Archive for the ‘Physical Medicine’ Category
Ankle fracture
An ankle injury is not something to be taken lightly, but something that should be treated immediately, it could become a bigger problem, which must be avoided at all costs. And this is an injury to be treated, whether mild or severe. If it will take to make the visit to the doctor or the ambulance takes to arrive, avoid bloating, immobilize the ankle and try not to support or cover it.
When there is a fracture, we must take care to treat an open wound in the event that there is, trying to stop the bleeding. This acolcharemos well the injured area, supporting the ankle on a pillow. Must stop the bleeding with gauze and when it is wet, replace another one, and so on.
In the event that the invoice is internal and there is no open wound, we must avoid at all costs any move, it could be broken. This will splint the ankle side by side, using the ankle injured and uninjured by the tie with a bandage or cloth, inserting padding between both calves. They bind the feet and calves firmly to avoid movement until the ambulance arrives. Remember that the fracture never be touched. The ankle should rest, be cold and high. With all of this is to relieve pain and reduce inflammation, before medical help arrives.
Nicotine patches
Nicotine patches are a helper method to quit smoking quite effective, provided that the ex-smoker will put it.
These patches contain a source of nicotine that reduces withdrawal symptoms when you stop the snuff, because addiction arises because of this substance, so that our bodies no longer need it when in a small proportion receive little by little, until no longer needed because nicotine patches come in different doses to be used for various lengths of time, increasing and reducing the amount of nicotine that is needed.
Before using this method, as with all medications, we recommend consulting your physician and read the prospectus carefully. If you have a question also should consult your doctor or pharmacist, and should never take more doses than those listed, or to extend the treatment without the doctor.
- Nicotine patches are applied directly to the skin once a day and it is recommended to always use the same time.
- The patch should be applied over an area of skin that is clean, dry and free of hair. Avoid placing the patch on irritated areas, scars or any type of cut or wound.
- The patch should be used daily between 16 and 24 hours and can be used even while showering.
- It is advisable to also apply the following patch to be used on a different area of skin to prevent irritation and never use two patches simultaneously.
- After using the patch for about two weeks, proceed to the use of a patch with a lower dose of nicotine and gradually decreasing it go.
Alzheimer’s: how to improve with rehabilitation
Alzheimer’s disease is the most common form of dementia in the elderly. An estimated twenty five million people worldwide have it. It is a progressive, degenerative disease of the brain for which there is no recovery.
The best known features of AD are memory loss and progressive loss of autonomy of the individual. alzheimer In Alzheimer’s disease is loss of neurons and loss of neurotransmitters, which leads to loss of mental abilities.
Although there is no cure for this disease, if there are many treatments that help improve the quality of life of patients. Physiotherapy is one of them.
The physical therapy uses movement, exercise and physical means to achieve the rehabilitation and improvement, maintenance or restoration of skills as well as to maintain patient autonomy as long as possible. This increases the comfort and quality of life of patients and their families. Physical therapy is very beneficial for the improvement in several areas:
- Maintenance of Competency: Lumber stimulating therapy and therapy facilitator of learning tasks.
- Training Transfer: Transfer (from bed to chair …).
- Prevention of incontinence: bladder training, arrival to the bathroom …
- As a first step to behavioral disturbances (agitation, wandering, sleep disturbances, apathy …).
- Prevention of deformities.
-Prevention of pressure ulcers: postural changes and technical measures.
- Impaired swallowing: this is neurological in origin and often using very simple steps, you prevent possible choking and broncoaspiraciones (risk of pneumonia).
Types of ankle sprains
The sprained ankle is one of the most common injuries, but not all the same. Here we explain the three types of ankle sprains in the world.
First-degree sprains: Caused by the loosening of the ligaments that hold the ankle bones. The area swells slightly and recovery usually takes 2 to 3 weeks.
Second-degree sprain: Ligaments stretch plus partially broken, with a significant swelling. In this case the recovery time is between three and six weeks.
Third-degree sprains: This is the most severe ankle sprain, which completely break the ligaments and may even require surgery. Recovery usually takes a minimum of eight weeks.
As you increase the addictiveness of snuff
One of the factors that make a person go from being a smoker occasional smoker constant or daily, is the addictive power that goes into every cigar or cigarette, and this is due to its components, so you have to consider quitting .
This is caused by the different changes that affected the plant since it collects snuff, since each process develops new components inside that what is being done is to increase the power of addiction and consumption. This inside is part of the business, because if you have more desire to consume, the more demand will be, so it’s no problem for businesses, but for the person consuming it.
For starters, know that if a cigar does not go out if left alone, is suffering from chemical manipulation in order to be “struggling” with the smoker, who will not go back to the possibility that the cigar is finished without realizing it. This can cause fire problems, as many cigars are lit, so you must ensure that this off.
On the other hand, in the cigarette machines create a mixture of more than 500 substances that they do together is that the smoker has the need for increasingly smoking.
For this, it has called in recent years, packs of cigarettes bearing the information of the products we carry inside a cigarette, so that the consumer is consistent of what gets into the body.
Stretching to combat back pain
Pelvic tilt:
Lie faceup on a flat surface with knees bent and feet slightly apart
Once in that position should be moved back so that contacts the lower back to the ground and your hips forward. You should keep this position for several seconds.
It is advisable to repeat about 5 times.
Arching the back:
Place hands on buttocks from an upright and straight.
Gently tilt back the trunk, carefully, as you breathe. You need to hold in that position a few seconds and then return to starting point, the straight position.
It is advisable to repeat about 5 times.
Massage on the scalp
With so many nerve endings that covers the area of the scalp, head and scalp are a great place to practice massage. Massaging this area may also help relieve tension in the face and neck, and can help promote sleep, lower stress load, making the experience even more beneficial.
Instructions
1. Sitting or standing head up the receiver, you should be reclined or lying down, standing or sitting behind the receiver.
2. Make sure the hair is not wet. You may prefer to use a lotion or oil during the massage. Always ask the person if this is right first, as some do not want, because the hair may be dirty.
3. Begin the massage slowly, gently running his fingers yolks through the hair and face.
4. Stroking along the scalp from the forehead to the back of the head, with a repetitive motion. Repeat this step, this time from the sides of the head to the top.
5. Place your thumbs on the top or back of the head. Massage with your fingers in small circles move across the scalp.
6. Use both thumbs to rub alternate vertically along the back of the neck, placing each thumb on each side of the spine. Alternating pressure to do so.
Physiotherapy for Pregnancy
Pregnancy is a state in which a woman has many changes. These affect many physical and psychological structures. Physiotherapy can help not only to alleviate the discomfort arising from these changes, but also to prepare the body for childbirth .
As the pregnant woman’s belly grows, often increase back pain. Following a series of guidelines and exercises for pregnant women can contribute to the bones, joints and muscles are kept in top condition. A good physical therapy can alleviate these sore muscles and promote physical well-being.
In addition, physical therapy provides many benefits at the time of delivery. Thanks to the exercises for pregnant women stretching and perineal massage throughout pregnancy is favored pelvic floor elasticity thus preventing tears occur during childbirth.
Exercising and keeping your body active are other tips to keep in mind during the process of gestation. Pilates or Yoga practice can be very useful because, besides strengthening the abdominal and pelvic muscles, providing relaxation and breathing techniques.
Put a professional physical therapy can help to:
Management of pain to relieve it.
Exercises to improve strength and mobility.
Exercises to help with postural alignment and body balance.
Centered techniques to achieve the flexibility of joints and soft tissues.
Stress relief and relaxation training to achieve.
Recommendations regarding sleeping positions.
Rehabilitation postpartum.
Breathe easier with physiotherapy
The pulmonary rehabilitation is to facilitate the removal of tracheobronchial secretions and decrease airway resistance. Make in short, that the act of breathing is as natural as possible for the individual. Physiotherapy has many techniques that are very effective.
Recall some techniques used to facilitate the patient’s breathing, especially in children and pre-teens.
Conventional methods
Set of techniques designed to take off the walls and transporting secretions coming to his expulsion. Most of them need the assistance of a physiotherapist or trained adult during learning or in its accomplishment (percussion and vibration).
Postural drainage
Gravity drainage facilitates the adoption of various postures Airways Verticalic each segment or lobe. In infants postural changes are made in the lap of the adult and older children were used oscillating tables or pillows.
Currently used in both the lateral decubitus position and sitting, as in Trendelenburg position increases the work of breathing and increased desaturation.
Thoracic expansion exercises
Are carried out with maximum inspirations conducting sustained by short apnea at the end of those, followed by a slow passive expiration. In young children are used to laughing and crying. In ventilated patients used manual hyperinflation.
Control of breathing, diaphragmatic breathing
Are periods of tidal breathing with slow relaxation of respiratory muscles and ventilation accessories diaphragm sandwiched between active techniques in order to allow recovery and avoid burnout.
Chest Percussion
Repeated tapping fingertip in infants, older children hollow hand or an inflatable mask on different areas of the chest. Combined with postural drainage.
Chest vibration
Apply the hands or fingertips on the chest wall without opening a vibration is generated during expiration. Combined with compression and postural drainage.
Treating a muscle tear
Many times we hear that that such a team player that is injured by a “muscle tear” or a friend playing tennis is low for the same ailment. Sports do not need to suffer. Even sedentary people are exposed to this annoying setback.
A muscle tear is just a broken part of the muscle and in severe cases, a total rupture. Usually caused by a muscle over-exertion, by a blow or injury.
But let any cause:
- Severe muscle fatigue or exaggerated when playing sports.
- By inactivity, to weaken the muscle fibers.
- Due to malnutrition.
- For certain diseases such as diabetes.
In our case as physical therapists, general treatment is RICE (from English “Rest, Ice, Compression, Elevation”), is to rest, apply ice right when the injury occurs, compress with a bandage and elevate the affected part.
The duration of each stage is variable and depends on the severity of the tear (mild, medium and low).
Duration of treatment
Grade 1 (mild): 10 days
Grade 2 (medium): 2-3 weeks
Grade 3 (severe): 3 -4 weeks







