Physiotherapy, also referred to as physical therapy, is an allied health profession that makes use of bio – mechanics or kinesiology, manual therapy, exercise therapy and electrotherapy, to help patients restore, maintain and increase their physical mobility, strength and function. Physiotherapists’ are better able to help patients regain mobility, as they have a better understanding of how the body works and are trained in clinical skills to assess, diagnose and treat disabilities. Physiotherapists can help patients recover from injuries and disabilities ranging from back pain, neck pain, knees pain to ligament issues. Physiotherapy also helps in the rehabilitation of patients suffering from Parkinson's Paralysis Stroke Multiple Sclerosis and Cerebral Plasy. Furthermore, physiotherapists can heal both chronic and acute problems by treating patients at home.
Physiotherapy has over the years proved its effectiveness in helping patients in restoring their health and enhancing their physical strength, function and mobility. To further enhance your experience with physiotherapy, our Physiotherapists personally visit you and perform physiotherapy at home. Some of the benefits of getting physiotherapy at home include
Bring about a faster healing process
Better time management
Family support and supervision
Provides personalized care
No mobility issues
With our affordable and accountable home services, say good bye to all your worries and hassles of physiotherapy treatment.
When do you need a Physiotherapist from us
Call it the bane of modern lifestyle but knee pain, back pain, neck strain have become a part and parcel of life. When a certain type of pain does not subdue over a period of time and you experience it after doing a particular movement, then it is better advised to see a physiotherapist. You can also take benefit of our home physiotherapy service for a convenient treatment.
Physiotherapy has a wide range of specialties and people can take physiotherapy for any of the following medical issues: Neurological issues, Neuromusculoskeletal, Cardiovascular and Respiratory.
This includes all sorts of pain including back pain. Knees pain, arthritis, sports injuries and whiplash associated disorder.
A sedentary lifestyle, poor posture, and daily travel can cause persistent back pain. You no longer need to live with that pain and lead a restrictive life. Just get in touch with us and allow us to relieve you of your pain with the help of qualified and well trained physiotherapist, at the comfort of your home.
Is any sport injury or niggles preventing you from playing your favorite game of tennis or cricket? Do you often find yourself reaching out for that pain relief sprays and medications? These sprays and pain killers don't alleviate the symptoms. Get to the root of the problem and get rid of the nagging pain through physiotherapy at home. Within a short span of time, you can get back to playing your loved sport.
Post Surgical Rehab
If you have just undergone surgery, physiotherapy at home can help you get back to normal faster. Regain your mobility with our expert in-home physiotherapy treatment.
Did you know that with regular physiotherapy treatment, muscle tone can be improved making the patient as mobile as possible in paralysis.
Parkinsonism is a movement disorder. Physiotherapy treatment can help the patient in gaining more mobility and independence.
HAH(Healthcare At Home) has developed customized treatment plans for cerebral palsy. Our physiotherapists are well trained and work towards optimizing the patient’s movement by improving the strength and flexibility of muscles.
Physiotherapy can also be used to bring relief from cardiovascular issues like chronic heart disease and rehabilitation after heart attack.
Post Heart Attack
Physiotherapy post heart attack helps in decreasing the heart rate and blood pressure at rest and during exercise.
Another major field where the benefits of physiotherapy are used is in respiratory problems like asthma, chronic obstructive pulmonary disease and cystic fibrosis.
Physiotherapy helps respiratory muscle training, which reduces the onset of asthma attacks and improves a person’s breathing and physical abilities.
Chronic Obstructive Pulmonary Disease
Physiotherapy works as part of multi disciplinary rehabilitation program and has been seen to be an effective intervention for patients suffering from Chronic Obstructive Pulmonary Disease
Physiotherapy plays a key role in helping a child with impairment reach their potential. It seeks to promote and maintain the child’s physical, psychological and social well being.
Our physiotherapists heal patients in the comfort of their homes. They assess, diagnose, and develop a treatment plan which varies depending on the patient’s needs. A physiotherapy session is usually of an hour, depending on the criticality of the problem. Our experts help with basic and advanced movement exercises to improve the patient’s mobility.
Physiotherapy exercises have been proven to be the beneficial way to help treat and prevent injuries and pain related to varied diseases. Physiotherapists are trained medical professionals who utilize these exercises to strengthen muscles and enhance function. They assess an individual’s problems and then recommend the best set of physiotherapy exercises for rapid relief. These exercises range from single to high-level postures which help repair the body and restore full bodily function.
Just like in the case of medication, you only benefit if you take the medicines as prescribed by a doctor; similarly you can expect any benefit from physiotherapy if you diligently follow up with the recommended exercises.
Physiotherapy also helps to restore a balanced emotional mental state which is crucial for holistic treatment.
HOW TO PREPARE FOR A PHYSIOTHERAPY SESSION AT HOME?
In-home Physiotherapy sessions are designed to help the patient recover faster whether it is a one-time injury or a chronic illness. Here are a few tips to ensure you make the most of your session at home
Select a spacious and good spot in your house, which is well ventilated, well lit and is free from any clutter, as the physiotherapist might bring some small exercise equipments for your session.
Wear comfortable clothing. Ensure you do not wear clothing which impedes your movement as your physiotherapist will need to evaluate your joint stability and movement
Speak to your Physiotherapist on what exactly are your areas of pain and what level of function you would like to achieve through your sessions
Provide your physiotherapist with information such as how the pain started; what is the nature of pain and for how long you have been facing the problem.
Be attentive to the exercises shown by your physiotherapist and ask questions if you are unsure about anything. And also be diligent with your exercises to see desired results.
To effectively deal with COPD, it is necessary to understand ‘what is COPD’. The COPD meaning is Chronic Obstructive Pulmonary Disease, it is a progressive inflammatory lung disease that causes obstruction in the airflow from the lungs affecting normal breathing.
Types of COPD
There are two types of COPD i.e. Chronic bronchitis and emphysema.
Chronic Bronchitis – Chronic Bronchitis is the medical condition where the lining of the bronchial tubes, that carry air to and from the alveoli (air sacs of the lungs), gets inflamed. The main symptoms of this type of COPD are daily cough and mucus or sputum production.
Emphysema – Emphysema is the condition where the alveoli located at the end of the smallest air passages of the lungs are damaged due to over exposure to cigarette smoke and other harmful gases and particulate matters.
COPD Signs and Symptoms
COPD can be said to be a sly disease, as there are very mild COPD symptoms (often attributed to some other problems) or no visible COPD signs and symptoms at the beginning of the disease. But, as the disease starts to progress and get worse the symptoms become more visible and severe. Some of the main COPD symptoms are;
-Cough with a lot of mucus or sputum
-Shortness of breath, particularly during a physical activity
-Recurrent respiratory infections
-Swelling in the ankles, feet or legs
Some COPD patients go through tormenting episodes of exacerbations, which is the worsening of symptoms than usual and persists for several days.
Long-term exposure to smoke, air pollution, chemical fumes, and dust and particulate matters cause irritation and damage to the lungs and are mainly attributed to be the root cause of COPD.
Cigarette smoking is also associated with being a major reason behind COPD. However, not all smokers get COPD and only about 20 to 30% of chain smokers have been found to be affected by COPD. Nevertheless smoking does make one susceptible to COPD. People exposed to smoke from burning fuel for cooking and heating in poorly ventilated homes are also affected by COPD.
The different types of test used by doctors for making a COPD diagnosis are lung function tests, imaging tests, and blood tests.
COPD is an incurable progressive disease, although its symptoms can be better managed by varied COPD treatment plans, for the slow progression of the disease, low risk of complications and better quality of life. The varied COPD treatment plans offered for COPD management are medication, oxygen therapy, surgery, or a lung transplant.
The main sort of medications offered to soothe the symptoms of COPD are bronchodilators and glucocorticosteroids. Some doctors even recommend getting yearly flu shot, pneumococcal vaccine, and a tetanus booster to seek protection from whooping cough.
Oxygen therapy is given to those, who have low levels of oxygen levels in the blood. Oxygen is given to such patients with the help of a mask or nasal prongs for normal breathing.
Surgery is only recommended to patients suffering from severe COPD or when other treatments have not proved beneficial in the managing COPD. There are several different surgical procedures – Bullectomy, Lung volume reduction and Lung transplant.
-Bullectomy – It is a surgical procedure where surgeons remove large air sacs (bullae) from the lungs. Lung volume reduction surgery – In this surgery damaged lung tissues are removed.
-Lung transplant – Lung transplant is the partial or complete replacement of diseased lung with a healthy lung from a donor.
Chest physical therapy also referred to as chest physiotherapy is a name assigned to a group of COPD treatment aimed to improve respiratory effectiveness, advance development of the lungs, reinforce respiratory muscles, and getting rid of secretions in the respiratory system. Chest physiotherapy incorporates postural seepage, chest percussion, chest vibration, turning and profound breathing activities and coughing. Chest physiotherapy treatment is typically done in conjunction with different medications and treatments to eliminate secretions from the airways. These different medications incorporate suctioning, nebulizer medicines, and expectorant drugs.
The physical damage caused by the respiratory disease or COPD pathophysiology begins with harming the airways and the air sacs in the lungs and advances from a minor cough with mucus to troubled breathing.
After the diagnosis of chronic obstructive pulmonary disease (COPD), the next crucial step in COPD management is to arrange an effective treatment plan for treating and dealing with the illness and its symptoms. Doctors closely work with patients to design a customized treatment plan specifically suited to their symptoms. This design is prepared as per the COPD treatment guidelines set by specialists after thorough research and study on the treatment of COPD.
Every patient’s COPD treatment plan is different from the other owing to different medical history, varying symptoms and the severity of those symptoms. The treatment plan can involve:
-Vaccines for influenza and pneumonia
-Pulmonary rehabilitation program
Some of the complications that may arise due to COPD are:
-Respiratory infections – COPD makes patients extremely susceptible to cold, flu and pneumonia, which can cause further discomfort in breathing and result in further damage to the lung tissue.
-Heart problems – It has not been fully ascertained as to why COPD increases the risk of heart disease, and heart attack but, COPD patients are more prone to heart diseases than others.
-Lung cancer – COPD patients are also likely to develop lung cancer than other people.
-Pulmonary Hypertension – COPD has also been found to be responsible for causing pulmonary hypertension or high blood pressure in the arteries that bring blood to the lungs.
For patients suffering from COPD, travelling can not only be a huge task but also serve as a potential health risk. For such patients COPD treatment should be brought at home. HAH(Healthcare At Home) medical with its team of experienced doctors, nurses and other healthcare professionals brings the clinic to your home. The nurses are well trained in giving care and chest physiotherapy to COPD patients across all age groups and also help them learn about ways to maintain a healthy lifestyle according to their condition. Such at – home healthcare is even more needed during the periods of exacerbation, when the symptoms of COPD gets worse, creating a panic situation at home. In such scenarios, don’t panic and give us a call and let our nurses provide care to the patient and calm them down.
Cervical pain is the pain caused due to cervical spondylolysis or osteoarthritis. This condition involves changes in the bones, disc or joints that are connected to the neck. The major cervical pain reasons are due to the wear and tear of the cartilages and bones, and thus are often found in ageing people. However, it can be caused due to other factors as well and thus occur in younger adults as well.
There are different levels of severity of cervical pain experienced, from mild to severe and each has its own way of treatments. Cervical pain exercises, home remedies for cervical pain and medications are certain options that are commonly considered.
This article talks in detail about all things related to cervical pain. Read on to learn more.
Top cervical pain reasons:
Here are some of the top causes for cervical pain.
-Overuse of the neck – some people’s everyday work involves tedious movements that put pressure on the spine, resulting in easy wear and tear. This does not have to involve just physical work like heavy lifting, but also desk jobs where posture can be a problem.
-Injury – an injury in your neck or spine region is an instant aggregator for cervical pain.
-Herniated discs – this kind of cervical pain occurs when spinal discs develop cracks in them. These cracks give way to leakage of the internal cushioning material which can in result, pressurize the spinal nerves and cords. Cervical pain symptoms caused due to this can bring numbness and pain in the arms.
-Dehydrated spinal discs – the discs between your spine can dry out at times and thus the rubbing of them can cause chronic cervical pain.
-Bone spurs – this cervical pain is caused due to the overgrowth of a bone that can press against other the spinal nerves and spinal cord and get painful.
In addition to these causes, there may be other regular bad body postures. This may be due to bad seating arrangements, improper mattress structures and more.
Symptoms of cervical pain
Some of the general cervical pain symptoms include:
Cervical pain symptoms are generally pain in and around the shoulder and neck region. Other symptoms may include:
-Numbness or weakness and tingling in the arms, hands, legs and feet as these parts are directly connected to the cervical nerves.
-Difficulty in walking and other casual activities due to the lack of coordination
-Abnormal reflexes by the hands and legs
-Stiffness in the neck
-Headaches at the back of the head
Different symptoms may have different types of treatment that can be used to heal the pain. One must always consult an expert before proceeding with any treatment and be aware of what is cervical pain. This is important because the spine is a major connector to other body parts and any mishaps in treatments can cause further injuries and problems.
CERVICAL PAIN TREATMENT
It is important to get to the root of what causes cervical pain before opting for a cervical pain treatment. While you can consult a doctor for cervical therapy exercises, you can also look after cervical pain treatment at home. Some of the common cervical pain treatments are:
-Cervical therapy exercises – cervical pain treatment may include cervical pain exercises that involve stretching of shoulder and neck muscles.
-Medications – if general pain killers do not work for your cervical pain, doctors may prescribe more intense doses of medications that help with muscle relaxations, pain relief, reducing inflammation and more.
-Surgery– If none of the mentioned cervical pain treatment works and home remedies for cervical pain work, doctors will recommend surgery. The purpose of the surgery would be to create space around the spinal cord and nerves by clearing out a bone spur or herniated discs. Although, doctors will recommend cervical pain treatment at home first, surgeries may be the last option to deal with chronic cervical pain.
Cervical pain treatment at home
Before going ahead with treatment, you need to arrive at the root of what causes cervical pain. While severe chronic pain requires immediate attention by a doctor or therapist, mild cervical conditions can be treated at home using the following home remedies for cervical pain:
-Applying a heating pad or an ice pack can provide relief to the pain in the neck
-Cervical pain exercises when practiced regularly can be effective. It is important to get these cervical therapy exercises from a professional therapist
-Wearing a soft neck collar or brace can help in minimum movement of the neck region, providing ample amount of rest and further damage to the cartilages and discs
These are the top cervical pain treatment at home that can be practices to relief pain and prevent further damage. Ample amount of rest needs to be given to your neck and joints to recover quickly. However, for severe cases of Cervical spondylosis, it is important to approach a doctor to get diagnosed. Doctors are likely to conduct certain tests on you right from your body movements, reflexes and may require certain MRI scans, CT or x-rays.
We offer top class cervical pain treatment at home for you. We assess and analyse the root cause of your cervical pain and our therapists will train you with cervical pain exercises. With proper assessment and treatment, we ensure you go through a smooth phase with your cervical pain.
We take it a step forward to make it easy for you by providing home remedies for cervical pain, saving you the hassle of visiting a clinic or therapist for each and every session. All our information is easily made available to you on our website, all you are left to do is contact us! With our cervical pain exercises and home remedies for cervical pain, you will surely get a relief from the chronic pain you experienced until now.
Stenosis is the medical term for an abnormal narrowing or constriction of a body channel in a tubular organ. When it occurs in the bone canals through which spinal nerves run in the backbone, the condition is called spinal stenosis. The narrowing puts pressure on the nerves, which leads to stenosis symptoms such as weakness in the limbs, tingling, pain and numbness. The symptoms worsen as the person ages. Some people are born with a congenital form of the condition, but most people develop spinal stenosis as their bodies degenerate naturally as they age. A few do not experience any symptom at all.
While the narrowing of the spine canals might occur at different parts of the spine, the symptoms experienced by the compression of nerves are similar among patients. Hence specialists will have to conduct tests to figure out the location of the stenosis and its cause. There are different types of stenosis based on where they occur, and the two most common are lumbar and cervical spinal stenosis. Lumbar stenosis occurs at the lower back, and cervical stenosis occurs at the neck. Some of the several spinal stenosis causes include ageing, injuries to the spine, spinal birth defects, narrow spinal cord, arthritis, inflammation etc. The spinal stenosis treatment includes medications, spinal stenosis physical therapy, decompression procedures and surgery.
Types of spinal stenosis
Although there are several different types of stenosis of the spine, the two most common are cervical spinal stenosis and lumbar spinal stenosis. Based on the cause, it is possible to have more than one type at a time.
Cervical spinal stenosis occurs when the spinal canal in the neck narrow down due to degenerative processes or trauma. When the space within the canal becomes too narrow, the resulting spinal cord compression gives rise to stenosis symptoms such as pain, weakness, numbness, lack of coordination etc. Here, the combination of the narrowing of the spine coupled with neurologic deficits is termed cervical stenosis with myelopathy.
Lumbar spinal stenosis occurs with the narrowing of the spine in the lower back. The resulting compression of the nerves gives rise to symptoms of sciatica which can be given stenosis treatment for relief.
What are some of the spinal stenosis causes?
Although age is one of the leading factors for spinal stenosis, there are other factors that lead to it. Some people are born with a spinal column that has a smaller spinal canal and in some; other conditions lead to the narrowing of the canal. Here are some of the causes:
-Damage from wear and tear and osteoarthritis can lead to the formation of bone spurs on the spinal bones. These can grow into the spinal canal and cause compression. Also, a bone disease called the Paget’s disease that affects adults can prompt overgrowth of bone in the spine and cause stenosis.
-Spinal discs that cushion the vertebrae can sometimes crack and allow some of the inner material to escape and compress the spinal cord or nerves.
-Ligaments that hold the bones of the vertebral column can thicken over time and become stiff. These ligaments then bulge into the spinal canal.
-Tumours of tissues surrounding the spinal cords can take up space and compress the nerves. They are however uncommon and can be picked up in a CT or MRI scan.
-Injuries to the spine that cause dislocation or fractures.
Diagnosis of spinal stenosis
Diagnosis can be done through imaging tests such as:
-X-rays: They reveal any changes to the bones such as bone spurs.
-MRI scans: MRI scans can show cross-sectional images of the spine and any damage to the ligaments, discs and the presence of tumours.
-CT myelogram: These scans that are similar to an MRI scan but employs x-rays to examines the region using a contrast dye injected into the spine. It can show detailed cross-sectional images of the spine and the surrounding tissues.
Spinal stenosis treatment
Stenosis treatment depends on the location and the severity of the symptoms. If the symptoms are low or nonexistent, the spinal stenosis treatment would involve some basic home remedies for spinal stenosis. Spinal stenosis physical therapy involving spinal stenosis exercises are used along with medication for relief in mild cases. If that doesn’t help or the stenosis treatment is ineffective, surgical intervention might be needed.
The doctor may prescribe pain relievers that give temporary relief from the discomfort of the condition. Antidepressants and anti-seizure drugs also help with easing chronic pain caused by damaged nerves. Opioids are also used in some cases, but cautiously, as they have side effects related to addiction.
People with spinal stenosis typically become inactive to avoid stress. This leads to further muscle weakening and pressure on the spine which can worsen the condition. Therapists then suggest spinal stenosis exercises that improve strength, stability and flexibility while minimising stress on the spine.
These are corticosteroids injected into the space around the spinal joints which are impinged and swollen. Although it doesn’t fix the stenosis, it provides temporary relief from the inflammation and pain.
This is a simple procedure where needle-like instruments are employed to remove a tiny portion of the thickened ligament in the spinal column to free some spinal canal space. This relieves the nerve root impingement and is only used with patients who have a thickened ligament and lumbar spinal stenosis.
Surgery is considered as a last option when all other treatments are ineffective, or the spinal stenosis has left the person disabled. Surgery is the most definitive way to resolve the problems associated with spinal stenosis by decompressing the region of stenosis.
WHEN DO YOU NEED US
Part of spinal stenosis treatment is spinal stenosis physical therapy. It involves performing gentle exercises that are doable and does not exacerbate the symptoms of stenosis while being enjoyable. Spinal stenosis exercises are just as important as the rest of the treatment for recovery. Exercises speed up the recovery process by increasing blood flow and maintaining good movement and muscle strength around the spine. This is where we can help with our in-home doctor and physiotherapy service. Our doctors assess and diagnose your condition from the comfort of your home and suggest the best course of action. If the spinal stenosis treatment does not require any major intervention such as surgery, they would recommend home remedies for spinal stenosis.
Our physiotherapists can assist you with your physical therapy for stenosis as part of your home remedies for spinal stenosis or your spinal stenosis physical therapy post-surgery. They can assess and develop a treatment plan that is tailored to your specific need. Being experts in kinesiology, they can come up with the optimal spinal stenosis exercises that you need in your routine. The right exercises can help with strengthening the muscles surrounding the spine and help relieve the pressure off the bones. Exercises done incorrectly can worsen the problem and lead to further complications and here is where our physiotherapists play an invaluable role in guiding you.
Spinal stenosis can be treated, and many people with the condition go on to live active functional lives. However they may have to make certain lifestyle modifications to cope with the residual pain or the after-effects of a surgery.
Cystic fibrosis is a serious genetic condition that affects the production of a protein that controls the flow of salt from in and out of the cells resulting in the thicker and stickier production of mucus. This thick mucus blocks the organs like – lungs, pancreas, liver and the intestines leading to damages to the respiratory and digestive systems and life-threatening conditions like; infections, respiratory failure, and malnutrition among others.
Types of Cystic Fibrosis
Cystic fibrosis is the result of CFTR gene mutations and more than 1,700 types of such mutations have been detected by researchers as the cystic fibrosis causes. The CFTR gene mutations have been grouped into various classes according to the problems they cause in the production of the CFTR protein. The various types of cystic fibrosis mutation classification are;
Protein production mutations (Class 1)
Protein processing mutations (Class 2)
Gating mutations (Class 3)
Conduction mutations (Class 4)
Insufficient protein mutations (Class 5)
Cystic Fibrosis Pathophysiology:
In cystic fibrosis genetics play a huge role and the signs and symptoms vary from person to person depending on the severity of the disease. The cystic fibrosis pathophysiology or damages caused by cystic fibrosis are classified in 6 classes which are as follows;
Absence of the CFTR protein synthesis
Defective protein maturation and rapid degradation
Defective chloride conductance or channel gating
Diminished transcription due to promoter or splicing abnormality
Accelerated channel turnover from the cell surface
Besides the above damages the damages resulting from cystic fibrosis are as follows –
A persistent cough with thick mucus
Repeated lung infections
Inflamed nasal passages or stuffy nose
Foul-smelling, greasy stools
Poor weight gain and growth
CYSTIC FIBROSIS DIAGNOSIS
Cystic fibrosis diagnosis is done with the help of various screening tests and examinations like Immunoreactive Trypsinogen Test (IRT), Sweat Chloride Test, Sputum Test, Chest X – ray, CT scan and Pulmonary Function Tests (PFTs). People having cystic fibrosis genetic strain should get themselves screened at the time of pregnancy to prevent the child from being affected by cystic fibrosis.
Cystic Fibrosis Causes
Cystic fibrosis is the result of a defect in the CFTR gene. Mutation in the CFTR gene leads to the production of thicker and stickier mucus, which instead of lubricating various organs, causes blockages in them leading to various health conditions and infections. Several different types of defects can affect the CFTR gene and each type of defect is related to the severity of cystic fibrosis.
Cystic fibrosis treatment:
There is no cure for cystic fibrosis, but there are various Cystic fibrosis treatments available that help in relieving the symptoms and reducing any complications related to it. The varied Cystic fibrosis treatments made available to the patient of cystic fibrosis are;
Medications – Medication forms the first line of defence against the flaring up of the symptoms of cystic fibrosis. The varied medications prescribed for the control of cystic fibrosis include;
Non steroidal anti-inflammatory drugs
Chest physiotherapy – Chest physiotherapy better known as cystic fibrosis physical therapy is integral to the management of the cystic fibrosis symptoms. Doctors often recommend cystic fibrosis physiotherapy in conjunction with medication to help in the effective control and better quality of life for the patients of cystic fibrosis. A physiotherapist assesses the cystic fibrosis symptoms and condition of the patients and designs a specific set of cystic fibrosis exercises to suit the needs of the particular patient.
The main aim of cystic fibrosis physiotherapy is help in loosening the thick mucus in the lungs, making it easier to eliminate it from the body by coughing it out. Cystic fibrosis physical therapy is usually performed one to four times per day for effective respiratory function.
Surgical Procedures – Surgery is usually seen as the last resort in the Cystic fibrosis treatment, when none of the other Cystic fibrosis treatment plans or cystic fibrosis remedies works in bringing relief in the cystic fibrosis symptoms. The various surgical procedures that can be administered to clear the organs of mucus blockages are;
Cystic Fibrosis Home Treatment:
Although there is no cure for cystic fibrosis we can undertake certain precautions and cystic fibrosis remedies to relief the symptoms. The various cystic fibrosis home treatments are as follows;
Drink lot of liquids to help in thinning the mucus in the lungs.
Undertake various types of cystic fibrosis exercises to help in loosening the mucus in the respiratory pathways like, aerobics, walking and biking.
Try and avoid going in to overly polluted areas and avoid smoke, pollen, and mold as they can lead to the worsening of the symptoms.
Get vaccinated for influenza and pneumonia regularly.
Patients affected with cystic fibrosis are at a lot of risk in a polluted environment, which is almost everywhere in India and as such patients need cystic fibrosis treatment at home. To cater to the needs of such patients who also need constant monitoring and care HAH (Healthcare At Home) offers quality at home healthcare Cystic fibrosis treatment plan in conjunction with highly experienced doctors, nurses and physiotherapists. Since the symptoms of cystic fibrosis vary from patient to patient, HAH(Healthcare At Home) ’s team of efficient healthcare professionals’ device a specific cystic fibrosis treatment at home plan to provide the best care and medical assistance needed by the patient. HAH(Healthcare At Home) also offers post surgical rehabilitation care and services, which is very much needed in cases of lung transplant and other surgeries in cystic fibrosis.
Cervical radiculopathy also referred to as pinched nerve is basically the damage or disturbance of nerve function due to the compression of the nerve roots near the cervical vertebrae. Damage to the cervical area nerve roots result in substantial pain and loss of feeling along the nerve’s pathway into the arm and hand.
Types of Cervical Radiculopathy:
Cervical radiculopathy is classified according to the site of the nerve damage that is disturbed or damaged and the area of the pain caused. The various types of cervical radiculopathy are;
Cervical Radiculopathy Symptoms:
The cervical radiculopathy symptoms vary depending on the nerve affected or damaged. The primary cervical radiculopathy symptoms are a radiating pain in the arm, neck, chest, upper back and the shoulders. The other symptoms of cervical radiculopathy include muscle weakness and numbness, tingling sensation in the fingers and hand and lack of coordination in the hands.
Cervical radiculopathy causes:
There are several cervical radiculopathy causes. The varied nerve roots in cervical area can be compressed by various ways, like –
-Disc Herniation: A disc herniation is one of the main cervical radiculopathy causes. It is the protruding of the nucleus (central part of the disc) through a tear in the annulus (outer ring of the disc). This protruding nucleus puts a lot of pressure on the nerves resulting in inflammation of the nerve roots and leading to cervical radiculopathy.
-Cervical Spinal Stenosis – Cervical spinal stenosis is primarily responsible for affecting people over 60 years of age with cervical radiculopathy.
-Cervical Degenerative Disc Disease – It is one of the major factors behind cervical radiculopathy in people over 50 years of age.
-Bone Spurs: Bone spurs are the result of arthritis or degenerative changes. The bone spurs causes irritation to the nerve and result in cervical radiculopathy.
CERVICAL RADICULOPATHY DIAGNOSIS
The first step of a cervical radiculopathy diagnosis is a physical exam by the doctor. The physical examination will include neurological tests to assess sensory changes, strength changes and reflexes. The other diagnostic tools used in the diagnosis process are radiographs, Cervical MRI, cervical X –rays, Electrophysiologic studies and EMG of the arm.
Cervical Radiculopathy Treatment:
There are plenty of Cervical Radiculopathy Treatments that offer cure for cervical radiculopathy, depending upon the severity of the pain, symptoms duration and the degree of any abnormal findings in the diagnosis exam. The various Cervical Radiculopathy Treatments made available are;
-Medications – Medications is the first step in Cervical Radiculopathy Treatment, non steroidal anti-inflammatory drugs are primarily prescribed to reduce inflammation, control pain, and manage muscle spasms due to cervical radiculopathy.
-Cervical Radiculopathy Physiotherapy – Cervical Radiculopathy Physiotherapy plays an integral part in the Cervical Radiculopathy Treatment. Cervical Radiculopathy Physiotherapy is primarily aimed at helping the patient in reducing and managing the pain and inflammation, increasing mobility, and improving stability and strength. Physical therapists design specific Cervical Radiculopathy exercises and use many different techniques like – cervical traction, manual manipulation, ultrasound, electric stimulation and dry needling to bring a little cervical radiculopathy relief. Cervical Radiculopathy Physiotherapy is often administered in conjunction with varied Cervical Radiculopathy Treatments. Doctors recommend daily Cervical Radiculopathy Physiotherapy sessions in order to bring rapid cervical radiculopathy relief. Regular practice of cervical radiculopathy exercises has proven its effectiveness in the treatment of cervical radiculopathy.
-Steroid Injection: Cortisone injections are administered to control the symptoms and bring relief in the pain due to cervical radiculopathy, when other medications and cervical radiculopathy remedies have not proven effective.
-Surgery – Surgery is the last step in the cure for cervical radiculopathy and is recommended if the symptoms have not responded well to conservative treatments and cervical radiculopathy physical therapy or when there is major neurological damage. There are two types of surgical procedures used in the treatment of cervical radiculopathy namely – Anterior Cervical Discectomy and Fusion (ACDF) and Anterior Cervical Discectomy and Disc Replacement (ACDR).
Cervical radiculopathy home treatment:
The various cervical radiculopathy remedies one can undertake as part of cervical radiculopathy home treatment are;
-Ample sleep and rest
-Yoga and stretching exercises
-Massage and physical therapy
-Wearing a splint
-Heat and Ice packs
-Elevating legs while sleeping, resting or sitting
-Use of ergonomic work station and chairs
Movement in the slightest of its form can cause pain in the conditions of cervical radiculopathy and as such patients are advised to take ample rest at home. To foster the rapid treatment of cervical radiculpathy, leading at home health care provider Portea offers the best nursing and healthcare services at your door step. So whether you need assistance in daily at home care or cervical radiculopathy physical therapy you can count on us to bring you the best cervical radiculopathy treatment at home. Our physiotherapists offer customised cervical radiculopathy exercises that suits your condition and aids your recovery.
Patients having undergone surgery for cervical radiculopathy also require cervical radiculopathy treatment at home for effective rehabilitation and success of the surgery. So if you need cervical radiculopathy treatment at home just give us a call and our health professionals will be at your step in a short time.
The knee has two pads of cartilage cushioning the movements of the joints. These C-shaped pads of cartilage are called meniscus. Whenever your knee joint moves when walking or during other activities the impact of the shock is absorbed by the menisci. If the knee joint is over extended it could result in a tear in either meniscus. This is usually accompanied by a host of symptoms apart from pain such as the inability to fully extend the joint and swelling.
Types of Meniscus Tear
Determining the type of meniscus tear is an important factor in drawing up a treatment plan that is specific not just to the individual’s health but also to the injury. In general, there are six common types of meniscus tears.
-Intrasubstance or Incomplete Tear: This type of tear is the most common where the meniscus is only partially torn. This type of tear is seen as a natural occurrence due to wear and tear as the body ages. Incomplete tears start appearing around the age of 20 and 30. These tears usually do not need any surgical intervention and are termed as stable injuries.
-Radial Tear: This type of tear is the most common that requires surgery. The tear occurs in the avascular zone, or the area that does not receive any blood supply. This makes healing of the tear near impossible and the only option is to remove the damaged parts of the meniscus.
-Horizontal Tear: A horizontal tear can be repaired surgically depending on its location. If it is located in the vascular region, then it can be simply stitched together and the tear will heal. However, of the tear is located in the vascular region then healing will not be possible and the damaged portion will have to be removed.
-Flap Tear: This type of tear is rare. A portion of the meniscus comes away as a flap and gets caught in the knee. The offending flap can be removed surgically to ease movement in the joint.
-Complex Tear: This type of tear is a combination of different types of tears and hence is hard to repair. This tear is usually a combination of a radial tear and a horizontal tear and is usually not repaired.
-Bucket-Handle Tear: This a large type of horizontal tear that required urgent medical care. Because a large portion of the meniscus is torn, it could result in limited motion of the knee or even cause the knee to get stuck. To restore movement to the knee, immediate surgical attention will be required.
What are some of the causes of meniscus tears?
A meniscus tear is usually caused by sudden movement that twists the knee beyond its capability. This can be a sudden turn while pivoting too far on the knee or due to an injury caused while playing sports. Some types of meniscus tears can be caused due to degeneration of the tissue as a result of ageing. Cartilage weakens as the body ages, and even a simple movement can cause a tear in the meniscus.
Diagnosis of Meniscus Tear
The first line for diagnosing a meniscus tear is a physical examination of the knee. Your doctor will first take your history and the details of the injury. She will then check for any swelling along the joint where the cartilage sits. If present, it is generally indicative of a meniscus tear. Other meniscus tear symptoms include pain, stiffness, and low mobility. Another test that is part of the physical examination is the McMurray test. The doctor will bend the knee, straighten and then rotate it. A tear in the meniscus will produce a clicking sound as the joint is rotated.
Your doctor will also ask for imaging tests for better clarity on the issue. Though an X-ray cannot show up a meniscus tear, it can be used to rule out other afflictions such as osteoarthritis which is common in older patients. An MRI will give your doctor the full nature of the meniscus tear which is vital for the treatment and recovery plan.
MENISCUS TEAR TREATMENT
There are different lines of treatment available depending upon the nature and extent of the injury to the meniscus. The treatments are broadly divided into two types – surgical and non-surgical.
Non-surgical treatment is opted for if the tear is confined to the vascular region of the cartilage as the rich blood supply allows for healing. Your doctor will ensure that your knee is stable and will check to ensure that your symptoms abate with rest. You can follow the RICE protocol which stands for Rest, Ice, Compression, and elevation. Your doctor might recommend that you use crutches to remove any weight on the knee. You should ice the joint for 20 minutes at a time and keep the knee compressed with an elastic band at other times. Keep the joint elevated above your heart level to reduce swelling. Your doctor might also prescribe anti-inflammatory non-steroidal medicines to regulate pain and swelling.
Surgical treatment involves either stitching the torn parts if the tear can be healed or removing the damaged portion to allow for movement.
WHEN DO YOU NEED US
Part of some types of meniscus tear treatment is performing meniscus tear physiotherapy. It involves performing gentle exercises that do not exacerbate the pain while also being enjoyable. Meniscus tear physical therapy is important for restoring mobility to the knee joint while also establishing the correct way to move without straining the muscles and other tissues. Meniscus tear exercises speed up the recovery process by increasing blood flow and maintaining good movement and muscle strength around the knee. This is where HAH can help with our in-home doctor and physiotherapy service. Our doctors assess and diagnose your condition from the comfort of your home and suggest the best course of action to ensure a complete recovery.
Our physiotherapists can assist you with your physical therapy for meniscus tears. They can assess and develop a treatment plan that is tailored to your specific needs. The right exercises can help with strengthening the muscles surrounding the joint and help relieve the pressure. Incorrectly executed exercises can worsen the problem and lead to further complications.
Meniscus tear treatment is entirely dependent on the type and extent of the tear. An orthopedic surgeon will walk you through the recovery and treatment plan. Due to the nature of the injury, meniscus tear physiotherapy will most likely be a part of your recovery plan.
The medical condition where the person experiences loss of feeling or movement in the lower half of the body is known as paraplegia. It is also described as a spinal cord injury or partial paralysis in which the functions of the body waist down are impaired. Injury or disease caused to the spinal cord or brain or both are amongst the primary paraplegia causes.
When paraplegia strikes, the brain or spinal cord is unable to send or receive signals to the lower half of the body. Due to this, paraplegics cannot move their body parts below the waist but lose sensation in that area too. At times there is a tingling feeling too in the legs and feet. As a result of some injuries, temporary paralysis in one or both legs can also be caused. It will take a doctor anything between a few hours to a couple of days to diagnose the patient’s condition accurately.
There are two types of paraplegia, complete and incomplete. When the injury impacts a person neurologically and affects limb and body movements, complete paraplegia is said to have occurred. In case of incomplete paraplegia, the person is able to move the limbs to a certain extent.
What are the causes of Paraplegia?
Since paraplegia is a problem related to the brain or the spinal cord, most patients have perfectly normal legs. The spinal cord is instrumental in sending signals to and from the body to the brain. The brain then processes this information, makes sense of it and relays it back through the spinal cord to the body. Therefore it is important for the brain and the spinal cord to work properly individually and in conjunction with each other.
The following are the main paraplegia causes that are related to damage to the spinal cord:
-Vehicle-related road accidents
-Injuries due to falls
-Sports accidents and injuries with diving being the most common
-Crime-related violence like shooting or getting beaten up
-Surgical or medical injuries
A large number of brain and spinal cord injuries are traumatic (due to sudden impact on the area) and happen during an accident. However, certain injuries can also be non-traumatic like diseases or hereditary abnormalities. A few other paraplegia causes are:
-Spinal cord disorders
-Genetic disorders like hereditary spastic paraplegia
-Spinal cord or brain infections
-Cancer or tumour of the brain or spinal cord
-Loss of oxygen to the brain or spinal cord due to birthing problems or choking
THE EFFECTS OF PARAPLEGIA ON THE BODY
Paraplegia is a dynamic condition where the patient can experience symptoms that vary over a period of time and change every day. Through sustained paraplegia treatment, it is possible to arrest the progress of the condition, but its outcome can vary from person to person. While some person can recover quickly, others may need time to lead a normal life. In any case, through the right paraplegia diagnosis, it is possible to reverse or reduce paraplegia symptoms, and your doctor can help you during this challenging time. Paraplegia can affect the body in the following ways:
-Reduced or complete loss of mobility waist down
-Loss of sensation near the injury site
-Decrease or loss of sexual appetite, fertility or libido
-Depression or frequent mood swings, especially immediately after paraplegia diagnosis
-Electrical sensations, unexplained pain or phantom sensations in the lower portion of the body
-Involuntary or difficult bladder and/or bowel movements
-Lesions or infections at the injury site
-Bedsores and skin-related issues
-Weight gain is a common outcome of paraplegia, especially since physical activity is reduced and diet hasn’t been modified accordingly.
Which are the tests carried out to help in accurate paraplegia diagnosis?
Before beginning with paraplegia treatment, the doctor is likely to carry out the following test to diagnose paraplegia:
-Complete medical history and physical examination
-MRI scan (magnetic resonance imaging) through which images of the head and spine are taken
-CT scan to check if the head or spine has suffered any injuries
-Complete Blood Count (CBC)
-Myelography- An x-ray that is used to see the spinal cord clearly by injecting a contrast medium into the body
-Lumbar puncture: This is done by obtaining a sample of cerebrospinal fluid (CSF) from the lower back.
-Evoked potential nerve test: This carried out to assess nerve pathways
Treatment steps taken to help in the cure for paraplegia
The patient is taken to the hospital or emergency room if there is a physical injury involved. Emergency procedures may be needed to prevent further damage to the nervous system. In order to reduce the swelling in the spinal cord, steroids can be administered, and surgery is also carried out in order to stabilise the spine. If a tumour is the cause, surgery is carried out, and radiation therapy is done. Through physical therapy and rehabilitation, it is possible to regain strength and muscle functions can be improved.
WHEN DO YOU NEED US
Since we are the pioneers of paraplegia treatment at home, we can provide the best care needed after paraplegia strikes. Through carefully designed exercises, we ensure that the patient regains mobility at the earliest. You will receive a treatment plan that will be developed after evaluating your condition and assessing the need for the right paraplegia physiotherapy sessions in the comfort of your home. Our expert physiotherapists will ensure that every movement during the exercise sessions is carried out under their careful supervision.
Our expertise in paraplegia physical therapy and rehabilitation helps in restoring physical strength, muscle function and motion range. We will design a range of exercises that will ensure maximum output from every paraplegia physiotherapy session and the road to recovery becomes a journey that we traverse together. The muscles around the spine are strengthened, and the blood flow is enhanced too. Our physiotherapists play a critical role in making sure that body movement is done in the right way and no further complications arise.
Although the patient may have to make certain alterations to his current lifestyle post the surgery or trauma, paraplegia is completely treatable, especially with the support of medical professionals like doctors and physiotherapists.
The vertebral column that protects our spinal cord is made of 33 vertebral bones. The top 24 vertebrae are separated from each other by 23 intervertebral discs. These discs cushion the vertebral bones and act as shock absorbers. They are also the ligaments that hold the spinal vertebrae together. The intervertebral discs are joints made of cartilage that allow a slight amount of mobility in the spine.
The intervertebral disc has two parts – a soft, gel-like inner potion called nucleus pulposus and a hard outer ring called annulus fibrosus. Weakness, old age and injury can cause the gel from the inner portion to leak through the hard outer ring. This is called a slipped disc or herniated disc. This can cause discomfort and severe pain. A herniated disc can put pressure on one of the spinal nerves, causing immense pain, tingling or numbness along that nerve.
Slipped Disc Symptoms
A slipped disc can cause debilitating pain in the affected area. Slipped disc symptoms include:
-Pain that increases with specific movements
-Numbness and pain on one side of the body
-Burning sensations and tingling or pins-and-needles sensation in the limbs
-Radiating pain extending to the legs or arms
-Muscular weakness and numbness in the legs or buttocks.
-Pain that intensifies after sitting, standing or walking short distances.
Types of Slipped Disc
The slipped disc meaning can vary depending on whether it is a herniated disc or a bulging disc. A herniated disc also called ruptured disc or prolapsed disc is when the disc has torn open due pressure from the vertebrae surrounding it, and the gel inside is leaking out. Herniated disc symptoms include pain and numbness in the back, arms, legs or buttocks depending on the location of the herniated disc. A bulging disc or disc protrusion is when the disc shifts out of its usual position, swells and protrudes through a gap in the spine.
Apart from this, slipped discs can be classified based on their location on the vertebral column, such as cervical, lumbar or thoracic.
Causes of Slipped Disc or Herniated Disc
Old age is a major cause of slipped disc in the back. The discs which contain 80% water at birth lose their water due to ageing and become stiffer. This makes the discs less adjustable to compression, causing herniated disc symptoms. Other causes of a slipped disc in the back are obesity, sedentary life, lack of exercise, injury, trauma, accidents, improper movements, and smoking. Lifting extremely heavy weights improperly can also cause slipped disc in the lower back.
Diagnosis of Slipped Disc
To diagnose a slipped disc or herniated disc, the doctor will do a physical exam and check for the source of the pain, muscle strength and nerve function in the affected area. The doctor will also ask you when you first experienced herniated-disc symptoms and what physical activities aggravate your pain. The doctor will then ask you to get imaging scans such as X-ray, MRI, CT scan or discograms done to view the vertebral column and identify the problem area.
SLIPED DISC TREATMENT
There are various options for treatment of a herniated disc or slipped disc. Some of these are:
-Anti-inflammatory Medicines: These are over-the-counter or prescription medicines that can ease pain and swelling, such as painkillers, muscle relaxants, and nerve pain tablets.
Injection: Steroid injections or anti-inflammatory and pain-relief injections can be injected directly into the affected nerves, giving immediate relief.
-Lifestyle Alterations: Slipped disc in the lower back is common in people who are obese or have a sedentary lifestyle. Exercising regularly, maintaining healthy body weight, drinking plenty of water, avoiding smoking, and being active can minimise the chances of getting a herniated disc.
-Physiotherapy: Physiotherapy exercises can minimise pain and give relief to people affected by a herniated disc. However, these slipped disc exercises should be done under the supervision and guidance of trained physiotherapists.
-Surgery: There are minimally invasive surgeries such as discectomy where the herniated part of the disc is removed and laminectomy where the damaged portion of the disc and the portion of bone pinching the nerve are removed.
WHEN DO YOU NEED US
Surgery is usually a last resort treatment option for herniated discs. Physiotherapy has been found to minimise pain and improve mobility in people with slipped disc. Herniated disc treatment at home can be done by our trained physiotherapists who are expertly trained and have the requisite skills to treat the symptoms and help with slipped disc recovery. Our physiotherapists can evaluate and develop an ideal plan that is suited to your specific requirements. They are experts in exercise therapy and kinesiology. Hence, they can help patients manage pain and restore physical mobility and function.
These slipped disc exercises can be done right in the comfort of your home with the help of our trained specialists. Herniated disc treatment at home is especially convenient for people who are in immense pain and cannot travel far for slipped disc therapy.
Our physical therapy experts can assist you with your slipped disc treatment at home by guiding you in doing specific low impact slipped disc exercises. Our in-home doctor and physiotherapy services can help in diagnosis your condition and suggesting a plan for herniated disc treatment at home. The herniated disc symptoms can be treated with low impact exercises that increase blood flow and help strengthen the muscles around the spine, thus restoring mobility and decreasing pain. Slipped disc therapy can help relieve pressure from the vertebral bones and nerves and lessen the pain. Slipped disc exercises if done incorrectly can cause serious complications which is why you need the guidance of our physiotherapists.
Slipped disc recovery can take time and patience. You may need to make some lifestyle changes and adjustments to manage the pain. Herniated disc symptoms can be treated with physiotherapy both pre and post-surgery by our expert doctors and physiotherapists who provide slipped disc treatment at home at your convenience. With proper treatment, you can go on to live a relatively active life even after slipped disc recovery.
Many people nowadays have a common condition known as frozen shoulder. It is a medical condition that has its effect in the shoulder joint of a person resulting in stiffness and pain in the shoulder joints. The pain gradually worsens and then goes away on its own. However, the period of pain could be longer and it can take almost 3 years of frozen shoulder care to make it go away.
Frozen Shoulder Symptoms
There are some main frozen shoulder symptoms that are very common. If someone sees these frozen shoulder symptoms then referring to the doctor is a must as this can become worse in the future. The most common symptoms of frozen shoulder include stiffness and pain in the shoulder joint. The person almost feels as if it is impossible to move the area.
If someone is suffering from a frozen shoulder, then there will be an achy pain in the shoulder. The shoulder muscles which are located on the top area of the arm will also feel the stress and pain.
Most people find it really difficult to sleep due to the pain. This could be another one of the signs of frozen shoulder.
Frozen Shoulder Stages
There are three main stages that take effect in the body of a person suffering from a frozen shoulder.
-Pain starts to develop in the shoulder area
-The pain worsens and it hurts at night
-The period lasts for about 9 months at most
-The movement of the shoulder is limited
-The pain starts to get better, the stiffness worsens
-Difficulty to move the shoulder
-The period lasts for 12 months at most
-The motion range becomes normal
-This period lasts for about 2 years at most
Frozen Shoulder Causes
The cause for frozen shoulder in some people is still not identified. However, there are certain groups that get affected by this condition the most.
Women are the most at risk when it comes to developing frozen shoulder
The people who are in between the age group of 40 and 60 years can get this condition
People who have just had some sort of surgery like mastectomy can be at risk as well
There are medical conditions that can be triggering factor. People with diabetes have a risk of getting a frozen shoulder. Also, thyroid, heart disease, or Parkinson’s can be some of the most common risk areas
Frozen Shoulder Diagnosis
For the diagnosis of frozen shoulder, the doctor prescribes a physical examination. The frozen shoulder test is recommended to see whether the movement of the shoulder hurts a lot or not. In the ‘Active’ exam part, the doctor will ask you to move the shoulder on your own. In the ‘Passive’ part of the exam, the doctor will help you move it.
The doctor might also decide to give an injection of anesthesia for the shoulder. This medication will help in numbing the pain in the shoulder. It helps the doctor in judging the active and the passive motion ranges.
The physical examination is often enough for the diagnosis of the condition. However, in certain cases, tests such as ultrasounds, X-rays, and MRIs are included for ruling out the other medical condition such as arthritis.
FROZEN SHULDER TREATMENT
For frozen shoulder treatment, there are many things that the doctors will try on you. Most doctors just recommend frozen shoulder exercises for the treatment of the condition. However, there are some other medical options available for the frozen shoulder treatment.
Non-Steroidal, Anti Inflammatory Drugs or NSAIDs such as ibuprofen and aspirin are some of the most common frozen shoulder remedies. In case these don’t work, a stronger dose of medication is prescribed
Some cases of frozen shoulder treatment also include the frozen shoulder exercises. These frozen shoulder exercises help to stretch the muscles to improve the movement.
For more intense symptoms, the doctor advises these treatment options.
-A certain corticosteroid injection on the shoulder joint for reducing pain and improving motion
-Joint distention- Injecting sterile water into the shoulder capsule for stretching it
–Physical therapy– Frozen shoulder physiotherapy is also useful to provide relief from frozen shoulder
–Surgery is another one of the options that can be used as the cure for frozen shoulder. The doctors surgically insert tools that are the size of pencils in the shoulder cuts made by them
We are one of the best medical health service providers that offer the cure and methods of frozen shoulder treatment. Even if you are not able to reach the hospital, we provide options for frozen shoulder treatment at home. The doctors and physiotherapists at Portea are compassionate towards the patients and that is the reason we are the No. 1 choice for home treatment services.
Paralysis is most often caused by the damage in the nervous system, especially the spinal cord. The damage to the nervous system results in the disabling of the nerves with the loss of motor function or sensory information. It can be categorised as localised or generalised, partial or complete, and temporary or permanent. Any part of the body can be affected by paralysis. The affected areas will not feel any pain.
What are the Types of Paralysis?
Paralysis comes in many forms, and the extent to which a person is immobilised may change over time as physical therapy, changes in health and sheer luck alter the way the body responds to physical damage. Typically paralysis is divided into four categories, though there are uncountable ways that the body can be injured. The four types of paralysis are:
-Monoplegia: Monoplegia is a paralysis that denotes partial or complete loss of voluntary motor function in one limb. Monoplegia affected people retain control over the rest of their body, but cannot move or feel sensations in the affected limb.
-Hemiplegia: Hemiplegia affects an arm and a leg on the same side of the body. Hemiplegia often begins with a sensation of pins and needles, progresses to muscle weakness, and then to complete paralysis.
-Paraplegia: Paraplegia is a spinal cord injury that paralyses the lower limbs. It is a result of severe damage to the spinal cord and the nervous system. It mainly affects the trunk, legs, and the pelvic region, resulting in loss of movement. The affected people cannot walk, move their legs, or feel anything below the waist. Paraplegics are able to regain some functioning with physical therapy, which works to retrain the brain and spinal cord to work around limitations while strengthening muscles and nerve connections.
-Quadriplegia: Quadriplegia or Tetraplegia is a medical condition in which the lower extremities, upper extremities, and almost the entire trunk/torso get paralysed. Some people with quadriplegia spontaneously regain some or all functioning, while others slowly retrain their brains and bodies through dedicated physical therapy and exercise.
Symptoms of Paralysis:
Our sense of movement is controlled by the communication between the sensory nerves and the central nervous system. Disruption of the communication of nerve impulses anywhere along the pathway from the brain to the muscle can impair control of muscle movement and cause muscle weakness and loss of coordination. Muscle weakness can progress to paralysis. Paralysis symptoms can occur anywhere in the body.
Some of the symptoms of paralysis attack are:
-Loss of consciousness
-Clumsiness and numbness
-A Severe headache
-Cognitive difficulties, difficulty writing or speaking
-Changes in mood or behavior
-Loss of bladder or bowel control
-Loss or changes in vision and/or hearing
-Nausea with or without vomiting
WHAT ARE CAUSES OF PARALYSIS?
The most common reason for paralysis is the stroke which has the ability to injure the brain and obstruct the relationship with the spinal cord.
The main causes of paralysis are
-Spinal cord injury
-Traumatic brain injury
How is Paralysis Diagnosed?
Diagnosing paralysis is often easy, especially when your loss of muscle function is obvious. Doctors can inquire about the symptoms and family history. Doctors may use X-rays, CT scans, MRI scans or other imaging studies to identify paralysis.
Some types of paralysis are possibly recoverable, either partial or complete. Paralysis treatment and recovery techniques are similar to paralysis from stroke, spinal cord injury, or polio. Because of the medical conditions of older adults with advancing age, it is difficult to recover from paralysis. Researchers around the world are finding various ways to cure paralysis. The treatment of paralysis may include: surgery, physical therapy, occupational therapy, mobility aids such as wheelchairs, braces, mobility scooters, or other devices, medications, such as Botox or muscle relaxes.
WHEN DO YOU NEED US
At the moment there is no cure for paralysis. Physiotherapy makes the patients possible to be independent and mobile. Treating the underlying causes of paralysis using physiotherapy restores mobility in the affected body part. Physiotherapy for paralysis should begin at the earliest possible time. It will help in improving blood circulation and relaxing the muscles in the paralytic patient. It disrupts the progress of paralysis. Physiotherapy treatment can improve muscle tone and the general well-being of the patient. This treatment is slow and laborious. Daily physiotherapy can help restore movement and sensation in the affected limbs to a great extent. Our in-home doctor and physiotherapy service can help you in this situation. Our doctors access and diagnose your condition from the comfort of your home and suggest the best course of action. They would also recommend home remedies for paralysis.
Our physiotherapists can assist you with your paralysis recovery exercises. How to cure paralysis at home guidance can also be given. They can assess and develop a treatment plan that is tailored to your specific need. Being experts in kinesiology, they can come up with the optimal paralysis exercises that you in need in your routine. Practicing rehab exercises over and over as much as possible will regain movement after paralysis. Practicing paralysis exercises with high repetition makes the brain to rewire itself and relearn how to control your muscles. Believe in yourself for better recovery. Our physiotherapists can give you the perfect guidance.
Preventing paralysis is usually not possible, and most of the time there is no specific treatment. Many people with paralysis have a normal lifespan, even when the condition is the result of a progressive disease. Being paralysed requires major adjustments to the daily living because the muscles a person usually relies on to do certain things no longer work. People may be able to regain the function they have lost through injury to their motor nerves.
One of the most common disabilities resulting from stroke is paralysis or the inability of a muscles or group muscles to move. The movement of the muscles is triggered by the messages sent from the brain which controls it. The exchange of instructions between the brain and the muscles may get affected as a result of the stroke as a part of the brain stops its functions. When the blood flow to the brain is interrupted, it causes a medical emergency known as stroke paralysis and this is a common stroke definition. In most cases, stroke paralysis affects the opposite side where the brain is damaged due to stroke and any part of the body can be affected by it. The immediate fallout for 90% of stroke-affected people is paralysis of some degree. Fortunately, through paralysis stroke physiotherapy, medication and stroke recovery exercises it is possible to recuperate from the condition and regain body movements.
Causes of Stroke Paralysis
These are three common types of stroke attacks that can result in stroke paralysis:
-Transient ischemic attack: This type of stroke is known as a warning or a mini-stroke by doctors. When a temporary stoppage of blood flow to the brain occurs, it causes a TIA (Transient ischemic attack). Since this is temporary, the condition and its symptoms last for a short duration only.
-Ischemic stroke: When a blood clot prevents blood flow to the brain, it causes an ischemic stroke. The blood clot is often the result of the accumulation of fat deposits on the inside of a blood vessel which is known as atherosclerosis. In this condition, the fat deposits break off and stop the blood flow to the brain. This kind of stroke is embolic where the blood clot moves from one part of the body to another, which happens due to irregular beating of the heart. In this case, stroke treatment is needed to cure the condition unlike a transient ischemic attack which will go away without treatment.
-Haemorrhagic stroke: This stroke happens when a blood vessel bursts or ruptures inside the brain and covers the brain tissues with blood. Haemorrhagic stroke is further divided into the following three types:
Aneurysm: This causes a weak portion of the blood vessel to flare up and at times, rupture too.
Arteriovenous malformation: In this type, abnormally formed blood vessels can get ruptured and cause a haemorrhagic stroke.
Bleeding in the brain: Due to high blood pressure, tiny blood vessels can get weakened and thus result in bleeding in the brain.
SYMPTOMS OF STROKE PARALYSIS
It is important to pay attention to the following signs and symptoms when they occur with you or with someone else. By doing so, medical attention can be availed at the right time and stroke paralysis treatment can be more effective.
-Headache: Watch out for a severe and sudden headache that is followed by bouts of dizziness, vomiting or intermittent unconsciousness. This could indicate that the person is on the verge of a stroke and paralysis could follow.
-Speech trouble: Stroke paralysis may begin with experiencing confusion, slurring of words and difficulty in understanding instructions.
-Numbness in body parts: Weakness or numbness in the arms, legs or face is a prominent symptom of stroke paralysis. It could happen to one arm or leg of the same side and it will be difficult to speak or smile.
Prevention of Stroke Paralysis
Apart from focussing on how to cure stroke paralysis, it is also important to prevent it from occurring. This implies the prevention of stroke which can be done through the following steps:
-Know your risk factors of getting a stroke
-Follow doctor’s instructions without fail
-Adopt a healthy and active lifestyle
-Controlling blood pressure
-Maintaining a healthy weight
-Lowering the amount of cholesterol in your diet
How long does stroke paralysis last?
It is common to be worried about the duration of paralysis after a stroke but there cannot be a standard answer to it. Just as every stroke is different, every stroke paralysis recovery will be different too and will vary from person to person. It will depend on the kind of stroke treatment carried out and the patient’s response to it. Two factors are important in this case, the severity of side effects of stroke and the effort the patient is willing to put in. Through proper stroke rehabilitation, some patients may see improvements within 6 months, while others will take longer. The key however, is to remain focused and carry out with the recommended mental and physical exercise for stroke patients with paralysis.
WHEN DO YOU NEED US
Physiotherapy from experienced professionals forms a critical part of the cure for stroke paralysis. Through regular physiotherapy treatment, the patient can make body movements as the muscle tone can be improved. After a stroke when paralysis strikes, it is important to get the person mobile at the earliest. The right kind of exercises for stroke paralysis when performed under the guidance of our expert physiotherapists can strengthen the muscles and prove to be invaluable under these circumstances. Since we provide physiotherapy for stroke patients at home, our supervision ensures that there are no complications due to incorrect methods.
Our physiotherapists will be able to suggest the best treatment for stroke paralysis after carefully analysing your medical history. Your stroke paralysis treatment will be completely customized to ensure quick recovery from stroke after-effects with the best course of action for you. Through physiotherapy, our expert team will curate a systematic plan that will help in improving blood flow and work towards strengthening the muscles of a specific body part. We will play a key role in diagnosing your condition and suggest the right path towards quick and long-lasting recovery from stroke paralysis.
Stroke Paralysis is a condition that can be overcome and you can recover from the same through focussed efforts. Now that you know how to tackle this difficult yet conquerable problem, the road to recovery from stroke paralysis can be challenged with confidence and assuredness.
Vocal cord paralysis is a medical condition that occurs when neural impulses are unable to travel through to your voice box, which is responsible for producing your voice. The muscles get paralysed this way and prevent you from swallowing food and ingesting saliva through the windpipe. Vocal cord paralysis causes are commonly nerve damage stemming from different cancers, viral infections, and surgery. Common treatment methods for vocal cord palsy are surgery and voice therapy.
Your vocal cords resembled two muscle tissues and are located close to the entrance of the windpipe (trachea). Vocal cord paralysis makes one of these muscles unable to move and in rare cases, both. This leads to vocal cord paralysis symptoms like difficulty breathing, swallowing and speaking. It’s not uncommon to experience a loss of vocal pitch, hoarse breathing, and experience a lack of gag reflex when you are diagnosed with this medical condition.
Types of Vocal Cord Paralysis
There are mainly two types of vocal cord paralysis:
-Vocal Cord Paresis: When the laryngeal muscles move abnormally due to partial interruption of nerve impulses, the condition is referred to as Vocal Cord Paresis.
-Vocal Cord Paralysis: When the laryngeal muscles are completely unable to move due to total interruption of nerve impulses to the voice box, the condition is called Vocal Cord Paralysis.
What are some of the Vocal Cord Paralysis causes?
Although doctors don’t know the specific reasons behind vocal cord paralysis, some of the known possible vocal cord paralysis causes in patients are:
-Neck and chest injuries: Trauma to the neck and chest regions may damage the nerves, thus severing the vocal cords or the entire voice box, rendering patients speechless.
-Stroke: A cerebral stroke may damage different areas of the brain and affect the travel of nerve impulses to the voice box.
-Vocal Cord Injuries: Injuries to the vocal cord resulting from surgery on the thyroid, esophagus, neck, chest, or parathyroid glands, resulting in vocal cord paralysis in patients.
Diagnosis of Vocal Cord Paralysis
Your doctor may initially ask you how long you’ve been facing problems with speech and test your voice and pitch to check speaking. If he suspects the vocal folds are damaged, he may order the following vocal cord paralysis diagnosis tests:
-Laryngeal Electromyography (LEMG) – This is a vocal cord paralysis diagnostic test which uses pins and needles to be inserted into the skin through the neck. These are used to record the strength and flow of neuromuscular signals from your brain to your vocal cords. A number of speaking exercises will be asked to perform by the doctor who will target those muscles and test their functionality.
-Endoscopy – A small, thin tube is inserted into your throat which includes a tiny camera used to inspect your laryngeal muscles (vocal folds). Any damage to the vocal cords will be screened through this medical procedure.
-Imaging Tests – Imaging tests like CT Scan, X-rays, and MRIs help determine other possible vocal cord paralysis causes in patients. Blood tests may accompany some of these imaging tests for further medical investigation.
VOCAL CORD PARALYSISTREATMENT
Vocal cord paralysis treatment will be determined by your doctor based on your medical condition and vocal cord paralysis diagnostic test. These are the following treatment options available for vocal cord paralysis:
A physiotherapist will begin working with you on different vocal cord paralysis exercises which target your speech and weak vocal folds. Speech therapy is very effective for partial vocal cord paralysis as the weak laryngeal muscles are strengthened through various exercises which opens up the breathing as well.
Surgery is recommended for those who see no improvement despite doing the prescribed speech therapy exercises. There are different types of surgery based on the degree and extent of vocal cord paralysis:
-Bulk Injections – Collagen and fillers are injected into your vocal cords to move the affected muscles closer to the voice box or larynx.
-Phonosurgery – The vocal cords are repositioned in this medical procedure through restructuring.
-Tracheotomy – If your vocal folds are too close, your doctor may make an incision in the neck and insert a breathing tube at the opening of the windpipe. This bypasses the air blockage caused by the vocal folds and promotes proper air circulation via the hole in the neck.
WHEN DO YOU NEED US
A part of vocal cord paralysis treatment involves regular physiotherapy exercises. It involves performing gentle exercises that don’t stress your vocal cords but instead work on them in a gradual and progressive manner. Care must be taken when performing some of these exercises and improve breathing, which is where our team of physiotherapists come in. Speech therapy for vocal cord paralysis will speed up the recovery process by improving airflow and blood circulation to the vocal folds, and home remedies may be recommended to improve your current condition.
Vocal cord paralysis exercises are no cakewalk for those who are new to it. If you are afflicted by vocal cord paralysis and need physiotherapy assistance, our physiotherapy services will come to your aid. Our physiotherapists visit your home and assess your medical condition. Based on their diagnosis, you will be prescribed the necessary vocal cord paralysis treatment at home. The physiotherapist will meet you every day and teach you how to perform them. Corrections will be demonstrated whenever you do them wrong, and after your cure for the vocal cord, paralysis progress is charted, based on its results you may be recommended to go for surgery.
A vocal cord paralysis is not the end of life, and in fact, you can continue to enjoy living a fully functional life after surgery. If you have mild vocal cord paralysis, you may not be able to sing or do voice-based tasks that well but with a bit of practice and regular physiotherapy exercises, your voice box will be back on its feet. Dietary changes may be recommended based on the results of your surgery, and you will be expected to adhere to them.
Foot care is basically the care of the feet. It involves all the preventive and corrective care of the foot and ankles. Doctors associated with foot care are called Podiatrists or Chiropodist. Podiatrists helps in the diagnosis and treatment of any infection or disease of the feet like, chronic foot pain, Joint inflammation, plantar warts, fungal infections, bacterial infections, tissue injuries, torn ligaments and nerve disorders in the foot.
Foot care is a preventive treatment plan that protects an individual’s feet from a myriad of infections and other diseases and deformities. Foot care is ongoing and daily foot care routine should be followed for the general health of the foot. There are also no risks attached to foot care, rather several risks arises if proper foot care is not followed.
Paying proper attention to foot care is extremely important as it is prone to several types of infections and diseases which can result in pain and discomfort along with causing difficulties in walking in a few serious cases of foot disease. As such apart from following a daily foot care routine, an individual should see a podiatrist’s at the first sign of any infection to get to the root of the disease and its effective cure.
The importance of foot care is even more felt in people suffering from diseases like diabetes or circulatory disorders, where even a small foot wound takes a lot of time to heal. Diabetes wrecks havoc with the circulation and neurologic condition of the foot and as such, diabetics should religiously follow daily foot care routine apart from seeing a foot care doctor in case of infection.
Foot Care home remedies
Foot care isn’t glamorous at all and is often seen as a lowly regimen that does not require too much attention but not many people are aware of the serious complications of not caring for the foot enough. So here are a few foot care tips that can be easily followed;
-Always wear proper and comfortable shoes, especially women. Although we know about the importance of high heels just make sure you pamper your feet after torturing them with high heels.
-Don’t stand in one single position for a long time.
-Do not sit with your legs crossed as it can lead to poor circulation
-See a foot care doctor or podiatrist to remove corns, calluses, warts and other skin lesions, and never use chemical wart removers, razor blades, corn plasters or other types of removers on your own.
-Protect your foot from extreme temperatures
-Never walk bare foot even in the house
-Trim your nails regularly to avoid any ingrown toe nail problem
-Use a pumice stone to scrub off dead skin off your soles
-Indulge in foot spa or a simple warm soak to relax the muscles and nerves of the foot
-Regularly moisture your foot and apply foot care cream
Foot care is a crucial preventive treatment that most people don’t give much thought to, unless they find themselves in a lot of pain and discomfort in the foot/feet. As such we offer foot care at home, so you don’t have to devote any extra effort. Our foot care nurse and foot care doctors/podiatrist are experienced in foot care procedures and foot wound care and would provide quality medical attention to your foot that too at your home. So if you require foot care at home, just give us a call and our foot care nurse/doctor would visit you at your home at the time and day of your choosing.
Foot care in case of a diabetes patient is of utmost importance to avoid any form of foot-related complications. In general, 1 out of 10 patients suffers from foot ulcers which develop from a small blister eventually leading to even amputation if not taken care of at the right time. Thus diabetes foot care is required to avoid such complications.
What causes diabetes foot?
Diabetes causes two types of problems that lead to diabetes feet-
-Diabetes neuropathy: Diabetes if not kept under control can damage the nerves of the feet and damaged nerves cause sensation problems. This lack of feeling of heat, cold or pain is termed as diabetes neuropathy. So, when a person doesn’t even realize the pain associated with a cut, there are chances that the wound would even get worse. When this happens, the muscles don’t work properly because of the nerve that is already damaged. This results in creating an imbalance of the alignment of the foot creating extra pressure in a particular area of the foot. Such causes lead to diabetes foot.
-Peripheral vascular disease: Diabetes restricts the normal flow of blood. Due to this, a wound takes time to heal completely. This improper flow of blood in the arms and legs is called peripheral vascular disease. As a result of this circulation disorder, the chances of developing an ulcer in the foot or gangrene increases manifold.
DIABETIC FOOT TREATMENT
The diabetic foot treatment is very important to treat diabetic ulcers. With the help of therapeutic footwear, the management of diabetes feet is done. Usually, as a part of the diabetes foot care, daily saline or changing the dressing helps in providing a moist environment to the wound. Apart from this, for diabetes foot treatment, antibiotics are also prescribed if there is cellulitis or osteomyelitis. Controlling blood sugar and evaluating and correcting insufficiency in the peripheral artery is also a part of diabetes foot management. Diabetes often causes infection in the nail or toes referred to as diabetic toes. As a part of the diabetes foot care, diabetes foot treatment, and management process toenail care is also an important aspect.
Diabetes foot care tips
As mentioned earlier, diabetes can lead to nerve damage or improper circulation of blood resulting in infections, therefore diabetes foot care plays a very vital role. In order to stay healthy, management of diabetes by inculcating healthy lifestyle is the key. To keep diabetes foot at bay and maintain a healthy lifestyle, these should be followed-
-A regular medical checkup that includes checking the cholesterol, blood sugar as well as a thorough examination of the feet
-Keeping a check and evaluation of blood sugar regularly
-Having a balanced diet and intake of vegetables and fruits daily
-Also, by taking care of the feet and by proper toenail care, diabetes feet can be prevented.
However, there are few diabetes foot care tips that can be followed regularly-
-Inspecting the feet: Even if there is no pain, make sure to check every part of the feet to find out any signs of blisters, redness or soreness. Contact your doctor at the earliest if you observe any such symptoms.
-Washing the feet: Making it a habit to wash the feet regularly with mild soap and warm water is a very important diabetes foot care tips. Check the temperature of the water with the fingers if you have damaged nerves and lack sensation. Even if you have diabetes foot pain, doing this step can ease your pain. Also, there are many diabetes foot care products available in the market that can be used for soaking the feet instead of soap.
-Drying the feet: It is important to keep the feet always dry after washing to avoid the occurrence of any form of infection. Patting the feet dry with a clean towel is recommended.
-Moisturizing the skin: Using diabetes foot care products or any form of mild moisturizer after drying the feet is advised to avoid the skin from becoming dry.
For toenail, make sure to cut only when nails are soft. Also, while cutting do not cut the corners as this may lead to infection. For patients having poor eyesight, the healthcare provider can be contacted to avoid any serious injuries.
HAH(Healthcare At Home) has been a supporting hand in helping you to fight against diabetes foot by providing the best form of diabetes foot care. We have experienced nurses who are trained in diabetic foot care nursing. With the knowledge about diabetes foot care products, we help in treating your ulcers effectively. Even for elderly patients who need external help for managing the foot ulcers, our team at HAH(Healthcare At Home) will not only help them to carry out the task but will also show them the way towards maintaining a healthy lifestyle.
Achilles tendinitis is a typical overuse injury, where the large tendon running down the back of the lower leg gets irritated and inflamed causing excruciating pain and discomfort in walking or even standing for an extended duration of time.
Achilles tendinitis is a common condition and is mainly found in sprinters and marathon runners who have suddenly increased and also middle aged people, who are engaged in leisure sport activities like tennis or basketball. Achilles tendinitis is also common in women wearing high heel sandals that put a lot of strain on the legs and feet.
Swelling around the affected tendon accompanied with severe pain is a common symptom of Achilles tendinitis. It is also characterised by stiffness of the ankle which usually loosens up a bit with the progress of the day and some exercises specifically designed for such condition.
Achilles tendinitis symptom
The most common Achilles tendinitis symptoms is swelling and pain in the back of the heel and discomfort in walking or standing for long periods. Other symptoms include tight calf muscles, limited mobility and warmth around the affected tendon site.
What causes Achilles tendinitis?
Achilles tendinitis is a typical example of an overuse injury caused by repetitive and intense strain on the Achilles tendon that connects the calf muscle to the heel bone. Some of the common causes of Achilles tendinitis are as follows;
-Not warming up before exercising
-Improper method of exercise or a sport activity that leads to the straining the calf muscles
-Playing a sport that involves sudden movement and twists and turns like tennis, basketball, etc that puts a lot of strain on the tendons and calf muscles.
-Sudden increase in physical activity
-Wearing bad fitting shoes
-Wearing high heels for elongated periods also puts a lot of strain on the feet and legs
-Presence of bone spurs in the back of your heels
-The Achilles tendons also deteriorate in strength with age
Achilles Tendinitis Risk Factors
There are a few factors that have been found to make a person more susceptible to Achilles tendinitis. These risk factors include;
-Gender – Achilles tendinitis is more common in men than women
-Age – The Achilles tendon tends to get weaker with age and becomes more prone to damage and injury.
-Improper shoes – selecting the wrong pair of can also cause great damage to the feet and put a lot of strain on the tendons.
-Medical conditions – People affected with Psoriasis and/or high blood pressure are at a greater risk of developing Achilles tendinitis.
-Medications- Some types of medications like fluoroquinolones antibiotics have been found to be associated with higher rates of Achilles tendinitis.
Achilles tendinitis Diagnosis
The Achilles tendinitis is diagnosed from physical examination of the tendon, besides that a doctor can ask for any of the following test to confirm the diagnosis;
-X – rays
ACHILLES TENDINITIS TREATMENT
Achilles tendinitis can be easily treated at home as the condition responds pretty well to self care treatment like RICE – Rest, Ice, Compression and elevation. However, in cases where the symptoms persist for a long time, then the doctor must be seen to find the root of the problem and its effective treatment.
The typical Achilles tendinitis treatment plan includes medications, physical therapy and surgery.
-Medication – The main medications used in the treatment of Achilles tendinitis are the varied over the counter pain medications to reduce the swelling and pain caused by the condition.
-Physical therapy – Physical therapy can be given along with pain medications to aid the recovery process. There are specifically designed exercises called ‘eccentric’ strengthening has been found to be helpful in Achilles tendinitis.
-Orthotic devices – These can be a small shoe insert that elevates the heel to relieve the strain on the tendons thereby reducing the pain.
-Surgery – This is the last step in the treatment of Achilles tendinitis and is only given in cases where the Achilles tendon doesn’t respond to conservative treatment or in cases of torn Achilles tendon where the doctor needs to operate on the tendons to repair the damage.
Achilles tendinitis usually can be easily treated at home with the help of a qualified at home healthcare service. Catering to this need is our highly reputable at home healthcare services that offer everything from doctor’s consultation, lab tests, vaccinations, to physical therapy , palliative and other care treatments at the comfort of the patients home. Another advantage of opting for our healthcare service is that the clinic comes to you rather than you stressing yourself out. All you have to do is just give us a call and a well experienced doctor will show up at your doorstep within a short time. So if you need Achilles tendinitis treatment at home or physical therapy for Achilles tendinitis or post operative rehabilitation care; just gets in touch with us and we would do the rest.