Hyperbaric oxygen therapy as a treatment for stage-I avascular necrosis

Hyperbaric oxygen therapy (HBOT) and physiotheapy as a treatment for stage-I avascular necrosis, has worked miracles. Avascular necrosis (AVN), also called osteonecrosis, aseptic necrosis, or ischemic bone necrosis, is a condition that occurs when there is loss of blood to the bone. Because bone is living tissue that requires blood, an interruption to the blood supply causes bone to die. If not stopped, this process eventually causes the bone to collapse.
Both physical therapy and reducing the pressure load are efficient in pain reduction, but do not affect disease progression. Attempts to reverse the process of bone degradation with non-invasive procedures or procedures less invasive than surgery are still ongoing hyperbaric oxygen therapy (HBOT) is ideal for treating stage I or II of AVN on the Ficat-Arlet scale or Steinberg classification system, since it restores tissue oxygenation, reduces edema and restores venous drainage 

http://uffer.org/downloads/publications/HBO_Femoral_Head_Necrosis.pdf https://www.ncbi.nlm.nih.gov/pubmed/12729112
https://www.sciencedirect.com/science/article/abs/pii/S0014480099922736

The Connections Between Physical Pain , Trauma , Emotional Stress and Environment.

Studies have shown that chronic pain might not only be caused by physical injury but also by stress and emotional issues. Chronic pain can debilitate one's ability to move with ease, may hinder their normal functioning, and the search for relief can lead to pain medicationaddictions, which compound the problem. Chronic pain is also often accompanied by feelings of hopelessness, depression and anxiety.

Many people are already familiar with the fact that while carrying emotional stress can lead to migraine, stomach upset, irritable bowel syndrome, and headaches, but might not know that it can also cause other physical complaints and even chronic pain. One logical reason for this: studies have found that the more anxious and stressed people are, the more tense and constricted their muscles are, over time causing the muscles to become fatigued and inefficient.

Often, physical pain functions to warn a person that there is still emotional work to be done, and it can also be a sign of unresolved trauma in the nervous system. Even if one has grieved and processed the emotional impact of a trauma, the nervous system might still unwittingly be in survival mode i.e. inflammation.

To address potential inflammation, and provides strategies to help calm the nervous system such as Craniosacral therapy or Feldenkrais Movement Re-education. "These both will help 'stoke' the lymphatic system, which in turn helps diminish the effects of fluids that pool as a result of injury. Beginning a daily program of walking can help to mobilize the muscles and is the best way to stimulate the lymph system to do its job and oxygenate injured muscles. This can be assisted with hyperbaric oxygen therapy i.e. HBOT to help achieve oxygen to penetrate deep inside the muscle relieving from hypoxic state and allowing the muscle to relax and release emotions.

Maggie Phillips, author of Reversing Chronic Pain, writes: "Whether or not trauma was connected to the event or condition that originated their pain, having a chronic pain condition is traumatizing in and of itself."

Joe Martino, Collective Evolution, Guest | Humans experience an array of emotions, anything from happiness, to sadness to extreme joy and depression. Each one of these emotions creates a different feeling within the body. After all, our body releases different chemicals when we experience various things that make us happy and each chemical works to create a different environment within the body. For example if your brain releases serotonin, dopamine or oxytocin, you will feel good and happy. Convexly, if your body releases cortisol while you are stressed, you will have an entirely different feeling associated more with the body kicking into survival mode.

The connection between your mind and body is very powerful and although it cannot be visually seen, the effects your mind can have on your physical body are profound. We can have an overall positive mental attitude and deal directly with our internal challenges and in turn create a healthy lifestyle or we can be in negative, have self destructive thoughts and not deal with our internal issues, possibly even cloak those issues with affirmations and positivity without finding the route and in turn we can create an unhealthy lifestyle. Why is this?

Our emotions and experiences are essentially energy and they can be stored in the cellular memory of our bodies. Have you ever experienced something in your life that left an emotional mark or pain in a certain area of your body? Almost as if you can still feel something that may have happened to you? It is likely because in that area of your body you still hold energy released from that experience that is remaining in that area. I came across an interesting chart that explores some possible areas that various emotions might affect the body.

Physiotherapy for infertility : GIVE A YOUSELF A NATURAL CHANCE !!!!!!!

Don't head for IVF yet—a special type of physiotherapy with alternate healing approaches can boost fertility, even if you have endometriosis or PCOS or PCOD or ……..

 Now days its a common problem with females, every third female coming to us with one or the other abdominal pain issues along with diagnosis of PCOS / ENDOMETROSIS / HORMONE IMBALANCE ,etc… medically they all are true but can be pseudo also because of trigger point.

So here physiotherapist can help by proper assessment and treatment protocol designed individually.

The research, published in the journal Alternative Therapies, looked at over 1,300 women who suffer from the three primary causes of infertility: pain during sex, hormonal imbalances, and adhesions. They found that after they went through physical therapy, the women experienced a 40 to 60 percent success rate in getting pregnant (depending on the underlying cause of their infertility). The therapy specifically benefited women with blocked fallopian tubes (60 percent became pregnant), polycystic ovarian syndrome (53 percent), high levels of follicle stimulating hormone, an indicator of ovarian failure, (40 percent), and endometriosis (43 percent). This specialized physical therapy has even helped patients undergoing IVF raise their success rates to 56 percent and even 83 percent in some cases, as shown in a separate study.

Researchers have found that surgery and IVF aren't the only ways to treat blocked fallopian tubes. In fact, the 10-year study showed that physiotherapy was able to totally open blocked fallopian tubes, something that previously was only thought possible with surgery. The physiotherapy is called the Clear Passage Approach, and according to the study, it achieved pregnancy rates double those of surgery.

(Source: http://alternative-therapies.com/openaccess/ATHM_23_3_Rice.pdf, http://www.alternativemedicine.com/news-item/physical-therapy-exceeds-medical-success-treating-female-infertility  )

Symptoms may contribute to infertility… Symptoms may contributed to infertility could be relieved through combinations of physiotherapy exercise with cupping therapy and hyperbaric oxygen therapy incorporating other forms of natural therapy include:

Abdomen tenderness Abdominal pain Abdominal cramp (mentrual pain) Abdominal bloating (irregular of no pathology) Anxiety / depression Anxiety about sex Bladder problems Breast pain / pressure Breast lumps Breast fibrosis Back pain / hip pain Burning pain in pelvis Chill / shivers Chronic constipation Coital pain Chronic diarrhea Chronic fatigue Chronic inflammation Discharges during sex Discharges after sex Diabetes symptoms Excessive gas

Food allergies Indigestion Irritable bowel syndrome Fullness of stomach Groin pain / hip pain IBS (irritable bowel syndrome) Irregular menstruation Menstrual pain Menstrual cramp Muscle pain / aches Nausea / vomiting Pain in vagina Pain with urination Pelvic pain / pelvic tight PMS syndrome Stomach pain Stomach cramp Tailbone pain Urinary hot / burning (ruling out infection) Urinary frequency Urination leaks Urinary uncontrolled

The Trouble with Trigger Points

A muscle is made up of numerous fibers. A trigger point is a small, taut patch of involuntarily contracted muscle fibers within a muscle or muscle fascia. The tightly contracted fibers that form a trigger point effect blood supply to the nearby tissue, which in turn makes the area hyperirritable when compressed.

In addition to the local pain they cause, trigger points often refer pain elsewhere. On top of that, they can pull on tendons and ligaments associated with the muscle they are in, and can even cause pain deep within a joint where there are no muscles.

For example, in women, trigger points in the rectus abdominus muscle of the core muscles can refer pain/irritability to unusual abdominal cramp.. So say kavita has an active trigger point in her resctus abdominus. As a result, kavita begins to unusual abdominal cramp. So she visits her doctor believing she has some reproductive problems and doctor convienced her saying her saying she has PCOS hence the pain is more. After releasing her trigger point and proper exercises she conceived and no more unusual abdominal cramp

FOR MORE DETAILS CONTACT

DR VARDHMAN JAIN (PT).. MUMBAI

91 9819559990

“Myofascial Pain Syndromes–Trigger Points” by David Simons and Jan Domerholt, Journal of Musculoskeletal Pain, Vol. 13(1) 2005

“Myofascial Pelvic Pain” by Rhonda Kotarinos

“Myofascial Trigger Points and Myofascial Pain Syndromes: A Critical Review of Recent Literature” by  David Simons and Jan Domerholt

Can physiotherapist treat or manage migraine

Physiotherapy for headache / migraine

A migraine is a primary headache disorder characterized by recurrent headaches that are moderate to severe. Typically, the headaches affect one half of the head, are pulsating in nature, and last from two to 72 hours. Associated symptoms may include nausea, vomiting, and sensitivity to light, sound, or smell.

Can physiotherapist treat or manage migraine

YES THEY CAN 

Only if it can be diagnosed of the cause like;

Postural Migraine;

It can be due to muscle imbalance commonly seen nowdays due to whatsapp , facebook , instagram , poor posture, heavy purse , backpacks

Nutritional migraine;

Due to lack of certain nutrition can lead to such type of migraine like magnesium , calcium , omega 3 , etc. Migraine headaches are a common neurological disorder, and studies show that their prevalence has increased in the last twenty years, especially in children. The cause of the increase in prevalence is not known. The stress of a more hectic and competitive life-style is postulated as a factor, but changes in dietary habits may be equally responsiblePatients with migraine may be abnormally sensitive to one or more of these dietary items, a disorder sometimes described as a chemical idiosyncrasy or food intolerance. A true food allergy with positive skin testing is uncommon. The chemicals contained in foods that are responsible for the headache triggering effect are chiefly tyramine and other amines, including phenylethylamine and histamine. Tyramine is found in cheese, especially aged, strong and cheddar varieties, phenylethylamine in chocolate, octopamine in citrus fruits, and histamine in red wine and beers. Caffeine addiction and withdrawal, common among consumers of excess coffee, can be associated with severe throbbing headache and migraine exacerbation. Fasting or skipping meals is also a common reason for headache recurrence in migraine sufferers.

Tyramine-triggered migraine / cheese headace
One of the first reports of the relation of tyramine to the migraine attack was that of Dr Edda Hanington (British Medical Journal, 2:550, 1967) who observed a headache reaction to cheese eaten by patients treated for depression with certain drugs. The drugs, monoamine oxidase (MAO) inhibitors, inhibit an enzyme that normally metabolizes tyramine, the migraine provoking chemical found in cheese and other foods. MAO inhibitors taken in chance combination with a meal of cheese can also cause an acute rise in blood pressure by releasing the neurotransmitter norepinephrine, another reason for headache symptoms

Chocolate-induced migraine
Phenylethylamine, theobromine, and caffeine, the chemical triggers in chocolate, may cause a headache by altering the cerebral blood flow and releasing norepinephrine (Martin, Behbehani, 2001). When adult migraineurs who complained that chocolate provoked their headaches were challenged with either a chocolate bar or a closely matched placebo, 5 of 12 had a typical migraine headache after eating chocolate while none of 8 receiving the placebo suffered a headache (Gibb CM, et al, 1991).

Aspartame-triggered migraine
The FDA and CDC cleared aspartame for general consumption, excepting for children with phenylketonuria (an inborn error of metabolism). Despite this clearance, many scientists expressed caution concerning its use by patients with migraine, epilepsy, and neuropsychiatric problems. In recent years, several studies have demonstrated that headaches may be exacerbated in patients suffering from migraine. (Van den Eeden, S.K., et al., Neurology ,44:1787-93,1994; Lipton, R.B., et al., Neurology, 38(Supplement 1):356,1988; Newman, L.C., Lipton, R.B., Headache, 41:899-901,2001; Millichap, J.G., Pediatric Neurology Briefs, 15:89,2001).

Toxic migraine

In 2015, Turkish researchers published a comparison between the blood analysis of 25 migraine sufferers and 25 healthy individuals. They compared their blood on the amount of serum copper, zinc, lead, iron, cadmium, cobalt, manganese, and magnesium they contained. They found that migraine sufferers had considerably elevated levels of cadmium, iron, manganese, and lead, diminished levels of copper, magnesium, and zinc, and unchanged levels of cobalt. From this discovery, they concluded that trace element level disturbances might predispose people to migraine attacks.

Emotional migraine

Emotional stress is one of the most common causes of migraine headache. Migraine sufferers are generally found to be more emotional and more highly affected by stressful events.

During stressful events, certain chemicals in the brain are released to combat the situation (known as the "flight or fight" response). The release of these chemicals can cause vascular (blood vessel) changes that can bring about migraines. Repressed (bottled up) emotions surrounding stress — such as anxiety, worry, excitement, and fatigue — can increase muscle tension, and dilated (widened) blood vessels can make the migraine worse.

Stress is also an important factor in tension headache. Tension headache can either be episodic (the headache happens from time to time) or chronic (long-term). Episodic tension headache is usually triggered by a particular stressful situation, or a build-up of stress. It can generally be treated by over-the-counter analgesics.

Dental migraine

Headaches may be caused by dental and sinus conditions. Dental conditions include temporomandibular joint dysfunction, also referred to as TMJdisorder. The articulation between the temporal bone of the skull and the lower jaw bone is referred to as the TMJ. The movement of the two bones (the joint) can be abnormal on one or both sides, due to arthritis of the joint, torn cartilage within the joint, or excessive clenching or grinding of the teeth. The latter is referred to as bruxism. Bruxism may be voluntary or involuntary. The involuntary form usually occurs during sleep. People who had there braces , root canal or cleaning can affect muscle of mastication muscle, resulting in imbalance in temperomandibular joint. These imbalances of muscle like masseter , temporalis , digastric are common cause of recurrent headaches.

Lack of Oxygen migraine

Treatment for all types of headaches aims to manage pain. Since the cause of COPD headaches is hypoxia, the first course of action is to increase your oxygen intake. You can do this by getting oxygen therapy. In oxygen therapy, oxygen is delivered to you via a nasal tube, face mask, or a tube inserted into your windpipe. Your headache should improve once you’ve taken in an adequate amount of oxygen.

Even with oxygen therapy you may have problems sleeping at night, which can lead to COPD headaches. Breathing troubles can interrupt your sleep, making it more difficult to function properly the next morning. Headaches are common in sleep-deprived people, whether you have COPD or not.

How can physiotherapist help in headache / migraine

A key systematic reveiw in 2011 showed that massage therapy, physiotherapy, dry needling , cupping therapy , hyperbaric oxygen therapy , insole / custom orthotic relaxation and chiropractic spinal manipulative therapy might be equally efficient as propranolol and topiramate in the prophylactic management of migraine (many other studies can be accessed from the reference list of this open access article).  Some studies have demonstrated that physiotherapy is most effective for the treatment of migraine when combined with other treatments such as thermal biofeedback, relaxation training, and exercise.

Get you migraine / headache assessed by physiotherapist ASAP.

FOR MORE DETAILS ABOUT TREATMENT OPTIONS CONTACT

 vardhman jain PT ,  91 9819559990    

Physio Consultation

Refference;

https://www.healthline.com/health/copd/headache

Migraine and its relationship with dietary habits in women

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3696968/

http://americannutritionassociation.org/newsletter/role-diet-migraine-headaches

The levels of trace elements and heavy metals in patients with acute migraine headache; https://www.ncbi.nlm.nih.gov/pubmed/26160074

National Headache Foundation. Stress Accessed 3/12/2016.

National Institute of Neurological Disorders and Stroke. Headache Hope through Research Accessed 3/12/2016.

Stone CK. (2011). Chapter 20. Headache. In R.L. Humphries, C. Stone (Eds), CURRENT Diagnosis & Treatment Emergency Medicine, 7e. Retrieved 3/12/2016 from accessmedicine.mhmedical.comAccessed 3/12/2016.

Physiotherapist:

Physiotherapist:

what we provide is:

Physiotherapy,
Physiotherapist,
Physiotherapy at home,
Physiotherapist at home visit,
Physiotherapy center,
Physical therapy,
Aesthetic Therapy,
Advance Physiotherapy Center,

Effective treatment of lymphedema of the extremities.

Ko DS1, Lerner R, Klose G, Cosimi AB.

Author information

Abstract

OBJECTIVE:

To define the immediate and long-term volumetric reduction following complete decongestive physiotherapy (CDP) for lymphedema.

DESIGN:

Prospective study of consecutively treated patients.

SETTING:

Freestanding outpatient referral centers.

PATIENTS:

Two hundred ninety-nine patients referred for evaluation of lymphedema of the upper (2% primary, 98% secondary) or lower (61.3% primary, 38.7% secondary) extremities were treated with CDP for an average duration of 15.7 days. Lymphedema reduction was measured following completion of treatment and at 6- and 12-month follow-up visits.

INTERVENTION:

Complete decongestive physiotherapy is a 2-phase noninvasive therapeutic regimen. The first phase consists of manual lymphatic massage, multilayered inelastic compression bandaging, remedial exercises, and meticulous skin care. Phase 2 focuses on self-care by means of daytime elastic sleeve or stocking compression, nocturnal wrapping, and continued exercises.

MAIN OUTCOME MEASURES:

Average limb volumes in milliliters were calculated prior to treatment, at the end of phase 1, and at 6- to 12-month intervals during phase 2 to assess percent volume reduction.

RESULTS:

Lymphedema reduction averaged 59.1% after upper-extremity CDP and 67.7% after lower-extremity treatment. With an average follow-up of 9 months, this improvement was maintained in compliant patients (86%) at 90% of the initial reduction for upper extremities and lower extremities. Noncompliant patients lost a part (33%) of their initial reduction. The incidence of infections decreased from 1.10 infections per patient per year to 0.65 infections per patient per year after a complete course of CDP.

CONCLUSIONS:

Complete decongestive physiotherapy is a highly effective treatment for both primary and secondary lymphedema. The initial reductions in volume achieved are maintained in the majority of the treated patients. These patients typically report a significant recovery from their previous cosmetic and functional impairments, and also from the psychosocial limitations they experienced from a physical stigma they felt was often trivialized by the medical and payor communities.

TO AVAIL LYMPHEDEMA TREATMENT CONTACT 919819559990 (MUMBAI)

PMID:

 

9565129

 

[PubMed - indexed for MEDLINE]

Foldi's Textbook of Lyphology, 2^nd Ed.
Position Statement of the National Lymphedema Network. Topic: Exercise.  http://www.lymphnotes.com/article.php/id/401/

OMG, you're texting your way to back pain (mobile causing neck and back pain)

Humans were designed to stand upright. And yet in this modern world, too many of us spend our days with our heads slumped over for a simple reason: we're staring at the tiny screen of a smartphone.
People spend an average of 2 to 4 hours each day with their neck bent at this unnatural angle while shooting off emails or texts. That's 700 to 1,400 hours a year. The success of social media is has led to an epidemic of bad smartphone posture. 

eople who have poorer posture often have poorer physical and emotional health. The researchers define bad posture as "the head in a tilted forward position and the shoulders dropping forward in a rounded position."

Bad posture has been linked to a host of medical problems, including headaches and other neurological problems, depression, constipation, and heart disease. At a minimum, constant slouching is likely to cause a lot of chronic pain.

This is why Hansraj said it's important to be mindful of your smartphone posture.
"While it is nearly impossible to avoid the technologies that cause these issues, individuals should make an effort to look at their phones with a neutral spine and to avoid spending hours each day hunched over," the authors write in their study.