Pratiksha : A successful rehab for hand with blast injury

Pratiksha : A successful rehab for hand with blast injury: This  patient  met with an accident during festival. A blast injury to his right hand. Professionally he was a tailor. A successful surgery...

A successful rehab for hand with blast injury

This  patient  met with an accident during festival. A blast injury to his right hand. Professionally he was a tailor. A successful surgery with a vigorous physiotherapy and now rehabilitation back in society. The patient is still undergoing physiotherapy at Pratiksha

 

Pratiksha : CHAT Puja - God surya- Exercise

Pratiksha : CHAT Puja - God surya- Exercise:        Why worship lord Surya (sun) for only one day in the form of a festival? Its better to do it everyday in the form of exercise. ...

CHAT Puja - God surya- Exercise

    

 Why worship lord Surya (sun) for only one day in the form of a festival? Its better to do it everyday in the form of exercise.

Sun Salutation Pose	Sun Salutation Mantra	Meaning
Pranamasana (Prayer pose)	Om Mitraaya Namaha	Who is friendly to all
Hastauttanasana (Raised arms pose)	Om Ravaye Namaha	The shining one, the radiant one
Hasta Padasana (Hand to foot pose)	Om Suryaya Namaha	Who is the dispeller of darkness and responsible for bringing activity
Ashwa Sanchalanasana (Equestrian pose)	Om Bhaanave Namaha	One who illumines, the bright one
Dandasana (Stick pose)	Om Khagaya Namaha	Who is all-pervading, one who moves through the sky
Ashtanga Namaskara (Salute with eight parts or points)	Om Pooshne Namaha	Giver of nourishment and fulfillment
Bhujangasana (Cobra pose)	Om Hiranyagarbhaaya Namaha	Who has golden color brilliance
Parvatasana (Mountain pose)	Om Mareechaye Namaha	The giver of light with infinite number of rays
Ashwa Sanchalanasana (Equestrian pose)	Om Aadityaaya Namaha	The son of Aditi – the cosmic divine Mother
Hasta Padasana (Hand to foot pose)	Om Savitre Namaha	One who is responsible for life
Hastauttanasana (Raised arms pose)	Om Aarkaaya Namaha	Worthy of praise and glory
Tadasana	Om Bhaaskaraya Namaha	Giver of wisdom and cosmic illumination

SO I SAY...

"Bhagwan bhi khush or sharir bhi khush"

At Pratiksha we always emphasize on surya namaskar as a home program for all patients specially LBA. Yes in certain cases we do modify the exercise as per patients condition.

In chat puja we worship God surya and surya namaskar is worship of 12 names of god surya via 12 different yoga postures. As per hindu dharma worship of god surya helps you save from disease of skin (leprosy) and other disorders.

If we look at the scientific aspect, performing this exercise early morning is helpful in building vitamin D and a good stretching for the entire spine. I even recommend this in all neurological cases. Acting as one of the forms of meditation it help as an antidepressant as well as good for vestibular problems like vertigo, miners disease and pulmonary disorders like asthma and COPD.

For my non Hindu readers we can co relate this exercise with nature . Panch Mahabhuta Tatwa (five Natural Elements), namely, Akash (Sky or Space) we perform this exercise in open space, Vayu (Air)early morning in fresh air, Jal (Water), Agni (Fire) signifies surya(sun) and Prithvi (Earth) as this exercise we perform on ground. These five Elements combine together to create a balance in Nature, which ultimately helps in the creation and sustenance of life

Pratiksha : A Failure Case of Hand Rehabilitation -

Pratiksha : A Failure Case of Hand Rehabilitation -: A  case  of  blast  injury  to the right hand of a patient                                                        Good surgery   ...

A Failure Case of Hand Rehabilitation -

A  case  of  blast  injury  to the right hand of a patient

   
                                                   Good surgery

                                                                         Good Physiotherapy

                     










Then why I call it a "FAILURE"?????????

We at Pratiksha work as a team
- Surgery  very successful at ATMC
www.atmcbihar.com
- physiotherapy at PRATIKSHA very successful
www.pratikshaphysio.co.in
- But what about the rehabilitation???????????????????/
      THIS PATIENT IS JOBLESS NOW
SO I call it failure in rehabilitation
The day is not far when India is said to be running on shoulders of DISABLED
And this case is among few of them.
We all health professional need to think in a holistic way, when it comes to treating a patient.
Any approach is only app laudable if the patient is successfully rehabilitated in the society.
There is need  specialized centers for vocational training of  disabled helping them with rehabilitation.

Pratiksha : Physiotherapy for jaw

Pratiksha : Physiotherapy for jaw: FOR PHYSIOTHERAPIST Being a physiotherapist , before admitting any PT regime we need to asses the TMJ joint and concentrate on the proba...

Physiotherapy for jaw

FOR PHYSIOTHERAPIST
Being a physiotherapist , before admitting any PT regime we need to asses the TMJ joint and concentrate on the probable cause of dysfunction.
a. Movements to target for range of motion- depression(opening)
                                                                     - occlusion(closing)
                                                                     - lateral deviation left and right
b. The muscle around TMJ- mainly supplied by facial nerve and mandibular nerve need to be targeted
c. Cervical spine - condition like sleep apnoea may also be associated with TMJ and cervical spine
d. Functional assessment like- swallowing and psychological assesment with pain should be considered

A holistic approach with proper assessment of all components can only help in rehabilitating a patient with TMJ dysfunction
FOR GENERAL :
Early exercise for- stiffness
                            - your joint range of motion
                            - muscle health
Physiotherapy has big role to maintain above 3 . In case you find any problem in your jaw consult your nearest physiotherapist

Pratiksha : Wake up Physios- Corporate hospital investigation-...

Pratiksha : Wake up Physios- Corporate hospital investigation-...: Above mentioned report is of an ultra sonography of shoulder. This person had a shoulder injury and was advised for CT,MRI. I did a ...

Wake up Physios- Corporate hospital investigation- a financial burden to patient or a remedy from disease

Above mentioned report is of an ultra sonography of shoulder. This person had a shoulder injury and was advised for CT,MRI. I did a clinical examination and sent him for ultrasound and here is the report.

Is corporate culture making doctors forget there ethics or we just have stopped reading books. An MRI can give more monetary return to a doctor.

Dear physios we are mucle kinesiology scientists. Rather movement scientist. Improving our radiodiagnostic methods can help us make patient recovery early. We can treat our patients without burden of heavy investigation and financil burden of costly drugs.
 

I rehabilitated the patient in 3 sittings With a home program for a week.

Pratiksha : PRATIKSHA COMPLETES 3rd ANNIVERSARY

Pratiksha : PRATIKSHA COMPLETES 3rd ANNIVERSARY: PRATIKSHA Physiotherapy & Rehabilitation Center successfully completes its 3 year in the city of Bhagalpur,Bihar. Thanks to .......

PRATIKSHA COMPLETES 3rd ANNIVERSARY

PRATIKSHA Physiotherapy & Rehabilitation Center successfully completes its 3 year in the city of Bhagalpur,Bihar. Thanks to ......
                                             1. My Mother my Inspiration
                                             2. My sister and my darling Aryan
                                             3. ADVANCED TRAUMA CENTER for giving us non ending challenge
                                             4. My blog readers and my facebook friends/family
                                             5. My friends (shaista, pritha,suman,leena,jignesh) sorry if missed any
          

Pratiksha : Good bye combiflams,paracetamol and foot insoles/o...

Pratiksha : Good bye combiflams,paracetamol and foot insoles/o...: Many at times I came across cases in school children complaining of foot pain in orthopedic clinic. Prescription of pain killers or max a f...

Good bye combiflams,paracetamol and foot insoles/orthosis- simple physiotherapy can help cure foot deformity

Many at times I came across cases in school children complaining of foot pain in orthopedic clinic. Prescription of pain killers or max a foot insole is the ultimate solution. My Question is in olden days when we walked bare foot,was there any insoles needed. Bare foot walking strengthened our foot muscles and non sedentary lifestyle kept our spine healthy.
With 5 sessions of physiotherapy displaying result in a 12 yr girl complaining of foot pain.

HERE IS THE RESULT:

HOW THE FOOT WAS BEFORE: Pictures below

Finger Functional Rehabilitation

I usually come across cases of hand rehabilitation. I have observed mainly in rural areas we miss functional components. Functional component includes grip and precision along with prehension.
Here displaying a case of mine with residual fingers and how we made him use it in his functional activity. Mainly using his precision -

Pratiksha : Integumentary Physiotherapy- Physiotherapy for ski...

Pratiksha : Integumentary Physiotherapy- Physiotherapy for ski...: For my physio friends - Integument physiotherapy is a very up coming branch in physiotherapy in India. Many cases here I treat may be calle...

Integumentary Physiotherapy- Physiotherapy for skin

For my physio friends- Integument physiotherapy is a very up coming branch in physiotherapy in India. Many cases here I treat may be called a neurologically affected case but mainly it needs physiotherapy of skin. Many newly pass out physios can tke up this branch as a post graduation subject. I will be posting few of my cases where I practiced integument physiotherapy.

For my other readers- Many at times if one has suffered from any injury causing damage to the skin the rehabilitation should focus on skin along with other parts like bone and nerve. Burn , Crushed injury are few examples where PT for skin is required

.THE RESULT POST INTEGUMENTARY PT

HOW THE HAND LOOKED BEFORE EXERCISE

UNABLE TO MAKE A FIST

Pratiksha "Positive Towards Differently Abled": Magic of physiotherpist- without any splinting

Pratiksha "Positive Towards Differently Abled": Magic of physiotherpist- without any splinting:     Generally in hand rehab one is advised to put the patient in splinting . But i completely deny this protocol. This patient...

Magic of physiotherapist- without any splinting

 

 

Generally in hand rehabilitation one is advised to put the patient in splinting . But I completely deny this protocol. This patient was put on rehab just after 4 weeks of surgery and here s the result without any splinting

Preventive Against Physiotherapy

Today met a patient for whom physiotherapy was not at all required . Taking history I came to now she had taken physiotherapy for around 1 month but no improvement was visible. I started taking history and it made me conclude that she was in need of medication rather than physiotherapy. 

This bring s me to think, how many of physio professionals be true to our profession and say no to physiotherapy for few cases we come across in our practise

I remember Dr Deepak kumar s mulligan classes. Before we were leaving by the end of course he said "we are not god". So true we cant treat everything. At times a direct no helps you build confidence in your patient. The putting the below image i want to say I am not just a physiotherapist rather I am a good physiotherapist

I will be uploading few cases of mine which did not require physiotherapy. So I call this blog as         "Preventive Against Physiotherapy"

Awareness about role of physiotherapist in sports

All in radio - speaking about role of physiotherapist in sport

Perthes disease in 20 yr old girl

X-Ray of a 20 yr old girl

Reshmi (name not revealed as per request of patient) came with a complain of inability to abduct her hip beyond 30 degrees. Flexion  of hip possible till the range of 50 degrees.This girl was put on cast post trauma to the pelvic region. X-ray reveals reduced space between acetabulum 

and femur head. Avascular necrosis of articular surface.

Now my question - 

1. Age has not come to take her for any surgical management ( like THR)  so what  should a physio aim at?

 2. With time disuse atrophy can occur around hip muscles. so what should be the  PT management

 3. Psychological factors need to be considered. What is PT role in that & how?

 4. what shd be the short term and long term goal

Conclusion: 

Our management must be a sum up of all this . This helps you set up your own protocol, no need of any book

   

Pratiksha: After effect of "Vyayam Shala/gym" in a 24 yr old-...

Pratiksha: After effect of "Vyayam Shala/gym" in a 24 yr old-...:   SPOT THEE DIAGNOSIS?  IS IT WINGING OF SCAPULA?   IF YES WHAT TYPE- STATIC/DYNAMIC?                                     ...

After effect of "Vyayam Shala/gym" in a 24 yr old- Spot the diagnosis

 

SPOT THEE DIAGNOSIS?

 IS IT WINGING OF SCAPULA?

 

IF YES WHAT TYPE- STATIC/DYNAMIC?

                                                                                                 A BARREL CHEST/ PIGEON CHEST?

WHAT IS THIS CHEST INDICATING- SPINAL ACCESSORY INVOLVED OR NOT?

AWARDED By President Of India

 

Pratiksha had been organising talk on All India Radio, Akashwani Bhagalpur as a step towards spreading awareness about physiotherapy.

It has acted as a noble work towards health services and the cash price of Rs 2000/- has been awarded by station director on behalf of PRESIDENT OF INDIA to Pratiksha

22 yr old with ankle pain

Boy preparing for army fitness test suddenly complains of pain in ankle. Pain s mainly in medial arch of both foot , more in right. On and off complain of pain in lower back also.
When  I examined him at pratiksha I could see foot in eversion with reduced arch.
Fine I prescribe him correct footware with customised insole but what about the pathology?
Will rest and anti inflammatory be a solution.
No the answer is treat the root cause
This requires coordination between physio, orthopaedician, prosthetics and the awareness of the root cause.
What u say is the root cause?

TMJ tightness due to gingivitis - rehab at PRATIKSHA

Pratiksha: Spot the diagnosis

Pratiksha: Spot the diagnosis

Spot the diagnosis

Hansan s disease healed ulcer - rehab at PRATIKSHA

T.B. CARPALS- A CASE TO REHAB AT PRATIKSHA

Muscles help give you a spring in your step › News in Science (ABC Science)

Muscles help give you a spring in your step › News in Science (ABC Science)

A 4 month old managed case of hand rehabilitated at PRATIKSHA