Relation between orthopedics and physiotherapy

Relation between orthopedics and physiotherapy

The field of physiotherapy which used to be limited to massage and to simple movement to the joints following fracture has developed into an independent specialty of medical sciences. Its nonpharmacological exercise-oriented approach and multidisciplinary applicability has widened its horizon rapidly.

Beside therapy its preventive goal is known all over the globe. However, the science of physiotherapy has a special hand-and-glove relationship with orthopedics, as it plays an important role in the management of the whole gamut of orthopedic. According to late prof P Chandra “The success of orthopedic treatment largely depends on a physiotherapist. The surgeon should never pick-up the knife unless he/she has a competent physiotherapist.”

Goal and role of both sciences

The ultimate goal of orthopedic treatment as well as orthopedic physiotherapy is to restore the maximum possible physical independence to the patient, in performing the physical task involved in the activities of daily routine(ADR) and occupation within the limit of disorder or the disability.  

Orthopedic management provides the basic structural stability to the body whereas, physiotherapy works toward achieving the maximum functional restoration

  A patient with orthopedic disorder.

Orthopedic care- Provides- Structural stability                                                               physiotherapy- Provides- functional independence

Common sports injuries in ankle and foot region

Common sports injuries in ankle and foot region

 

Note:- It must be remembered that every speedy sport is susceptible to results into any type of neuromusculoskeletal injury.

Region	Specification	Cause	Injury (mode)	Sport
ANKLE and FOOT	Inversion or evertion strain with or without fracture	Indirect injury due to violent Inversion or evertion with ankle joint relaxed in planter flexion	Fall from height and repetitive overuse	Jumpers, runners, joggers
	Stress fracture of tibia	Indirect overuse weight bearing injuries	Hair line fracture upper or lower end of tibia, fibula or metatarsal bones	Marathon runners, jumpers
	Fractures of 5th metatarsals	Indirect overuse injury to the 5th metatarsal. Sudden twisting of ankle in inversion.	Weight bearing- results into- avulsion fracture of base of 5th metatarsal -          Jones fracture -          Dancer fracture	Runners, dancers
	Medial tibial stress syndrome	Indirect injury due to periosteal inflammation	Periosteum get inflamed over the medial border of distal 1/3rd of tibia(shin-splint) due to overuse
	Anterior impingement syndrome	Overuse syndrome due to repetitive excessive dorsiflexion	Excessive dorsiflexion of the ankle joint results into impingement of anterior tip dancers of tibia on the neck of talus
	Posterior impingement syndrome	Overuse indirect injury due to repetitive planter flexion	Posterior tubercle of oscalcis copresses the synovial or capsular tissue against tibia due to repetitive planter flexion	Dancers
	March fracture	A fatigue fracture, indirect injury due to sustained standing	Fracture occurs at the 2nd or 3rd metatarsal bones in sustained standing	Nurses, soldiers
	Flexor- hallucis longus tendinitis	Indirect overuse putting extra strain on flexor hallucis longus	Extreme repetitive planter flexion puts extra stress of dynamic stabilization of medial foot and ankle on flexor hallucis longus	Ballet dancers
	Injury or fracture of sesamoid bone of great toe	Direct impact of the foot of overuse injury	Impact of the foot on a hard surface with toes in extension or repetitive micro trauma to the foot. The fracture may occurs when the proximal phalanx of 2st MTP is jammed into the dorsal  artricular surface of metatarsal head	Dancers, runners

Role of physiotherapy in diabetes( world diabetes day )

Diabetes is the metabolic disorder that causes blood glucose level to rise higher than the normal one. This condition is also called hyperglycemia.Mostly there are three type of diabetes. They are diabetes type 1, type 2 and pregnancy diabetes (not common one)

Type one and type two are most important one and they are silent killer. Diabetes can even cause life-altering complications like blindness, kidney disease, heart disease stroke, amputation etc.

And the diabetes can be controlled by maintaining a balance diet and doing physiotherapy. Physiotherapy is important in the treatment of diabetes because they help to reduce your glucose level, reduce your pain, and other symptoms like deep pain in the feet and legs, muscle cramp and muscle weakness, balancing difficulties,  diabetic foot, etc. Physiotherapist also can guide you in improving your balance diet. Also they physios can help in relaxation, biofeed back and reducing stress.

Move to physios                                                                                                          

Maya's Yogs

 

Rajakapostasana

• Good practice to stimulate Thyroid gland, strengthen the muscles of lower back, thigh & shoulder region.

                                                              Shalabhasana

• Strengthen the lower back and pelvic organs and provides relief in backache.

                                                                  Natrajasana

• This asana strengthen the back, shoulders, arms, hips and legs. It improves concentration. 

                                                      Ardha Matasyendrasana

•                            Good for diabetes, digestive ailments. 

                                                                  Dandasana

•                                           It strengthen spine.

                                                               Gomukhasana             

•  Strengthens knees and ankles joint.

                                                                      Chakraasana

• Helps to relieve various gynecological, respiratory disorders. it strengthen the muscles of legs and arms, improve digestions.

                                                                     Dhanurasana

•  It helps to reduce excess weight around the abdominal area. Helps to improve digestion, remove gastrointestinal disorder and constipation. 

                                                                      Nadisodhan 

•   Good for hypertension, insomnia, stress and anxiety