DR VISHAL SHARMA (PT) BPT, MPT IN MUSCULO-SKELETAL, MIAP HEAD OF PHYSIOTHERAPY DEPARTMENT C L Panwar HOSPITAL SPECIALIST IN- MANUAL THERAPY, EXERCISE PRESCRIPTION, ERGONOMIC COUNSELING AND MODERN TECHNIQUES OF PAIN RELIEF WITH LATEST ELECTROTHERAPEUTIC MODALITIES. WORK AREA- C L Panwar REHABILITATION CENTRE (C L Panwar Hospital) PHYSIOFORU HOME CARE (working in all over Jaipur) MILAN PHYSIOTHERAPY CENTRE CONDITIONS TREATED • FROZEN SHOULDER/SHOULDER CAPSULITIS • NECK PAIN/NECK MYALGIA/NECK STIFFNESS • KNEE PAIN/OSTEO ARTHRITIS/BURSITIS • SPRAIN/STRAIN/MUSCLE SPASM PAIN • JOINT STIFFNESS AFTER FRACTURE/PROLONGED BED REST • TENNIS ELBOW (OUTER SIDE PAIN)/GOLFERS ELBOW (INNER SIDE PAIN) • MUSCLE WEAKNESS DUE TO STROK/PARALYSIS/INACTIVITY/BEDREST • CHILD PROBLEMS LIKE CP (CEREBRAL PALSY)/GAIT PROBLEMS (WALKING DIFFICULTY) • LOW BACK PAIN/BUTTOCKS PAIN • SLIPPED DISC/HERNIATION/BULG CONDITIONS • NEUROLOGICAL CONDITIONS LIKE MND/MS/MUSCULAR DISTROPHY/HEMIPARESIS ETC • ALL GERIATRIC CONDITIONS • KNEE LIGAMENTS/MENISCUS INJURIES • HEAL PAIN (PF/CS)/ WRIST PAIN WHAT WE HAVE A COMPLETE REHABILITATION TEAM- PMR DR (PHYSICAL MEDICINE & REHABILITATION) PHYSICAL THERAPIST TEAM: OCCUPATIONAL THERAPIST SPEECH THERAPIST NUTRITIONIST/DIETICIAN ORTHOTICS & PROSTHOTICS OTHER CONSULTING HEALTH CARE PROFESSIONALS ELECTROTHERAPEUTIC MODALITIES- SHORTWAVE DIETHERMY (SWD) ULTRASOUND THERAPY (US) TRANSCUTENIOUS ELECTRIC NERVE STIMULATION (TENS) INTERFERENTIAL THERAPY (IFT) INFRARED RADIATION (IR) WEX BATH UNIT HYDROCOLLETRAL UNIT CERVICAL TRACTION UNIT (CTU) LUMBER TRACTION UNIT (LTU) OTHER ASSISTIVE DEVICES LIKE- PHYSIO BALL, THERA BAND, SHOULDER WHEEL, LEDERBAR, ANKLE EXERCISER, FINGER EXERCISER, STATIONARY CYCLE etc. WHAT WE USE Treatment techniques used at physioFORu • Maitland • Geoff Maitland is an Australian physiotherapist who revolutionized the teaching of vertebral manipulations and the approach of adapting techniques for neuromusculoskeletal conditions. A thorough assessment including not only the joint ranges but also the movement quality is key for Maitland practitioners. • The Student’s Companion to Physiotherapy • Cyriax/orthopedic medicine • James Cyriax was a physician who noticed that there were, at the time, many undiagnosed and poorly treated conditions affecting the musculoskeletal system. He set about developing a system of assessment and diagnosis for these as well as nonsurgical treatments for soft tissue lesions. Physiotherapists at physioFORu trained in orthopedic medicine are hot on their functional anatomy as the concept deals with identifying the slightest imbalance or irregularity and the structure involved. The treatments involve mobilizations and soft tissue massage together with electrotherapeutic agents. • McKenzie • Robin McKenzie is a very astute physiotherapist from New Zealand. Robin formed a spinal treatment from it that is widely used by physiotherapists and orthopedic surgeons today. The idea is to “centralize the pain” by exercises. • Muscle energy techniques (MET) • This technique is commonly used by osteopaths and physiotherapists and is based on the fact that to increase a joint range, it is necessary to overcome the neuromuscular barrier. The Student’s Companion to Physiotherapy • Mulligan • Brian Mulligan is a New Zealand physiotherapist. The idea is that the therapist should provide a sustained parallel or perpendicular glide to a joint to the end of range pain free to increase the overall range of movement. • Myofascial therapy • The nice thing about myofascial therapy is that it has had a multi professional evolution through the years. The technique is simply a soft tissue manipulation that releases the myofascia, allowing normal healing to occur. • Pilates • Developed by Joseph Pilates as a method of rehabilitation for German soldiers returning from the Great War, this concept is based on the control and co-ordination of the muscles, especially core muscles controlling the torso and spinal column. Pilates is an excellent adjunct to the more traditional physiotherapy techniques for all types of patients as it not only encourages better core stability, it empowers the patient, making them the locus of control over their condition, and that is probably the most effective treatment you can give. Musculoskeletal physiotherapy • Exercise therapy • Therapeutic exercise is defined as the systematic and planned performance of bodily movements, postures or physical activity to remediate or prevent injury, restore or improve physical function, reduce health-related risk factors, and optimize overall health. • Deep transverse friction massage • The deep transverse friction massage mentioned earlier is a deep manipulation of specific tissues and can relieve pain, improve function and increase blood flow to the area, kick starting the inflammatory processes.