Dr. Sumit Physiotherapy & Neuro Rehabilitation

16/04/2026

Contact for consultation

16/04/2026

Post stroke patient

04/04/2026

14/02/2026

31/12/2025

Immediate Post-Surgical Benefits (Days 1–14)

​Preventing Blood Clots:

By starting movement (like "ankle pumps") within hours of surgery, physiotherapy helps maintain circulation and prevents deep vein thrombosis (DVT).

​Reducing Swelling:

Manual therapy and specific elevation techniques help the lymphatic system clear the fluid that accumulates after major trauma to the joint.

​Early Weight-Bearing:

Therapists guide you on how to safely put weight on the new joint, ensuring you don't overcompensate and strain your other leg or back.

​2. Functional & Mobility Benefits (Weeks 2–8)

​Breaking Down Scar Tissue:

If the knee isn't moved correctly, scar tissue (adhesions) can lock the joint in a semi-bent position. PT uses "range of motion" exercises to ensure you can fully straighten (0^{\circ}) and eventually bend the knee to at least 120^{\circ}.

​Muscle Re-Education:

The quadriceps often "shut down" after surgery due to pain. A therapist uses targeted exercises to wake these muscles up, which is essential for walking without a limp.

​Balance & Proprioception:

Your brain needs to learn how to communicate with the artificial joint. PT includes balance training to prevent falls during the recovery phase.

​3. Long-Term Success (Months 3+)

​Joint Longevity:

By strengthening the surrounding muscles (hamstrings, glutes, and calves), the physical load is shared rather than being placed entirely on the artificial implant, potentially extending its lifespan.

​Pain Independence:

Proper rehabilitation often reduces the need for long-term pain medication by addressing the mechanical causes of discomfort.

​Return to Activity:

Physiotherapy bridge the gap between "walking" and "living"—helping you return to specific hobbies like golf, swimming, or hiking.

22/12/2025

Food is Brain Fuel:

Your Recovery Shopping List
​Recovery doesn't just happen in the therapy gym—it happens in the kitchen. Every meal is an opportunity to send your brain the "data" it needs to repair, protect, and reconnect.

​The "Big Four" for Brain Healing

​Omega-3 Fatty Acids

​The Goal: Rebuild and strengthen brain cell membranes.
​What to buy: Salmon, walnuts, chia seeds, and flaxseeds.

​Antioxidants

​The Goal: Shield healing neurons from oxidative stress and inflammation.

​What to buy: Blueberries, dark leafy greens, pecans, and dark chocolate.

​B Vitamins

​The Goal: Power up the nervous system and support neurotransmitter function.

​What to buy: Eggs, beans, poultry, and fortified whole grains.
​Hydration + Minerals

​The Goal: Maintain electrical balance and keep cellular communication smooth.

​What to buy: Electrolyte-rich foods like bananas and avocados, and plenty of filtered water.

​The Recovery Mindset: > This isn't about restrictive dieting or "quick fixes." It’s about stacking small choices. Each nutrient-dense bite gives your brain the best possible environment to heal.

​Your recovery is on your plate.
​Would you like me to turn this into a printable checklist or perhaps suggest a one-day sample meal plan based on these specific nutrients?

18/12/2025

Physiotherapy is indeed a cornerstone of neuro rehabilitation. Unlike orthopedic physio, which focuses on repairing muscles and joints, neuro physiotherapy focuses on rewiring the brain and nervous system.

​1. Retraining the Brain (Neuroplasticity)
Task-Specific Practice:
Constraint-Induced Movement Therapy (CIMT):

​2. Improving Gait and Balance
Gait Re-education:
Proprioceptive Training

​3. Managing Spasticity and Tone
Stretching & Positioning:
Tone Inhibition:

​4. Enhancing Functional Independence
Transfers
Fine Motor Skills:

Condition Key Physiotherapy Focus
Stroke Hemiparesis
(one-sided weakness) recovery, relearning walking, preventing shoulder subluxation.

Parkinson’s
Overcoming "freezing" of gait, increasing movement amplitude (big movements), and posture correction.

Spinal Cord Injury
Strengthening remaining muscles above the injury, wheelchair skills, and transfer training.

Multiple Sclerosis
Energy conservation techniques, managing fatigue, and core stability.

15/12/2025

Physiotherapy is often the "first-line" defense for knee pain because it treats the cause of the problem rather than just masking the symptoms. It is effective for conditions ranging from arthritis and ligament tears to general overuse injuries.

Technique Goal
Therapeutic Exercise Strengthening and flexibility.
Manual Therapy Joint mobilization to reduce stiffness.
Modalities Ultrasound/Ice/Heat for acute pain relief.
Taping/Bracing To offload the joint and provide stability.

29/10/2025

Frozen shoulder (Adhesive Capsulitis) is a condition where the shoulder joint capsule becomes thick, tight, and inflamed, causing pain and stiffness that limits movement.

It mainly affects one shoulder, but sometimes both can be involved.

Cause / Risk Explanation

Injury or surgery Shoulder immobilized for too long (e.g., after fracture, surgery).
Diabetes Very common cause — affects tissue healing.
Thyroid disorders Both hyper- and hypothyroidism increase risk.
Age Usually between 40–60 years.
Prolonged immobility From pain, bed rest, or neglecting shoulder movement.
Treatment Overview

1. Pain management

Hot pack or moist heat before exercise

Ice pack after exercise if sore

Pain-relief medications (as prescribed)

Ultrasound or TENS (in physiotherapy clinic)

2. Physiotherapy (most important)

Gentle, progressive stretching exercises

Range of motion and strengthening as stiffness improves

Consistency is the key

24/09/2025

15/09/2025

Cupping therapy

13/08/2025