Test*: Variations, such as adding ankle weights or resistance, can help identify specific neural tension patterns.

There are several variations of the Slump Test, each with its own specific purpose and application:

1. Standard Slump Test
- *Procedure*: Patient slouches forward, knee extension, and ankle dorsiflexion.
- *Assesses*: Neural tension, nerve root irritation, and spinal mobility.

2. Modified Slump Test
- *Procedure*: Variations, such as adding ankle weights or resistance, to increase sensitivity.
- *Assesses*: Specific neural tension patterns and nerve root irritation.

3. Slump Test with Neck Flexion
- *Procedure*: Patient slouches forward with neck flexion.
- *Assesses*: Neural tension and nerve root irritation in the cervical and thoracic spine.

4. Slump Test with Knee Flexion
- *Procedure*: Patient slouches forward with knee flexion.
- *Assesses*: Neural tension and nerve root irritation in the lumbar spine.

5. Slump Test with Ankle Plantar Flexion
- *Procedure*: Patient slouches forward with ankle plantar flexion.
- *Assesses*: Neural tension and nerve root irritation in the sciatic nerve.

6. Crossed Slump Test
- *Procedure*: Patient slouches forward with the affected leg crossed over the other leg.
- *Assesses*: Neural tension and nerve root irritation on the opposite side.

7. Bilateral Slump Test
- *Procedure*: Patient slouches forward with both legs extended.
- *Assesses*: Neural tension and nerve root irritation in the lumbar spine and bilateral sciatic nerves.

Each variation of the Slump Test provides valuable information about neural tension, nerve root irritation, and spinal mobility, helping health-care professionals diagnose and manage various spinal disorders.

03/03/2025

SLR stands for Straight Leg Raise, a physical examination technique used to assess nerve root irritation or disc herniation in the lower back.

Procedure
1. *Patient position*: The patient lies on their back with their legs straight.
2. *Leg lift*: The examiner slowly lifts one leg, keeping it straight, to a certain height (usually 30-60 degrees).
3. *Pain assessment*: The patient reports any pain, numbness, or tingling sensations in their leg or back.

Positive SLR Test
A positive SLR test indicates nerve root irritation or disc herniation, which may cause:

1. *Pain*: Radiating pain or discomfort in the leg or back.
2. *Numbness or tingling*: Sensory changes in the leg or foot.
3. *Muscle weakness*: Weakness in the affected leg or foot.

Conditions Associated with Positive SLR Test
1. *Herniated disc*: Disc material compresses or irritates nearby nerves.
2. *Degenerative disc disease*: Wear and tear on spinal discs leads to nerve root irritation.
3. *Spondylolisthesis*: A vertebra slips out of place, compressing or irritating nearby nerves.
4. *Spinal stenosis*: Narrowing of the spinal canal compresses or irritates nearby nerves.

Limitations and Variations
1. *False positives*: Pain from other sources, such as muscle strain or hip joint issues.
2. *False negatives*: Nerve root irritation or disc herniation may not always cause pain during the SLR test.
3. *Modified SLR test*: Variations, such as bending the knee or adding ankle weights, can help identify specific nerve root irritation patterns.

There are several variations of the Straight Leg Raise (SLR) test, each with its own specific purpose and application:

1. Active SLR (ASLR)
- *Patient performs*: The patient actively lifts their own leg.
- *Assesses*: Strength, flexibility, and nerve root irritation.

2. Passive SLR (PSLR)
- *Examiner performs*: The examiner lifts the patient's leg.
- *Assesses*: Nerve root irritation, disc herniation, and spinal mobility.

3. Crossed SLR (CSLR)
- *Examiner performs*: The examiner lifts the patient's leg and crosses it over the other leg.
- *Assesses*: Nerve root irritation and disc herniation on the opposite side.

4. Reverse SLR (RSRL)
- *Examiner performs*: The examiner lifts the patient's leg and bends it at the knee.
- *Assesses*: Nerve root irritation and disc herniation in the lumbar spine.

5. Modified SLR (MSLR)
- *Examiner performs*: The examiner lifts the patient's leg and adds ankle weights or resistance.
- *Assesses*: Nerve root irritation and disc herniation with increased sensitivity.

6. Bilateral SLR (BSLR)
- *Examiner performs*: The examiner lifts both of the patient's legs simultaneously.
- *Assesses*: Nerve root irritation and disc herniation in the lumbar spine, as well as spinal mobility.

Each variation of the SLR test provides valuable information about the patient's condition and helps healthcare professionals diagnose and manage various spinal disorders.

19/02/2025

D2 extension is a movement pattern used in Proprioceptive Neuromuscular Facilitation (PNF) to improve flexibility, strength, and coordination of the lower limb.

Description of D2 Extension:
D2 extension involves extending the lower limb in a diagonal direction, with the hip joint moving in an extended, abducted, and externally rotated position, while the knee joint is extended and the ankle is plantarflexed.

Movement Pattern:
The movement pattern for D2 extension involves the following steps:

1. _Starting Position_: The individual starts in a supine or sitting position with the leg straight.
2. _Extension_: The individual extends their hip, moving their leg backwards and away from their body.
3. _Abduction_: The individual abducts their hip, moving their leg away from their body.
4. _External Rotation_: The individual externally rotates their hip, turning their foot outwards.
5. _Knee Extension_: The individual extends their knee, straightening their leg.
6. _Ankle Plantarflexion_: The individual plantarflexes their ankle, pointing their foot downwards.

Muscles Involved:
The muscles involved in D2 extension include:

1. _Gluteus Maximus_: The gluteus maximus is responsible for extending, abducting, and externally rotating the hip joint.
2. _Tensor Fasciae Latae_: The tensor fasciae latae is responsible for extending, abducting, and externally rotating the hip joint.
3. _Quadriceps_: The quadriceps are responsible for extending the knee joint.
4. _Gastrocnemius_: The gastrocnemius is responsible for plantarflexing the ankle joint.
5. _Soleus_: The soleus is responsible for supporting the arch of the foot during D2 extension.

Benefits of D2 Extension:
The benefits of D2 extension include:

1. _Improved Flexibility_: D2 extension can help improve flexibility in the lower limb, particularly in the hip and knee joints.
2. _Increased Strength_: D2 extension can help increase strength in the muscles of the lower limb, particularly in the gluteus maximus and quadriceps.
3. _Enhanced Coordination_: D2 extension can help enhance coordination and balance in the lower limb, particularly in activities that require diagonal movements.
4. _Injury Prevention_: D2 extension can help prevent injuries to the lower limb, particularly in sports that involve running or jumping.

Common Exercises for D2 Extension:
Some common exercises for D2 extension include:

1. _Diagonal Leg Extensions_: This exercise involves extending the leg in a diagonal direction, with the hip joint moving in an extended, abducted, and externally rotated position.
2. _Straight Leg Raises with Abduction_: This exercise involves raising the straight leg in a diagonal direction, with the hip joint moving in an extended, abducted, and externally rotated position.
3. _Step-Downs with Abduction_: This exercise involves stepping down from a step or bench with the leg abducted and externally rotated, with the hip joint moving in an extended, abducted, and externally rotated position.
4. _Cable Leg Press with Abduction_: This exercise involves pressing the leg in a diagonal direction, with the hip joint moving in an extended, abducted, and externally rotated position.

Address

Chotonilpur Road
Barddhaman
713103

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm
Saturday 9am - 5pm
Sunday 9am - 5pm

Telephone

+917699097956

Website

Alerts

Be the first to know and let us send you an email when Physiotherapy Home Care posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Shortcuts

Share

Share on Facebook Share on Twitter Share on LinkedIn
Share on Pinterest Share on Reddit Share via Email
Share on WhatsApp Share on Instagram Share on Telegram

Category