#active care physiotherapy

[surabhi07]

 Back on Your Feet: The Role of Physiotherapy in Lower Limb Injury Recovery

Injuries to the lower limbs can have a crippling effect on one's movement, independence, and general quality of life. However, people can regain strength, function, and confidence if they receive the proper rehabilitation care. A key component of this procedure is physiotherapy, which emphasizes active care to speed up recovery and ward off further injuries.

[drsnehapelviphysio]

Advanced Shoulder Rehabilitation Techniques for Athletes For athletes, shoulder injuries can be a significant setback. Effective rehabilitation is crucial to not only regain strength and mobility but also to prevent future injuries. At Dr. Sneha Life Active Clinic in Kharadi Pune, advanced shoulder rehabilitation techniques are tailored to help athletes recover quickly and return to peak performance.

Understanding Shoulder Injuries in Athletes Athletes are prone to shoulder injuries due to the high demands placed on this complex joint. Common injuries include rotator cuff tears, shoulder impingement, and labral tears. Effective rehabilitation is key to ensuring a full recovery, minimizing downtime, and enhancing sports performance.

The Importance of a Personalized Rehabilitation Plan A personalized rehabilitation plan is essential for athletes to address the specific demands of their sport and individual needs. At Dr. Sneha Life Active Clinic, our approach involves a thorough assessment of the injury, the athlete's biomechanics, and their goals for recovery. This personalized approach ensures that every aspect of the injury is addressed, from pain management to functional recovery.

Advanced Rehabilitation Techniques Manual Therapy: Manual therapy is a hands-on technique that involves manipulating muscles and joints to reduce pain and improve mobility. This technique is particularly effective for restoring range of motion in the shoulder. At our clinic in Kharadi Pune, manual therapy is integrated into the rehabilitation plan to ensure optimal recovery.

Sports Injury Therapy: Tailored sports injury therapy is crucial for athletes recovering from shoulder injuries. This therapy focuses on exercises that mimic sports-specific movements, helping athletes regain strength, stability, and coordination. Our clinic in Pune provides sports injury therapy that is customized to the athlete's sport, whether it’s cricket, tennis, or swimming.

Neurological Rehabilitation: For athletes who have sustained nerve-related shoulder injuries, neurological rehabilitation plays a vital role. This involves exercises and therapies that target nerve function, muscle coordination, and proprioception, helping athletes regain full control over their shoulder movements.

Pain Management: Effective pain management is a cornerstone of shoulder rehabilitation. Techniques such as ultrasound therapy, electrical stimulation, and cryotherapy are utilized at our clinic in Kharadi Pune to alleviate pain and inflammation, facilitating a quicker recovery process.

Sports Performance Enhancement: Beyond rehabilitation, our focus extends to enhancing sports performance. Strengthening exercises, flexibility training, and conditioning programs are incorporated into the rehabilitation process to ensure that athletes not only recover but also return to their sport stronger and more resilient.

The Role of Post-Surgical Rehabilitation For athletes who have undergone shoulder surgery, post-surgical rehabilitation is crucial. At Dr. Sneha Life Active Clinic, we provide comprehensive post-surgical rehabilitation programs that focus on restoring full function, reducing scar tissue, and preventing re-injury. These programs are designed to help athletes transition smoothly from surgery back to their sport.

Injury Prevention and Future Care Injury prevention is as important as rehabilitation. Our clinic in Kharadi Pune emphasizes education on proper techniques, body mechanics, and conditioning programs to help athletes avoid future shoulder injuries. Personalized physio plans are developed to ensure long-term shoulder health and optimal performance.

Incorporating advanced shoulder rehabilitation techniques into an athlete's recovery plan is essential for a successful return to sport. At Dr. Sneha Life Active Clinic in Kharadi Pune, our team is dedicated to providing the highest standard of care, ensuring that athletes receive the comprehensive rehabilitation they need to get back to doing what they love, stronger and more confident than ever before.

Life Active Physiotherapy Clinic

Address: Office 201, Gera Park View Society, behind Eon IT Park, Kharadi, Pune, Maharashtra 411014

Phone: 083902 36030

[punneswor]

The sort of absolutely disgusting shit that takes place in my city, in my country, an example (TW: r*pe, m*rder):

I live in Kolkata, India. Recently, a second year doctor in training was brutally r*ped, and m*rdered, then her body was defiled again, in my city in her own workplace. It happened when she was resting after a long shift. She only wanted to take a few hour's nap before she went back to taking care of her patients, and she was accosted by what seemed like one person at first, later determined as a group. Only one person has been arrested as of yet, who conveniently gave himself up. It is suspected that this man is only a scape goat, and the real criminals are doctors and interns working in the same hospital as her (R.G.Kar Medical College). It is also suspected that this happened because she was privy to a bigger set of criminal activities taking place in this institution, and this was done to silence her. We are all angry and upset. This crime echoes that which happened in Delhi years ago (in 2012) to a physiotherapy intern. The chances are slim, since the criminals may have deep political connections, but I hope the perpetrators are brought to court. Even death wouldn't be a good enough punishment. Fuck r*pers and fuck the government.

[omegastation]

Hi. I haven’t used Tumblr in such a long time. It's kinda weird. Last time was two years ago...

I went to Valencia in Spain a few months later. Some parts of it reminded me of the Citadel. I wanted to write about it here, but I couldn’t. I couldn’t really come back here because I couldn’t play the game. I couldn’t concentrate at all, couldn’t finish a simple mission, couldn’t just “play”. I’m still in my first Legendary playthrough if you can believe it. I was losing something that brought me joy and didn’t really know what to do.

And the long story short about my time away: I got a Master’s degree while still working (evening & weekend classes). It’s fairly recent, I learned in June that I got a "Grande Distinction" (with great distinction? idk how to translate it well in English, it's just one of the highest marks). So that was nice :)

Less nice: I got a severe pulmonary embolism in November. My lungs are okay but I have to deal with daily hyperventilation now, which means I’m quite tired and need to make an appointment soon for respiratory physiotherapy. If you’re wondering, I don’t smoke and I’m fairly active. What else? I’m about to self-publish (finally!!!) my collection of short stories in French. Mom helped me yesterday, we ordered printed books. So I'm still writing. Reading and knitting all the time. And I’m still working at the same job I was working at, and I’m happy there, though it can be demanding and I have to be careful not to overwork myself.

In the end, I did manage to come back to the game and finish a mission. Not only that, but I played more missions, and that was a real "omg I can do it" moment. And the more I play, the more I want to talk about it. So there you have it, I hope I can come back and just try to enjoy myself in a chill way. I don't know how long, we'll see. I think time has helped me, at least, to look at things differently. I don't want to feel any type of obligation. I want to do things for fun because it's fun, and let that be enough.

It’s been so long, the fandom has probably changed a lot. Some people might be gone. I’ll reintroduce myself one way or another, but right now I’ll just find stuff I like to reblog and talk about all the ideas that come to mind. Bear with me if it has been said recently or so many times before. I just feel like starting all over again and I missed a lot of posts. My memory isn't what it's used to be either tbh...

Finally, I hope you’re all doing well. Thank you to the people who sent me messages. One person wrote that they missed me. I don’t know who they are, it was anon, but that really moved me, because I really did miss this community and all the discussions we had. I also miss, as always, Dustie who has been gone for a while now.

Anyway. Thank you.

[lepusrufus]

I was gonna throw this in a list of hcs but actually I wanna give it its own post bc I'm very normal about Widow and what's been done to her

I know the more widely accepted idea is that Widow has some inhuman strength and agility due to all the procedures she went through, but what if it's actually the opposite? Her blood flow is so slow her body barely gets the minimum amount of oxygen through it to survive. It makes her lethargic and chronically exhausted because she's always on that fine line between surviving and dead. It helps her keep deadly still when sniping, with great results as far at that goes, but on the flip side a burst of physical activity while running from one place to another on an assignment exerts her body to the point of agony. There's always a team of doctors and days upon days of physiotherapy waiting at Talon's hq, but that doesn't really erase the pain.

There's nanites flowing through her system but they don't really work. Not like they work for Angela or even Moira because they're not there to heal her, they're just there to keep her body from collapsing in on itself.

Her blood flow is so fucked she has pretty much zero temperature regulation and any environment that's too hot or too cold or spikes in temperature really screw with her. And she can barely even feel it until it's too late and she's either dizzy to the point of fainting or can barely move. (Yes I see the cinematic of her wearing basically nothing in the tundra. Yes I'm ignoring that detail and saying her uniforms are made to help with that thank you.)

Her lack of emotions was a carefully crafted mix of psychology work and meds specifically made for her that by this point keep her body going just as much as every other bit of "maintenance" she needs on a regular basis to survive. It doesn't always work. The human mind is great and complex and frankly she would sometimes prefer it not to be because whenever a strong emotion manages to sneak past all the walls built in her mind it leaves her frustrated and more exhausted than she already is. She can still make connections, have likes and dislikes, but anything particularly strong is like an unwelcome shock to an already fragile system.

But Talon doesn't really care because she's their perfect sniper and at the end of the day all the pain that comes as a consequence is only there to make her stronger.

And to top it off, Moira loathes how Ameliè turned out.

She didn't have that much of a hands on role in the making of Widowmaker, she's neither a psychologist nor a surgeon or any other kind of doctor that could do all of that, but she has been sort of an overseer to it. She's the one handling the regular procedures Widow needs to survive and the one taking note of how she handles one thing or another. And she hates all of it.

Moira used to be proud of Widowmaker, but after years of seeing basically a dead woman constantly walk the line of barely even alive, she realised that this is the complete opposite of what her idea of going against the limitations of the human body used to be. If Widow was to ever stop taking the fistful of daily meds or the medical procedures needed to keep her body going she would simply die, and even Moira can despise something that cruel.

[husbandhannie]

warm towel

pairing: jeonghan x reader

genre: fluff

word count: 785

warnings: reader has breasts, reader has history of pain

a/n: this is peak self-indulgent writing, me thinks.

taglist: @itsveronicaxxx @leejungchans @junhui-recs @changmin-wrlds.

the sound of the shower running greets jeonghan as he enters through the bedroom door, a frown gracing his brows as he tries to figure out why you’re taking a shower, again. 

there’s nothing wrong with showering twice a day – jeonghan does it most days he has practice, but it’s not something you enjoy in any measure. you consider showers to be a chore, an activity to be done once a day for the sake of hygiene, unless there’s an exceptional situation. exceptional situations include: 1) getting unusually dirty (like the time mingyu accidentally got coke all over your clothes, and the guy almost groveled in apology), 2) your muscles (generally shoulders and back) are sore, and you’re hoping the warm water soothes the pain. 

since he can see your discarded clothes outside the bathroom –  and they look clean – jeonghan figures it’s not the first option. his mind immediately seeks out the reasons why you’re in pain, and comes up empty. 

since you started taking regular vitamin supplements and following a light physiotherapy schedule, your shoulders and back have given you very little trouble, especially compared to before. jeonghan remembers the times your body would frequently sport pain patches, and how you practically slept next to a hot water bottle. now, the only times you’re in pain are when you’re working harder than you’re supposed to, or you’re so stressed about work that you forget to maintain a proper posture and take regular breaks. 

he can’t think of why that would be the case, though. while your workload from university isn’t light by any measure, you like your courses and your teammates, and your projects aren’t too hectic –  or is he just not aware of how bad it’s been? 

(yes, jeonghan is perfectly aware that this level of analysis into why you’re taking an extra shower is a little disconcerting, and maybe even a little creepy. for all the jokes he makes at seungcheol about how protective his friend his about his partner, jeonghan can’t claim that he’s any less so – just that it manifests differently. he’s long prided himself on knowing (and he means really knowing) the people around him, especially the ones he cares about – and that instinct has only gone into overdrive with you. to him, the better he knows you, the easier he can make your life. and if he could, he would save you from all of life’s hardships, to never have to see you frown again.)

the bathroom door opens and your towel-clad figure emerges, unsurprised at jeonghan’s presence in your room (ofcourse you’re not surprised – jeonghan told you he’d be back in a few minutes after getting dinner). he should just ask you, he knows. there are many people around jeonghan who walk around truthful answers when he asks them about their well-being. you are not one of them. 

it’s a quality jeonghan greatly appreciates. saves him a lot of thinking. 

“everything okay?”, he breaks the silence, watching as you drop the towel on the bed and put on underwear, “you showered this morning already”.

“oh, yeah”, you look up and smile, and jeonghan can’t help but feel endeared by the sheepish look on your face, “i wore the wrong size bra this morning. it was hurting a little”.

ah. your size had increased recently and you bought a new set of the garment, adding it to the pile of bras in your closet. i told you so, jeonghan holds himself back from saying, remembering how he had tried to convince you to throw out the outdated ones. he’ll try to convince you again tomorrow. 

“how bad does it hurt?”, he asks, focusing back on the situation at hand. 

“better than it was before, i think”, you reply, done pulling on the rest of your clothes, “still hurts, but it’ll probably be gone by the morning”.

jeonghan hums in response, picking your discarded clothes and tossing them in the hamper before you get the chance, smiling in amusement when you look at him with narrowed eyes. you don’t like accepting help, even when it’s inconsequential. 

doesn’t stop him from trying. 

“i know you told me to throw them away”, you say suddenly, the sheepish look back on your face as you rest your cheek on his shoulder, “i should’ve listened to you”.

“doesn’t matter now”, he responds, one arm wrapping around your shoulders, a soft kiss brushing on your head, “dinner, yeah? then i’ll get you a warm towel”.

you nod slightly, trudging out the bedroom door and murmuring a sounds good. jeonghan almost hoots in victory.

you don’t like accepting help, but maybe with enough tries and some gentle coaxing, jeonghan can get you to.

[lassieposting]

For the Ask Game: Ghastly

So I actually have Ghastly in one kind of therapy after LSODM! In the Lassieverse, he survives being stabbed by Ravel, but he's severely injured - he spends most of the War of the Sanctuaries in intensive care, and several years afterwards in a wheelchair/in physio/with a walking stick. If he'd been mortal, he'd have been paralysed from the waist down for the rest of his life. As it is, Synecdoche has been experimenting on him over the years with some fairly cutting-edge medical techniques, so he's been gradually recovering the use of his legs with extensive physiotherapy, though if he's ever able to return to active service again, it'll be very, very far into the future.

But he'd probably benefit most from some grief therapy, because this man has lost people. Like, his mother was murdered by Vile. His best friend and first love was tortured and then burned alive. Skugwife and Skugbab - his godchild, the child he was Uncle Ghastly to - were both slaughtered in cold blood. Larrikin and Hopeless were killed in the War. He lost Tanith to the Remnant, and then again to Sanguine, and then again when she's de-Remnanted and doesn't want to be with anyone for a while. I don't particularly like Ghanith, so I have them not ending up together even after she's ready for a relationship, and that would definitely affect him. And then he wakes up in the Sanctuary infirmary with the memory of Anton's head rolling away from them, to find that Skulduggery essentially executed Ravel before Ghastly was able to ask him why. He got zero closure for like, any of these losses.

I think he'd be a pretty good patient, tbf, because he's absolutely one of the better-adjusted Dead Men. Skulduggery is aggressively macho, badly broken inside, and has spent hundreds of years armouring himself in hatred and rage, so he's very resistant to any kind of psychoanalysis. But Ghastly is a stable, sensible person who just wants to live a normal life and would rather be mortal than magic; he wants peace, he wants healing, he wants to stop seeing Anton's head in his dreams at night. So he's willing to work with a therapist. Good Patient Ghastly.

[sleepingdeath-light]

relationship hcs ; shirou

requested by ; 🐜 anon (14/06/23) [1/2]

fandom(s) ; brand new animal

fandom masterlist(s) ; here

character(s) ; shirou ogami

outline ; “🐜 anon because i love BNA and 100% wasnt the person to recommend it whaaaat.... .

Shirou Ogami relationship and smut hcs?

also i accidentally typed shitou Ogami for a second there 😭”

warning(s) ; canon typical references to violence/discrimination/etc

it takes a long time for shirou to trust someone enough to get close to them — like of course he cares for all beastmen and will protect them but that doesn’t mean he’s close to them by default, he’s actually incredibly guarded and private

so this would only ever work on a basis of acquaintances -> friends -> lovers — and it would be a lengthy process to move from one step to the next

or, in other words: he’s not someone who rushes into things so any sort of relationship progression with him is going to be slow and steady at the best of times

but even once you are in a relationship with him, things aren’t exactly cut and dry

he’s protective over you, of course, and will always keep an eye (or, more aptly, nose) out for you to make sure that you’re safe when you’re away from him

he makes sure that you take care of yourself — whether that’s resting and eating enough, taking any medications you need or keeping you from overworking yourself (depending on what your habits are)

like he’ll start off by gruffly reminding you to take a break or rest or eat, and if that doesn’t work he’ll pick you up and do everything shy of actively forcing you to do some self care

will lend you his coat if you mention being cold, but it’s always in a sort of dismissive way — though he does appreciate the sight of you wearing his clothes, even if he doesn’t show it

not very big on physical affection and can get overwhelmed by it if you’re too forward — prefers to show his love through acts of service instead

he’ll substitute cuddling for breakfast in bed, or replace public kissing with date nights spent on rooftops discussing history and the stars

the furthest he’ll go with physical affection in public is a peck on the lips or a kiss on the back of your hand — in private he’s a bit more affectionate but not by much

flusters under praise and genuine compliments but will occasionally praise/compliment you in return in a roundabout casual way — e.g. ‘good job’, ‘not bad’ or ‘nice shirt, when did you buy it?’

has a possessive/territorial streak and will intimidate the hell out of anyone who tries to flirt with you — especially if they’re human — but will vehemently deny any and all accusations of jealousy

has an excellent memory and keeps track of things like anniversaries and birthdays with ease — but he also makes sure that you keep on top of things like medication and appointments when you’re due for them (be that something minor like a checkup or hay-fever, or something more significant like physiotherapy or painkillers)

loves hearing you talk about your passions/interests/hobbies and will quietly listen and ask questions where appropriate — but even if you’re not talking to him, you can catch him staring at you out of the corner of your eye

if you’re the type of partner who steals his clothes (a hermit crab, basically) then he’ll quickly become accustomed to it and will even set aside some of his shirts and jumpers for you to wear — namely so that you stop ‘borrowing’ his work clothes

if you joke about being in the world’s largest age gap relationship then he’ll just shake his head and sigh — you’re not wrong but he’s not going to encourage you with a proper response

though they’re not as frequent as they used to be, shirou does occasionally suffer from nightmares — reliving the last few days he spent in nirvasyl as well as how he died and the lives he took in the aftermath

this is the only time you’ll see him cry and you’re the only person who gets to see him be vulnerable in this way — he won’t seek you out for comfort but he won’t push you away if you try to give it to him (just don’t bring it up afterwards as he’d rather not think about it)

doesn’t talk about his past often but he will teach you innocent things like dances, songs and how to prepare some of the dishes he grew up with — things that aren’t linked to the fall but instead the cultural core of nirvasyl

doesn’t explicitly tell anyone that he’s in a relationship because he prefers to keep his private and professional lives separate, but michiru, gem, melissa and mayor rose all know you — with michiru in particular always asking about you and teasing shirou about being ‘whipped’ for you

if you’re a beastman like him then he constantly worries about your safety — especially if you travel outside of anima city

he’s all too aware of the dangers faced by your kind and, unlike him, you’re very much so mortal and at risk of losing your life to an anti beastman group — and he can’t imagine losing you so soon

in his more animalistic form he’s much worse at hiding his emotions and will give some not-so-subtle tells that he’s happy to see you — namely wagging his tail (no matter how much he tries to stop it)

he’s a living space heater so sharing a bed is only really viable in the winter because otherwise there is a really good chance that you’ll overheat — especially since he does somewhat cling to you in his sleep and has a strong enough grip that there is little to no chance of you getting out before he wakes up

usually just calls you by your name over any sort of pet name — unless he’s introducing you to someone else at which point you’ll gain a suffix denoting your relationship (e.g. ‘this is (name), my —‘)

so partner if you’re dating (he finds girlfriend and boyfriend to be a bit childish)

fiancé/fiancée if you’re engaged

wife/husband/spouse if you’re married

but yeah that’s the closest you’ll get because he isn’t really the type to use cutesy nicknames with his spouse

[cocklessboy]

Executive Dysfunction Strategy: Find Something

A disclaimer: this strategy (like any executive dysfunction strategy) will not work for everyone. I’m a freelancer who works from home with no set work hours whose work is inherently broken into chunks of 20-40 minutes each. It is perfectly suited to me, but it might not be suited to you. Still, it might help some of you, so I want to share. Pass it around in case it helps one of your followers, and feel free to add helpful tips of your own.

For Ideal Results:

Be at home (or in the environment you’re trying to keep tidy).

Be able to get up from your computer/workspace for 20+ minutes at a time (ie not tied to a work schedule where you must be present for a series of hours without interruption).

Be able to break your work into chunks (20-40 minutes is best, but any kind of work task with built-in stopping points is ideal; ie after one meeting/call, after 1-2 tasks, each time you finish X pages, etc.; if your work has no built-in stopping points, a series of timers/alarms can work, but this is less effective since you’ll be changing gears mid-work and the disruption might cause more harm than good; test it out and see if it works for you).

Find Something:

When you reach the end of a chunk of work (in my case, every time I finish a batch of “episodes” that I’m editing, which is usually 20-40 minutes in total), GET UP and WALK AWAY FROM THE DESK.

FIND SOMETHING to clean. Literally anything.

The critical thing here is that you are NOT trying to clean an entire room or anything. You are looking for ONE thing you can clean. Look around. Is there some trash on your desk? Pick it up and throw it away. Task complete. Are there clothes on the floor? Pick them up and put them where they belong. Task complete. Is the shelf dusty? Get a damp cloth and wipe it down. Task complete. Are there dishes in the sink? Wash them, dry them, and put them away. Task complete. These tasks can take anywhere from 1-30 minutes depending on the task and your schedule.

Go back to work and do another chunk. Repeat the cycle until your work day is done.

This can also be used when you’re working on a project or playing a video game or what have you, just pick a good stopping point rule (every time I finish a page or chapter / every time my character dies or levels up or finishes a level / etc.).

Instead of cleaning, this can also be used for exercise. (I try to alternate between cleaning tasks and sets of push-ups or leg lifts or stretches or physiotherapy exercises or whatever.)

I was diagnosed with ADHD earlier this year and am now properly medicated. This strategy works best when I take my meds (obviously). However, even on days when I am unmedicated (because my psychiatrist is somehow convinced that taking meds every day is inherently bad even though they are not addictive, have no side effects, and days off are always a misery, but that’s another discussion), I find that this strategy helps tremendously. So if you do not have any kind of medication helping you with executive dysfunction, this is still worth a try. It might work for you.

Before I started working like this, I lived in a mountain of mess. Not because I didn’t care or hate cleaning or whatever, but because I didn’t see the mess until it was overwhelming, couldn’t figure out how to get it clean, and couldn’t make myself start even when I had a cleaning plan. I was trying to tackle a large project head-on from scratch and getting overwhelmed.

Flipping it around so that I have to find SOMETHING to clean, multiple times a day, even something very small, means I’m no longer trying to tackle everything. I’m just doing one small thing. Anything. I’m actively LOOKING for something to tidy, which, shockingly, makes the mess easier to see. It turns it into a little game. I’m not allowed to sit back down until I’ve completely a tidying task. The whole system has built-in triggers to start tasks. I’m not trying to work up the strength to Start Task, I have something external saying “ready set GO” which makes it easier to Do The Thing.

And since I’m doing it consistently, over the course of a couple of weeks my entire flat has become pretty tidy. It’s getting harder to find something to clean each time. I’m doing maintenance now instead of trying to tackle huge projects. I’m washing the dishes even when there’s only one thing in the sink. I’m wiping off the table and vacuuming the floor even when they’re mostly clean. I’m taking out the trash and recycling before they overflow. I’m getting the cobwebs and dust bunnies out of the corners before my cat has a chance to eat them like the little freak he is. And the cat’s litter box gets cleaned out and the floor around it swept every day, because those are quick, simple tasks I always grab first.

There is also the advantage that I’m not SITTING in a CHAIR for the ENTIRE DAY anymore. I’m standing up at least once or twice an hour and walking around and moving my body (and sometimes doing full-on proper exercise instead of cleaning). This has helped with my back and hip pain, my chronic neck and shoulder pain. I have a little more energy because, yeah, cleaning is exercise, even if only light exercise. I’m even very gradually starting to lose some of the extra padding around my thighs and backside and building a little muscle.

If you have the ability to try this strategy even just on the weekends or whatever, give it a shot. I really hope it helps some of you.

Also I’m trans and queer and aroace and I’d appreciate it if any transphobes and other exclusionists could make themselves known in the notes so I can report and block you. 😘

[surabhi07]

Strengthening the Foundation: Core Physiotherapy Exercises for Limb Injury Recovery

[drsnehapelviphysio]

Innovative Wrist Strengthening Exercises for Occupational Therapy Wrist strength is crucial for daily activities, especially for individuals undergoing occupational therapy. Whether you're recovering from an injury, dealing with chronic pain, or aiming to enhance sports performance, incorporating wrist-strengthening exercises into your routine can significantly improve your overall hand and wrist functionality. At Dr. Sneha Life Active Clinic, located in Kharadi Pune, we offer specialized rehabilitation programs tailored to meet your needs.

Benefits of Wrist Strengthening Exercises Strengthening your wrists can lead to:

Improved grip strength Enhanced dexterity Reduced risk of injuries Better performance in sports and daily activities Innovative Exercises for Wrist Strengthening Here are some effective exercises that can be included in your occupational therapy routine:

Wrist Flexor and Extensor Stretches:

Flexor Stretch: Extend your arm in front of you with your palm facing up. Use your other hand to gently pull your fingers back towards your body. Hold for 15-30 seconds. Extensor Stretch: Extend your arm with your palm facing down. Use your other hand to push your fingers down and back towards your body. Hold for 15-30 seconds. Wrist Curls with Light Weights:

Flexion: Hold a light weight (1-2 kg) in your hand, palm facing up. Slowly curl your wrist upwards and then lower it back down. Extension: Hold the weight with your palm facing down. Slowly lift your hand upwards and then lower it back down. Resistance Band Exercises:

Wrist Extension: Secure a resistance band under your foot. Hold the other end with your palm facing down and extend your wrist upwards. Wrist Flexion: Secure the band and hold it with your palm facing up, then curl your wrist upwards. Grip Strengthening:

Squeeze Ball: Use a stress ball or grip strengthener. Squeeze and hold for a few seconds, then release. Repeat 10-15 times. Putty Exercises: Use therapy putty to perform various squeezing, stretching, and pinching exercises. Pronation and Supination:

Hold a lightweight dumbbell vertically in your hand. Rotate your wrist to turn the weight inward (pronation) and then outward (supination). Incorporating Occupational Therapy into Your Routine At Dr. Sneha Life Active Clinic, we provide comprehensive physiotherapy services, including rehabilitation for wrist injuries and conditions. Our expert team specializes in:

Physiotherapy Kharadi Pune: Offering personalized therapy plans tailored to your needs. Rehabilitation Kharadi Pune: Specialized programs to help you recover from injuries and surgeries. Sports Injury Therapy Pune: Focused on athletes to improve performance and prevent injuries. Pain Management Kharadi Pune: Techniques to manage and alleviate chronic pain. Our services also extend to Orthopedic Physiotherapy Pune, Neurological Rehabilitation Kharadi, Pediatric Physiotherapy Pune, Geriatric Care Kharadi Pune, Post-Surgical Rehabilitation Pune, and Manual Therapy Kharadi Pune. We emphasize Sports Performance Enhancement Pune and Injury Prevention Kharadi Pune to ensure you perform at your best while minimizing risks.

Personalized Physio Plans at Dr. Sneha Life Active Clinic We understand that each individual has unique needs, which is why we offer Personalized Physio Plans Kharadi. Our musculoskeletal therapy approach is designed to address specific issues and goals, ensuring optimal recovery and functionality.

By incorporating these wrist strengthening exercises into your occupational therapy routine, you can enhance your wrist strength, reduce pain, and improve overall hand function. Visit Dr. Sneha Life Active Clinic in Kharadi Pune for expert guidance and comprehensive rehabilitation programs tailored to your needs.

Conclusion

Strengthening your wrists is essential for better performance in daily activities and sports. Incorporate these innovative exercises into your routine, and for personalized care, visit Dr. Sneha Life Active Clinic in Kharadi Pune. Our dedicated team is here to support your journey to recovery and enhanced performance.

Life Active Physiotherapy Clinic

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[aparnaphysiotherapy]

Discover the Future of Physiotherapy at Aparna's Physiotherapy Clinic in Habsiguda, Hyderabad!

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[phpclinic]

Physiotherapy Bolton

PHP Clinic: Your Premier Destination for Physiotherapy Services in Bolton!

Finding a trusted physiotherapy clinic is crucial when it comes to restoring your physical health and achieving optimal well-being. PHP Clinic in Bolton stands out as a premier destination for physiotherapy services, offering personalized care, state-of-the-art facilities, and a team of highly skilled professionals dedicated to helping you achieve your health goals.

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PHP Clinic goes beyond just physiotherapy. We offer a multi-disciplinary approach to healing, incorporating various techniques and services to create a holistic treatment plan. It may include:

Manual Therapy: Skilled therapists utilize manual techniques like joint mobilizations, soft tissue therapy, and cupping therapy to target pain, improve flexibility, and promote optimal movement.

Exercise Therapy: Our physiotherapists will design a personalized exercise program tailored to your needs. This program will help you regain strength, improve balance, and prevent future injuries.

Modalities: We utilize various modalities, such as ultrasound, electrical stimulation, and shockwave therapy, to accelerate healing, reduce pain, and manage inflammation.

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Our team is the heart of PHP Clinic. We have a team of licensed and experienced physiotherapists passionate about helping you reach your full potential. They stay up-to-date on the latest advancements in physiotherapy to ensure you receive the most effective treatment available.

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[stargazer-sims]

Journal Entry #56 (part two)

Journal Entry 56 (part one) // STORY INDEX

Yuri

In other news, Victor and I had a big day yesterday.

We got up early because he had an appointment at the hospital, first thing in the morning, for x-rays on his left arm and a consultation with Dr. Sato. I was glad that I was feeling well enough to come along, because it meant I got to hear Dr. Sato tell him that he's now able to resume all his normal activities. She gave him a letter that stated he was fit to return to work, and a written referral for physiotherapy, and he accepted both as if she'd presented him with a gold medal.

Then, I got to witness the moment when his second cast came off. He cried a little bit when the medical technician pulled the remnants of his cast away and he saw his naked left arm for the first time since January. It was not pretty. His left forearm looked somewhat shrunken compared to the other one, and the skin was sickly pale and peeling in several spots.

Victor couldn't seem to stop staring at it. His voice trembled as he said, 'It... It looks like an old man's arm. The other one didn't look like that."

"The other one was only in a cast for half as long as this one," the technician said. "Don't worry. This is totally normal."

"It doesn't look normal," Victor said.

I was standing at his right side, and I rested my palm on his shoulder. "It'll be okay," I said. I glanced up at the technician briefly, "Right?"

The medical technician smiled. "Yes, it'll be fine. We'll get that arm all cleaned up for you, check your mobility, and then you'll be good to go."

He made his way across the small room to where there was a sink and some cabinets. From a covered box next to the sink, he took out a washcloth, and then he selected a small towel from one of the cabinets. Once he'd made a few more preparations, he came back to us, and proceeded to wash and dry Victor's arm.

"Your arm's getting its very own spa treatment," I commented.

Victor still looked dubious, but he relaxed visibly as his arm began to look less grimy and damaged. It was still thin from disuse, obviously, but having nearly two months' worth of sweat, flaking dead skin and accumulated debris washed off it made a vast improvement in its appearance.

The technician applied moisturizer, and Victor made a face. I laughed. "Spa treatment," I reiterated in a stage whisper.

"You'll want to keep moisturizing a couple of times a day for the next week or so," the technician told him. "It'll help with the elasticity of your skin."

Victor turned to me. "You're the master of moisturizer. You can do that for me."

"Gladly," I said.

The technician checked Victor's mobility next, gently manipulating his wrist, fingers and thumb. He asked if it hurt or was uncomfortable in any way, and Victor said everything felt stiff but not painful. It was only the joint at the base of his thumb that he said was hurting, "A tiny bit."

We were instructed that Victor should take ibuprofen if his thumb continued to hurt for more than the next couple of hours. Then, with a final admonition to take it easy and to not miss any of his physio appointments, the technician released Victor from his care and we were able to go home.

As we walked out of the hospital, I held Victor's left hand. He kept squeezing my fingers gently every so often, possibly to reassure himself that his own were working.

"Everything okay?" I asked.

"Yeah," he said. "I'm just getting used to having both hands back. Letting it sink in, you know?"

By the time we got outside, the reality of having both his hands back must've sunk in completely, because he let go of me and started running around the parking lot like a crazy person, shouting "I'm free!"

I admonished him to calm down, not that I really thought it'd do any good, or that he was even listening. I smiled, watching him burn off his sudden burst of energy and feeling infinitely grateful to have him. I don't mind his nonsense most of the time. That's the sort of thing one has to accept as part of life with Victor. Sometimes he just can't contain himself.

We went home for lunch, where Victor had a grilled cheese sandwich, an apple and soup, and I had my formula and a small piece of apple that he cut off for me. I stole one of the hard maple sugar candies his grandfather had sent him too. I love those. They last a long time if I simply hold them in my mouth and let them dissolve slowly, so I get to enjoy the sugary goodness for a while. Upon reflection, I think I might have an above-average sweet tooth, which probably sounds strange coming from someone who has as complicated a relationship with food as I do.

But, anyway... I digress.

After lunch, Victor had another medical appointment, this time with his ophthalmologist, Dr. Ishida. I was tired, but I was still feeling okay, so I decided to come with him to that appointment as well.

Dr. Ishida reassessed Victor's vision, and she concurred with Dr. Sato that he was fit to do whatever he'd been doing before his accident. Then, she sent us a few doors down the street to the optician's office, so Victor could arrange a time to have his eyes tested for corrective lenses.

As it happened, their in-house optometrist had a cancellation and was able to do it straight away. Victor was beyond excited about that, and happily subjected himself to the optometrist's various tests, all the while chatting nonstop about everything he wanted to do once he got his new glasses. I'm sure the poor optometrist was glad to see the back of him, but she somehow managed to be gracious.

I helped Victor choose a nice set of frames, and was pleased that my earlier prediction was correct. He does look very cute with glasses. His frames are red, of course. I would've been surprised if he'd wanted some other colour.

The optician told us that Victor's glasses would be ready in twenty-four to forty-eight hours. They'd give us a call, she said, and Victor could come back to pick them up and have the fit adjusted, if necessary.

Victor was practically bouncing when we left there. This time, instead of telling him to settle down, I suggested that he should do something to redirect his energy. He decided that he'd like to go for a swim at the fitness centre and since he also needed to give Dr. Sato's letter to Tomiko, his boss. I told him that was a logical choice.

I went with him, not to swim but to cool my feet in the water and admire my gorgeous husband in his swimwear. I love watching him do anything athletic. He's so beautiful and graceful, and he makes it all look so easy.

I'll get back to swimming soon, I hope. I only learned last year, and I want to build up my confidence in the water so I won't be too nervous to enjoy the ocean when Victor and I finally get to take our trip to Sulani. We probably won't be going until later in the summer or in early autumn, but I've already checked with Dr. Kasongo to see if ocean swimming with my tube is allowed, just in case I still have it by then. She said yes, as long as I cover it to keep it safe and we thoroughly clean it afterwards.

Thinking about Sulani makes me happy. I can hardly wait to go. I want to explore everywhere and experience everything I can. Maybe I'll even try some new foods, if I'm feeling especially brave.

Victor says I should try pineapple. Apparently, there are places in Sulani where you can pick your own fruit, and Victor told me all about picking pineapples when he was there last spring. I've never eaten pineapple before, but I like fruit and I like the idea of eating something I harvested with my own hands, so we'll see.

By the time Victor was done in the pool, we were both exhausted and ready for some rest. I went straight to bed as soon as we got back to the house, and I skipped my dinnertime formula, even though I'm not supposed to do that.

Victor also skipped dinner. He got ready for bed and stayed in my room with me, but I think he was still too worked up from the day's events to sleep. He phoned his mother, heedless of how early in the morning it was in her time zone, and lay there cuddling me while he chatted with her on speakerphone. I fell asleep with Victor's hand in my hair, comforted by the nearness of him and by his and Dr. Grace's warm, familiar voices.

This morning, I slept late. Victor prepared my formula for me, and then he propped me up with a bunch of pillows so I could have the tube feeding equivalent of breakfast in bed. He climbed back into bed with me and lay with his head in my lap while I waited for my formula to finish going in. It takes about twenty to thirty minutes, usually. That's perhaps a little longer than it might take a normal person to eat a regular meal, but it's not as if we don't linger at the table for at least half an hour during most mealtimes anyway, so having my formula doesn't interfere all that much with my time during the day.

Victor is fascinated by it, which is a change from how he was when I first got out of the hospital. In the very beginning, he was nervous of it and he was hesitant to touch it. He didn't even like looking at it initially, but I think his curiosity about all things medical finally overpowered his discomfort. Now he wants to know everything about my experience with it.

"Can you feel it going in?" he asked. He trailed a forefinger across my belly, his touch feather-light, a few centimetres below my tube. "Does it feel weird?"

"I can't feel the formula going in, but I know when I'm full," I said.

"Does it feel the same as when you get full from actually eating?"

"Yes," I told him. "Stop tickling my belly, please."

"Sorry," he said, even though he quite evidently wasn't. He let his fingertip slide down toward the waistband of my pyjama pants. "Can I tickle somewhere else?"

"Not until I'm done with breakfast."

He fake pouted. “I guess I can wait till after breakfast, but not much longer than that. I mean, I have two working hands now, and if you’re feeling up to it, I thought we might… you know. Play a little.”

I thought about it, and realized that I was indeed feeling up to it. “As long as you’re gentle and we don’t move around too much.”

“You can just lie there and enjoy yourself, and I’ll give special attention to all your favourite spots, okay?”

“Okay, and then I can give some attention to yours.”

"Sounds good," he said, and hummed with satisfaction.

He rolled away from me and stretched languidly, his muscles rippling fluidly all along his bare upper body and arms. I wanted to touch him, to trace every perfectly sculpted contour of him. Something stirred in me that I hadn’t felt in months, and I was suddenly very impatient for my feeding to be done.

Victor peered up at me. His silver eyelashes fluttered over his half-closed eyes. Oceanic blue, my mother had once described his eye colour. I love that image; eyes the colour of a tropical sea, with a little dusting of silvery clouds above them. I'm often mesmerized by them.

“What?” Victor said.

I blinked. "Excuse me?"

“Your expression changed,” he said. “You… oh. Ohh.”

It was my turn to demand, “What?”

He grinned at me, mischievous and knowing. “You want me.”

I could not deny it.

[obfuscated-abstract]

Title: Diagnosis and management of functional neurological disorder

Date: January 2022 Published in: The BMJ Publicly available? It is now.

Citation: Aybek, S., & Perez, D. L. (2022). Diagnosis and management of functional neurological disorder. BMJ, 376. https://doi.org/10.1136/bmj.o64

Full text (including figures and tables)

Abbreviations:

CBT: cognitive behavioural therapy

DMS-5: Diagnostic and Statistical Manual of Mental Disorders 5th Edition

FND: functional neurological disorder

ICD: International Classification of Diseases

Article Summary

Abstract

Introduction

Historical background:

Describes historical context and explains the current state of research around FND

Nosological classification:

FND is classified as 'conversion disorder/functional neurological symptom disorder' in the DMS-5 and as 'dissociative neurological symptom disorder' in the ICD. The variability in classification causes problems.

Aims of this review:

To highlight relevant literature that express the importance of multi- and interdisciplinary approaches to the care of FND patients

To present evidence to healthcare professionals that will allow them to better diagnose and treat FND patients

Incidence and prevalence of FND

FND is a frequent and disabling condition affecting young people and it often has a poor prognosis. This section also presents specific numbers for the prevalence of different subtypes of FND.

Sources and selection criteria:

Details how the studies were found and selected for the review.

Diagnosis of FND

Criterion A from the DSM-5 requires 'one or more symptoms of altered voluntary motor or sensory function'. Patients can be divided into two broad categories: negative symptoms (lack of movement, weakness) or positive symptoms (abnormal movement such as tremor, jerks, dystonia, etc). Symptoms can also resemble epileptic seizures.

Criterion B from the DSM-5 requires that 'clinical findings provide evidence of incompatibility between the symptom and recognized neurological or medical conditions'. A rule-in diagnosis can be made by evaluating postive signs that distinguish FND from other medical conditions.

Highlights the importance of explaining how the diagnosis was reached.

Highlights the signs of motor FND, and seizure type FND that a healthcare professional should look for to make a diagnosis

Criterion C from the DSM-5 requires that 'the symptom or deficit is not better explained by another medical or mental (health) disorder.' Highlights that a patient can have FND and a comorbid neurological condition. Suggests further testing that can be done to clarify a diagnosis.

Criterion D from the DSM-5 requires that 'the symptom or deficit causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or warrants medical evaluation.' States that the fact that a patient is seeking medical attention shows that the symptoms have a significant impact on daily activities.

Explains the impact symptoms tend to have on quality of life.

Provides recommendations for what language to use and not to use to avoid stigmatising the condition and making a patient feel invalidated.

Treatments

Treatment is extremely variable and should be individualised.

Research is limited but communicating the diagnosis appears to show some reduction in emergency room visits and inpatient hospitalisations for seizure type FND

Psychoeducation can have a positive effect but does not positively affect recovery without other treatment options

Physiotherapy is a first line treatment but more research is needed to optimise and personalise its use. Recent advancements are detailed.

Psychotherapy: The use of CBT (on its own and in combination with other treatments) continues to be examined and shows mixed results.

Psychopharmacology: SSRI and SNRI medications can be used to treat concurrent mental health symptoms but not directly to treat FND.

Emerging treatments

Psychotherapy treatments being evaluated include mindfulness based therapy, prolonged exposure, psychodynamic psychotherapy, group psychotherapy (including dialectical behavioural therapy), and hypnosis.

Other treatments being explored are the use of botulinum neurotoxin to manage motor symptoms, transcranial megnetic stimulation, therapeutic sedation, placebo, and other management strategies.

Mental health concerns (depression, anxiety, post-traumatic stress disorder, etc.) and non-motor phsyical symptoms (pain, fatigue, dizziness, cognitive symptoms, etc.) often co-occur with FND and can increase the severity of FND symptoms

Guidelines

Conclusion

[acarrcreations]

The thing I'm struggling with the most isn't necessarily the pain or the fatigue, but it's just the frustration and boredom with having a chronic illness.

When it's a bad day and the symptoms such as fatigue are making me spend most of the day in bed, I can't feel bored because I don't have the energy to do anything.

But if I have a good day (the word good is doing a lot of heavy lifting) and my fatigue and pain etc. is low enough I can do stuff besides the basics, but perhaps not low enough I still can't leave the house, my body and mind is just ITCHING to just do a Thing™. I have to remind myself that I have to still be careful not to overdo it because the energy being used will be borrowed from the upcoming day's energy use... And that can cause a crash and then it's straight back to recovering in bed for up to a week.

But everything has a cost I need to consider if it's worth my time and energy. Is this activity worth spending days resting before and recovering from after?

While I've been getting better with physiotherapy and learning how to pace and use my time and energy more effectively, sometimes I will end up risking a crash because I really wanted to do a fun activity or hang out with friends and it was worth using that future energy for the fun thing. But when it's something important like a hospital appointment and then I have to spend the following days recovering from it, it just feels so... Disappointing.

What my mind wants to do vs. what my body can do really clash. While I'm getting used to living in a slower world and dealing with the guilt of doing less in my life, this boredom and frustration is really difficult to shake.

It's actually crazy how much this illness has affected my daily life and making me think about things the people around me just do not have to even consider. It makes me realise how much I took my life before getting sick for granted.