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Achilles Tendinopathy and Its Best Physiotherapy Managements
What Is Achilles Tendinopathy?
An inflammation of the Achilles tendon, a substantial band of tissue that runs down the back of the lower leg and joins the calf muscles to the heel, is known as Achilles tendinopathy. Any issue, either short- or long-term, with a tendon is referred to as "tendinopathy." While someone is running or jumping, the Achilles tendon transfers the force from the calf muscles down to the foot and aids in controlling the ankle's position while landing. When the Achilles tendon is put under more strain than it can handle, Achilles tendinopathy develops.
A single occurrence or repeated irritation, or "microtrauma," can cause this condition. Achilles tendon pain, which is typically brought on by repetitive stress to the tendon and can lead to chronic Achilles tendinopathy, Physiotherapy is frequently used to treat this condition.
There are numerous factors associated with Achilles tendinopathy, including:
ā¢ Calf muscle tightness.
ā¢ Calf muscle weakness.
ā¢ Abnormal foot structure.
ā¢ Abnormal foot mechanics.
ā¢ Improper footwear.
ā¢ Obesity.
Anywhere along the tendon, pain may be felt; the most typical location to do so is just above the heel, however, it may also be felt where the tendon connects to the heel.
Symptoms of Achilles tendinopathy:
Tenderness to applied pressure in the heel or further up in the Achilles tendon.
Walking causes pain and stiffness, and it will worsen with every step.
ankle swelling.
What Help Can a Physiotherapist Provide?
By addressing difficulties like pain or swelling in the affected area, as well as any lack of strength, flexibility, or body control, physiotherapy helps in the rehabilitation from Achilles tendinopathy. Physiotherapist will create a customized treatment plan that will enable you to accomplish your objectives in the safest and most efficient manner possible. Your treatment can consist of:
Pain management:
Applying ice to the area, bracing the injured leg, using heel lifts, or using therapies like iontophoresis or therapeutic ultrasound are just a few of the pain-relieving techniques that can be used.
Orthotics:
The Achilles tendon is less stressed when the heel is raised with the aid of a heel pad. For chronic conditions, additional gait analysis and custom orthotics would be helpful.
Manual therapy:
Your physical therapist may use manual techniques to improve the motion and functionality of your muscles and joints. These methods frequently deal with problems that are challenging to manage on your own. this may include:
ā¢ Soft Tissue techniques.
ā¢ Joint mobilizations.
ā¢ Taping.
ā¢ Dry needling/acupuncture.
Gentle exercise:
Exercise that loads the tendon by adding weight or resistance is helpful for healing from Achilles tendinopathy. You could start by doing light strengthening exercises while seated (eg, pushing and pulling on a resistive band with your foot). After that, you can go on to workouts that require standing (eg, standing heel raises).
Muscle-strengthening exercises:
The Achilles tendon may be put under too much tension if there is muscle weakness or imbalance. Your physiotherapist will create a customized, progressive lower-extremity resistance program for you based on your unique situation to help you correct any weakness-related movement mistakes that might be causing you pain. this treatment program may include:
1. Concentric strengthen training. and
2. Eccentric strength training.
Some Examples of Strength training are:
Gastrocnemius heel raise:
This heel raise will eccentrically target the gastrocnemius muscle. Your hands should be on a counter as you stand with your feet shoulder-width apart. Lift both heels off the ground while maintaining a straight line of motion from your first to second toes. Lift your unaffected foot off the ground and over the period of 2 to 3 seconds, gradually bring your other heel back down. Two times every day, perform three sets of 10 to 15 repetitions.
Soleus Heel Raise:
The soleus is another vital structure to focus on with eccentric strengthening. To target this muscle, try making this minor adjustment to the prior workout. Standing with your feet shoulder-width apart and your knees slightly bent. As you rise onto both heels, maintain a slight bend in your legs Lift the pain-free leg into the air, then slowly reposition your other heel on the floor. Try performing this twice daily in three sets of 10 to 15 eccentric exercises.
Heavy Resistance Exercises:
Leg Press Heel Raise: This exercise, performed on a leg press machine, strengthening the gastrocnemius and soleus muscles will reduce Achilles tendon pain. Put your feet on the footplate of the leg and press shoulder width apart. Straight knees are what you want. Pick a weight that is heavier. The weight should ideally allow you to perform up to 15 consecutive reps before you are unable to perform any more. Slowly raise onto both toes while using this resistance, then bring the heels back down on the plate. Each stage of the workout should be completed in roughly 3 seconds. Three times, please. 3-4 sets. Try to progressively increase the amount of weight you use every one to two weeks while performing this exercise three times per week.
Seated Calf Raise
This variation of the calf raises targets the deeper soleus muscle using a different piece of exercise equipment. Put both of your feet on the plate of a seated calf raise machine, and place the resistance pad over both of your knees. Choose a resistance that enables you to perform a maximum of 15 consecutive repetitions. Over the course of around 3 seconds, lift yourself up onto your toes with both feet. Take three more seconds to gradually lower your heels back to the footplate. Run through three or four sets of three reps. With heavier weights each week, this technique can be used three times per week.
Stretching exercises:
During daily motions and vigorous physical exercise, the Achilles tendon is subjected to additional stress due to tight calf muscles. For this reason, physiotherapists advise performing workouts to increase or improve calf muscle flexibility. Stretching consists of:
Gastrocnemius Stretch:
Stand with your back to the wall and your feet hip-width apart, staggered, with the foot that is hurting in the back. Bend the front knee while keeping the back foot's heel on the ground and the knee straight. Lean against the wall until you feel light to moderate calf stretch in the back leg. Hold the position for one minute. Repeat between three and five times. Each day, this can be done multiple times.
Soleus Stretch:
Stagger your feet while facing a wall and keep the affected leg to your back. Bend the knee on the affected leg while keeping the heel of the rear foot on the ground. Without removing your injured heel from the ground, shift your weight in the direction of the wall. When the lower portion of your calf stretches, stop. Before relaxing, maintain the hold for 30 seconds. Try performing three to five repetitions at a time, twice daily.
Electrotherapy:
ā¢ TENS.
ā¢ Ultrasound.
ā¢ IFT. etc.
#physiotherapyclinicinsaket #physiotherapyclinicingurugram #physiotherapyclinicingurgaon #cuppingclinic #physiotherapyclinic #Achilles #achillestendonitis #achillesrupture #AchillesTendon #achillesrehab #anklepain #calf #calfpain #painmanagement #painrelief #physiotherapy #physiotherapist #physicaltherapy #physicaltherapist #chiropractor #chiropracticadjustment #ChiropracticCare #chiropracticworks #osteopathy #osteopathicmedicine #osteopath #cuppingtherapy #cuppingmassage #cuppingtherapist #dryneedling #dryneedlingtherapy #shockwavetherapy #shockwave
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Achilles Tendinopathy and Its Best Physiotherapy Managements
What Is Achilles Tendinopathy?
An inflammation of the Achilles tendon, a substantial band of tissue that runs down the back of the lower leg and joins the calf muscles to the heel, is known as Achilles tendinopathy. Any issue, either short- or long-term, with a tendon is referred to as "tendinopathy." While someone is running or jumping, the Achilles tendon transfers the force from the calf muscles down to the foot and aids in controlling the ankle's position while landing. When the Achilles tendon is put under more strain than it can handle, Achilles tendinopathy develops.
A single occurrence or repeated irritation, or "microtrauma," can cause this condition. Achilles tendon pain, which is typically brought on by repetitive stress to the tendon and can lead to chronic Achilles tendinopathy, Physiotherapy is frequently used to treat this condition.
There are numerous factors associated with Achilles tendinopathy, including:
ā¢ Calf muscle tightness.
ā¢ Calf muscle weakness.
ā¢ Abnormal foot structure.
ā¢ Abnormal foot mechanics.
ā¢ Improper footwear.
ā¢ Obesity.
Anywhere along the tendon, pain may be felt; the most typical location to do so is just above the heel, however, it may also be felt where the tendon connects to the heel.
Symptoms of Achilles tendinopathy:
Tenderness to applied pressure in the heel or further up in the Achilles tendon.
Walking causes pain and stiffness, and it will worsen with every step.
ankle swelling.
What Help Can a Physiotherapist Provide?
By addressing difficulties like pain or swelling in the affected area, as well as any lack of strength, flexibility, or body control, physiotherapy helps in the rehabilitation from Achilles tendinopathy. Physiotherapist will create a customized treatment plan that will enable you to accomplish your objectives in the safest and most efficient manner possible. Your treatment can consist of:
Pain management:
Applying ice to the area, bracing the injured leg, using heel lifts, or using therapies like iontophoresis or therapeutic ultrasound are just a few of the pain-relieving techniques that can be used.
Orthotics:
The Achilles tendon is less stressed when the heel is raised with the aid of a heel pad. For chronic conditions, additional gait analysis and custom orthotics would be helpful.
Manual therapy:
Your physical therapist may use manual techniques to improve the motion and functionality of your muscles and joints. These methods frequently deal with problems that are challenging to manage on your own. this may include:
ā¢ Soft Tissue techniques.
ā¢ Joint mobilizations.
ā¢ Taping.
ā¢ Dry needling/acupuncture.
Gentle exercise:
Exercise that loads the tendon by adding weight or resistance is helpful for healing from Achilles tendinopathy. You could start by doing light strengthening exercises while seated (eg, pushing and pulling on a resistive band with your foot). After that, you can go on to workouts that require standing (eg, standing heel raises).
Muscle-strengthening exercises:
The Achilles tendon may be put under too much tension if there is muscle weakness or imbalance. Your physiotherapist will create a customized, progressive lower-extremity resistance program for you based on your unique situation to help you correct any weakness-related movement mistakes that might be causing you pain. this treatment program may include:
1. Concentric strengthen training. and
2. Eccentric strength training.
Some Examples of Strength training are:
Gastrocnemius heel raise:
This heel raise will eccentrically target the gastrocnemius muscle. Your hands should be on a counter as you stand with your feet shoulder-width apart. Lift both heels off the ground while maintaining a straight line of motion from your first to second toes. Lift your unaffected foot off the ground and over the period of 2 to 3 seconds, gradually bring your other heel back down. Two times every day, perform three sets of 10 to 15 repetitions.
Soleus Heel Raise:
The soleus is another vital structure to focus on with eccentric strengthening. To target this muscle, try making this minor adjustment to the prior workout. Standing with your feet shoulder-width apart and your knees slightly bent. As you rise onto both heels, maintain a slight bend in your legs Lift the pain-free leg into the air, then slowly reposition your other heel on the floor. Try performing this twice daily in three sets of 10 to 15 eccentric exercises.
Heavy Resistance Exercises:
Leg Press Heel Raise: This exercise, performed on a leg press machine, strengthening the gastrocnemius and soleus muscles will reduce Achilles tendon pain. Put your feet on the footplate of the leg and press shoulder width apart. Straight knees are what you want. Pick a weight that is heavier. The weight should ideally allow you to perform up to 15 consecutive reps before you are unable to perform any more. Slowly raise onto both toes while using this resistance, then bring the heels back down on the plate. Each stage of the workout should be completed in roughly 3 seconds. Three times, please. 3-4 sets. Try to progressively increase the amount of weight you use every one to two weeks while performing this exercise three times per week.
Seated Calf Raise
This variation of the calf raises targets the deeper soleus muscle using a different piece of exercise equipment. Put both of your feet on the plate of a seated calf raise machine, and place the resistance pad over both of your knees. Choose a resistance that enables you to perform a maximum of 15 consecutive repetitions. Over the course of around 3 seconds, lift yourself up onto your toes with both feet. Take three more seconds to gradually lower your heels back to the footplate. Run through three or four sets of three reps. With heavier weights each week, this technique can be used three times per week.
Stretching exercises:
During daily motions and vigorous physical exercise, the Achilles tendon is subjected to additional stress due to tight calf muscles. For this reason, physiotherapists advise performing workouts to increase or improve calf muscle flexibility. Stretching consists of:
Gastrocnemius Stretch:
Stand with your back to the wall and your feet hip-width apart, staggered, with the foot that is hurting in the back. Bend the front knee while keeping the back foot's heel on the ground and the knee straight. Lean against the wall until you feel light to moderate calf stretch in the back leg. Hold the position for one minute. Repeat between three and five times. Each day, this can be done multiple times.
Soleus Stretch:
Stagger your feet while facing a wall and keep the affected leg to your back. Bend the knee on the affected leg while keeping the heel of the rear foot on the ground. Without removing your injured heel from the ground, shift your weight in the direction of the wall. When the lower portion of your calf stretches, stop. Before relaxing, maintain the hold for 30 seconds. Try performing three to five repetitions at a time, twice daily.
Electrotherapy:
ā¢ TENS.
ā¢ Ultrasound.
ā¢ IFT. etc.
#physiotherapyclinicinsaket #physiotherapyclinicingurugram #physiotherapyclinicingurgaon #cuppingclinic #physiotherapyclinic #Achilles #achillestendonitis #achillesrupture #AchillesTendon #achillesrehab #anklepain #calf #calfpain #painmanagement #painrelief #physiotherapy #physiotherapist #physicaltherapy #physicaltherapist #chiropractor #chiropracticadjustment #ChiropracticCare #chiropracticworks #osteopathy #osteopathicmedicine #osteopath #cuppingtherapy #cuppingmassage #cuppingtherapist #dryneedling #dryneedlingtherapy #shockwavetherapy #shockwave
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#physiotherapyclinicinsaket #physiotherapyclinicingurugram #physiotherapyclinicingurgaon #cuppingclinic #physiotherapyclinic #Achilles #achillestendonitis #achillesrupture #AchillesTendon #achillesrehab #anklepain #calf #calfpain #painmanagement #painrelief #physiotherapy #physiotherapist #physicaltherapy #physicaltherapist #chiropractor #chiropracticadjustment #ChiropracticCare #chiropracticworks #osteopathy #osteopathicmedicine #osteopath #cuppingtherapy #cuppingmassage #cuppingtherapist #dryneedling #dryneedlingtherapy #shockwavetherapy #shockwave
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Turf toe and itās treatment
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Medial Patellofemoral Ligament Injury | MPFL
The medial patellofemoral ligament (MPFL) is a broad structure present inside the knee joint which helps to Keep the kneecap mid along the front of the knee. MPFL is to provide the stability of the knee joint and primary Stabilizer to lateral patellar displacement which prevents the lateral dislocation of the patella. The MPFL is Most effective between 0ā30Ā° of flexion this injury occurs in both males and females but is more common in active females.
Patellar instability in athletes is a general term used for either dislocation or patellar dislocation which Can occur due to repetitive microtrauma over time or direct trauma. Dislocation of the patella 2% to 3% Of all knee joints.
SIGN and SYMPTOMS of MPFL injury are
ā¢ Buckling of the knee joint during activity.
ā¢ Swelling.
ā¢ Pain.
ā¢ Stiffness.
ā¢ Tenderness.
ā¢ Restricted range of motion.
ā¢ Decrease the function activity.
ā¢ Movement of the patella in locking or unlocking.
ā¢ Difficulty in locomotion.
ā¢ Weakness of muscles of VMO.
ā¢ Also, Increase the Q-angle, etc.
DIAGNOSIS
Firstly therapist will review your medical history and ask about your symptoms, after that take a physical exam of your knee joint such as range of motion, MMT, flexibility, and special tests of the patella ( patellar tilt test, Bassett test, patellar glide test, medial glide test, etc.).
Imagine technique
ā¢ X-ray
ā¢ MRI
ā¢ Also, Ultrasound And CT scan
BEST CONSERVATIVE TREATMENT OF MPFL INJURY
Initially, The physiotherapists will design the NON-OPERATIVE treatment according to your condition. Treatment includes decreasing the swelling & pain and enhancing the range of motion & strength of the Muscles.
Physiotherapy treatment include
Initially Manual therapy (Mobilization) of the knee & patella starts.
Later Exercise therapy (isometric, Eccentric strengthening).
Then High-class modalities (Cryotherapy, IFT, ULTRASOUND, ESWT, high-intensity LASER-IV, CPM, etc.).
Icing or cryo air (10-15 min) may decrease the inflammation by vasoconstriction and muscles energy technique by increasing Isometric exercises and strengthening exercises may help to strengthen the muscles around the knee Joint.
IFT (4 ā pole, 10-12 min) around the knee joint.
ULTRASOUND (6-10 min).
And ESWT at the affected area to increase the rate of healing.
CPM and mobilization the range of motion and flexibility of the joint.
Physiological effects of modalities on healing and pain are
Modalities release the NITRIC OXIDE which stimulates the formation of new blood vessels and also releases macrophages that engulf the debris, this INFLAMMATORY CELL activates the FIBROBLAST and enhances the Collagen is produced at the site of tissue damage.
Modalities activate the large diameter A-beta fiber which prevents the transmission of impulse from the spinal cord to the brain, the modalities also activate the fiber to release endorphin to give analgesics result in the injured area.
Strengthening is the very essential part of the REHABILITATION program.
The front (quadriceps) and back (hamstrings) of the knee joint are strengthened to help to control the motion & locking and unlocking of the knee joint, Strengthen the core muscles, Hip muscles and other groups of muscles in the lower extremities help to generate the force during walking/running and in sports activity, etc.
SLR, BRIDGING, SIDE LAYING SLR, PRONE LAYING SLR, ISOMETRIC EXERCISES, ASSISTED WALKING. All the strengthening exercises 3 sets of 10-15 repetitions 3-4 times in a day.
In addition, a knee brace may be used to give extra stability and support to the knee joint.
#kneepain #backpain #shoulderpain #neckpain #physicaltherapy #physiotherapy #painrelief #pain #jointpain #arthritis #knee #health #hippain #fitness #rehab #kneepainrelief #osteoarthritis #chronicpain #lowbackpain #injury #sportsinjury #kneesurgery #kneeinjury #chiropractor #painmanagement #anklepain #wellness #sciatica #chiropractic
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Plantar Fasciitis is one of the most common causes of heel pain; IT can cause pain in the bottom of the heel. The plantar fascia is a thick web-like ligament that connects the heel to the front of your foot. As a shock absorber, it supports the arch of your foot. Usually, plantar fasciitis causes stabbing pain that occurs with your first steps in the morning. Normally, the pain decreases as you get up and move, but it may return after long periods of standing or after you stand up after sitting.
PHYSIOTHERAPY TREATMENT OF PLANTAR FASCIITIS INCLUDES-
Stretching of the plantar fascia.
Calf stretching.
Strengthening of the muscle of the arch.
Marble pickups
Foot Flex- Flexing the foot increases blood flow to the area and relieves tension in the calves, which can help with the pain. An elastic stretch band is used for this exercise.
Heel raise with towel roll under the toes. Progress to single heel raise with other leg lifted. Further progression is single heel raise with the weight-bearing ipsilateral side.
Exercise to release the plantar muscles.
Athletic taping.
Night splints- Most of us sleep with our feet pointed down, which shorten the plantar fascia and Achilles tendon. Night splints, which you wear while you sleep, keep your feet at a 90-degree angle. So instead of shortening your plantar fascia, you get a good, constant stretch while you sleep.
High-intensity laser therapy.
Ultrasound therapy.
Super inductive system (SIS) therapy.
For more information visit to
www.elitephysiotherapy.in/
#elitephysiotherapyandsportsinjurycentre #plantarfasciitis #plantarfasciitisrelief #plantarfascitis #physiotherapy #kinesiology #kinesiotaping #plantarfasciitistaping #physicaltherapist #physiotherapist #plantarfasciitisrehab #rehab #physiotherapyinsaket #physiotherapyingurugram #physiotherapyingurgaon #physiotherapyindelhi
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Rotator Cuff Tear
A rotator cuff is a group of muscles that surround the shoulder joint, keeping the head of the Humerus firmly within the shallow socket. The rotator cuff is responsible for moving the arm away from the body / reaching overhead / internal & external rotation of the arm.
Rotator cuff tear is the leading cause of shoulder pain and another shoulder-related disability. This can be a Partial tear or a Complete tear.
This can occur in sports in which repetitive overhead activities are done such as- baseball, basketball, tennis, golf, swimming, weight lifting, rowing, and due to fall or collision sport such as- football, hockey. It can also cause due to degenerative changes, repetitive microtrauma, & lack of blood supply.
Patient with Rotator cuff tear complaints of ā severe shoulder pain, pain increase while sleeping, overhead activity, & external rotation. The weakness of the involved arm. Shoulder stiffness and show a positive painful arc sign.
Without treatment, the rotator cuff problem may lead to permanent loss of motion/muscle weakness or progressive degeneration of the shoulder joint. Once it is diagnosed, Physiotherapy treatment often begins immediately.
Physiotherapy treatment of rotator cuff tear
The initial focus is on pain reduction, reducing inflammation, then regaining motion and function of the shoulder.
Start with cryotherapy, laser therapy, & shoulder joint mobilization of grades 1 & 2.
Avoid activities that can reproduce the symptom.
Active assisted ROM exercise with wand followed by active unassisted exercise.
Stretching of the pectoral muscle.
Dry needling so that it can improve shoulder range of motion.
Kinesio taping to stabilize and prevent the shoulder from further injury.
Aquatic therapy.
Codmanās pendulum exercises to improve ROM.
Strengthening program focusing on scapular musculature as well as the rotator cuff.
Neuromotor rehabilitation.
Mobilization of the scapulothoracic joint to increase ROM as well as reduce pain.
Posterior Capsular mobilization and stretching techniques to improve internal rotation ROM.
Open chain exercise followed by Close chain exercise.
Proprioception training in order to stabilize the shoulder during a dynamic and static functional task.
Upper extremity Plyometric exercises.
Blood flow restriction (BFR) training. This technique is new and experimented in this condition.
And finally Sports specific exercises to regain the ability to play a particular sport.
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In many cases, the Upper Cross Syndrome is caused by poor posture over an extended period of time, standing or sitting for long periods with the head pushed forward when doing activities like using a computer or laptop with the wrong posture, watching TV, browsing the Internet on a cell phone, using an app or playing a game, reading, biking, etc.
This results in forwarding head posture, increased cervical lordosis and thoracic kyphosis, elevated and protracted shoulders, as well as rotation of the scapulae due to serratus anterior weakness resulting in dislocation, winging, and numbness in the upper body. This, in turn, causes pain throughout the upper body, including shoulder pain, neck pain, headaches, and numbness, tingling, and pain in the upper arms.
Specifically, there is tightness of the upper trapezius and levator scapulae on the dorsal aspect, which is correlated with the tightness of the pectoralis major and minor. Deep cervical flexor weakness results in weakening of the middle and lower trapezius, and this leads to joint dysfunction, especially in the atlanto-occipital joint, C4-C5, and cervico-thoracic segments.
Indeed having poor posture can lead to muscle imbalances, which can affect the rest of the body
PHYSIOTHERAPY MANAGEMENT OF UPPER CROSS SYNDROME
To begin with Foam roller exercises- thoracic spine extension/rotation.
Side-lying external rotation.
Then side-lying forward flexion.
Standing diagonal flexion.
Military press.
Soft-tissue mobilization techniques.
Neural tension techniques.
Joint mobility techniques.
Chiropractic adjustment.
A stretch of the upper trapezius, levator scapulae, sternocleidomastoid muscle, and pectoralis major and minor muscles.
Strengthening exercises: chin tucks, barrel hugs with loop bands, floor cobra exercises, rows, alternating superman exercise, reverse planks, Brugger posture.
Serratus anterior strengthening- wall pushups with scapular retraction, wall slide with the foam roller.
Resistance tube exercise- half-kneeling lats pull down, scapular retraction exercise, shoulder external rotation, seated tube row.
Scapular muscle strengthening exercises with the dumbbell on the gym ball in order to strengthen the upper back muscles.
Electrical modalities used are-
Targeted radiofrequency therapy.
Inter ferential therapy.
Super inductive system for spine mobilization.
In addition some manual techniques
Dynamic cupping therapy.
Dry needling etc. Etc.
#uppercrosssyndrome #ucs #physiotherapy #uppercrosssyndromephysiotherapy #physicaltherapy #serratusanteriorstrengthening #pectoralismajorstretching #stretching #poorposture #posturecorrection #cervicallordosis #thoracickyphosis #protractedshoulder #wingingofscapula #jointdysfunction #muscleimbalance #elitephysiotherapyandsportsinjurycentre #physiotherapyindelhi #physiotherapyinncr #physiotherapyinsaket #physiotherapyingurgaon #physiotherapyingurugram
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Elite Physiotherapy Centre introduced the concept of āHolistic Rehabilitationā in which protocols are designed intricately to bridge the gap between physiotherapy and return to work/sports. The Goal of Elite Physiotherapy Centre is to provide service that is scientifically focused on patient satisfaction and is result-oriented Physical Healing along with Mind and Body Fitness executed in a Holistic approach.
For orthopedic, Neurological, sports medicine, nutritionist & dietician, other systemic conditions From Injury to Fast Track Return to Work, From Sports Injury to Return to Sports, From Wellness to Peak Performance, Physiotherapy in Stress Management, Anti Hair fall / Regrowth hair therapy, Body Detox Therapy, Acupuncture / Dry needling, Dry cupping / wet cupping (Hijama) / Fire cupping, Podiatric (Custom Insole), Kinesiology Taping
The health fitness and medical, holistic Approach. Physiotherapy Treatment
Headed by
Dr. Ajaz Ahmad
Bpt | Mpt | P.hd (S)