#different approach for 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.

[drferox]

My MS Diagnosis

So I’m approaching the 2 year mark since my Multiple Sclerosis diagnosis and I thought I’d better document how I got here, because being the patient is a weird experience, especially for a condition that had kind of vague symptoms that needed a fair amount of work up.

My symptoms actually started in early 2020, when I was in the third trimester of pregnancy. The main symptom was mistaken for carpal tunnel syndrome - numbness in my fingers that would progress to increasingly violent pins & needles sensations, that would progress to burning if I tried to push through it. Only this sensation would extend all the way up to my shoulders at times. I stopped performing surgery, because not only was I unsatisfied with my lack of sensation to know what I was doing with my tissue handling, but the pain would get worse quickly in constrictive surgical gloves in the presence of patient warming. So I stopped performing surgery in late pregnancy and was told it would get better a few months after giving birth.

It did not.

So six months after giving birth, finding myself able to use my hands for short periods but still unable to perform surgery to my standard, I went back to complain to the doctor. I also couldn’t play video games properly, my arms would often be numb when I woke up, all the way up to my shoulder, and they were super temperature sensitive. Even hot water from washing dishes would set them off.

They sent me down a carpal tunnel work up - ultrasounds and talking to a neurologist. The short version is they did tell me I had mild carpal tunnel… on one side only.

Which did not make any damn sense considering I had symptoms on both sides all the way up to my shoulder.

The worst neurologist in the world could not explain to me why a mild problem on one wrist was affecting sensation all the way up to the opposite shoulder, and just said ‘it happens sometimes’. Now, I like to think I have a solid understanding of the basics of how a body works, and was really unsatisfied with this answer. They recommended I talk to a surgeon, since I’d already been doing a bunch of physiotherapy, but I decided not to. Surgery could have put my hand in a cast for up to 6 weeks, I had a 6 month old baby to care for at home and a partner who was useless at best, and abusive at worst. I could not afford the time in a cast.

So I went to try something else, visiting an osteopath to see what they could do about my ‘mild’ carpal tunnel, and while I’m there, these headaches I’ve been getting.

She spent a good long while stretching out different muscle groups, and found that certain neck muscle stretches changed the sensations I was getting in my fingertips. So whatever was causing the hand problem was coming from somewhere in the neck, and she recommended I get a CT scan.

Went back to my doctor to get a referral for a CT scan, and explained what was going on. He thought about it for a minute, didn’t voice his concerns, and upgraded it to a neck MRI.

That MRI found a demyelinating lesion in my neck. So went back for a full Central Nervous System scan and found a couple more borderline ones.

That sent me back to a (different) neurologist, had a proper neurological exam that found a few random patches of altered skin sensation in addition to the arm weirdness I had going on. So I was probably a MS case, but not particularly severe as MS goes.

To confirm it I needed a lumbar puncture to look for oligoclonal bands in by CSF. The lumbar puncture was a moderately unpleasant experience which then mandated that I remain lying down for 24 hours so that my spinal fluid didn’t spring a leak. With a baby and a distinctly unhelpful partner, I barely made it to that 24 hours.

And then… I sprung a CSF leak. Which is a jolly weird experience I can tell you.

When your CSF leaks from a lumbar puncture you will feel perfectly fine… when you are lying flat on your back, because your spine flops over the hole and plugs the leak. If you’re upright at all the spine flops away from the hole and it slowly leaks out, and you get more of this weird frontal headache that gets worse the longer you’re upright, standing there talking to the ER admissions nurse. And the info I had explained that it can progress to seizures and similar the worse it gets, but I only got as far as pain and fuzzy vision. I seriously could only be upright for ten minutes without pain, and had to lie down to resolve it.

That required some medicine-that-looks-like-magic to fix, called a blood patch. Doctors took some of my blood, fresh out of the vein, and inserted it into my spine approximately where the leak should be, so that the clot would cover the leaky patch. Self blood magic. It worked brilliantly, about an hour later.

The CSF tap ordeal confirmed the presence of the oligoclonal bands, and then I got stunted into the public health system, in a department specifically geared towards managing Multiple Sclerosis patients. They debated for a little while, at a multidisciplinary meeting, whether I was really MS or a Clinically Isolated Syndrome (which is like Multiple Sclerosis but without the ‘Multiple’ part), but settled on MS. Yes, Tumblr, I was nearly diagnosed with CIS.

The shoe thing took about a year from when I actively complained to doctors, or about 18 months from the first probable symptoms. That’s approximate because some things that were thought to be pregnancy symptoms could have been due to MS, like fatigue and leg weakness. I’m pretty lucky that I’m comfortable in hospitals and with medical procedures, am reasonably medically literate. I think the magic phrase that got things to happen quickly was ‘these symptoms are greatly affecting my ability to do my job’.

I don’t think my MS has progressed since starting the medication (and I’ll talk about the medication in another post). I’ve acquired one additional brain lesion since diagnosis, but I have no clue what physical symptom it’s associated with.

While some symptoms are better, I still cannot perform surgery to the standard or with the endurance that I used to,so I basically don’t any more. I can do about ten minutes, which is enough to bail a new graduate vet out of trouble, but not enough to take over completely for them. I’ve had a few years to think about it but I don’t know what the MS is going to do to my career, only that I can still practice for now.

It’s not great, but it could be a whole lot worse, and that’s how I got here.

[greenxprof]

cw: mother's day, hospital

Like every year, Green, Daisy and their grandmother Agatha visited miss Sara Oak in her privative room at Celadon's Hospital to celebrate the mother's day.

They'd bring flowers and chocolate, books for Sara to read, souvenirs from all over the world in the hopes they could make her world a bit bigger once again. Then, she'd smile and speak with her weak tiny voice even though everyone would ask her not to.

But today it's different.

The past months it seems Sara's health has gotten even worse. Without strength to move or sit down, without strength to stay awake for too long. Not even her hands could sign words of reassurance anymore.

The mood inside the room was gloomy. Agatha kept complaining about how Yukinari hasn't come yet- and how he almost never did. About how this aught to be all his fault for not properly taking care of her child.

Daisy worked hard to pacify their grandmother. It was a remembrance of how Green's pregnancy took a heavy tool on her body; how it was actually his fault rather than Oak's. But the young professor couldn't say anything except stay on his foot by the door, hands tucked inside his pockets, heavy bags under his eyes.

Eventually, Agatha left after kissing her daughter goodbye.

The siblings stayed in silence for long moments, quietly listening to the low noise Sara's breathing machine would make. Carefully gazing at her sleeping face, looking so skinny and undead as a living person could.

"Green..." she started, softly. "You know none of this is your fault."

He looked down with a frown, words locked inside his throat as he felt like maybe he was becoming a little like his mother and unable to breath as well.

"Grandma is just upset about mom. Just like we are. She's not very good at expressing her emotions and that's why she gets angry. I'm sure she's just-..."

"I know." the professor cut his sister. His steps echoes as he approached his mother's bed. "I know..."

Daisy looked down at the book she bought as a gift for her mother. A history book, because she knew Sara were very interested about the past and the lore of the whole world.

There were other books around the room. Books she read and cherished, books her children has brought her so her tiny world could feel a little bigger again.

Green, without looking away from his mother's face, spoke with a harsh simple tone about something they've been avoiding for so long.

"She's gonna die soon."

It's not like Daisy had how to complain. She felt like chiding him for saying something so gloomy but the odds weren't good for them. The doctors and nurses have been giving them sad, empathetic looks for weeks now.

"Maybe it's for the best." which made his sister frown. But he continued before she could speak up: "Because then she wouldn't need to suffer anymore. Tied to this bed for almost thirty years. Only able to breath because of a machine. Physiotherapy for her legs because she's never been able to get up and walk around anymore.

I know... she's always said it didn't bother her. But I know it did... It does."

Daisy did not feel good about this. Although her little brother has a point, it's just insensitive to say such things out loud. Maybe Sara missed being free, but it doesn't mean her life here was bad.

Right?

It's not because Green blames himself for every little problem in the word that he gets to speak such mean things.

"I thought you had grown up." sharp like a knife, yet quiet. "Mom loves being alive no matter if she had to be in the hospital. She loves us, and she can be happy despite her limitations!"

That is true. But the shame just adds another weight for the scales of his sins. How would he not feel like she could have such a better, fulfilling life if it wasn't by that? We all want out lovely ones to be healthy and happy.

He doesn't look at his sister. Instead, he leans closer to his mother.

Only if he could change places with her. She'd be much happier; she'd be astounding as a history researcher, she'd make everyone so much proud. A gem that would undoubtedly make the world brighter for everyone.

Instead, he's nothing but a boy playing professor.

"You should leave if you're gonna keep acting like a spoiled kid. But... I wish she'd wake up before you go, so you can wish her a happy mother's day."

He doesn't.

Instead, he walks back to the door, still not looking back to his sister. He speaks a little louder now;

"I'm gonna go find Gramps and drag him here." that, Daisy could agree. "If she wakes up..."

"I'll tell her." she nodded slowly, ignoring as the young professor who didn't even took off his jacket left and closed the door behind him.

Despite hating the way he said it, it was clear there was a thing she couldn't disagree, no matter how hard and heart-wrenching it was. She only hopes she right when saying Sara loved her life.

But their mother did not wake up that day.

[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

[sugunahospital]

What are the Types and Treatments for Arthritis?

Many of us aim to move freely without discomfort throughout our lives. However, life’s challenges often include maintaining stable health as our bodies undergo wear and tear, leading to pain and discomfort.

When it comes to mobility, one prevalent condition worldwide is Arthritis, causing concern for many. Yet, Expert Orthopedic Doctors associated with the Leading Arthritis Treatment Hospital in Bangalore assure that successful methods exist today to manage this condition..

A bit of awareness and taking care at the right time can help a lot

Understanding Arthritis

The Best Knee Specialists in Bangalore at Suguna Hospital describe Arthritis as a condition that causes swelling and tenderness in one or multiple joints throughout the body. As your age or with certain health issues like high blood sugar levels, this condition may worsen.

Different Types of Arthritis

Arthritis isn’t restricted to a particular age but is commonly noticeable in later stages.  

Some of the common types are:

Osteoarthritis – Affecting joints in your Hands, Knees and Spine.

Psoriatic Arthritis – Caused due to a very complicated skin disease called Psoriasis, this condition can be very challenging.

Reactive Arthritis – This causes joint pain and swelling. It is caused either due to infection or malfunction of key organs of your body including the intestines, genitals, or urinary tract.

Rheumatoid Arthritis – This is a chronic inflammatory disorder. In addition to affecting the different joints, it can deeply impact premier organs like heart, lungs and eyes.

When to See a Doctor? Experts recommend seeking immediate medical attention if you notice specific symptoms, like

Stiff joints

Acute pain in the joints

Difficulty in moving or standing

Swelling observed in or around the joints

Redness observed in the joints

Treating ArthritisManaging Arthritis requires a systematic approach. It’s crucial not to overlook persistent symptoms as mere discomfort. Ignoring these signs can lead to costly consequences. 

Your treatment is based on how severe is your condition and can include: 

MedicationsDepending upon the type of Arthritis diagnosed, your medications may include:

Ointments

Steroids

Physiotherapies and light workouts to begin with

SurgeryThis is the last resort which your doctors might recommend only if there are no signs of improvement after persistent medication.  Some of the types of surgeries successfully performed include,

Joint Repairs

Joint Replacements

Overcome Arthritis and lead a pain-free, confident life. Avoid welcoming Arthritis! Consult the top Arthroscopy Surgeon  in Bangalore at Suguna Hospital for a safe and successful journey ahead.

[grandmaster-anne]

The H&H interview: The Princess Royal

By Eleanor Jones | Published 5 December 2019

In this exclusive Horse & Hound interview, the Princess Royal shares moving insight into her involvement with Riding for the Disabled, a charity for which she has been patron since she was just 19 years old. She passionately relays the good she sees horses doing for people — not only those benefiting physically and emotionally from riding, but also those volunteers who report greater wellbeing as a result of their commitment to helping these riders. Princess Anne also divulges that her opinions may not always have made her popular, but she has fought for this cause that is so close to her heart. She also talks on how, with her mother still riding at 93, she really has no excuse not to carry on herself....

Half a century ago, the Duchess of Norfolk approached the then 19-year-old Princess Royal about riding opportunities for people with disabilities. Previously there had been various separate groups, but 1969 marked the formation of the national Riding for the Disabled Association (RDA) — and those behind the move wanted the Princess as their patron.

“I said, ‘I don’t know anything about disabled riders — but I do know a bit about horses, and I’m delighted,’” she says. “My father always recommended not taking on too much, but to pick something I might be able to contribute to, learn about it and keep things simple.”

And it could be said that the work of the RDA has remained simple as the charity celebrates its 50th anniversary this year.

“In some ways, what we do hasn’t changed at all,” Princess Anne says. “The observation that being on the back of an animal, small or large, can make a huge difference to mental and maybe physical wellbeing is as true today as it was then.”

The Princess brings up Lis Hartel, the dressage rider who was Danish national champion twice in the early 1940s. She contracted polio at the age of 23 and was paralysed below the knees, but went on to win five more national titles — and two Olympic silver medals, long before the Paralympics.

“When the RDA started, apart from those original groups, individuals, some of whom had seen Lis win her medals, said: ‘Good lord, we can do that at home!’”

Princess Anne cites the “enormous” benefits to those early participants; giving a new perspective on life, and movement to those who could not move.

“Even just being able to look down at people rather than always looking up,” she adds. “You can only really ask the people who have been part of it about the difference it makes.”

Some benefits can be measured, she says; children who become able to walk, or sit unaided, those who are visibly “getting better”.

“It’s not a eureka moment, but bit by bit they become capable of doing something they couldn’t do before,” she explains. “Of course, scientists could say it might not have been to do with the riding because they might have been doing physiotherapy too — but most of the physiotherapists recognise the contribution.”

There are also the mental benefits of riding, carriage-driving and just being with horses — the “focus and link people get nowhere else”, the communication, teamwork and building relationships. This year, the RDA released its research into the “dual benefit” of volunteering; the fact that by enabling the RDA groups to run, and its clients to have access to horses, the volunteers also enjoy significant positive effects.

“It’s being part of a group, which you might not otherwise be,” the Princess explains. “A lot of people say, ‘I’d be no good at that because I don’t know anything about horses,’ but that’s irrelevant; you can teach that.”

Princess Anne describes the RDA’s formation as a “bold move”, as there were far fewer opportunities for people with disabilities than there are today. The medical profession did not encourage such activities, not convinced the potential benefit outweighed the potential harm.

“There are so many opportunities now,” she muses. “Perhaps the RDA set that ball in motion and helped educate a lot of people.”

The Princess believes the real challenge in the RDA’s future is a “numbers game”, ensuring continuing access to enough volunteers and horses to cater for all those who want to access the service.

She adds that centres such as the Ian Stark Equestrian Centre in Scotland, where horses who do other jobs also take part in RDA sessions, show one way the problem could be combated.

“The horses do RDA sessions once a week and they know that’s what they’re doing because the handlers leave the headcollar on under the bridle; you can see the difference in how they behave.”

The Princess talks about the individuals who have created evolution in the RDA and the improvements in communication that allow riders who are both deaf and blind to participate fully. She also credits the training and support of volunteers that does not just tick boxes but ensures the individual rider — who is key to this — is supported. She speaks of her pride at seeing the British para riders rise to such stellar global heights.

She also touches on the way horses are used in therapy in other ways, such as in the prison service.

“For some time, we’ve tried to include offenders in the RDA [as volunteers],” she says. “I did get slightly grumpy when one lady bringing a group of offenders talked about assessing whether it was safe enough for them and I said: ‘It’s not for their benefit!’ That didn’t go down too well, but it does help both groups, and that’s the point.

“For so many young and senior offenders who have failed their families, they’re making a difference, which is something they didn’t think they could ever do.

“I think that’s true for many volunteers too; they really see they’re making a difference. It’s not only that without them the group wouldn’t exist — what it does for them is equally important.”

The Princess’ life has been intertwined with horses from birth. As she sits in a small room in St James’s Palace, cosy against the raw autumn day despite the cardboard on the ground floor telling of a recent flood, she is a stone’s throw from the Household Cavalry’s London base.

“Horses were always there,” she explains. “I started on ponies before I had a conscious memory. I’ve had more experience with horses than anything else, and if I was ever going to do something in the competitive world, that was it.”

Princess Anne says she at first assumed she might play polo, but that, having competed in a couple of Pony Club hunter trials and one-day events, “I was given a horse and sent to a trainer”, and her career path was assured.

Of her achievements in top-level eventing (see list, below), the Princess says her individual European gold medal-winning ride on Doublet at Burghley in 1971, at the age of 21, is not necessarily the highlight.

“I think perhaps it was almost too soon,” she explains, adding that she had only really started eventing competitively three years previously. “I was hugely more impressed with myself with the medals in 1975 because by that stage, everything that could have gone wrong had done, and I’d started again.

“Getting to the Olympics too — it was in bite-sized chunks. We had to get them past the trot-up, then through the cross-country — I don’t remember the cross-country at all!”

Princess Anne also raced, remembering coming third to a horse who later won at Cheltenham.

“I saw the horse in the paddock at Cheltenham and thought, ‘What’s that doing here?’ I was that close to him!” she laughs, adding that perhaps she should have raced more, as it “hugely improved my riding”.

“I rather regret that,” she says. “I didn’t hunt until after I’d started eventing either, which would have helped; the racing definitely did.”

With much recent talk of equestrian sport’s need to maintain its social licence to operate — essentially the ongoing acceptance of its practices by stakeholders and the public — the Princess says she believes the long relationship between horses and humans means “horses would be almost as lost without human contact as we would be”.

“Remember what that relationship is — and what would happen if it didn’t exist?” she says. “Some organisations seem to think we shouldn’t have any animals as part of our lives, and I don’t think that’s realistic, on the basis of that historical relationship.

“We all have a duty to be responsible for those animals, as we have for being better educated, and getting our message across. And when we see the advantages of that relationship to humans who are less capable, you’d have to be pretty unfeeling not to think that’s a genuine relationship that has every right to exist.”

In terms of horse welfare, the Princess says each horse’s wants and needs are different and must be taken into account. She gives the example of The Queen’s horse Goodwill, her Olympic ride, who had to be competed from the field; and another of her horses, Columbus, who did not like being turned out.

But she believes that modern routes into horse ownership, without the grounding of a horsey family or knowledgeable riding school, are “probably the most dangerous”.

“I think being introduced to horses by those who understand them is the best way, but if you start from scratch, a child saying ‘I want a pony’ and the parents buying them one, it can be more difficult for them — much more.”

Another welfare issue is preventing disease, and the Princess urges owners to consider vaccination. She is hopeful a strangles jab will be on the market soon, and that it is used.

“It’s rather similar to how people have forgotten the impact of human disease,” she says. “I was in Hong Kong when they were working with the Chinese on a vaccination programme and they were losing hundreds of horses. In the western world, people didn’t lose horses to flu. That really brought it home; it does kill horses.”

The Princess has to leave at this point, as she has another engagement. She is in the heart of London, although her own heart may be in grassier, more open spaces.

And does she still ride herself? She laughs.

“Well my mother still rides, at the age of 93 — I don’t think there would be much excuse if I didn’t.”

Princess Anne’s eventing achievements

1971 European Championships individual gold, Badminton Horse Trials fifth, Doublet

1973 Badminton eighth, Goodwill

1974 Badminton fourth, competed as an individual at the World Championships, Goodwill

1975 European Championships team and individual silver, Goodwill

1976 Rode on the British team at the Montreal Olympics, Goodwill

1979 Badminton sixth, Goodwill

[0shewrites0]

Hieeee!!!!

So, I'm not too sure if this is something that has been asked before, but I'm going to go ahead and ask because I'm in a bit of a bind here and as a fellow Lucas stan I would love to hear this from you.

How do you think Lucas would be with an MC who has ADHD? Because sometimes, you know, they think they're a little "too much" for a person to handle or not everyone would have the patience.

But also, everyone is different and not all behaviours and experiences are the same.

I've noticed there's a lot of misinformation and judgement around people who are diagnosed with it. Like assuming it's all about "Lacking focus or getting easily distracted" when sometimes it can be the opposite. Or linking it to intelligence, when I think it would be wrong to assume there's really a correlation between the two.

Hiiii! First of all, thank you so much for this ask and for approaching me with it, I feel so honoured 🥹

I had great fun thinking about it and also did some research, but I need to clarify that I don't know much about ADHD.

Like you said, I agree that ADHD is definitely not just about "lack of focus or being easily distracted". And it's definitely not okay to automatically link the diagnosis to intelligence or any type of IQ.

I'm thinking of Chloe Veitch in THTH, The Circle and Perfect Match, who certainly came across as a bit shallow at first even though she is so much more than that! It actually made me a bit angry that the producers portrayed her that way, because I follow her on Instagram and she's so sweet and genuine and not stupid at all - plus, low IQ and naivety are NOT THE SAME THING!!!!

ADHD can also mean that people diagnosed with this disorder can't sit still and are always doing something, they may even be very physically active, which can help them get rid of some of their pent-up energy. Others act before they think and generally talk a lot.

Overall, ADHD symptoms can be divided into 3 main areas, namely inattention, hyperactivity and impulsivity. It should be noted, however, that triggers such as lack of sleep, certain foods and especially stress can significantly influence the intensity of the symptoms.

Which brings us to the main topic: how would Lucas deal with an MC diagnosed with ADHD?

🤍 tbh I can imagine he finds her impulsiveness kind of cute and, at least at first, mistakes her interrupting conversations or acting before thinking for her being annoyed by the people around her or just being so high energy that she can't keep her thoughts to herself

🤍 depending on whether he meets her irl or in the Villa, there would obviously be differences as I think being part of the cast enforces a certain closeness

🤍 Lucas is a very complex person, so he would really be the last person to judge others who are just as complex or even more complex

🤍 also, I think he's had ADHD patients (mostly kids tho) who came to physiotherapy for minor or major injuries (especially when you think boys and the way they play sports? That’s very likely) - which means he'll recognise the signs quickly and as a physiotherapist he'll also have a basic knowledge of certain disorders, including ADHD, and I think that's defo a plus because he understands what it's about

🤍 of course he'd have to be a lot more patient than with someone else, but I don't think that would bother him too much - plus ADHD isn't Tourette's, for example. I say that because I just feel like he wouldn't be able to deal with someone with Tourette's, and that doesn't mean he looks down on people with that diagnosis, it's just that people need to understand how difficult and challenging such a disorder can be

🤍 once he finds out what specific triggers make her symptoms worse, he will do everything he can to help her avoid them. If it's stress, you can bet he'll be very aware of his moods and how he might affect her mood if he's had a rough day at work and is stressed af. So to avoid stressing her out too, he'd hit the gym first, get rid of all the negative energy and then come home

🤍 he would generally let her talk as much as she wants, while making an effort to listen to her and join in the conversation. I imagine that people with ADHD often feel that other people withdraw from conversations when it gets too much for them, and I imagine that can be very hurtful. Idk I think I would be hurt, especially because there's nothing I can do about it. So he would try to make her feel like she's not too much for him

🤍 if she happens to make careless mistakes or forgets to do certain tasks, I can imagine him trying hard not to let on how much that can annoy him. But because he knows that she doesn't do it on purpose, and especially not with malicious intent, he can learn to deal with it better. And in turn, I could even imagine him becoming a bit more relaxed, which would also lower his personal stress level 👀👀

🤍 and the reassurance she would get - OFF THE CHARTS! He would tell her several times a day that she is perfect just the way she is and that she will never be too much in his eyes 🥹

🤍 if people made fun of her (even if they had no bad intentions), he would be so damn protective and shut them right up, he wouldn't tolerate bs! Other’s might think he's a bit extreme for that, but then again extreme is Lucas's middle name 🙏🏽

[acmephysiotherapy1]

Spin Care for Beginners: Starting Your Cycling Journey on the Right Wheel

Introduction:

Embarking on a cycling journey can be an exhilarating endeavor, offering a blend of fitness, adventure, and a chance to connect with the outdoors. However, like any physical activity, cycling requires a thoughtful approach, especially for beginners. That's where the expertise of a Physiotherapy Clinic comes into play. In this article, we will explore the importance of seeking spin care guidance from a physiotherapy clinic as you initiate your cycling journey, ensuring your ride is on the right wheel toward a healthier and more enjoyable experience.

Understanding the Importance of Proper Spin Care:

Preventing Common Injuries:

Novice cyclists often underestimate the physical demands that cycling can place on the body. From improper posture to inadequate warm-up routines, the potential for injuries is real. A physiotherapy clinic specializes in preventing and treating sports-related injuries, ensuring that you're aware of the correct cycling techniques and safety measures.

Personalized Training Programs: 

Everyone's body is different, and what works for one cyclist might not be suitable for another. A physiotherapy clinic can create personalized training programs that take into account your current fitness level, any existing medical conditions, and your cycling goals. This tailored approach maximizes your progress while minimizing the risk of strain or injury.

Optimizing Performance: 

As you delve into the world of cycling, you'll likely want to improve your performance and stamina over time. A physiotherapy clinic can guide you through exercises and strategies to enhance your strength, endurance, and flexibility, all of which are crucial for a successful cycling journey.

Starting Your Cycling Journey on the Right Wheel:

Proper Bike Fit: The first step in any cycling journey is finding a bike that suits your body and riding style. A physiotherapy clinic can help you determine the correct bike size, handlebar height, saddle position, and other adjustments to ensure a comfortable and injury-free ride.

Warm-Up and Cool-Down Routines: 

Cycling is a physically demanding activity, and failing to warm up correctly can lead to muscle strains and discomfort. A physiotherapy clinic can guide you through effective warm-up and cool-down routines that prepare your muscles for the ride and aid in recovery post-ride.

Posture and Technique: 

Maintaining the correct posture and technique while cycling is essential to prevent strain on your back, neck, and joints. Physiotherapists can offer guidance on maintaining the proper posture and pedaling technique, reducing the risk of chronic discomfort.

The Role of Nutrition and Recovery:

Balanced Nutrition: 

A physiotherapy clinic can provide nutritional advice that complements your cycling routine. Proper fueling before and after rides can enhance your performance and support muscle recovery.

Recovery Strategies: 

Cycling can be intense on the body, and recovery is crucial to avoid overuse injuries. Physiotherapists can recommend stretching exercises, foam rolling techniques, and other recovery strategies to ensure your body stays strong and injury-free.

Conclusion: 

Cycling as a novice is an exciting experience, but it's important to go into it with caution and awareness. You're not only protecting yourself from potential injuries but also improving your cycling performance by getting advice from a physiotherapy clinic. A physiotherapy clinic may be your indispensable partner in getting your cycling career off to the perfect start, from bike fitting to proper technique, warm-up exercises to recuperation methods. So get set up, seek advice from professionals, and bike your way to a more fulfilling and healthy way of life.

[musculoskeletalphysio]

Consult Renowned Specialists for Post Pregnancy Physiotherapy for Overall Wellbeing

Renowned clinics provide post pregnancy physiotherapy treatment that promotes correct posture, strengthens the muscles stretched by childbirth, helps you return to an active lifestyle and restores your figure more quickly. They personalise the approach to each patient because they understand that each patient has different needs and goals. The aim of this therapy session is to address the issues arise due to child birth, including pain in the lower back, hips and groin. This therapy also attempt to treat pelvic floor problems such as incontinence and prolapsed.

Many leading clinics offer assistance for National Disability insurance Scheme (NDIS) in Melbourne so one could continue with their treatment without worrying much about the finances. Qualified physiotherapists are well-versed with their job roles and provide assistance for disable people so they can continue their life. Further, this support program is sponsored by government as a part of noble initiative over finances. They have eligibility criteria that one must fit in to benefit from the program.

Importance of Consulting Reputed Therapist for Physio:

There is no denying, to the fact that the therapy will treat injury pain, severe illness, discomfort and assist with disability concerns. Professionals are well-trained and skilled enough to assist you regain body posture, movement, and practice flexibility to avoid severe health conditions. Patients of all ages can benefit from physiotherapy because it is focused on teaching and strengthening the muscles to continue life independently. 

In-addition, the therapy can also help with spinal cord injuries, neurological disorders and other serious ailments for overall wellbeing. It also assists with orthopaedic concerns such as amputated limbs, arthritis, and neck pain long with scoliosis. At the end it will all come down to individual’s healing patterns and negative side effects if any.

To sum up, skilled therapists assess the joints to diagnose potential problem and begin with those treatments. One should schedule an appointment with the best clinic if they are seeking help from reputed physiotherapist.

Source

[coreconceptpune]

Overview of Non-Surgical Treatments For Shoulder Pain in Athletes

Are you an athlete experiencing shoulder pain that's affecting your performance? Look no further than Core Concept, the leading sports rehab center in Deccan Gymkhana, offering top-notch non-surgical treatments for shoulder pain. Let's delve into the benefits of these non-surgical shoulder pain treatments in Deccan Gymkhana and how they can help you get back to your peak performance.

Non-surgical treatments at Core Concept provide athletes with a holistic approach to shoulder pain management. Here's why they're the preferred choice for many:

Effective Pain Relief: Core Concept's non-surgical treatments target the root cause of shoulder pain, providing effective relief without the need for invasive procedures. From tendonitis to rotator cuff injuries, their specialised therapies alleviate pain and discomfort, allowing athletes to focus on their training and competition.

Faster Recovery: With non-surgical treatments, athletes can experience quicker recovery times compared to traditional surgery. Core Concept's rehab programs are designed to promote healing, restore function, and improve the range of motion in the shoulder joint, enabling athletes to return to their sport sooner and stronger.

Personalised Care: At Core Concept, each athlete benefits from personalised attention, with tailored care addressing their specific needs and goals.Their experienced team of sports therapists and rehabilitation specialists create individualised treatment plans that address specific shoulder issues and optimise recovery outcomes.

Minimised Risk: Unlike surgical interventions, non-surgical treatments carry minimal risks and complications, making them a safer option for athletes. Core Concept prioritises patient safety and ensures that all treatments are evidence-based and non-invasive, minimising the potential for adverse effects.

Comprehensive Approach: Core Concept offers a comprehensive range of non-surgical treatments for shoulder pain, including physiotherapy, manual therapy, exercise rehabilitation, and more. Their multidisciplinary approach addresses all aspects of shoulder health, from pain management to functional improvement, providing athletes with comprehensive care under one roof.

By choosing Core Concept for non-surgical shoulder pain treatment in Deccan Gymkhana, athletes can expect unparalleled expertise, personalized attention, and superior outcomes. Don't let shoulder pain sideline your athletic aspirations – explore the non-surgical solutions available at Core Concept and get back in the game stronger than ever!

If you're ready to take the first step towards pain-free performance, schedule a consultation with Core Concept today. Experience the difference between non-surgical treatments and regain your confidence on the field, court, or track!

[websitdesiningdelhi]

best physiotherapist in noida

KR Physiotherapy is renowned for providing top-notch physiotherapy services, making it the go-to choice for anyone seeking the best physiotherapist in Noida. Our team of experienced and highly skilled professionals is dedicated to helping patients recover quickly and effectively from various physical ailments and injuries. We employ advanced techniques and personalized treatment plans tailored to meet individual needs, ensuring optimal outcomes.

At KR Physiotherapy, we understand the importance of a holistic approach to health and wellness. Our state-of-the-art facilities and commitment to patient care set us apart as the best physiotherapy center in Noida. Whether you're dealing with chronic pain, sports injuries, post-surgical rehabilitation, or any other physical issues, our expert physiotherapists are here to guide you through every step of your recovery journey.

Choose KR Physiotherapy for the best care in Noida, and experience the difference that professional and compassionate physiotherapy can make in your life.

[surabhi07]

Strengthening the Foundation: Core Physiotherapy Exercises for Limb Injury Recovery

[subhambiswas287]

Unlock Custom Care with Personalized Physiotherapy in Kolkata

A common issue in physiotherapy is the lack of personalized treatment plans, which can hinder recovery. To address this, physiotherapists should initially conduct a comprehensive assessment, considering the patient’s medical history, lifestyle, and specific symptoms. This approach allows for the creation of a tailored treatment plan that not only targets the symptoms but also addresses the root cause of the problem.

Using real-life examples, a patient recovering from knee surgery might need a different set of exercises compared to someone dealing with chronic back pain. A personalized plan might include specific strengthening exercises for the knee patient and flexibility routines for the back pain sufferer, along with adjustments based on their progress and feedback.

Incorporating technology can enhance personalization. For instance, wearable devices can track a patient's movement patterns and progress, providing real-time data to fine-tune their treatment plan.

For those seeking individualized care, finding the right provider is crucial. Consider services that emphasize bespoke treatment plans to get the most effective and efficient recovery possible. Always look for qualified professionals specializing in physiotherapy in Kolkata to ensure a tailored approach to your health needs.

[osteopathpraxis]

Erfahren Sie, was ein Osteopath anders macht als ein Physiotherapeut!

Osteopathy and physiotherapy are two distinct branches of healthcare that focus on different aspects of the body and its movements. While both professions work towards improving patients‘ physical well-being, there are notable differences in their approaches and techniques. Osteopathy is a holistic approach to healthcare that emphasizes the body’s ability to heal itself. Osteopaths believe

https://osteopath-praxis.de/erfahren-sie-was-ein-osteopath-anders-macht-als-ein-physiotherapeut/

[alrehmat]

Acupressure and Physiotherapy in Kaushambi

When it comes to holistic healing methods, acupressure and physiotherapy have gained popularity for their effectiveness in promoting physical and mental well-being. In Kaushambi, residents have access to a range of healthcare services, including acupressure and physiotherapy, to address various health issues. From chronic pain management to stress relief, these alternative therapies offer natural solutions that complement traditional medical treatments. Let’s dive deeper into the benefits of Acupressure and Physiotherapy in Kaushambi.

Importance of Acupressure in Kaushambi

Acupressure is an ancient healing technique that involves applying pressure to specific points on the body to stimulate energy flow and promote healing. In Kaushambi, acupressure practitioners use their fingers, palms, or elbows to target these pressure points, which are believed to correspond to different organs and systems in the body. This gentle yet powerful therapy can help alleviate various health conditions, including:

1. Pain management: Acupressure can be effective in reducing chronic pain, such as headaches, back pain, and arthritis.

2. Stress relief: By triggering the release of endorphins, acupressure helps relax the body and mind, reducing stress and anxiety.

3. Improved circulation: The stimulation of pressure points can enhance blood flow and promote better circulation throughout the body.

4. Balanced energy: Acupressure aims to restore the balance of energy (Qi) within the body, promoting overall well-being.

Benefits of Physiotherapy in Kaushambi

Physiotherapy, on the other hand, focuses on physical rehabilitation and restoring movement and function in patients with injuries, illnesses, or disabilities. In Kaushambi, physiotherapists play a crucial role in helping individuals recover from various conditions through customized treatment plans. Some key benefits of physiotherapy include:

1. Injury recovery: Physiotherapy helps speed up the healing process for sports injuries, fractures, and musculoskeletal disorders.

2. Improved mobility: Through exercises and manual therapy, physiotherapy aims to restore mobility and range of motion in affected areas.

3. Prevention of disabilities: Physiotherapists work with patients to prevent and manage long-term disabilities through tailored rehabilitation programs.

4. Pain management: Physiotherapy techniques, such as ultrasound and electrotherapy, can help alleviate pain and discomfort in patients.

The Role of Acupressure and Physiotherapy in Kaushambi’s Healthcare System

As complementary therapies, acupressure and physiotherapy play a significant role in Kaushambi’s healthcare system by offering natural and non-invasive treatment options. Patients in Kaushambi can benefit from a holistic approach to healing that addresses both the physical and mental aspects of their well-being. Whether seeking relief from chronic pain or recovering from an injury, individuals can find support and healing through acupressure and physiotherapy services in the region.

In conclusion, acupressure and physiotherapy are valuable healthcare services available in Kaushambi that offer holistic solutions for various health concerns. By incorporating these alternative therapies into their wellness routine, residents can experience the benefits of natural healing and enhanced well-being. So, why not explore the benefits of acupressure and physiotherapy in Kaushambi today?

[malaikahealthcare]

Finding the Right Fit: Why Malaika Health Care Can Be Your Trusted NDIS Provider

The National Disability Insurance Scheme (NDIS) is a fantastic program that empowers individuals with disabilities to achieve their goals and live fulfilling lives. But navigating the NDIS and finding the right support provider can feel overwhelming. That's where Malaika Health Care comes in.

Who We Are

Malaika Health Care is an NDIS registered provider dedicated to providing high-quality care and support to people with disabilities and seniors across New South Wales. We believe in the power of choice and individualized support. Our team of passionate and experienced professionals works closely with you to understand your unique needs, goals, and aspirations. This client-centered approach ensures you receive the support you need to thrive.

Why Choose Malaika Health Care?

Here are just a few reasons why Malaika Health Care can be your perfect NDIS provider:

Comprehensive Services: We offer a wide range of NDIS-funded supports, including:

Assistance with Daily Living (ADL): We can help with tasks like showering, dressing, meal preparation, medication management, and transportation.

Support Coordination: Our dedicated team can assist you with navigating the NDIS, developing your plan, finding the right services, and ensuring you get the most out of your funding.

Community Participation: We believe in the importance of social connection and can support you in participating in activities, hobbies, and events that bring you joy.

Therapy Services: We offer various therapies, such as occupational therapy, physiotherapy, and speech therapy, to help you achieve your goals and improve your independence.

Skills Development: We can provide support to help you develop new skills and increase your confidence, such as

Driving lessons

Travel training

Home maintenance skills (cleaning, gardening)

Person-Centered Approach: We understand that every person is unique. We take the time to listen to your needs, preferences, and goals and develop a customized support plan that reflects your individuality.

Highly Trained and Experienced Staff: Our team consists of qualified and passionate professionals who are committed to providing compassionate care that promotes dignity, respect, and independence.

Focused on Empowering Choice: We believe you have the right to make choices about your life. We will work with you to develop a plan that gives you control and allows you to live life on your terms.

We Make the NDIS Easier for You

The NDIS can be complex. At Malaika Health Care, we're here to help you navigate the system every step of the way. Our support coordinators can assist you with:

Understanding your eligibility

Completing the NDIS application process

Developing your NDIS plan

Finding the right service providers

Managing your funding

Ensuring you receive the support you're entitled to

Taking the Next Step

If you're looking for an NDIS provider who is dedicated to your success and well-being, look no further than Malaika Health Care. We're passionate about making a difference in the lives of people with disabilities. Contact us today for a free consultation and let's discuss how we can help you achieve your goals and live a fulfilling life.

Malaika Health Care - Your Partner in Empowering Choice.