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Arthritis and Osteoporosis

Arthritis and Osteoporosis treatment in Hebbal, Bangalore

Arthritis

If arthritis is not treated, it can become debilitating. It is possible that in some cases, despite medication it will continue to progress, leading to disability.  Physiotherapy provides strategies along with arthritis and osteoporosis treatment in Hebbal, Bangalore for lowering the risk of disability. 

A physiotherapist assesses the patient’s movement to know the condition of the muscles and joints so that the symptoms can be managed. Next, a customised plan for treatment is drawn up to provide long-term pain relief, including exercises, existing medication, and so forth. 

Arthritis related physiotherapy treatment comprises muscle strengthening exercises for muscles that surround the joints. These treatments provide stimulation to the joints so that the pain is naturally healed and prevented without use of any pain medications, since using pain relievers for extended periods adversely affects health.

Some physiotherapy treatments for, discomfort, swelling, and pain relief are,

  • Hot and Cold Packs

With hot packs there is stimulation of blood flow to the affected area so that pain is soothed. A cold pack is used to reduce swelling and inflammation. Instead of packs, flannel cloth can be applied to the site of the problem after dipping it in cold / or hot water.

  • Massage

Massage therapy for an hour will reduce the production of the stress hormone called cortisol and the brain will be stimulated to produce greater amounts of serotonin for mood improvement.

  • Acupuncture

Acupuncture is a Chinese traditional technique in which the brain is stimulated to produce greater amounts of the feel-good hormone endorphins in the body. A licenced practitioner of the therapy, an acupuncturist, makes use of fine specialised needles and inserts them in acupoints for correcting the flow of Chi flow for pain relief.

  • Transcutaneous Electrical Nerve Stimulation (TENS)

This therapy blocks the nerves so that pain messages cannot be sent to the brain. A small electronic device is used for sending pulses to the nerve endings through creating a tingling sensation for soothing pain.

  • Hydrotherapy

In this treatment, water is used to alleviate arthritis symptoms. Specialised exercises are performed by patients in water whose temperatures range between 33 degrees Celsius to 36 degrees Celsius.  This needs to be done under a licenced physiotherapist’s guidance.

Osteoporosis 

Osteoporosis is low density of bone mineral, created due to changed bone microstructure. It finally leads to patients being prone to low-impact, fragility fractures. 

Physical therapy intervention in osteoporosis

Weight-bearing 

  • Such exercises like hopping and walking improve / maintain bone density

  • Strengthening exercises, that use resistance bands or weights help to improve and maintain  bone density at targeted muscle attachments

Strengthening and Flexibility

  • Some techniques that help to improve the patient’s overall posture control and physical functioning are yoga and Tai chi

  • Postural control improving brings down risk of falling

  • Generally, falls lead to fractures in persons who are frail

  • Exercised focused on balance also decrease the risk of falling

Postural Exercise

  • Postural exercises help to avoid structural changes common to osteoporosis, like thoracic kyphosis

  • Some exercises that must be performed extensively are scapular retractions, chin tucks, hip extensions, and thoracic extensions

  • With extensor muscles being strengthened there will be better balance and posture

  • Flexion exercises prove to be contraindicated, more so with patients who are at a risk of spinal fracture. The anterior compressive forces applied to the vertebra could promote compression and fracture. Twisting and flexion put a high compressive load on vertebral bodies and must be avoided.

Education

  • Inculcate the habit of taking a Vitamin D and calcium rich diet

  • Use well-fitting and adaptable shoes

  • Keep stairs well lighted

  • Maintain eye health and get regular eyesight checks

  • Do not do heavy lifting

Back Pain

  • Resistance training, agility training, and stretching all help to reduce back pain

High-intensity Training

  • This type of training is greatly recommended for women to prevent bone loss during menopausal years and during the early post-menopausal stage.

  • High-intensity training includes resistive exercises and body-weight performed at high-intensity, much like circuit training. Such training is generally contraindicated for persons whose bone mass is low

  • High force dynamic weight-bearing exercise provides highest improvements at the femoral neck while moderate improvement at femoral trochanter

  • Low force dynamic weight-bearing exercise is moderately positive for the spine

  • High force non-weight-bearing exercises provide moderate effects to femoral neck

Clinical Considerations

  • Treadmill training that is body weight supported

This type of training is contraindicated for patients having severe osteoporosis and for those with rib fracture or pelvic and lower extremity fracture. Severe osteoporosis has a T-score higher than 2.5

  • Manipulations

Great care needs to be taken prior to employing any manual technique, like joint assessments and manipulations, that have the potential to rise the risk for a patient of fractures, more so of the spine

  • Plyometrics and Balance Exercises

These need to be performed carefully, taking all needed precautions so that fractures and falls are avoided. Consult with a team of experts at Manipal Hospitals to know more about treatments.

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