SHIYANKA REHAB & PHYSIOTHERAPY CLINIC

Wednesday, April 3, 2019

Best physiotherapy clinic in Indore

Shiyanka Rehab & Physiotherapy is one of the oldest and leading physiotherapy clinic in indore providing quality physiotherapy services to individuals, groups and corporate employees with a wide variety of problems. It has only one location in MR-5, Mahalaxmi Nagar Indore. We’re also providing physiotherapy services at home under best physiotherapist in indore.

The center provides wide variety of physiotherapy services i.e.; Orthopedic Physiotherapy, Sport Physiotherapy and Neurological Disorders. We also gives excellent results in Muscle Pain, Multiple Sclerosis, Strokes , Parkinson’s Disease, Tennis Elbow, Injury related to shoulder joints, Knee Joints, Ankle Joints & Degenerative Joint Diseases.

Shiyanka Physiotherapy offers holistic as well as integrative approach for evidence based assessments & management of Orthopedic, Musculoskeletal, Sport injuries etc.

People with shoulder pain who expect physiotherapy to help them are likely to have a better recovery than those who expect only minimal or no improvement, according to our latest study. We also found that people are likely to have a better recovery if they are confident they will be able to continue doing things that are important to them, such as socialising, hobbies and work.

Shoulder pain affects people of all ages and can become persistent. Injury and overuse are common causes of shoulder pain, but sometimes the cause is unclear. It can disturb sleep, interfere with work, leisure and everyday activities like washing and dressing. Exercise, prescribed by physiotherapists, is an effective treatment for shoulder pain, but not everyone benefits from physiotherapy.

Researchers from the University of East Anglia and the University of Hertfordshire in the south-east of England, together with local physiotherapists, wanted to find out more about the characteristics of people who benefit from physiotherapy compared with those who continue to experience persistent pain and disability.

Knowing the outcome is important for people with shoulder pain as it helps them decide whether or not to pursue a course of physiotherapy.

Our study, published in the British Journal of Sports Medicine, included 1,030 people attending physiotherapy for musculoskeletal shoulder pain in 11 NHS trusts across the east of England. We collected information on 71 patient characteristics, such as age, lifestyle and medical history, and clinical examination findings before and during the patients’ first physiotherapy appointment.

A total of 811 people provided information on their shoulder pain and function six months later.

Australian researchers are working with an international team to understand the relationship between sitting for long periods and bone health.

Sitting for long periods may be bad for your bones, with Australian researchers contributing to a global study to explore links to osteoporosis.

Experts at the Baker Heart and Diabetes Institute in Melbourne have teamed up with researchers in the United Kingdom to find out if breaking up sedentary behaviour could reverse or slow down any potential damage of the disease.

"We know that in extreme environments, such as total bed rest, bone loss is very high," the institute's Professor Neville Owen said in a statement on Thursday."In everyday life, long periods of immobility such as this are rare however, sedentary lifestyles are commonplace in modern society, through transport, work and leisure.

"If the proof of concept study identifies a significant effect of sedentary behaviour on bone metabolism, promoting frequent breaks from sitting could be a possible, and simple, preventative intervention for osteoporosis in later life."

The study will use data and blood samples already collected - but yet to be analysed - in previous sedentary behaviour studies by the research group.

About 1.2 million Australians are estimated to have osteoporosis while 6.3 million fellow residents have low bone density, the institute states.

The institute's Professor David Dunstan also added the study would shed light on the mechanisms behind osteoporosis and give a greater understanding of the relationship between lifestyle and bone health.

At present, there are more than 2.2 million Australians living osteoarthritis (OA), a joint disease which causes chronic pain, and rates continue to soar.

The escalating prevalence has prompted a National Osteoarthritis Strategy which was presented at the OA Summit in Canberra, to help combat the degenerative disease in Australia and provide cost-effective, evidence-based solutions for the millions of Australians living with the condition.

Australian Physiotherapy Association (APA) member Matt Williams contributed to the Strategy implementation committee and says it focuses on both preventing and treating OA by reducing obesity rates and increasing physical activity levels, ensuring non-surgical care is the first line of treatment for sufferers.

“The simplest thing we can do is the most effective to treat OA – get moving and lose weight. I’ve worked with patients who have lost as little as five to 10% of their body weight and seen great improvements in their OA symptoms, particularly their pain levels, and their motivation to continue exercising is greatly improved as a result. The more they exercise - using the right techniques, education and supervision - the better they do,” said Mr Williams.

APA National President Phil Calvert says the Strategy is a step forward in addressing the fundamental mismatch between the burden of OA in the community and its priority in federal and private health insurance funding.

“It’s great to see our physios contributing to such an important strategy, and really reflects the respected position they hold in the health community. Physios can provide bespoke exercise programs, education and motivation to support lifestyle changes that will combat a range of chronic conditions like OA.

“I have no doubt we would see a significant decline in OA presentations if federal and private health funding provided rebates for consumers seeking this type of preventive treatment.

“Ideally, we’ll get to a point in the future where physios can provide 100% preventive health care to patients, before chronic conditions like OA even present. It really puts consumers in the driver’s seat for their own health outcomes, and that’s good for everyone,” said Mr Calvert.

Physiotherapist Scott Wescombe believes escalation in OA could be the result of misinterpretation of scans requested in response to patients presenting with joint pain.

“Typically, a GP will make a diagnosis based on the findings from a scan. Then all treatment is based on the scan findings which usually includes unproven medication that comes with many adverse side effects.

“Sore joints can be the result of one or more factors. The most common factors I see include not enough movement, poor nutrition, a lack of sleep, high levels of stress, and beliefs about the body that trigger a fear response.

“OA rates will go down when we treat the person and not the scans solely. GP's and allied health professionals must take responsibility for getting to know each person and identify the key influencing factors - then have the skills to guide those people to implement healthy changes in their lives.

“If we optimise movement, nutrition, sleep, calmness, and beliefs, the OA rate will drop significantly and fast,” said Mr Wescombe.

Professor Arianne Verhagen has launched her book “Evidence-based diagnostics of musculoskeletal disorders in primary care” in Australia, a first of its kind for Australian physiotherapists.

Professor Verhagen says that the text that brings together diagnosis based on patient case studies. “Up until now, musculoskeletal diagnosis books would start with the problem, but in the real world, a patient rarely walks in knowing what is wrong,” she says. “They just know they have knee pain for instance, and the physiotherapist needs to go about working out what’s the cause of the pain.”

The book was initially published in 2016 in Dutch before it was updated and translated into English, following the requests of several universities for a translated edition.

“What makes this book helpful for students and practitioners is that it follows the real journey when a patient presents in your clinic,” says Professor Verhagen.

“For example, the patient presents with knee pain, and then it follows that route - how often, statistically, will knee pain be arthritis? Or meniscus? Or a patellofemoral pain?” and how can I find out what it is?

Each chapter begins with a case study and ends with a conclusion that reflects the case study presented, along with complementary videos of current performance of diagnostics.

“The book gives firstly some ideas aboutthe frequency of the problem, risk factors, and prognostic factors, and then I describe which tests can help you to decide whether it's meniscus or arthritis, or whether it's a patellofemoral pain or a meniscus. The case studies are evidence-based – so how much evidence is there to support that decision.”

Co-authored by Jeroen Alessie, the book is currently recommended for Physiotherapy students and professionals and can be purchased from Amazon.

Arianne Verhagen is the Head of Discipline at the School of Physiotherapy at the Graduate School of Health and is an experienced physiotherapist, manual therapist and clinical epidemiologist.