What are Symptoms, Causes and Treatment available to treat Hip Bursitis?

Side view woman having a backache while working from home Free Photo

Hip Trochanteric Bursitis is one of the most common reasons for hip pain. This condition affects both the active and inactive individuals but the condition is more common among middle-aged women or females.

What do we mean by Hip Trochanteric Bursitis?

Hip Trochanteric Bursitis occurs when the bursa that covers the bony point of hip bone (greater trochanter) becomes irritated or inflamed. This is the most commonly inflamed bursa of the hip joint.

What are the causes of Hip Trochanteric Bursitis?

Hip Trochanteric Bursitis occurs due to the combination several factors including:

  • Repetitive stress-injuries resulting from running, bicycling or standing for long hours.

  • Hip injury

  • Spine diseases like; scoliosis or arthritis of the lumbar spine

  • Inequality in leg-length

  • Rheumatoid Arthritis

  • Previous hip surgery or prosthetic implants in the hip

  • Deficiency of Calcium

  • Bone spurs or development of calcium deposits within the tendons

  • Hip muscle tightness or weakness

  • Abnormal hip or knee structure

  • Poor hip or knee mechanics

What are potential symptoms of Hip Trochanteric Bursitis?

The patients suffering from Hip Trochanteric Bursitis may experiences one or more of the following symptoms:

  • Pain and swelling at the affected side of the hip

  • Tenderness on the outside of hip

  • Pain while lying on the affected side

  • Sharp Pain in the hip that changes into a dull ache and travels down the side of leg

  • Pain & stiffness while sitting or walking for prolonged periods

  • Pain while climbing stairs or sitting with legs crossed

How can Physical Therapy help to treat Hip Trochanteric Bursitis?

Physical Therapists typically suggest or prescribe the combination of stretching and strengthening activities to treat the condition and as well to eliminate the pain. Following treatments or strategies may be adopted by your physical therapist to achieve the specific goal:

  • Ice therapy may be used to reduce the inflammation of bursa

  • Electrotherapy or deep-tissue massage techniques may be used to reduce pain & irritation.

  • Range of motion exercises are prescribed to restore normal mobility to the back, hip and knee

  • In order to decrease muscular tension, stretching techniques may be applied to the lower body.

  • Hand-on treatments may be used to move your muscles and joints in order to improve their strength & motion

  • Strengthening exercises may be applied to eliminate excessive strain at the trochanter.

  • Your Physical therapist may develop a safe and customized progressive resistance program to strengthen your lower extremity

  • Functional training may be provided to help you to safely transit back to your normal or routine activities

  • Patient education will be provided in order to eliminate the risk of re-injury. You will be educated about safer & controlled body movements

Contact Alliance Physical Therapy for the state-of-art and efficient treatment of any of your musculoskeletal problems or diseases. Our professional and diligent Physical Therapists use patient-proven methods and top-notch techniques to treat your problems and help you to get back to your work as early as possible.

HOW TO GET RID OF STIFF NECK

There are a number of problems that cause pain in the neck. Irritation along nerve pathways in the neck can cause pain in the shoulder, head, arm, and/or hand.

CAUSES OF NECK PAIN:

Neck pain can be caused by irregularities in the soft tissues areas, namely in the muscles, ligaments, and nerves. The irregularities can also occur in the bones and joints of the spine. The most common causes of neck pain in the soft-tissue regions are due to injuries, degeneration, or prolonged wear and tear on the muscles and ligaments. In rare cases, infections or tumors may be the cause of neck pain. For some people, neck problems may be the source of pain in the upper back, shoulders, or arms.

Other causes of neck pain can be caused by:

INFLAMMATORY DISEASES - Rheumatoid arthritis can cause destruction of the joints of the neck. Rheumatoid arthritis typically occurs in the upper neck area.

CERVICAL DISK DEGENERATION - The cervical discs act as a shock absorber between the bones in the neck. In cervical disk degeneration, which typically occurs in people age 40 years and older, the normal gelatin-like center of the disk degenerates and the space between the vertebrae narrows. As the disc space becomes narrow, additional stress is placed on the joints of the spine.

INJURY - Because the neck has so much flexibility and it must constantly support the head, it is extremely susceptible to injury. Motor vehicle or diving accidents, participation in contact sports, traumatic injuries, or falls may result in neck injuries. The regular use of safety belts in motor vehicles can help to minimize or prevent neck injury.

OTHER CAUSES - Tumors, Infections, or Congenital abnormalities of the vertebrae may also cause neck pain and range of motion limitations.

Risks and Prevention of Neck Pain

You may be most shocked to learn that you do much of your standing, sitting, exercise and other activities with a forward head. Test yourself and see if you have a tendency to tilt forward:

  • Stand with your back to a wall, but not touching the wall.
  • Back yourself up to the wall until something on your body makes contact.

Start paying attention to how other people sit while eating or how they tend to carry a large purse or backpack. Does their neck tilt forward against the load or are they using muscles to hold the spine in a healthy position? The average person will overstretch their neck and upper body unequally so often, it is a mystery that they don’t have more pain.

  • Stand with your whole body (heels, hips, upper back, and the back of your head) against a wall.
  • Bring the back of your head against the wall without raising or dropping your chin, or arching your back.
  • If you cannot keep your heels, hips, upper back, and the back of your head against the wall in a comfortable position or you crane your neck, you are too tight to stand up straight.

Many people are susceptible to neck and shoulder pain because of repetitive work-related issues, poor posture, and overall bad habits. The things listed below will help you assess your situation and your likely cause of neck and shoulder pain.

Be aware of your Posture

If you are sitting in the same position for long amounts of time you are a prime canditate for neck stiffness and pain.

  • Identify the risks associated with your job and your daily work routine. If you are required to lift heavy objects or are at risk of injury due to a fall or other trauma, you may eventually sustain a more serious injury which causes neck pain. Be certain you take the necessary precautions and safety measures while working.
  • Make an appointment with your doctor for a full check-up annually, especially if you are at increased risk of osteoporosis or congenital problems.
  • Examine your lifestyle for habits that may lead to pain. Pay attention to how you fall asleep, or when you are resting on the couch. Pillows that are very soft or filled with feather or down are likely to cause bad posture during sleep. You should investigate pillows that support the natural curve of your back and neck. Make sure you have suitable furniture in your home. A desk chair that is not supportive or a pillow that doesn’t offer enough neck support will lead to bad posture and result in neck pain.
  • Use relaxation techniques when you are under mental and emotional stress. Stress is a major culprit in bad cases of neck pain. Incorporate the following daily exercises and activities into your day to keep muscles flexible and healthy. Exercising regularly will also reduce tension and stress hormones in your body.

Aquatic therapy or pool therapy consists of an exercise program that is executed in the water. It is a valuable form of therapy that is useful for a range of medical conditions. Aquatic therapy utilizes the physical properties of water to aid in patient healing and exercise performance. Call today at: 703-670-9935

http://www.alliancephysicaltherapyva.com

IDENTIFYING CLUSTER HEADACHES

What are Cluster Headaches?

Cluster Headaches are one-sided headaches which occur in cyclic patterns or clusters and are marked by the tearing of the eyes and stuffy nose. It is amongst the most agonizing and traumatic types of pain. Such headaches occur at the same time every year and is much more painful if it strikes you at night as compared to the day time. Episodes of pain occur constantly for one week to one year.

Who normally get affected by Cluster Headaches?

Men are at higher risk of getting affected by Cluster Headaches than women. These headaches can strike at any age but are more likely to occur at adolescent or middle age. These are commonly inherent and are transmitted through genes.

What triggers Cluster Headaches?

The exact causes of Cluster Headaches are still not known to the physicians, but  the following are considered as the potential causes of Cluster Headaches:

  • Sudden release of Histamine or Serotonin
  • In taking alcohol or Smoking cigarettes
  • Bright Lights
  • Exertion
  • Heat
  • Nitrites rich food
  • Cocaine
  • Stress and Anxiety
  • Season(common in spring or autumn)

What are the symptoms associated with Cluster Headaches?

These headaches arise frequently and without any warning signals but the pain most commonly attacks 2 or 3 hrs. after you fall asleep. Following can be enlisted as the signs and symptoms of Cluster Headaches:

  • Excessive or throbbing pain; commonly concentrated around or in one eye
  • One sided pain; from neck to temples
  • Uneasiness
  • Excessive Tearing
  • Redness in the affected side eye
  • One sided runny nose
  • Sweating
  • Swelling around the affected side eye
  • Drooping eyelids

What are the treatments available for Cluster Headaches?

Physicians adopt two types of techniques to treat Cluster Headaches viz.

  • Abortive Medications: These medications are prescribed to treat pain when it strikes. Imitrex or some other triptans are prescribed to subside pain when it occurs. At times, oxygen therapy is also administered, where you have to inhale oxygen through face mask.
  • Preventive Medications :  These medicines are prescribed by your doctor to minimize the time duration of cluster headaches and to reduce the severity of pain during cluster headaches.

How Physical Therapists can help to treat Cluster Headaches?

Physical Therapists can assist you in getting rid of  your Cluster Headaches beyond medications. Practicing exercises under the surveillance of an expert and trained Physical Therapist can enable you to relax muscle tension and as well to relieve stress. Physical Therapists prescribe following exercises to treat Cluster Headaches :

  • Physical Therapists administer various relaxation techniques to help you to relax the muscles of your neck, jaw and shoulders. Progressive Relaxation techniques  are also administered and practiced to relax each and every muscle of your body.
  • Cluster Headaches occur due to stress. Your breathing patterns get disturbed, when you are stressed. So to alter these disrupted breathing patterns, Physical Therapists practice different breathing exercises and make you relieved. These exercises are really advantageous when you are suffering from pain.
  • Exercises that help to alleviate stress are followed. These help to reduce the occurrence ands severity of headaches. These also heighten the level of beta- endorphins which are your natural  stress relievers.

Contact Alliance Physical Therapy for the efficient management of any type of pain. Timely diagnosis and treatment can save you from further pain and suffering and as well help you to lead a healthy and quality life.

RECOVERING FROM KNEE INJURIES?

Prevention of Knee Injuries:

The knee joint allows you to run, walk and play sports. Awkward movements, falls and collisions, sudden twists, excessive force or overuse can result in a range of injuries to the knee joint and the structures supporting it. Common knee injuries include ligament, tendon and cartilage tears, and patello-femoral pain syndrome

First aid for Knee Injuries in the first 48 to 72 hours

Suggestions for first aid treatment of an injured knee include:

  • Stop your activity immediately. Don’t ‘work through’ the pain.

  • Rest the joint at first.

  • Reduce pain, swelling and internal bleeding with ice packs, applied for 15 minutes every couple of hours.

  • Bandage the knee firmly and extend the wrapping down the lower leg.

  • Elevate the injured leg.

  • Don’t apply heat to the joint.

  • Avoid alcohol, as this encourages bleeding and swelling.

  • Don’t massage the joint, as this encourages bleeding and swelling.

Prevention tips for Knee Injuries

You can help to prevent injuries if you:

  • Warm up joints and muscles by gently going through the motions of your sport or activity and stretching muscles.

  • Wear appropriate footwear.

  • Avoid sudden jarring motions.

  • Try to turn on the balls of your feet when you’re changing direction, rather than twisting through your knees.

  • Cool down after exercise by performing light, easy and sustained stretches.

  • Build up an exercise program slowly over time.

Professional help for Knee Injuries

Mild knee injuries may heal by themselves, but all injuries should be checked and diagnosed by a doctor or physiotherapist. Persistent knee pain needs professional help. Prompt medical attention for any knee injury increases the chances of a full recovery. Treatment options include:

  1. Aspiration – If the knee joint is grossly swollen, the doctor may release the pressure by drawing off some of the fluid with a fine needle.

  2. Physiotherapy – Including ultrasound and electrical muscle stimulation treatment, kneecap taping, exercises for increased mobility and strength, and associated rehabilitation techniques.

  3. Arthroscopic surgery or ‘keyhole’ surgery – Where the knee operation is performed by inserting slender instruments through small incisions (cuts). Cartilage tears are often treated with arthroscopic surgery.

  4. Open surgery – Required when the injuries are more severe and the entire joint needs to be laid open for repair.

Aquatic therapy or pool therapy consists of an exercise program that is executed in the water. It is a valuable form of therapy that is useful for a range of medical conditions. Aquatic therapy utilizes the physical properties of water to aid in patient healing and exercise performance. Call now for Quick Appointment:

http://www.alliancephysicaltherapyva.com

 

Stay Healthy in Winter

Winter is the season to boost the immune system and nurture our body. Eating nourished warm food, sleeping well and staying active are some important aspects to keep one healthy during winters.

Physical activity is an important aspect to keep one fit throughout the winter. Daily routine of yoga or any form of physical activity will help to keep you warm and boosts the immune system improving defense against seasonal ailments like flu and colds.required to regulate the mood.

A lack of exercise and activity during the winter months is one of the most significant health risks. Exercise is crucial to ward off illness and feel your best. You can also stay healthy indoors by exercising at home or doing indoor activities.

Shorter days and colder weather may lead you to exercise less. But even moderate exercise, like a brisk walk, raking leaves, or climbing stairs, can help. Physical activity can help you maintain or lose weight, reduce anxiety, lower blood pressure, and improve your quality of sleep.

 How to stay healthy in winter tips:

  • Get a Games Console – Stay fit and have fun in your own home. Something like a Wii Fit is a great way to exercise and have fun with family during the festive season.

  • Draw up a Weekly Regime – the best way to stick to an exercise plan is to set goals and tick them off as you achieve them. This keeps you motivated and means you’re likely to stick with your plan.

  • Workout at Home – use online resources like YouTube to follow exercise plans like aerobics, yoga, and high-intensity training (HIT). If you don’t have access to the internet, ask family and friends to help you, or even make up your own regime.

  • Do Winter Sports – if you can get out and enjoy sports, try skiing, snowboarding, ice skating, snowshoeing, etc. These activities come with a higher risk of harm, but if you take precautions, you can reap many benefits.

 

Causes, Symptoms and Treatment of Foot Pain:

Foot Pain

Foot pain can affect any part of your foot, from your toes to your Achilles tendon at the back of your heel. Some foot pain is just an annoyance, but foot pain can also be more serious, especially if it’s the result of an injury or certain chronic conditions. Minor foot pain usually responds well to home treatment but more severe foot pain needs medical attention. If not treated, some types of foot pain can lead to long-term damage or disability.

Causes of Foot Pain

Most foot pain is due to poorly fitting shoes, injury or overuse. But structural defects and medical conditions, such as arthritis and diabetes, also can lead to foot problems. Foot pain may be caused by many different conditions or injuries. Acute or repeated injury, disease, or a combination is the most common causes of foot pain. Injury is a result of forces outside the body either directly impacting the body or forcing the body into a position where a single or combination of forces results in damage to the structures of the body. Poor biomechanical alignment may lead to foot pain. Wearing shoes that are too tight or high heels can cause pain at the balls of the feet and the bones in that area. Shoes that are tied too tightly may cause pain and bruising on the top of the foot.

  • Injuries such as ligament sprains, bruises, muscle strains and fractures commonly happen suddenly (acutely).
  • Sprains, strains, bruises, and fractures may be the result of a single or a combination of stresses to the foot.
  • A sprain of the foot or ankle happens when ligaments that hold the bones together are overstretched and their fibers tear.
  • The looseness of ligaments in the joints of the foot may lead to foot pain.

The muscle’s bursa and fascia of the foot can be strained by overstretching, overuse, overloading, bruising, or a cut (such as by stepping on a sharp object). Achilles tendonitis is a common injury to the tendon that attaches at the back of the heel.

  • Injury to the bones and joints of the foot can be caused by a single blow or twist to the foot, or also by repetitive injury that can result in a stress fracture.
  • A blunt-force injury such as someone stepping on your foot may result not only in a bruise (contusion) injury but also damage to the muscles and ligaments of the foot.
  • Direct blows to the foot can cause bruising, breaking of the skin, or even fracturing of bones.
  • Metarsalgia is the irritation of the joints of the ball of the foot. “Turf toe” is a common athletic injury in which the tendon under the joint at the base of the big toe is strained.
  • Injury to the toenail can cause pooling of blood under the nail and the permanent or temporary loss of a toenail.
  • Repetitive injury to the bones, muscles, and ligaments can result in extra bone growth known as spurs or exostosis.

Symptoms may accompany foot pain

Pain and point tenderness are the first indications that something is wrong in a specific area. The onset of pain, whether suddenly or over time, is an important indicator of the cause of the problem.

Bones of the foot are joined together by ligaments. A sprain happens when the ligaments that hold the bones together are overstretched and the fibers tear. Point tenderness and looseness of a joint are indications of a sprain.

Injury to the bones of the foot can be caused by a single blow or twist to the arch or also by repetitive injury that can end in a stress fracture. Fractures are indicated by a small point of pain that may be exquisitely tender on the bone. There may be a noticeable lump or gap at the site of the fracture. A turned toe or forefoot may also be a sign of a fracture.

Injury to the bones of the foot can be caused by a single blow or twist to the arch or also by repetitive injury that can end in a stress fracture. Fractures are indicated by a small point of pain that may be exquisitely tender on the bone. There may be a noticeable lump or gap at the site of the fracture. A turned toe or forefoot may also be a sign of a fracture.

Prevention of Foot Pain

  • To prevent injuries and pain, the following issues should be addressed before starting an exercise routine.
  • Are you in good health? A general physical exam by a physician will help to evaluate your cardiovascular function, the possibility of disease or any other general medical problems that you may have.
  • Before beginning activities, diseases such as gout, diabetes, certain types of arthritis, and neuropathies should be treated.

Treatment for Foot Pain

When the pain begins to interfere with your daily living activities or if you cannot perform your chosen activities without pain, you should consider getting medical attention. Indications that you should seek medical care are:

The area looks deformed, you have loss of function, change of sensation, a large amount of swelling with pain, prolonged change of skin or toenail color, the affected area becomes warmer than the surrounding areas, becomes extremely tender to the touch, or is causing you to move differently.

At Alliance Physical Therapy we provide 24/7 access to online appointments, with most of the requests scheduled in less than 48 hours. Visit here for moreinformation: http://www.alliancephysicaltherapyva.com

Hand Injuries and Disorders

Hand is a very important organ of the body. Disorders affecting the hand could lead to loss of hand function in various forms and degrees. Thumb itself accounts for over 40 percent function of the hand. It is imperative that the problems affecting the hand should be diagnosed and managed correctly. The following are the various disorders affecting the hand.

 Hand problems include:

  • Carpal tunnel syndrome - compression of a nerve as it goes through the wrist, often making your fingers feel numb
  • Injuries that result in fractures (broken bones), ruptured ligaments and dislocations
  • Osteoarthritis - wear-and-tear arthritis, which can also cause deformity
  • Tendinitis - irritation of the tendons
  • Disorders and injuries of your fingers and thumb

 

CONGENITAL ANOMALIES OF THE HAND:

Some of the important congenital anomalies of the hand are:

Polydactyly: It is a duplication of one or more digits and may require amputation for cosmetic purposes.

Syndactyly: This is fusion of digits and usually occurs between the middle and ring fingers and is 3 times more common in males.The fusion may be only in the skin or all the structures. In the latter case, surgery is done early at 18 months age and in the less severe former case, surgery is done after 5 years.

Macrodactyly: This is a rare congenital anomaly and is characterized by enlargement of all structures especially of the nerves of a single or more digits. It is often associated with neurofibromatosis, lymph-angioma, arteriovenous malformation, etc.

Congenital trigger digits: Thumb is more commonly involved. It is frequently bilateral and is due to flexion contracture of the distal joint of the thumb. More than 30 percent of these cases resolve after first year and the remaining may require surgical release after 2 years of age.

Streeter’s dysplasia: This is a syndrome of congenital constrictions, which may affect any part of the body. In the hand, it may range from simple constriction to congenital amputation. To prevent distal circulatory compromise, it frequently requires surgical release by Z-plasty.

Camptodactyly: This is a flexion contracture of the proximal interphalangeal joint especially of the little finger. It may rarely be seen in other fingers too. Severe deformity in older patients requires tendon lengthening procedures. Clinicodactyly is angulation of the finger in radioulnar direction. Mild clinicodactyly is seen in normal children, while the severe ones are associated with mental retardation.

Cleft hand (also called Lobster claw hand): This is frequently bilateral and is associated with cleft foot, cleft lip, cleft palate, etc. There are two varieties: in the first type, a deep palmar cleft separates the two central metacarpals; and in the second type, the central rays are absent .Both the varieties require surgical excision and Z- plasty.

Mirror Hand (reduplication of ulna): Here the ulna and carpus are reduplicated and there may be seven or eight fingers with no thumb. Pollicisation of a finger solves the problem of the absent thumb.

Congenital absence of radius or ulna:  Congenital absence of radius is more common than that of ulna. The radius may be completely absent or in parts. The forearm is short, wrist is highly unstable and the hand is deviated radially. It requires complex and difficult surgical corrections. This deformity of radius absence is also called radial club hand and the absence of ulna is called the ulnar club hand.

Kirner’s deformity: This is a spontaneous injuring of the terminal phalanx of the fifth digit. It is a rare disorder and is more often seen in females.

Infections of the Hand

The effects of hand infection can be as devastating as major trauma. Trivial injuries like a scratch, a prick, small punctured wounds, etc. cause hand infections. Staphylococcus aureus (80%) ,Streptococcus pyogenes and gram-negative bacilli are the famous trio who inflict the infective unmitigated disaster in the hand. The sequelae of these infections are edema, abscess, necrosis, fibrosis and lastly contractions leading to a grotesque, debilitating hand. The presence of an abscess seems to send a message to the surgeons, “Drain me I’ll drain Myself! ” Hence, an abscess caused should be drained; the surgeon only has to decide the proper time and incisions. Early use of potent antibiotics has considerably downed the threat of serious hand infections.

Treatment

As elsewhere before we delve into the discussions on individual hand infections, it helps considerably to know the principles of treatment:

  • Hands should be kept elevated to facilitate gravity to drain and thereby prevent edema and swelling of the hand.
  • Following the treatment, the hand needs to be placed in functional position for optimum results.
  • Early and appropriate use of IV antibiotics prevents pus formation (within 24-48 hours).
  • If pus is formed, let it out through proper incisions at the appropriate time.
  • Local anesthetic may help the spread of infection and adds more fluid to the already existing swelling. Hence, general anesthesia or regional block is preferred.
  • Tourniquet is indicated, but exsanguinations are not preferred as it helps spread the infection (alternatively, elevation of hand for three minutes is ideal).
  • Do not forget the all important hand aftercare, which has a direct bearing on the outcome of the hand function.

With the principles of treatment as a backdrop, let us now consider the important hand infections in order of importance.

 

What Is Carpal Tunnel Syndrome And How Can We Avoid It?

The bones, ligaments, and the muscles of the wrist are located in such a way that a tunnel is created for the tendons of the forearm muscles and nerves. When the median nerve becomes entrapped or compressed, the signs and symptoms of carpal tunnel syndrome (CTS) become noticeable. When structures such as tendons and nerves are compressed, inflammation becomes apparent. This inflammation is the usual cause of developing CTS. The best way to avoid or manage CTS is to heat and stretch the involved muscles regularly. A general wrist and hand strengthening program can be beneficial to limit possible tendon injury.
Typically, the symptoms of carpal tunnel syndrome come on gradually.  Symptoms usually appear at night and may be present in both hands.

Real-Life Physical Health Benefits of Exercise:

Physical activity benefits all body organs as well as the psyche. The most dramatic benefits have been found in the cardiovascular system. Exercise interventions in older patients with coronary heart disease decreased morbidity, mortality and symptoms, and reduced cardiac re-hospitalizations.

Benefits of Exercise

Numerous mechanisms may contribute to these benefits. Increased demand on the myocardium improves oxygen utilization. Capillaries dilate and multiply to improve the delivery of oxygen and other nutrients to muscles. The myoglobin content of muscle is increased, thus improving the transfer of oxygen from the red blood cells to muscle cells. Inside the cell, the number of mitochondria increases, enhancing aerobic metabolism. There is also an increase in the glycogen storage sites of muscle. Here following are the exercise benefits:

  • Exercise tends to lower the resting heart rate and the resultant increased diastolic time allows improved coronary blood flow. Stroke volume increases.
  • Exercise also has an effect on blood lipid levels, raising levels of high-density lipoprotein cholesterol, the cardio protective lipid, and lowering levels of low-density lipoprotein cholesterol.
  • Exercise lowers blood pressure and reduces obesity. A combination of these two factors, in addition to the reduction in cholesterol, decreases the risk of ischemic heart disease.
  • Exercise may also improve exercise tolerance in older people with chronic obstructive pulmonary disease. They will also benefit from the associated benefits of aerobic fitness.
  • Exercise may improve blood sugar control in people with diabetes by decreasing insulin resistance, and may reduce the need for medication.
  • Resistance training and high-impact activities help maintain bone mass in the elderly.
  • An exercise program may also be beneficial for older people with osteoarthritis by improving joint mobility and increasing muscle strength.
  • Exercise in the form of strength and balance training has been shown to reduce an older person’s risk of falling.
  • Along with the physical benefits of exercise, the older athlete benefits from improved sleep, cognitive function and mood.
  • The muscle control and weight loss associated with exercise may lead to improvements in body image and reverse the elderly person’s fear of activity.
  • Exercise reduces anxiety in elderly patients, especially in those recovering from illness.
  • Exercise can lessen depressive symptoms and perhaps even reduce the risk of developing depression.

Risks of Exercise in the Elderly

The risks associated with a sedentary lifestyle are well known although difficult to quantify objectively and compare with the risks associated with exercise in later years. Underlying co-morbidity is often cited as a reason to preclude exercise despite the overwhelming evidence to support the benefits of exercise in many common and chronic diseases.

From a safety standpoint, clinicians prescribing exercise for older people are concerned that exercise may induce myocardial ischemia and, in turn, precipitate myocardial infarction or sudden death. Gill and colleagues have provided recommendations regarding precautions that can be taken to minimize the risk of serious adverse cardiac events among previously sedentary older persons who do not have symptomatic cardiovascular disease and are interested in starting an exercise program.

Reducing the Risks of Exercise

Before starting an exercise program, all older persons should have a complete history and physical examination performed by a physician. Contraindications to exercise outside of a monitored environment include: myocardial infarction within six months, angina or physical signs and symptoms of congestive heart failure, and a resting systolic blood pressure of 200 mm or higher. A functional test of cardiac capacity is to ask the patient to walk 15 m (50 ft) or climb a flight of stairs. A resting ECG/EKG should be reviewed for new Q waves, ST segment depressions or T-wave inversion.

Persons who have features of cardiovascular disease should be referred for appropriate management. If the patient has no overt cardiovascular disease, and no other medical or orthopedic contraindications to exercise, he or she can begin a low-intensity exercise program.

Make An Online Appointment: 

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6 THINGS TO KNOW ABOUT COVID – 19 DELTA VARIANT

The world is in a dangerous period. Covid-19 Delta Variant aroused more nervousness in the people, it is a super contagious, lethal virus little different than the alpha original Covid- 19, in that it’s more transmissible so that is what is truly concerning. Fully vaccinated individuals are not experiencing severe diseases. The Delta variant that has caused devastation in countries like India and UK has now mutated to produce another variant called Delta Plus. The Delta variant was first identified in the UK, then in India after two months from the UK in December 2020, then discovered in the US in March 2021 and other 98 countries bracing for the variant’s impact. The total researchers found that the Delta variant is highly spreading in different countries. Before you face a symptom, have some knowledge of what you should do.

1. Delta is Spreading quickly

Delta is contagious than SARS-cov2 virus strains, Delta variant is about 60% more contagious than Alpha virus. One thing that sets the delta variant apart from other Covid strains is the speed at which it’s spreading. The Delta variant spreads more easily. It spreads two to three times faster than the original version of the virus, and the respiratory tract variant grows to much higher levels and takes about four days to detect the level inside a person.  The spread of the Delta variant is prompting new lockdown around the world and spurring new warnings from health professionals.  Delta is spreading at a rate that means it can infect people before we think of getting the vaccine.  It also appears that Delta is more able to cause so-called breakthrough infections in vaccinated people. Globally our surveillance is very pitchy. Delta is responsible for much of India’s dreadful few months, during which Covid-19 deaths were unbelievable.

2. Sickness in People

Every time a virus jumps to a new person. A Research identified Delta variant infected people has severity of illness and is more likely to be hospitalized than alpha variant. Delta variant cases are rising while alpha cases are declining.  Early evidence from Scotland and England showed the figure of increased hospitalized patients in a significant period.  Reinfection of Alpha and Delta variants is analyzed in the UK and Delta cases cause more secondary infections.  Delta poses the biggest risk to the countries with limited access to vaccines, such as Africa currently facing a fast surging third wave of Covid Pandemic.  Symptoms for Delta variant seems like Headache, Sore Throat, Runny Nose, Fever and Cough and Loss smell like Alpha variant is less common. Blood Clots worsening the situation.

3. One Dose is not Enough

Level of protection against Delta variant is dependent upon vaccination course.  The researchers performed laboratory experiments on blood samples from people who had received one of those doses. After a single shot just 10% of samples of antibodies develop in the body that neutralized the Delta variant. Delta continues to move fast in the people who vaccinated for the first dose.  One dose is less effective but the graph of cases decreased for Delta variant with first shot, as experienced less hospital admissions.  Two doses of vaccines are more effective to prevent hospitalization and the outcome also depends upon the climate and people’s behavior also.  Not only vaccination helps prevent infection and illness but it also helps to keep a potential to stop more dangerous variants from popping up.

4. Why Vaccination is Important

 

Two doses of vaccination are strongly protective, the most important thing is you are fully vaccinated with two doses.  The unvaccinated crowd will cause hyper local outbreaks. Because there are chances when doctors will not recommend vaccination to the people with health issues. A location of vaccinated people allows the virus to stop; otherwise the virus can hop, skip and jump from poorly vaccinated areas to another.  Immune system plays an enormous role in vaccination. Your immune system gets strong enough after Covid Vaccine, so if someone decides to skip the second dose then you are not protected against the Delta variant.  Real World observations are crucial measures of vaccine effectiveness, 96% of hospitalization prevented after two doses against the Delta variant.

5. Social Distancing & Keep Your Mask Handy

No Doubt, Full Vaccination is best defense against Delta variant but still a little extra caution will block any chances to get infection from others. The population who will take more to make the mission successful together we can block spread of Covid Pandemic and keep virus circulation low. However social distancing and mask are good if there is no virus, it helps in well being ideal society. Vaccinated people have a chance to skip mask. With a high rate in the countries who are vaccinated, there is a possibility of getting infected. Wash hands several times a day, Stay 6 feet away, wear a mask over your nose and mouth, avoid crowds, pay attention to Covid guidelines and cases in local areas including Delta variant. To resist spread, try couple mask wearing with other precautions.

6.  Be Vigilant

More than 4 million children have been diagnosed with Covid-19 and there are more chances to spread in the community. Alarming rate of Delta variants infecting children has also left medical professionals worried.  A Delta variant is most concerning in areas where not enough individuals have been vaccinated, the vaccine. Kids improbably the group now that is most susceptible to infection even vaccinated adults, are nervous about the variant and its potential to spread. Be secure and make your surroundings vaccinated, aware of your loved ones. Currently due to the threat of Delta variant everything is still closed and making requirements to fight with infection.  Children at the age of 12 or older are more important to get their vaccinations done.

A sobering picture of pandemic’s impact in US life is highly shocking and worldwide has a largest year decline. Delta is not as much explained and many more to know is left, according to scientists.  Delta is more infectious, transformable, more admissions in ICU cases are severe. Rather than be confused by clusters of symptoms. If you see any of the symptoms of Delta variant go ahead and get your vaccination, understand the seriousness of the special precautions. It is concluded from the Delta variant that one does not go out of home without reason, use a mask and sanitizer, and be vigilant about the efforts to avoid the disease. Our larger focus should be for people to motivate each other for vaccination and stop worrying, follow positivity. Take the jabs of very powerful vaccines to fight strongly against epidemics.