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Orthopaedic Physiotherapy

Understanding Orthopaedic Physiotherapy

Orthopaedic physiotherapy focuses on the treatment of injuries or disorders affecting the musculoskeletal system, which includes muscles, bones, joints, tendons, and ligaments. It employs techniques such as exercises, manual therapy, and modalities to restore function, reduce pain, and prevent disability, catering to various conditions from sprains and fractures to post-operative rehabilitation.

How Orthopaedic Physiotherapy Enhances Healing

Orthopaedic physiotherapy works by using targeted physical therapy techniques to rehabilitate injuries and alleviate pain. It addresses conditions affecting muscles, ligaments, and bones through personalized treatment plans that may include exercises, manual therapy, and modalities like ultrasound or electrical stimulation. This specialized approach helps improve strength, flexibility, and range of motion, facilitating a quicker and more effective recovery.

What conditions are treated in Orthopaedic Physiotherapy at PhysioAdviserIndia? 

Orthopaedic Physiotherapy: Common Conditions Treated at PhysioAdviserIndia:

  1. Fractures and Dislocations

Fractures and dislocations often require physiotherapy to restore normal function post-injury. Treatment includes joint mobilization, strengthening exercises, and pain management techniques to aid in recovery and prevent further injury.

  1. Arthritis

Osteoarthritis and rheumatoid arthritis are common conditions that cause joint pain, knee pain, ankle pain, shoulder pain and stiffness. Orthopaedic physiotherapy helps manage symptoms through tailored exercises, joint mobilization, and pain relief methods, improving mobility and quality of life.

  1. Tendonitis and Bursitis

Inflammation of tendons (tendonitis) and bursae (bursitis) can result from overuse or injury. Physiotherapy treatments include ice therapy, ultrasound, manual therapy, and specific exercises to reduce inflammation and improve function.

  1. Sports Injuries

Sports-related injuries like ACL, PCL,MCL tears, meniscal injuries, rotator cuff tears, and sprains are commonly treated in orthopaedic physiotherapy. The focus is on pain reduction, restoring range of motion, strengthening, and preventing recurrence through tailored exercise programs.

  1. Post-Surgical Rehabilitation

After orthopaedic surgeries such as joint replacements, Knee Replacement surgery, Hip Replacement, ACL reconstruction, or spinal surgery, physiotherapy is essential for recovery. It helps in regaining strength, flexibility, and functional mobility, ensuring a smooth and effective recovery process.

  1. Lower Back Pain

Lower back pain is a prevalent condition treated in orthopaedic physiotherapy. Causes can include herniated discs, muscle strain, degenerative disc disease, and sciatica. Treatment involves exercises, manual therapy, posture education, and pain management strategies.

  1. Neck Pain

Neck pain can result from poor posture, muscle strain, whiplash, or degenerative changes. Orthopaedic physiotherapy treatments include manual therapy, stretching, strengthening exercises, and ergonomic advice to alleviate pain and restore normal function.

  1. Shoulder Impingement and Rotator Cuff Injuries

Shoulder impingement syndrome and rotator cuff injuries cause pain and restrict shoulder movement. Physiotherapy focuses on pain relief, restoring normal range of motion, and strengthening the shoulder muscles.

  1. Knee Pain

Knee pain, resulting from conditions like patellofemoral pain syndrome, meniscus injuries, ligament injuries, or osteoarthritis, is effectively managed through physiotherapy. Treatment includes targeted exercises, manual therapy, and strategies to reduce pain and improve knee function.

  1. Joint Pain and Dysfunction

Conditions like patellofemoral pain syndrome, hip impingement, and frozen shoulder are common in orthopaedic physiotherapy. Treatment aims to reduce pain, improve joint function, and restore normal movement patterns.

  1. Plantar Fasciitis

Plantar fasciitis causes heel pain due to inflammation of the plantar fascia. Orthopaedic physiotherapy includes stretching exercises, manual therapy, and footwear advice to alleviate pain and improve mobility.

  1. Scoliosis and Postural Disorders

Scoliosis and other postural disorders can lead to pain and functional limitations. Physiotherapy treatment includes exercises to improve posture, strengthen muscles, and enhance spinal alignment.

  1. Carpal Tunnel Syndrome

Carpal tunnel syndrome causes pain and numbness in the hand and fingers due to pressure on the median nerve. Treatment includes splinting, manual therapy, and exercises to alleviate symptoms and improve hand function.

  1. Ligament Injuries

Ligament injuries, such as ACL tears or ankle sprains, require specific rehabilitation to restore stability and function. Physiotherapy focuses on exercises to strengthen the supporting muscles and improve proprioception

 

PhysioAdviserIndia’s Approach to Orthopaedic Physiotherapy

At PhysioAdviserIndia, we specialize in orthopaedic physiotherapy with a focus on treating conditions related to muscles and ligaments. Our experienced physiotherapists employ a comprehensive approach that includes personalized exercise programs, manual therapy, and Orthopaedic physiotherapy. We ensure our patients receive the highest standard of care to achieve optimal recovery. Our services are conveniently available in multiple locations, including Gulabi Bagh, Chhatarpur, Burari, Palam Vihar, and Indirapuram. 

Common Techniques Used in Orthopaedic Physiotherapy:

  1. Manual Therapy

Manual therapy involves hands-on techniques to mobilize joints and soft tissues, maitland technique,,McKanzi technique, Mulligan, . This includes joint manipulation, mobilization, and soft tissue techniques like massage and myofascial release. These methods help reduce pain, increase range of motion, and improve tissue function.

  1. Therapeutic Exercises

Therapeutic exercises are prescribed to improve strength, flexibility, and endurance. These exercises are tailored to the specific needs of the patient and are essential for rehabilitation and prevention of future injuries. They include stretching, strengthening, and functional exercises.

  1. Electrotherapy

Electrotherapy uses electrical energy to reduce pain and promote healing. Common electrotherapy techniques include Transcutaneous Electrical Nerve Stimulation (TENS), ultrasound therapy, and interferential therapy. These modalities help in pain relief, reducing inflammation, and accelerating tissue repair.

  1. Heat and Cold Therapy

Heat and cold therapy are used to manage pain and inflammation. Heat therapy, such as hot packs or paraffin wax baths, helps relax muscles and improve blood flow. Cold therapy, such as ice packs or cryotherapy, reduces swelling and numbs acute pain.

  1. Dry Needling

Dry needling involves inserting thin needles into trigger points within muscles to relieve pain and improve function. It helps release muscle tension, reduce pain, and promote healing by improving blood flow to the affected area.

  1. Kinesiology Taping

Kinesiology taping involves applying elastic tape to support and stabilize muscles and joints without restricting movement. It helps reduce pain, improve circulation, and facilitate healing while allowing functional movement.

  1. Joint Mobilization and Manipulation

These techniques involve passive movement of specific joints to improve mobility and reduce pain. Mobilization is a slower, more controlled movement, while manipulation is a quicker, more forceful movement often resulting in an audible release.

  1. Traction

Traction involves applying a pulling force to stretch and decompress joints, often used for spinal conditions. It helps relieve pain, reduce pressure on affected nerves, and improve alignment.

  1. Exercise Prescription and Rehabilitation Programs

Customized exercise programs are designed to address specific patient needs, focusing on improving strength, flexibility, balance, and coordination. These programs are crucial for recovery from injuries and surgeries, and for preventing recurrence.

  1. Ergonomic and Postural Training

Ergonomic and postural training educates patients on proper body mechanics and posture to prevent strain and injury. This includes advice on workstation setup, lifting techniques, and daily activity modifications to reduce stress on the musculoskeletal system.

  1. Gait and Balance Training

Gait and balance training helps patients improve their walking patterns and stability. It is particularly important for those recovering from lower limb injuries or surgeries, and for elderly patients to prevent falls.

  1. Education and Self-Management Strategies

Patient education is a critical component of orthopaedic physiotherapy. It includes teaching patients about their condition, pain management strategies, and self-care techniques to enhance recovery and prevent future problems.

  1. Deep Tissue Release

Deep tissue release focuses on realigning deeper layers of muscles and connective tissue. It is especially helpful for chronic aches and pains, as well as areas of muscle tension like the neck, back, and shoulders. The technique uses slow, deep pressure to release muscle tension and improve blood flow.

  1. Myofascial Release

Myofascial release involves applying gentle, sustained pressure into the myofascial connective tissue restrictions to eliminate pain and restore motion. This technique is effective for treating muscle tightness and discomfort caused by fascia dysfunction.

  1. Chiropractic Techniques

Chiropractic techniques involve the diagnosis and manual adjustment or manipulation of the spine and other joints. This approach helps to restore joint mobility, alleviate pain, and improve overall function. It is often used to treat back pain, neck pain, and headaches.

  1. Osteopathic Manipulation

Osteopathic manipulation involves hands-on techniques to diagnose, treat, and prevent illness or injury. It includes stretching, gentle pressure, and resistance techniques to improve motion, alleviate pain, and support the body’s natural healing processes.

  1. Muscle Energy Technique (MET)

Muscle Energy Technique (MET) is a form of manual therapy that uses the patient’s own muscle contractions to relax and lengthen muscles and improve joint function. It is particularly effective for treating muscle stiffness and improving range of motion.

  1. Stretching Exercises

Stretching exercises are essential for maintaining and improving flexibility, preventing injuries, and reducing muscle tension. These exercises can be static, dynamic, or proprioceptive neuromuscular facilitation (PNF) stretching, tailored to the patient’s specific needs

 

Dr. S. Srivastava (PT, DO) and Dr. Shivani Sharma (PT) are specialized certified orthopedic manual therapy practitioners with over 14 years of experience. They provide physiotherapy, osteopathy, and chiropractic services in the Delhi NCR region under the banner of PhysiAdviserIndia – Clinics and Home Care Services. Our services are available at multiple locations, including NKS Hospital, Gulabi Bagh, Burari, Indirapuram (Ghaziabad), Chhatarpur, New Palam Vihar, and nearby areas.

 

Questions

How does orthopaedic physiotherapy aid in the healing of muscles and ligaments?

Orthopaedic physiotherapy plays a crucial role in the healing process of muscles and ligaments by using targeted exercises and manual therapy techniques. These methods enhance blood circulation to the affected area, reduce inflammation, and promote the repair of tissues. By improving flexibility and strength, physiotherapy ensures a quicker and more efficient recovery.

What are the benefits of orthopaedic physiotherapy for individuals with ligament injuries?

For individuals with ligament injuries, orthopaedic physiotherapy offers significant benefits. It helps in reducing pain and swelling, restoring normal joint function, and strengthening the surrounding muscles to support and stabilize the injured ligament. Tailored rehabilitation programs prevent future injuries by addressing the root cause and improving overall physical resilience.

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