Physical therapy

What is Physical therapy?

Physical therapy or physiotherapy (often abbreviated to PT) (also known as Movement Scientist) is a Rehabilitation profession that remediates impairments and promotes mobility, function, and quality of life through examination, diagnosis, prognosis, and physical intervention (therapy using Physical agents, mechanical force, adaptive devices, and movements). It is carried out by physical therapists (known as physiotherapists in most countries) and physical therapist assistants (known as physical rehabilitation therapists or physiotherapy assistants in some countries). In addition to clinical practice, other activities encompassed in the physical therapy profession include research, education, consultation, and administration. In many settings, physical therapy services may be provided alongside, or in conjunction with, other medical services.

Questions and answers on "Physical therapy"

Initially went for physical therapy to see if there would be some pain relief. Different medications have been prescribed. So far they did not do anything to help alleviate some pain. Should I continue going through this process first? I've been experiencing some neuropathic pain for over a year.

doctor1 MD

Hi,
First try to find out the cause of your problem.
If you have backache or leg pain there is likely of having some osteoartheritis in your spines.
Go for x-ray lumbo-sacral region.
After report go for other treatment as advised by orthopedic surgeon.
Ok and take care.

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Two weeks ago today, my daughter sprained her knee. She is in physical therapy and on crutches. Yesterday was the first day that she was able to put weight on the knee. She still needs her crutches to move around. She's a 10-year old gymnast. Her state championships are three weeks from today. What are the chances that she can compete?

doctor1 MD

Hello, and thank you for your question.
Unless your daughter's symptoms completely resolve within the next few days, I believe it is unlikely she should compete. The risk of re-injuring the knee would be greatly increased should she perform with an existing injury that has not healed.
Even though...

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I sustained a vertical sacral fracture over 3 months ago. I had 24 physical therapy sessions which I completed about 2 weeks ago. I have mild but infrequent lower back and hip pain does not require medication . My legs remain weak and a little shakey. I walk for 30 minutes daily or use a stationary bicycle and do the recommended exercises, but I haven t improved. Will this ever go away?

doctor1 MD

Hi dear thanks for the query
During the period of three months the fractures might have healed and in near normal position. The remnant pain could be due to some form fibrous healing around the sacral joints. Some times could be for prolonged periods but it is not a serious problem. Regarding the...

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have a moderate bulge in l5-s1,i have been doing physical therapy for about 2-3 months..they tell me to do 8-10 repititions and hold the pose..i dont feel like im building any lower back muscle...should i stick to the therapy or increase the reps n intensity...also when can i start sports...i have no pain running...also want to join the army..any advice would be greatly appreciated

doctor1 MD

Hello,

Thanks for posting your query.

You are suffering from PIVD at L5-S1 level.

Physiotherapy like back extension and strengthening exercises are very helpful because these causes decreases pressure over nerve by disc bulge.

So continue physical therapy. It is of great value.

Regards....

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Hello, Thank you for taking the time to even begin to read this, it is much appreciated. About 1/2 a year (quite possibly a full year) I was strongman conditioning with my step-dad (which included me lifting a bunch of things that I could barely lift right. So I was finally getting into shape (since even with conditioning I am still overweight , was striving to become fit.) So, stupidly, I lifted something that was about 450 pounds total (225 in each hand on a farmers lift for a competition we were gearing up to do.) Instantly felt something wrong, so as weeks progressed my back became terrible in condition. Went to the doctor and she sent me to physical therapy . After a few sessions of physical therapy I got the exercises I was meant to do there, and to save money just decided to do them at home. (they didn t require any special equipment despite all my complaining of my back.) So ever since then it has been kind of dormant, sometimes hurting other times not. Fast forward to recent times, I started a job. Basically being on my feet for the entire period of time, doing different jobs with different back stresses. That stuff doesn t bother me in the moment, it just waits until I get home. Once I get rested in my bed, I tend to forget / have to do something and get up. It has gotten to the point where I cannot stand, or if I can stand i have to have something to hold onto the entire way. It feels like my legs are going to just give out with excruciating lower back pain (worse than the initial injury and physical therapy weeks). I would just really like to know what I am dealing with, potentially. I should be able to stand up as much as the job requires me to, there are plenty of young people (overweight and not) doing the exact same thing as me and not complaining. I would like to know how serious this could be. Please, if any light can be shed on this it is much appreciated. Also if you need me to clarify anything please say so, its about 4:00 AM and I just got off work so I don t expect some of this to make sense. Thanks, Robert

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I have a very active 13 yr old granddaughter (she plays Basketball, volleyball) she has been having problems with her right hip popping in and out of the socket, she went through physical therapy was playing a b-ball game last week and fell. Now her left hip is acting up where she is walking with a limp. We have taken her to the ER twice and they sent her to the Ortho Dr. they told us she might have a disease because she is too flexable.. what is this called and is there such a thing?

doctor1 MD

either dislocation of socket from the ball in hip joint
can be muscle stretch or muscle tear or disease of bones causing the same
the best is to take consultation from ortho doctor to treat it accordngly ater diagnosis

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Hello, I was in a car accident a little over a year ago and injured my back. I went to physical therapy for a few months, and my p.t. and I came to a decision to discontinue the therapy because I wasn t making any more progress. My original mri and xrays after the accident were normal, but I ve had constant pain that gets worth with lots of movement (bending, lifting, standing or sitting for too long). Sometimes my legs shake from the pain, and I often end up on the heating pad or with muscle rub. My fiancee has tried to help with some traction therapy I was doing in PT, but some days it s just too painful to touch. I just don t understand what could be wrong with my back if I had a normal mri and xray?

doctor1 MD

Hello.
Thanks for writing to us.
The pain in your back could be related to a muscle spasm or a positional anomaly. Such pains are usually relieved on taking systemic muscle relaxants. You can get the appropriate drugs prescribed from your orthopedician after a detailed examination. Improvising...

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hi. i had a laproscopic rotator cuff repair in 2010 which was sucessful. i tore it again in 2012 and had an open surgery in september 2012. it was doing well with physical therapy until december when it began hurting again. an mri revealed more tearing and when dr reopened in april 2013 he found the sutures still attached but muscle pulled away. he repaired it with open surgery and a patch. It was doing ok until now with physical therapy but now feels like it is going bad again. my dr says there is nothing else to do and that is unacceptable.any advice would help.

doctor1 MD

Hello.
Thanks for writing to us.
The tearing of the rotator muscle repair needs to be repaired again surgically to get rid of the symptoms that you are having. This is not likely to heal spontaneously due to the fibrous tissue present.
I hope this information has been both informative and helpful...

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i am 19 years old and i had a knee surgery 8 months ago where my doctor re-aligned my knee cap and the had to break a bone and move it over, then he put a screw in it to hold the bone in place. i went to physical therapy and did all of the exercises but still the screw is very painful if i squat, bent down, step hard, jump, or cross my legs while laying down (where my other leg rests on the area where the screw is). is there anything i can do to ease the pain? or what do you suggest i do?

doctor1 MD

Hi,
you can go for screw removal
Consult an orthopedic surgeon for the same
Take care

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I was afflicted with myelitis in August 2013 with loss of sensory and motor function on my right side from the chest down. I have slowly regained motor function and have been very active with physical therapy. While I am hopeful about my motor function as I am now walking and gaining a more natural movement each week. The problem is that I have not recovered any sensory function and I continue to have cold allodynia in the lower extremities. They say that if there is no recovery by 3-6 months than the chances of improvement are small. Is it possible to have regained motor function early and much later recovery sensory function? Is there any way I can help to recover sensory function?

doctor1 MD

Hi,
Thank you for posting your query.

It is unfortunate that you are left with sensory and motor dysfunction secondary to myelitis.

Recovery does happen, though at slow pace, of both motor and sensory functions.
This recovery can continue to occur unto about two years.

Please continue...

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Recent questions on  Physical therapy

doctor1 MD

hi i used to have physiotherapy due to the alignment of my back. after a few sessions i was told i no longer needed to attend. however after a lot of exercise i feel my back is back to its old state and is giving me lots of pain. will the nhs still provide physiotherapy for free now im over 18?

doctor1 MD

I had a knee injury in my right leg today and I have been told by the doctor that the ligament has broken. Kindly let me know the general guidelines, time line for recovery and post recovery situations

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Dr. Andrew Rynne
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