Head Injury, TBI With Early Recovery, Rehabilitation and Treatment Options Detailed

After the sunset of a traumatic injury, the first course of treatment will be at the hospital. Imaging studies will examine the brain to look for trauma or dysfunction. A CT (computerized tomography) scan examines the brain structures. This imaging study will reveal an area of ​​injury or dysfunction due to stroke or other brain injury. Other imaging studies that are typically performed include MRI (magnetic resonance imaging) and sometimes X-rays (radiographs) if there is a suspicion of any fraction. The individual will receive care from nursing staff and doctors to ensure vital signs are stable and there is no risk of further injury or damage.

The main physician that will oversee the plan of care is the neurologist. Neurologists are physicians that specialize in the systems of the brain and nervous system. The neurologist will examine the function of the nervous system, identifying the area of ​​damage to the brain and classifying extent of physical ramifications. Other physicians may be brought into the plan of care such as a cardiologist to oversee the monitoring of heart function, as well as a trauma doctor in case of brain injury occurrence. A physiatrist is a physician that specializes in rehabilitation. A physiatrist will oversee the care and progress during rehabilitation.

While in the hospital and at extended care, the patient will be cared for by nurses, nurse assistants, respiratory therapists, phlebotomists, nutritionists, case workers, psychologists, and (of course) physical, occupational and speech therapists. The three types of rehabilitation therapists have some overlapping roles, but three distinct specialties. The physical therapist specializes in functional movement training. The occupational therapist specializes in self-care training. The speech therapist specializes in speech and swallowing. Working with all three specialties is essential for rehabilitation progression.

During the recovery process, individuals are typically seen in a hospital setting, rehabilitation setting, home health setting and eventually outpatient clinic settings. The patient and family meets with a large number of healthcare providers for a comprehensive rehabilitation journey. Functional independence and safety are the main factors in determining where a patient will be placed after hospitalization.


During the hospital stay, the individual will begin his rehabilitation process. The licensed therapist will perform an initial assessment to determine current functional limitations and impairments. The physical and occupational therapists will examine strength, sensory response, coordination, walking, and ability to move in and out of bed and chairs, as well as the ability to dress and handle personal care tasks.

The first task that the skilled therapist will teach and assist with is the ability to get up from lying down in bed. If the individual needs assistance, the therapist will provide that assistance and note how much assistance is needed. Then, the therapist will assess and instruct in moving from sitting to standing and getting up to sit in a chair. These tasks are called transfers. Standing balance and stability is assessed to determine level of independence and risk for falling. If there is a need for use of an assistive device for mobility, the therapist will instruct the individual in use of a walker, cane or wheelchair. The main goal of the rehabilitation in the hospital setting is to determine current level of dependence, teach basic skills for mobility (getting in and out of bed, walking), and set up the appropriate treatment course upon discharge from the hospital.

After the acute care stay at the hospital, which typically lasts less than one week, most individuals move to an inpatient rehabilitation setting or a skilled nursing facility. These facilities serve to provide care for the individual's basic needs, such as getting in and out of bed, showering, dressing, nursing care and meals. In addition, the rehabilitation team will continue the care for teaching functional mobility training, as well as working to improve and restore balance and muscle strength. In the inpatient setting, the therapists help to order any necessary adaptive equipment, such as long handled reins or ankle foot orthoses (AFOs). The stay in an inpatient setting can be anywhere from one week to several months. These facilities have nursing care, rehab care and visiting doctor oversight. The clients are provided with rooms (some private, some shared rooms) for sleeping and basic necessities. This setting serves as a transition point for individuals that need further care before return home. In addition, for individuals that are not able to return home, skilled nursing facilities offer long term care. In long term care, the individual is cared for by the skilled nursing team. This situation is for people that are dependent for basic needs, unable to care for themselves, and without others to care for them.

Outpatient physical therapy clinics are intended to continue rehabilitation after an individual has completed their initial rehabilitation stay after an injury or stroke. Typically, individuals attend outpatient therapy sessions 2or 3 days per week and complete their own exercises on non-therapy days. Outpatient therapy treatment cases are designed to further improve specific components of functional loss, and further improve safety with balance and mobility. Occupational therapy can be done in an outpatient setting, focusing on improving the use of the hand and upper extremity. In addition, outpatient occupational therapy works to improve self-care strategies. Speech therapy is often used in an outpatient setting to improve speech, articulation and swallowing.

Specific rehabilitation treatment approaches include:

  • Constraint induced movement therapy : This form of therapy restricts the use of the unaffected limb, forcing the patient to use the weakened part of the body. The therapist applies a mitten or sling to the unaffected arm to prevent the patient from using it. This forces the patient to use the weaker arm to perform everyday tasks. This process helps to build muscle strength, and functional coordination. It has been shown to improve nerve function and elicit new neural pathways.
  • Functional Electrical Stimulation : Electric stimulation of the musculature is performed in order to elicit muscle contraction and make them more stable. Electric stimulation is often done at the shoulder and at the lower leg in order to compensate for shoulder subluxation and foot drop respectively. In addition, electric stimulation can be utilized to elicit muscle contraction for any area of ​​paresis. The goal is to build muscle strength through artificial stimulation, in hopes of regaining control and regaining strength.
  • Motor imagery and mental practice : With the therapist, the patient imagines performing a simple task such as standing up or walking. The area of ​​the brain that controls movement for that task is stimulated, yielding new neuronal pathways.
  • Virtual reality : Computer generated games and virtual experiences are now being used to practice daily tasks or movements. This simulated environment allows the patient to experience normal movement virtually. This strategy is intended to build new neuronal connections that will carry over into real improvements.
  • Partial body weight support treatment : For individuals with weakness impacting their lower legs and trunk strength, partial body weight supported training is an excellent way to improve quality and tolerance for standing and walking. The therapist utilizes a body weight support harness for the patient, gradually decreasing the amount of support and increasing the amount of weight bearing through the patient's legs. This increases the physical demands of strength for the postural and leg muscles, as well as increases claims on balance. Partial body weight support can be combined with a treadmill to improve walking quality.
  • Biofeedback : Biofeedback is a form of electrical therapy that is used to increase an individual's awareness of muscle control and activation. The therapist places electrodes on the skin over the affected muscle. The electrodes sense the amount of muscle activation and this is displayed on a monitor. The therapist helps the patient to elicit and control muscle activation in hopes of regaining strength or regaining functional use of a muscle group.
  • Positioning : Positioning is utilized through a patient's care after a brain injury. Because of limited strength and use of limbs, positioning is essential for joint safety and to reduce likelihood of skin breakdown. Positioning reduces muscle spasm, stiffness and pain. In addition, positioning helps to reduce likelihood of contractures in joints as well as improve efficiency and quality of breathing. The therapist will educate the patient in proper positioning strategies.
  • Passive range of motion : Passive range of motion is performed by a therapist on the affected limbs of the patient. After a brain injury, there is risk of developing stiff and rigid joints, which make any form of mobility very difficult. Passive range of motion helps to keep limbs limber and moving. It reduces pain and muscle spasm. Passive range of motion should be taught to caregivers in order to ensure carry over after completion of therapy.
  • Strength training : The therapist will direct the patient through exercises to facilitate muscle contraction in the affected limbs. Depending on the strength presents, the patient may only be able to move a limb through partial range of motion, or move the limb fully against gravity and even with some resistance. The therapist will facilitate exercise to create strong muscle development and stimulate new motor control pathways.
  • Neuromuscular re-education : This type of intervention focuses on retraining the control and response of the nervous and musculoskeletal system. Neuromuscular re-education focuses in improving balance, posture and coordination. This form of treatment allows for independent sitting posture, standing stability and the ability to reach for an object outside of the base of support. Of all the types of intervention, a significant amount is focused on neuromuscular re-education.
  • Gait training : Gait referees to walking and ambulation. Depending on the extent of involvement in the legs, the individual will need to re-learn how to walk. The patient will utilize assistive devices, braces and external support. As strength and balance improve, many people are able to regain some functional walking.
  • Wheelchair training : At some point after a stroke, most patients will use a wheelchair for at least a short duration. A wheelchair allows for safe mobility and significantly decreases fall risk. The wheelchair can be passively pusched by another person, but if wheelchair use is going to be long term, it is essential that the patient make an attempt to self-propel. There are many wheelchair styles, including motorized, tilt-in-space, and single arm drive chairs.
  • Aquatic therapy : Aquatic therapy utilizes the properties of water to facilitate muscular strength, flexibility, balance and ease with walking. Buoyancy supports limb movement and water resistance buildings strength.

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Diastasis Recti: What It Is and How to Treat It Without Surgery

Diastasis Recti is a condition in which your most superior abdominal muscles (rectus abdominus) separate along the midline of the body. The left and right sides of the abs split apart and the connective tissue along the midline stretches and becomes weaker. It most commonly occurs during pregnancy or during childbirth, but many people, including some men, have a diastasis recti and just do not know it! It has been said that even the founder of Pilates, Joseph Pilates, had a diastasis!

Other than the abdominal “pooch” appearance that can go along with a diastasis, there can also be functional deficiencies. These muscles are designed to help support your back and your organs, and if they are no longer in the proper location and holding the proper tension, they fail at these important jobs. Pelvic pain, incontinence, back pain, and poor joint mechanics can all occur when someone has a diastasis. The goal is to draw the muscles back towards the midline, so that they can start doing their job again, and that the connective tissue no longer has to work overtime to provide that support in their absence.

The main cause of a diastasis is continuous stretching or overuse of the rectus abdominus muscles. Pregnancy or carrying a lot of excess weight in the abdomen is the primary cause of stretching of these muscles. Strangely enough, overtraining this set of muscles (overuse) in the quest for better looking abs, can actually cause a diastasis to occur, which allows for an abdominal protrusion, which causes the abs to look more “pooched-out”. So many fitness buffs create that vicious cycle because there is such a strong popular focus on crunches, bicycles, jackknives, and similar exercises that contract the rectus abdominus almost to the exclusion of the transverse abdominus (the deepest, most stabilizing layer of the core) . If we can strike a balance between training the front of the abs, as well as the deepest layers of core support (deep low back muscles, transverse abs, diaphragm, and pelvic floor muscles), we can prevent a diastasis from occurring. And once a diastasis occurs, shifting the focus away from traditional abdominal exercises and towards more comprehensive core strengthening, can help decrease the severity of the condition and also increase the stability and function of the core.

Treatment of Diastasis Recti

*** Exercises to do:

Transverse ab strengtheners (heel slides, modified dead bugs, core contractions / compressions)

Glut exercises (gluteal bridges, squats, single leg deadlift, squats)

Pelvic floor exercise (kegels with transverse ab contracting)

Diaphragm exercises (deep breathing relaxation on inhale, pull navel to spinal on exhale)

*** Exercises to avoid:

Forward flexion (Crunches, bikes, rollups and rolldowns, jackknives, boat pose)

Forward loaded exercises (front plank, full pushup, bird-dog, burpees)

Extreme extension (ab exercises over exercise ball, full upward facing dog)

Auxiliary Care for Healing Diastasis Recti

It's important for the pelvis to be well aligned and balance while you work to heal a diastasis. If the pelvic joints are restricted or out of alignment, it will be more difficult to maintain proper core stabilization during challenging exercises and everyday activities. Likewise if the any muscles that attach to the pelvis or core are overly tight, that can cause a pull on the bony structure of the pelvis and skeleton, resulting in pain, tightness, and lack of function. A major culprit that causes a whole cascade of dysfunction is the psoas muscle. Chiropractic adjustments and Active Release Techniques (ART) can help restore proper pelvic alignment and muscle balance.

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10 Things Physio’s Wish You Would And Would Not Do

Back injuries are a part of everyday life. They can cause a sharp pain or a dull ache and can be accompanied by a tingling, numbness, or burning sensation. You also may feel weakness, pain or tingling in your pelvis and upper leg-a condition known as sciatica. The spine is quite good at dealing with back injuries. Minor injuries usually heal within a day or two. Some pain, however, continues. What makes it last longer is not entirely understood, but researchers suspect that stress, mood changes and the fear of further injury may prevent patients from being active and exacerbate the pain. Our neck, also called the cervical spine, begins at the base of the skull and contains seven small vertebrae. Incredibly, the cervical spine supports the full weight of your head, which is on average about 12 pounds. While the cervical spine can move your head in nearly every direction, this flexibility makes the neck very susceptible to pain and injury. The neck’s susceptibility to injury is due in part to bio-mechanics. Activities that affect cervical bio-mechanics include extended sitting, repetitive movement, accidents, falls and blows to the body or head, normal ageing,and everyday wear and tear.

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ACL Tear Rehab Exercises Versus ACL Tear Reconstruction

Tearing your ACL (Anterior Cruciate Ligament) can be a traumatic episode or a slow degeneration over time. Either way, there are only two reasonable choices: get an ACL repair surgery or just do Physical Therapy rehab exercises to try to stabilize the injured knee. It’s difficult to have a completely stabilized knee with a full ACL tear, because of what the ACL does within the knee joint.

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Three Common Forms of Therapy Offered by Disability Services

A disability services office can help with a wide range of technologies and services that help to improve a person's quality of life. Disabilities can cause limitations in regard to motor function, mobility, and even cognitive abilities. Fortunately, any one of these challenges can be overcome with the support and resources available through the right specialists. Here are just a few of the key training and therapy areas that you may find through a disability services provider.

Occupational Therapy

Many people need help adapting to a particular type of job. Some patients can work successfully in their field for decades and still need occupational therapy after an injury. Often, this type of therapist works to help patients confront their biggest challenges. Some employers will be able to make accommodations for certain physical limitations. Unfortunately, not all worksites are wheelchair accessible, and many practitioners demand certain minimum levels of physical or mental ability. Over the course of several meetings, it should be possible to identify realistic goals and address any areas of conflict.

Therapeutic Music

The healing power of music can be a real phenomenon for those challenged by emotions or coordination. Playing a relatively simple instrument can be an opportunity to practice timing and muscle control. Learning about the instrument and music can be an avenue for developing communication skills. The impactful nature of music is evident in many movie soundtracks, and participation in the production of music can make a patient more engaged. Cooperation with other musicians allows for even more experience with communication, and it involves more pressure than simply playing solo or with a recording.

Physical Therapy

After a debilitating injury or illness, many patients require assistance in regaining control and use of their bodies. Some self-motivated workaholics might be overly zealous and do more harm than good through exercise. After surgery, for example, the recommended period period can be a vital step in the recovery process. Jumping right back into exercise could cause injuries that lead to infections or otherwise limit the positive results. Conversely, many people need the added motivation of physical therapists encouraging and coaching them through the exercises. In either case, it's incredibly helpful to have a licensed professional make sure that activities and their intensities are appropriate.

In all of their forms, disability services help people reach toward and maximize their potential. Depending on individual circumstances, it helps to start by talking further about the challenges associated with one's medical history. It's also important to identify goals and priorities. Many pathways may offer an improved quality of life, but one person's priority may be different than others. If a particular job or form of independence is most important, then it's a good idea to discuss these values ​​with a therapist.

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Hip Impingement – Locking Hip

Hip impingement is a bizarre thing to experience. One moment your hip feels and works just fine, the next – seemingly after no particular exercise or movement at all, when you go to move, it locks. You quite literal can not unbend the hip / leg joint. It may remain stuck for only a few seconds, but it can be disturbing and even dangerous if it happens to take place on an uneven surface or god forbid, a staircase or at the gym while supporting weight.

As you stand the affected hip will not cooperate and unbend with you. It remains locked and you find yourself unable to move. Slow stretching and a little patience gradually allow movement again. The problem is, if it happened once, it is likely going to happen again at some point. Ignoring it will not make the problem go away. Impingements, when not raised, can actually become worse over time.

What is happening?

Hip impingement is a condition where there is abnormal contact between the ball and socket of the hip joint. The result is increased friction during hip movements that may damage the joint over time. One of the main recommendations of the medical community is surgery. Hip surgery is a major undertaking and the recovery process is long.

Can hip impingement exercises and chiropractic adjustments help avoid surgery?

Minor adjustments to posture and alignment can rebalance and reposition the joints relieving the friction and pain. Both specific exercises, as well as manual adjustments, have been shown to produce positive results. Tilting the pelvis forward resolved in more hip impingement, while tilting it backward resolved in a lessening.

Working with an experienced Chiropractor and physical therapist who have experience dealing with hip impingements can help to take steps to allow your body to be able to correct the biomechanical problems that could be the root cause of your hip problem. Once the movement is corrected, with the body back in working alignment function can be restored.

Even The American College of Rheumatology has recommended that manual therapy if added to exercise or rehabilitation, may further benefit hip or knee pain issues.

There is no reason to jump straight to surgery. It is not your only or in many cases best option. Give your body a little time and proper care and you just may be able to get it back in proper working alignment with Chiropractic treatments.

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Women and Various Therapies to Fight Ageing Processes

Women are undoubtedly the strongest creation of God since the very beginning; maybe that is the reason they go through all the unbearable pain whether it is delivering a baby or menstrual cycle or perhaps the menopause phenomenon. The way they conquer their battles gives further strength not only to them but also to the people around however they still have to keep up pace with the rapidly changing times. If on one hand, they have to look young then, on the other hand, they also have to manage their own lives as well as families.

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Coping With Excessive Pain

Pain is an experience that we are all familiar with. Although unwanted, it plays an important role in drawing our attention to the source of physical discomfort or injury, so that it can be addressed. However, sometimes pain seess to outlast this function and stay on without apparent reason. Dealing with this sort of chronic pain can be a battle. In some cases, a medical examination can help assess and diagnose the physical cause of the pain. However, sometimes physical factors are unidentifiable or unable to account for the duration and intensity of the pain being experienced. In these cases, a thorough psychological evaluation may be recommended in order to understand the emotional factors that could be causing or exacerbating the pain. But is there really a psychological aspect of pain?

Pain used to be understood as a purely physical sensation. However, over the years, it has been recognized that pain is affected by a number of psychosocial factors including emotions, social and environmental context, sociocultural background, the meaning of pain to the person, beliefs, attitudes, expectations, as well as biological factors . It is thus a combination of these physical, emotional and social factors that serve to cause, increase or maintain chronic pain. In turn, the experience of chronic pain also causes anger, sadness and anxiety, and affects our social functioning. There is treatment treatment requires an addressal of not only the organic source, but also the other psychosocial factors involved in the experience of pain.

Many medical treatments like medication, surgery or physical therapy help treat chronic pain. But we must remember that psychological treatment is also an important part of pain management. We need to understand and develop coping strategies to better manage the thoughts, emotions and behaviors that we experience along with pain.

If you're dealing with chronic pain, here are some tips you can try:

Stay Active
Do not let your pain hold you back. Set realistic expectations for yourself and stay involved in the things you love. Do not push yourself beyond what you can handle physically.

Stay Fit
Low-impact exercise like stretching, swimming or yoga can help keep your body fit without causing additional pain. Find out what exercises work for you, and engage in them regularly.

Stay Social
In times of distress, social support is important. Talk to people you are close with. Research shows that it can make you more resilient and less likely to experience depression and anxiety.

Stay Involved
Engaging in other activities can distract you from your pain. Make sure you have a list of activities that you enjoy, to try out when the pain occurs. Anything from watching a movie to participating in a local club can help.

Stay On Track
If you're following a regular physical routine or medication, follow it religiously. Unplanned changes can have harmful consequences. Do not alter or discontinue your treatment routine without consulting your doctor or therapist first.

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The Many Benefits of Physical Therapy

When it comes to healthcare, many people are skeptical about the idea of ​​physical therapy. What exactly is it? Is it an alternative to a regular doctor's visit? Who are PTs, and how can they help me? There are many questions, but this article will shed some light on the role it plays in potential patients' lives.

What Is Physical Therapy?

Physical therapy is treatment in response to a health problem that affects a person's everyday mobility. The goal is to alleviate one's day-to-day difficulties and make the small aspects of daily activity easier. By no means is it a substitution for a doctor's visit; on the contrary, it is usually prescribed to a patient by a doctor as a treatment for an ailment. For example, if a subject is diagnosed with a serious hairline fracture in the tibia (leg) and requires crutches, then the doctor will probably provide a prescription for one or two month series of physical therapy appointments. These appointments will come after the leg is healed, but are meant to strengthen the leg after its absence of walking. The appointments can take place at a private facility or hospital and are in conjunction with one's doctor and insurance.

Who Are Physical Therapists?

PTs are licensed healthcare professionals, usually with a graduate degree, who are trained to know best practices in muscle and body rehabilitation. Often with a background in sports, PTs are familiar with many possible injuries and are skilled in providing relief to those injuries. They supply a better alternative to long-term prescription drug use or surgery. In cases where surgery is necessary, they can reduce pain after a difficult procedure and improve the rehabilitation process. PTs can be found at private clinics, hospitals, home health agencies, or other places where there is a need for treatment.

What Can a New Patient Expect?

During the first appointment with a PT, one can expect a diagnosis and synopsis of an ailment and beginner activities to alleviate the ailment. After multiple appointments, one can begin to expect a steady regimen of exercises, stretches, and other activities designed to target the condition and treat it. Many of these activities can be done at home without the need for multiple on-site meetings. A PT will ask a patient to practice the stretches outside of the appointment, but treatment centers are equipped with a variety of machines and tools to assist in treatment.

The benefits of physical therapy are unparallel: reducing pain, improving mobility, healing tissue, offsetting injuries, managing conditions like heart disease and diabetes, and more. If avoiding surgery or a lengthy drug prescription is a priority, one should look into an appointment. There are more than 200,000 licensed PTs in the US located throughout the country and help can be easily found.

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Active Physical Therapy Against Back Pain

The statistic shows that almost 70% of people are faced with back pain and have to visit a physiotherapist. Back pain may be caused by musculoskeletal injuries like joint dysfunction, muscular strains, ligament sprains; or sustained overstress injuries or traumatic injuries that may tear or damage the structures. Sustained overstress injuries are probably more common but also easier to prevent. In this case, an accumulated microtrauma that overloads the lower back structures for a long period of time may cause injury and back pain.

Fortunately, we can avoid these painful feelings if we consult with an expert physiotherapist who will not only guide you through the rehabilitation process, but also teach you the practices and exercises, that will help you to stay up and running. Proper early diagnosis and treatment will help to recover and avoid back pain.

The goals of physical therapy are to decrease pain, increase function, and provide education on a maintenance program to prevent further recurrences. Usually a physical therapy program consist of passive therapy (modalities) and active exercises.

Depending on the diagnosis and pain level, there might be different rehabilitation programs for each patient.

Active exercises are almost always necessary in rehabilitation process and help give back pain. Properly done exercises will result in a good nutriients distribution inside the disc space and will keep the discs, muscles, ligaments, and joints healthy.

A workout of back exercises should be balanced and include a combination of stretching, strengthening, and low-impact aerobic conditioning. Stretching will bring benefit to the soft tissues in the back, legs, buttock, and around the spine. The spinal column and its contiguous muscles, ligaments, and tendons are all designed to move, and limitations in this motion can make back pain worse.

When starting a stretching routine it is important to remember that stretching should be pain free, there is no sense in forcing the body into difficult positions. Move into the stretch slowly avoiding bouncing, wich may tear muscles. Hold stretches for twenty-thirty seconds to let muscles or joints relax. Repeat the stretch for five-ten times.

Core muscle strengthening is also important in lower back pain treatment. It is important to perform the exercises correctly in order to see benefits.

Low impact aerobics are important for long term pain reduction. There are many options available, such as walking, bicycling swimming or water therapy.

McKenzie exercises and dynamic lumbar stabilization are two most commonly used back exercises.

McKenzie exercises are named after a physical therapist in New Zealand who found that extending the spinal through exercise could reduce pain. Extension exercises may also help reduce the herniation of the disc itself and reduce pressure on a nerve root. There is a wide range of McKenzie exercises, some of which are done standing up while others are performed lying down. All of these upper and lower back exercises use core muscle contracting and, usually, arm motions to stabilize the trunk and extend the spine.

Lumbar stabilization back exercises may also be done in conjunction with McKenzie exercises. The lumbar stabilization exercises help strengthen the back.

The important aspect is that the exercise includes controlled, progressive strengthening exercises. Alternative forms of strengthening exercises can be found in such practices as pilates, yoga, and tai chi.

It may take weeks or even months of practicing to mobilize the spinal and soft tissues, but will bring a reliable relief in future.

Learn more about professional physiotherapists, their practices and clinics.

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Why Is Bio Identical Hormone Replacement Therapy Gaining Popularity?

Bio identical hormonal replacement therapy (BHRT) is a form of therapy that is used to attain an optimum level of hormones in the human body. While BHRT is mainly bound to the United States, there is a significant level of interest directed towards it. What this form of therapy is believed to achieve is to improve the overall hormone levels in the body. Bio identical hormone replacement therapy has garnered interest particularly with women as they are convinced that it helps them during menopause, making them feel stronger and revitalized. BHRT has gained popularity as a number of American women are of the opinion that conventional hormone replacement therapy has several side effects that could have life-threatening.

Bio identical hormone replacement therapy has numerous benefits especially for women as it is believed to prevent the occurrence of a number of chronic diseases that develop with age. Bio identical hormones are made from plant chemicals and share a similar molecular structure to that built in a woman's body. The benefits of BHRT include and are not limited to:

1. It builds muscle strength as a person (especially women) ages. With age, the human body experiences a gradual breakdown in muscle and fat which weakens the physical state of an individual.

2. Bio identical hormone replacement also improves libido as a result of increasing the levels of hormones in the body.

3. BHRT is said to improve energy levels, provide better sleep, and sharpen the mental state of a person.

4. In a fast-paced world where time is of the essence, there is hardly ever enough time for an individual to relax and feel rested. The modern lifestyle is driving people towards depression. Bio identical hormone replacement therapy reduces the risk of depression, leaving one feeling calmer.

5. This form of therapy is also believed to increase bone strength even as a person ages, reducing the risk of osteoporosis. This is a result of BHRT improving the bone density.

6. BHRT is custom-compounded, which literally translates to the hormones being made to suit every individual patient's condition. By this, it makes for a more balanced and accurate increase in hormone levels.

7. As it creates a calming effect on an individual, BHRT also improves sleep. When consumed, natural progesterone helps in promoting a patient's sleep and allows for proper rest.

8. Bio identical hormone replacement therapy reduces the risk of endometrial and breast cancer between fighting Alzheimer's disease.

There has been some opposition in the practice of BHRT and while there is currently little significant evidence to completely prove that this form of therapy carries with it benefits, it has helped a lot of patients dealing with hormonal imbalance. A lot of reviews and tests are being flown out to show that bio identical hormone replacement therapy can successfully help a patient balance out the body's hormones. For patients suffering from high cholesterol, BHRT is said to improve or stabilize the levels and improve the overall health of an individual, thus increasing one's lifespan in the process.

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Lower Back Pain Treatment By Physiotherapy

Almost 80% of people are bound to suffer from the problem of lower back pain at some stage in their life. In today's uncomfortable lifestyle, this problem is noted as one of the common as well as most disturbing physical problems. After any episode of low back pain that has lasted between two and six weeks, or if there are frequent recurrences of low back pain, physiotherapy is often recommended. Usually a spine specialist considers physiotherapy at the initial stage, particularly if the pain is severe.

The main aims of physiotherapy are to decrease pain, increase function, and provide knowledge to prevent further recurrences. Physiotherapy for low back treatment usually has two components that include Passive physiotherapy that helps in the reduction of the patient's pain to a more manageable level and the other one is active exercises.

What is Passive Physiotherapy?
In Passive Physiotherapy, spinal doctors mainly focus on decreasing the pain with passive physical therapy or modalities). These therapies are known as passive because they are done to the patient. Heat / ice packs, TENS units, Iontophoresis and Ultrasound are some of the examples of the modalities.

The Heat and / or ice are easily available and are the most commonly used types of modality and each type of therapy helps to reduce any kind of muscle spasm and inflammation. The TENS Units for Electrotherapy basically use electrical stimulation to modulate the sensation of low back pain by overriding the signals of pain that are sent to the brain. In the process of Iontophoresis the steroids are delivered through the skin. The steroid is applied to the skin and then an electrical current is applied that causes it to migrate under the skin. Further, those steroids produce an anti-inflammatory effect on the area that is causing pain. This kind of modality is especially effective in relieving acute cases of lower back pain. Whereas, Ultrasound is a form of deep heating that involves application of sound waves to the skin to penetrate into the soft tissues. This is very much useful in relieving acute episodes of pain that also enhances tissue healing.

What does it mean by Active Physiotherapy?
With Passive physiotherapy, active physiotherapy is also recommended as a necessity to rehabilitate the spinal. In general, the whole therapy incorporates a combination of Stretching for back pain exercises, Strengthening for back pain exercise and Low-impact aerobic conditioning.

People suffering from lower back pain are recommended to stretch their hamstring muscles once or twice daily. For the strengthening of the back muscles, 15 to 20 minutes of dynamic lumbar stabilization or other prescribed exercises should be done every other day. In lower back treatment core muscle strengthening is considered to be really important. It is strictly recommended to learn these exercises correctly physical therapist or other qualified health professional in order to see the best of benefits.

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The Next Step in Medical Technology – Bio Identical Hormone Replacement

What is Bio identical hormone replacement therapy? It is the use of supplemental dosage of hormones that have a chemical configuration matching to the hormones that the human body naturally produces. By the use of compounds that have exactly the identical chemical and molecular configuration as the key hormones physically found in the human body, this therapy aids to recover an individual’s life’s worth, verve and well-being.

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How To Accelerate Your Knee Replacement Rehabilitation

Total knee replacement surgery has become one of the top orthopedic surgical procedures in the country today. With more people having the surgery to alleviate pain and help increase mobility, many of them are looking for ways to speed up their recovery in a safe manner that allows them to get back to participating in their life as soon as possible. Working with total knee replacements now for over 21 years, I have found three tips to help individuals speed up their recovery and decrease their pain while doing so.

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10 Expert Tips for Avoiding Common Sports Injuries

Being an exhilarating and awe-inspiring field doesn’t make sports an invincible world. One common downside of playing sports is the high susceptibility of the players to injuries. Being limited by injuries is not something any sports enthusiast would wish for. Getting assistance from a trained sports physiotherapist is necessary to prevent exacerbating the condition of injured parts.

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