#Importance of Physiotherapy Treatment

[physiobliss]

Physiotherapy is a treatment for injuries, illnesses, and disorders. It focuses on improving the health condition through muscular movement. Physiobliss is the best physiotherapy clinic in Vadodara, that customizes the therapy as per the patient's need with utmost care and cater to improve their health.

[demilypyro]

Flexion contracture in both knees means I can't stand for more than a minute or so without getting exhausted and needing to sit down. Basically I can't stretch my legs fully so it takes effort to stay upright. I've had physiotherapy and some other treatments so I can walk straight. I'm ok walking short distances or biking but standing is hard. I'm planning to do more treatments but recovering from surgery and finding an apartment is more important right now

[drchristophedelongsblog]

Injuries suffered by budding athletes: not to be taken lightly!

Children are often so passionate about sport that they play down their aches and pains.

Yet every injury, however minor, deserves special attention.

Why treat all sports injuries?

- Long-term consequences: A poorly treated injury can lead to chronic pain, functional limitations and the risk of recurrent injury

- Impact on performance: An untreated injury can affect a child's sporting performance and demotivate them

- Learning about the body: By learning to listen to their body and treat their injuries, children develop a greater awareness of their limits.

How should you react to a sports injury?

- Consult a professional: Don't hesitate to consult a doctor or physiotherapist for a precise diagnosis and appropriate treatment

- Rest and local care: Rest is essential to allow the injury to heal.

- Physiotherapy: Physiotherapy helps to strengthen muscles and restore full mobility.

The parents' role

- Listen: Parents must listen to their child's complaints and not minimise their child's pain;

- Educate: It is important to explain to your child the importance of taking care of his or her injuries to avoid complications;

- Encourage: Encourage your child to resume suitable physical activity as soon as possible, under medical supervision.

In conclusion, every injury, however minor, deserves special attention. By taking care of their injuries, children will be able to continue playing their favourite sport in complete safety.

Further information

[ashokamarketing]

Physiotherapy in AS Rao Nagar

Physiotherapy is a healthcare profession that focuses on the assessment, diagnosis, treatment, and prevention of physical impairments, disabilities, and pain. It aims to restore movement and function in individuals affected by injury, illness, or disability. Physiotherapists use a variety of techniques to help patients recover, improve their physical abilities, and enhance their quality of life.

Physiotherapy can include:

Exercises

Massages

Treatments based on physical stimuli, such as heat, cold, electrical currents, or ultrasound

Assistive devices

Patient education and training 

Physiotherapists usually recommend movement and exercise to help improve your mobility and function. This may include:

exercises designed to improve movement and strength in a specific part of the body – these usually need to be repeated regularly for a set length of time

activities that involve moving your whole body, such as walking or swimming – these can help if you're recovering from an operation or injury that affects your mobility

exercises carried out in warm, shallow water (hydrotherapy or aquatic therapy) – the water can help relax and support the muscles and joints, while providing resistance to help you gradually get stronger

advice and exercises to help you increase or maintain your physical activity – advice will be given on the importance of keeping active, and how to do this in a safe, effective way

advice on using mobility aids – such as crutches or a walking stick to help you move around

Your physiotherapist may also recommend exercises that you can continue doing to help you manage pain in the long term or reduce your risk of injuring yourself again.

Types of Therapy in Physiotherapy:

Manual Therapy: Hands-on techniques to manipulate muscles and joints, aiming to relieve pain and improve mobility.

Exercise Therapy: Customized exercise programs designed to strengthen muscles, enhance flexibility, and promote overall physical fitness.

Electrotherapy: Use of electrical modalities, such as TENS (Transcutaneous Electrical Nerve Stimulation) and ultrasound, to manage pain and stimulate healing.

Heat and Cold Therapy: Application of heat or cold to alleviate pain, reduce inflammation, and promote healing.

Advanced high-power laser therapy: It is a medical treatment that uses focused light energy to promote healing and relieve pain.

Dry Needling: Involves inserting thin needles into trigger points in muscles to relieve pain and tension.

Acupuncture: Sometimes incorporated for pain management and to promote healing.

Education and Counseling: Teaching patients about their condition, self-management strategies, and injury prevention techniques.

Pediatric Physiotherapy: Specialized therapy for children to address developmental, neurological, or orthopedic issues.

Cupping therapy: It is an ancient form of alternative medicine that involves placing cups on the skin to create suction. This suction can help improve blood flow, relieve pain, and promote healing.

Interferential therapy: It is a type of electrotherapy that is used to relieve pain and promote healing skin.

[realignchirophysio1]

The Benefits of Shockwave Therapy in Physiotherapy Treatment

Are you tired of living with chronic pain or dealing with nagging injuries that just won’t heal? Whether you’re struggling with tendonitis, plantar fasciitis, or lingering sports injuries, shockwave therapy could be the key to getting you back on track faster and more effectively than ever before.

What is Shockwave Therapy?

Shockwave therapy, or extracorporeal shock wave therapy (ESWT), involves sending high-energy acoustic waves to injured areas of the body. These waves stimulate the body’s natural healing mechanisms, increasing blood flow, reducing inflammation, and promoting tissue regeneration. Shockwave therapy is especially beneficial for conditions such as tendonitis, calcific tendinopathies, plantar fasciitis, and other musculoskeletal injuries that are resistant to conventional treatments.

How Does Shockwave Therapy Work?

The shockwave device generates pressure waves that travel through the skin and into the tissues. These waves trigger several beneficial effects, such as:

Improved Blood Circulation: Shockwaves stimulate the blood vessels, improving circulation to the injured area and helping to deliver oxygen and nutrients needed for tissue repair.

Collagen Stimulation: The therapy promotes collagen production, which is essential for tissue repair, particularly in tendons, ligaments, and muscles.

Breaking Down Calcifications: Shockwaves can help break down calcium deposits in tissues, which are common in conditions like calcific tendinopathy.

Reduced Inflammation: By stimulating the body’s healing processes, shockwave therapy helps reduce inflammation and alleviates pain.

The Benefits of Shockwave Therapy in Physiotherapy Treatment

1. Non-invasive and Drug-free Pain Relief

One of the most attractive benefits of shockwave therapy is that it is non-invasive. Unlike surgery, which requires recovery time and carries risks, shockwave therapy provides a non-surgical approach to healing. It also eliminates the need for medications, which can have side effects and lead to dependency. Shockwave therapy allows patients to manage chronic pain naturally, without relying on drugs or undergoing invasive procedures.

2. Effective for Chronic Conditions

Many people with chronic musculoskeletal conditions, such as tendonitis, plantar fasciitis, and calcific tendinopathy, often experience limited success with conventional treatments. Shockwave therapy has been shown to be highly effective in treating these stubborn conditions by addressing the root causes of pain and promoting healing at the cellular level. Studies have demonstrated that shockwave therapy significantly reduces pain and improves function in individuals with long-term musculoskeletal issues.

3. Accelerates Healing and Recovery Time

Shockwave therapy accelerates the body’s natural healing process. By improving circulation and stimulating tissue repair, it helps injuries heal faster. This is especially important for athletes or individuals who wish to return to their regular activities quickly. Shockwave therapy can significantly shorten recovery times, allowing patients to resume normal functions and sports with minimal downtime.

4. Promotes Tissue Regeneration

Shockwave therapy not only relieves pain but also actively promotes tissue regeneration. By stimulating the production of collagen, it encourages the healing of damaged tissues such as tendons, muscles, and ligaments. This regenerative effect helps to restore strength, flexibility, and mobility in the affected area. Whether you’re dealing with tendonitis or recovering from an injury, shockwave therapy helps to repair the underlying tissue and improve overall function.

5. A Safe Alternative to Surgery

Surgery can often be a last resort for patients suffering from musculoskeletal conditions, especially when conservative treatments have failed. Shockwave therapy offers a safe and effective alternative, helping to reduce the need for invasive procedures. For conditions like calcific tendinitis, where calcium deposits are causing pain, shockwave therapy can break down these deposits and alleviate discomfort without requiring surgery. In many cases, shockwave therapy can delay or even prevent the need for surgery.

6. Improves Mobility and Flexibility

In addition to relieving pain, shockwave therapy can improve the overall mobility and flexibility of the affected area. Conditions like frozen shoulder or Achilles tendinopathy can cause stiffness and limit movement, but shockwave therapy stimulates tissue healing and encourages a wider range of motion. As tissue health improves, so does mobility, helping patients return to activities like sports or everyday tasks without limitations.

7. Minimal Side Effects and Quick Recovery

One of the advantages of shockwave therapy is its minimal side effects. While mild discomfort or redness may occur after treatment, these are temporary and typically subside within hours. There is no significant downtime required, and patients can generally return to their normal activities immediately after treatment. The non-invasive nature of shockwave therapy makes it an attractive option for those looking to avoid long recovery periods associated with surgery.

8. Tailored to Individual Needs

Shockwave therapy can be customized to suit the specific needs of each patient. The intensity and duration of the shockwaves can be adjusted based on the severity of the condition and the patient’s response to treatment. This flexibility ensures that shockwave therapy can be optimized for maximum benefit, making it a highly effective treatment for a wide range of musculoskeletal conditions.

Conclusion

Shockwave therapy is a cutting-edge treatment that has proven to be effective for a wide range of musculoskeletal issues, offering benefits such as pain relief, faster healing, tissue regeneration, and improved mobility. Its non-invasive nature, combined with minimal side effects and the ability to accelerate recovery, makes it an ideal solution for those suffering from chronic conditions or injuries.

At Realign Chiro Physio, we are proud to offer shockwave therapy as part of our comprehensive physiotherapy treatment options. If you are dealing with chronic pain or a musculoskeletal injury and are looking for a safe, effective, and drug-free treatment, shockwave therapy may be the right choice for you. Contact us today to learn more about how shockwave therapy can help you recover and regain your quality of life.

[jcsmicasereports]

Paroxysmal Sympathetic Hyperactivity As A Cause Of Prolonged Icu Stay- Case Report by Arnab Choudhury in Journal of Clinical Case Reports Medical Images and Health Sciences

Abstract

Paroxysmal Sympathetic Hyperactivity (PSH) is commonly described in patients after Traumatic Brain Injury but it can present after an ischemic stroke following a complicated surgery. Usual clinical presentation are tachycardia, tachypnea, hypertension, sweating with seizures and dystonic posturing less likely initial signs. High grade fever and profuse sweating may allude sepsis or epilepsy leading to extraneous administration of anti-epileptics and antibiotics. Suspicion of pheochromocytoma arises in such situations which is ruled out by CECT. Clonidine (��-2 blocker), propranolol (β-blocker) and Baclofen (GABAb agonist) are agents used in treatment. Benzodiazapenes like lorazepam are important part of treatment as discontinuing them can exacerbate PSH attacks. MRI brain with MR angiography usually reveals hyper-intensities on T2/FLAIR in subcortical areas (thalami, cerebellum, crus cerebri) and restricted diffusion with low ADC values. Recurrent PSH episodes can occur due to delay in diagnosing and treatment leading to contractures and difficulty weaning the patient off the ventilator with tracheostomy tube placed. This case presents a scenario in which the delay in diagnosing PSH led to extensive investigations , delay in specific treatment and a prolonged ICU stay of the patient. Mainstay of rehabilitation remains aggressive physiotherapy to improve contractures if any, medications for the autonomic fluctuations and regular follow up.

Keywords : Sympathetic, hyperactivity, paroxysmal, brain, episodes

Introduction

Paroxysmal sympathetic hyperactivity (PSH) is a disorder of autonomic function regulation most commonly observed in patients with acute brain injury. It mostly occurs after traumatic brain injury, but it can also occur after non-traumatic brain diseases such as anoxic-ischemic coma after cardiac arrest, intracranial haemorrhage, and ischemic stroke-[1].

The core clinical features include - tachycardia, tachypnea, hypertension, sweating , hyperthermia and  posturing-[2]. These episodes are mostly triggered by some external stimuli such as pain , movement , and urinary retention . PSH occurs due to diffuse or focal brain injuries that disconnect one or more cerebral centers from the caudal excitatory centers and the disconnection of descending inhibitory pathways causing spinal circuit excitation.

Tonic posturing during  episodes can mimic tonic seizures, and the raised temperature can mimic infection, which can lead to unnecessary investigations, delays in proper management and prolonged ICU stays. Here, we are presenting one such case.

Case Presentation

A 32-year-old woman (gravida 2 and para1) had pain in the lower abdomen at week 31 of gestation for which she was hospitalized and emergency Lower Segment Cesarean Section was performed in view of fetal hypoxia. On the 2nd day post-delivery, she developed multiple episodes of seizures without regaining consciousness in between and was intubated for airway protection.  Brain Magnetic Resonance Imaging(MRI) with angiography suggested posterior circulation ischaemic stroke with bilateral narrow caliber of both vertebral arteries and a left fetal PCA. She was started on antiepileptic drugs and secondary prophylaxis for stroke. She was having high-grade fever and, multiple episodes of profuse sweating per day. Blood counts, cultures, and other markers of infection gave negative Results. She had episodes of tachycardia, tachypnea, hypertension, and sweating associated with fever.

The fever episodes created difficulty in weaning the patient from the ventilator.Therefore, she was started on clonidine and later on, propranolol;-however, these episodes continued to occur. Suspecting pheochromocytoma, abdominal contrast enhanced computed tomography (CECT) was performed, but the results were normal. The patient had recurrent episodes of increase in whole body tone (Fig 1) associated with bilateral lower limb tremors, abnormal posturing along with the above-mentioned episodes of fever. Initially, it was assumed that the rigors were those associated with fever, but later,speculating that the rigors were seizures,- the dosage of herantiepileptic medications were increased, and she was administered triple antiepileptics ( valproic acid , levetiracetam and lorazepam). Her brain EEG showed no epileptiform discharges. Despite receiving triple antiepileptics, she continued to show seizure-like activity. Later, these episodes of fever, tachycardia, tachypnea, hypertension , sweating and increase in body tone occurred simultaneously,- and the diagnosis of paroxysmal sympathetic hyperactivity was made.

The patient was administered clonidine, propranolol, and baclofen. Her episodes of sympathetic hyperactivity were controlled .  Later, her empirical antibiotics were stopped as there was no evidence of infection and fever was explained as a part of sympathetic hyperactivity. Antiepileptic medications were tapered off to only levetiracetam. However, after discontinuing valproate and lorazepam she again started experiencing episodes of sympathetic hyperactivity. Therefore, lorazepam was reintroduced to control her symptoms. Finally, the patient was weaned off ventilator support and shifted to the ward.

Investigations

Blood parameters: TLC - 10,000 /mm3 ,Hb - 12 g/dl , Platelets - 2.8 lac/mm3

Blood culture - no pathogenic organism grown after 48 hrs of aerobic incubation.

Urine culture - sterile

Endotracheal aspirate culture - no pathogenic organism grown after 48 hrs of aerobic incubation.

High vaginal swab culture - normal vaginal flora grown.

Procalcitonin - 0.29 ng/ml

CSF analysis, - Acellular; sugar,-24 mg/dl; protein,-68 mg/dl; culture,-sterile

Dengue IGM,- negative; ICT and peripheral smear for Malaria - negative , Typhidot IGM,- negative; scrub typhus IGM,- negative.

Ultrasound abdomen:- no significant abnormality.

MRI Brain with MR Angiography –The brain stem appeared bulky and showed T2/FLAIR hyperintense signal. Similar areas with T2/ FLAIR hyperintense signal were also seen involving the thalami, right crus cerebri and bilateral inferior cerebellar peduncles. Many of these areas showed restricted diffusion with low Apparent Diffusion Coefficient (ADC) values. The bilateral (right > left) vertebral and distal basilar arteries appeared significantly attenuated in caliber. The right PCA appeared to be significantly attenuated in caliberas compared with fetal origin of the left PCA.

EEG - Generalized cerebral dysfunction; -no epileptiform-discharges.

CECT abdomen - No significant abnormality

Outcome and Follow-up

The episodes of sympathetic hyperactivity resolved, and the patient was shifted to the  ward from the ICU with tracheostomy in room air. She developed contractures owing to persistent decerebrate posturing. Aggressive physiotherapy was administered. In the ward she regained her sensorium and was discharged with a GCS score of E4VTM6 for further follow-up in the OPD.

Discussion

A significant minority of patients who survive acquired brain injury develop sympathetic hyperactivity, which includes episodes of periodic increase in heart rate and blood pressure, sweating, hyperthermia, and motor posturing, often in response to external stimuli, which can last for weeks or more months-[3].Some studies argue that it is common but often unrecognized-[4].Most studies have reported paroxysmal sympathetic hyperactivity after traumatic brain injury. Fewer cases have reported it to be a sequel of brain stroke following prolonged hospital stay.Though commonly seen in TBI, PSH has rarelybeen described in patients with brainstem strokes and anoxic brain injury-[5].PSH may be mistaken for sepsis, which may lead to unnecessary treatment with antibiotics and prolonged hospital stays-[6].Fever is relatively common among patients in the intensive care settings. Although the most obvious and concerning etiology is sepsis, PSH may be the underlying etiology-[7].There are diencephalic structures analogous to the cerebral motor cortex that are capable of producing, when irritated, paroxysmal motor discharges  similar to the focal discharges described as epilepsy-[8].PSA may be camouflaged by epileptic seizures, leading to the unwarranted administration of antiepileptics to the patient. Obstetric patients can present with acute increases in heart rate,-BP and the onset of HELLP syndrome mimicking PSH. Epigastralgia, hypertension, and tachycardia necessitate cesarean section, as in our case, with the subsequent development of HELLP syndrome mimicking PSH.An acute fluid shift from the splanchnic vasculature to the central vasculature may have occurred, causing HELLP syndrome as a result of vasospasm associated with sympathetic hyperactivity. Reporting such cases will facilitate in understanding if the reverse is true, that is, if PSH can mimick as HELLP syndrome-[9,10]. Pregnancy is a risk factor for paroxysmal sympathetic hyperactivity exacerbation, and delivery can result in resolution of the condition-[11].PSH is reclassified as a sympathetic storm rather than an epileptic disorder because of its unresponsiveness to anti-epileptics and the absence of epileptic activity on EEG. [12]it is crucial for clinicians to distinguish this disorder from paroxysmal dystonias. [13,14]Sympathetic storms have been linked to dystonia-like posturing (e.g., PAID, i.e., "paroxysmal autonomic instability with dystonia")[15], Antidopaminergic medications are best avoided to minimize the risk of neuroleptic malignant syndrome, which can potentially mimic PSH (dysautonomia). In contrast to delirium‐associated persistent agitation and picking‐like behaviours, PSH movements are episodic, tend to be provoked by touch, and are uniquely associated with increased sympathetic activityIn the management of this disorder opiates, γ-aminobutyric acid agents, dopaminergic agents, and β-blocker pharmacological agents have been studied. There is a lack of recommendations and comparisons of agents for the management of this disorder.  There is a paucity of recommendations and comparisons of agents for the management of this disorder.  Monotherapy is usually ineffective for the management of paroxysmal sympathetic hyperactivity, and multiple agents with different mechanisms of action should be considered, as in our case .β-blockers have proven to be therapeutic (not as monotherapy) as in our case,α-agonists such as dexmedetomidine have reported therapeautic efficacy in many studies. However, clonidine another α-agonist has shown therapeutic efficacy, as in our case. The effectiveness of physiotherapy in PSH is rarely reported in medical journals; our case strives to provide an example of such therapeutic benefits.

Conclusion

Paroxysmal sympathetic hyperactivity is quite common in patients with brain insult.It can mimic seizures and/or sepsis (due to high grade fever) leading to unnecessary investigations, exposure to higher-grade antibiotics and antiepileptics. Benzodiazepines are beneficial in controlling sympathetic hyperactivity.Non recognition of PSH can lead to difficulty in weaning patients off the ventilator and prolonged hospital stays. Recurrent episodes of sympathetic hyperactivity can lead to significant weight loss and contractures.

[onespine]

How Can Chronic Back Pain Affect Daily Life?

Chronic back pain is a common problem that can make daily life difficult. It is not just about feeling pain; it can also affect your physical and mental health. If you are dealing with constant back pain, you know how it can stop you from enjoying your favourite activities or even doing simple tasks like walking or bending.

One of the biggest ways chronic back pain affects life is by limiting your mobility. Everyday tasks like cooking, cleaning, or even sitting for a long time can become painful. This can make you feel frustrated and tired. For those who work, it can reduce focus and productivity. Jobs that need sitting or standing for long hours can make the pain worse, creating even more stress.

Chronic back pain doesn’t just affect your body; it also impacts your mind. The constant discomfort can lead to stress, anxiety, and even depression. When pain keeps you awake at night, it can leave you feeling exhausted during the day, affecting your mood and energy levels. Over time, this can harm your relationships and social life, as you may avoid meeting friends or family due to the pain.

Thankfully, there are ways to manage chronic back pain and improve your quality of life. For those looking for effective solutions, back pain treatment in Mumbai offers many options. From physiotherapy to advanced medical treatments, Mumbai has some of the best back pain treatment centres where experts create personalised plans to address your pain.

Taking action is important. Ignoring back pain can make it worse over time. Regular exercise, a healthy diet, and proper posture can also help reduce discomfort. If the pain persists, don’t hesitate to seek professional help. With the right treatment, you can regain control of your life and do the things you love without constant pain holding you back.

Remember, your back is the backbone of your health, so take good care of it!

Explore our website to learn more.

[thecclover-fanfictions]

Stormy

Although it was just early afternoon, it was almost dark outside. The sky was cloud-covered and it heavy rained. The raindrops drummed against the window pane and left blurry traces by running down. In the storm the branches of the huge old trees bent almost like sprinkles and now and then a breeze blew down the chimney, highly lightening the crackling fire for a blink of an eye.

Camilla snuggled deeper into the sofa cushions. The living room was lightened by only a small lamp on the window sill and the chimney fire. She was engrossed into a new, but small book, by diving down into the fascinating story she almost forgot the time.

Before walking their two little dogs Charles had made sure, that she would be absolutely fine. He had brought her some tea and biscuits, had covered her into the most snuggling wool blanket he could find and, the most important thing to him: had pushed her ergonomic back cushion behind her. Camilla chuckled by recalling his demands to stay leaned against it, but since her serious back injury almost four weeks ago he was more than caring. Of course, he always was more than caring, but now he panicked if she just tried to lift up a heavy book or took two steps at once. With each single person on this earth she would be bugged off, but her husband did it in such a loving and cute way, she just could love him even more.

It wasn´t the first time she had hurt her back, but now it was really hard. From one second to another she couldn´t move or doing a step without breaking down in pains. Charles almost died in panic, half an hour later the two best doctors he could find were assembled in Clarence House. The first days were terrible, she just could survive under heavy pain killers. In the morning and the evening she was injected, during the day she used several medications. The doctors had prescribed a totally rest, but of course, Camilla never would cancel her engagements. With even more drugs she went through two events, keeping on a brave face.

But this was all. She couldn´t attend the annual Christmas lunch with the whole Royal family, she missed some private events during the next weeks and she couldn´t go to Sandringham. Not spending Christmas Eve and the half Christmas Day with Charles was a heavy torture for both of them. There were times enough they weren´t able to be together at Christmas, actually they never wanted to have it again. But as always Camilla was much more optimistic as Charles, it broke her heart to see him so very sad. Even in public he wasn´t able to hide it, seeing her in pain was the most terrible for him.

But it wouldn´t be her husband, if he wouldn’t manage to give her the best care of all. After treatments of the best physiotherapy, magical Chinese medicine, a bit of Yoga and much of his love they were finally able to travel to Birkhall.

And nothing had changed. After stepping out of the car, touching the ground of their beloved fortress, Camilla felt the magical potency this place obviously owned. Being at Birkhall had always helped them to go through the hardest times. Here they spent weekends as the public didn´t know of their love, here they could hide from paparazzi, walking around almost free. Charles recovered from the grief for his grandmother here, they spent their incredible happy honeymoon in this paradise…her recovery from the hysterectomy, the grief for her father and for Mark the last year…all this they hadn´t managed so well without Birkhall.

Just a few days after their arrival she was able to move without pains, without pain killers. Actually she felt fit again, almost in her old shape. But of course, Charles had kept his eye on her.

And so he insisted to walk the dogs alone in this dull weather, but contrary he had to promise her to stay around the house. Shivering she recalled the incident as he got lost during a storm and she almost died by fearing for him, finding him cold and sodden stumbling back home on a field.

Camilla took a sip of tea as she heard the dogs outside, barking their impatience to get back into the house. A few seconds later excited stamping neared the living room and two tiny, totally soaked and smudged dogs stormed the sofa.

Followed by a scolding, but laughing Charles. He didn´t look better one inch as Beth and Bluebell, leaving Camilla in giggles about the whole scenario.

The dogs jumped around on her, trying to reach her face to lick her all over in their joy. Charles panicked that they could hurt her and scolded even louder. Not to mention the fact that they ruined the blanket with their smudgy paws.

Loud giggling Camilla tried to sound serious: “Stop! Stop! Go with Daddy! Go with Daddy!” She pointed out to the corridor, while Charles stood already back in the doorframe, trying to wave them nearer. Whining the dogs finally obeyed, but Charles ruined it with rushing back to the sofa and pecking the lips of his wife.

Camilla laughed even louder, Charles had owned dogs all of his life, he knew how to command them, but by watching his wife he sometimes forgot it all.

Eventually he kneeled down in the corridor, trying to dry the two lively dogs with a huge towel. The problem just was, that he almost broke down in giggles, as his wife bent over him, with a huge towel in her hand as well and rubbed his face and his hair. With a wide and mischievous grin she copied her husband, all the things doing with him he just did with the dogs.

For one second Charles thought about revenge, pressing her hands behind her back and kissing her until she couldn´t breathe or something. Or tickling her over and over, until she would beg for relieve. But he still daren´t to touch her this way, though he told him again and again that she was fit.

They hadn´t had sex till the terrible day in December, of course. They hold each other in their arms, exchanged caresses and kisses, hold hands…but just in a platonic way. It always was a no go for him to try to start something, until he wasn´t sure for a thousand percent that she was alright. No matter, if his body almost burned in longing for her and his trousers burst immediately by thinking of her adorable curves.

And yet his brain tried to focus on something else, not on the body of his wife he hold in his arms by watching out of the window.

The two spoilt dogs sat in front of the fireplace, catching some warmth to feel comfortable. They were tired now after the adventure outside and soon would retire at their new favourite place. Not the cosy dog basket in the corner of the living room, no, since a few days they preferred to snuggle into one of his old outdoor jackets on the corridor that they cheekily had ripped down from the wardrobe. Charles was desperate as he found out, but Camilla thanked God that this patched, for sure thousand years old thing had found new owners. This jacket was already old as she spent the first holiday ever with Charles in Scotland. Over forty years ago. And secretly she hoped, his camel hair coat in Highgrove would have the same destiny as he looked like Albus Dumbledore in it. Much to her amusement, but Charles couldn´t find any resemblance. He loved this ugly thing.

Snuggled into each other now they looked out of one of the windows in the living room. Camilla had leaned against his chest and he embraced her from behind. Cheek to cheek they watched the trees in the storm outside, the rain drops now hammering against the window pane and leaves jerking over the lawn. The weather seemed to turn even worse now and Camilla was relieved to have back her husband in the house.

She lifted up her hand and pressed his head tighter against hers, caressing his neck and hairline with her fingers. He felt her moving a bit and placing a light kiss on his cheek and he closed his eyes. Camilla breathed: “I love you.” Into his ear and Charles deeply exhaled.

He was fully aware of the body in his arms now, her warmth and the breathe tickling his ear. Their hands resting on her stomach clawed deeper into each other and he felt the next kiss touching his skin.

He remembered the last evenings here. Mostly they had relaxed on the sofa in front of the TV. As always they were snuggled into each other, but two days ago Camilla had started to caress his face, kissing his cheek in the way she did just right now until her lips had touched his. Until the tip of her tongue found his. He recalled his wince and the heavy reaction of his body and his mind. Just with all of his power he pressed down his erection as her tongue circled deep in his mouth. He enjoyed the kiss and gave it back to her, but more carefully as usual, knowing about the things most following their kisses. Breathless he watched the begging eyes of his wife than, but he didn´t dare to do something more somehow. A bit disappointed, but not mention anything, Camilla had snuggled into him again.

And yesterday the same. He had kissed her more passionate again, but nothing more. Until she tried it again in their bed, the good night kiss turned out into a very long, deep and yearning one. Charles almost got weak, particularly by feeling her body under the light nightie. Even more as her hands carefully neared his waistline under his pyjama shirt. His “best friend” already had signalled to be ready, but Charles’ mind demanded him to stop. With trembling lips he had breathed into her ear, that they still should wait some days. He was anxious to hurt her and though Camilla tried to convince him over and over that she wanted him, Charles didn´t dare. Sighing she fell asleep in his arms, still disappointed, but somehow thankfully to have a husband like him. She knew, she wouldn´t take long to feel his passion again.

And feeling her lips wandering down his cheek again told him, he would not resist her now. He hopeless would fall into her arms, yearning for every inch of her. As it would be the rest of his life, no matter if they would be eighty or ninety or hundred years old then. They just needed each other in every way, mental and physical.

Charles moaned as his wife had turned around to embrace him and her lips shortly touched his before opening them with her tip of the tongue. He moaned, as she kissed him in the way it always gave most pleasure to him.

He hold her tightly, still aware not to hurt her, as he answered her kiss. Tickling her tongue in her throat, licking over her lips before gliding into her mouth again, teasing and sucking her until she started to gasp.

It didn´t take long until they laid down in front of the fireplace, in their cosy nest of blankets and cushions. Charles had mumbled something of going upstairs into their bedroom, but they both knew it was too late. The needing of each other had overrun them, their feet wouldn´t carry them any longer.

The dogs meanwhile snored outside in the corridor in Charles jacket.

And he didn´t know how his wife had managed to get him out of his shirt, he didn´t know how he survived her hands on his bare skin, her nails tracing circles up and down. Her tongue skilful doing things to him, her lips sucking at his nipples, her breathed terms of endearment into his chest.

He didn´t know how he survived her hot kiss while her hands guided his down her button line, opening her blouse bit by bit.

As he felt his hands touching her skin he loud moaned. He dared to open his eyes, his wife sat on top of him. With a slightly open mouth, quietly panting she stared at him. Her eyes told him she was ready for it and the yearning for him almost killed her.

Without one further thought Charles straightened up, cupped her face and started to kiss her again. First lovingly, happy to have her back in old shape. Then more and more covetous, longing and passionate.

He ripped down her blouse, opened her bra and felt her nails dug into him as he touched her breasts. She heavy sucked his lower lips, pressing down her groan, as he started to caress her there. In the way she always liked and what would bring her most pleasure.

A few moments later she laid on her back, completely naked, with closed eyes. She had clawed into her husband, enjoying his hands and tongue at each part of her body. She actually didn´t know what he just did, his hands seemed to be all over her at the same time. She focussed on his moans, it heated her up in the same way he did things to her.

She pressed her thighs against his hand as she felt his fingers touching her between her legs. But she immediately opened them again, eagerly to feel him caressing her wetness, her swollen lips and clit.

Again a few moments later they didn´t breathe any longer. They just moaned and panted, totally overwhelmed by the power of passion they had missed way too long, in their case at least.

They didn´t know whom of them both had freed Charles out of his trousers, but his erection couldn´t be harder any more.

Holding the waist of his wife on top of him again Charles eagerly steadied her, giving her hold to sink down on him. But she grabbed his hands, crossed fingers with him and arched her head back under a deep and loud groan. Breathless Charles watched her starting to move on him, stared at her sweating body and her curves that still let him faint.

The sight and the feeling of his dick inside him didn´t even prevent that he started to tremble while trying to join her moves. And he heavily had to concentrate not to explode immediately while realising what they just did.

Camilla stared back at him. With still crossed fingers their eyes were locked, exchanging the words their lips weren´t able to form now. But with their joint rhythm now they carried each other away more and more, until Camilla bent forward to embrace him and with locked lips, deeply clawed into each other they met heaven…

Still sweating and trembling Charles hold her in his arms. Their eyes still couldn´t get loose of each other and they started to smile again. Camilla touched his cheek, almost inaudible breathed: “Love you, darling.” Charles breathless rapt a smile, and she could read: “I love you, too.”, on his lips as well…

[addercloud]

Addercloud AU Ranks

First of all, the three main differences:

Medicine cat -> Medic

Queen -> Nurturer

Kit -> Kitten

These were changed because of uncomfortable cultural implications, a lack of gender neutrality and just not liking the word respectively.

Any rank left blank is either the same as it is in the books, or the same as it is explained in an earlier paragraph.

Thunderclowder

Leader

Deputy

Medic

Knight - Similar to the senior warriors in canon, but with an official rank and ceremony. This rank is earned after a big accomplishment - such as saving another cat from death or gaining a huge scar - and proving that they have wisdom and experience. A cat doesn't have to be a Knight to be made deputy, but they almost always are.

Warrior

Apprentice - Apprenticeships start at 6 moons, with a few exceptions: unusually large kittens may be apprenticed early or weak, sick or injured kittens may be apprenticed late.

Nurturer - Very similar to the permanent queens in canon, but slightly different. These cats are trained in basic herbs as well as physiotherapy and counselling. Essentially, the medic recommends a treatment, the nurturers make sure it is seen through. They take care of the kittens, elders and anyone who is sick or injured.

Kitten

Elder - A quirk of Thunderclowder early on is that cats cannot just retire, they have to wait for the leader and deputy to deem that they have earned it. Thankfully, Bluestar and Redtail were very lenient about this, granting permission to all who asked, but previous leaders like Oakstar haven't been so kind.

Shadowclowder

Leader

Deputy

Medic

Warrior

Wrangler - Shadowclowder's territory is the most prone to beasts (we'll get there when we get there), so specific cats are trained in knowledge of the many kinds of creature and how to deal with them. Wranglers are well respected because their job is just as, if not more, dangerous than being a warrior.

Camp Guard - These cats are similar to warriors, but they stick close to the camp, keeping it safe from beasts and other clans. Some of these cats are also diurnal, unlike the rest of their clan who are nocturnal, and watch over the camp during the day. Despite the importance of their job, there is a stereotype that cats choose to become Camp Guards because they're too scared to fight in battles.

Apprentice - Apprenticeship age is not fixed, and instead being decided by if a kitten can complete a series of small challenges set by a few of the warriors. This usually resulted in apprentices being 5-8 moons when they are ready. Brokenstar encouraged his followers to declare kittens ready even if they didn't complete all the assessments, pushing the age lower. Apprentices typically graduate after 7 moons of training, so 12 to 15 moons.

Kitten

Elder

- You'll notice that there's no Nurturer rank, this is because all cats are expected to help take care of the kits and elders to equal lengths. However, there is a growing idea among the warriors that they shouldn't have to, which Brokenstar exploits.

Riverclowder

Leader

Deputy

Medic

Shore Warrior - Due to their close history with Windclowder, Riverclowder now shares the separated warrior roles. Shore Warriors live in the Shore Camp with the medic, younger apprentices, nurturers, kittens and elders. They specialise in hunting on land and defensive battle moves, protecting the weak in the clan. Most can swim, but being on dry land is what they prefer. Leopardstar was an unusual example of a Shore Warrior who preferred to attack instead of defend.

Tide Warrior - Tide Warriors live in the Island camp with the leader, deputy and older apprentices. They specialise in hunting in water and offensive battle moves, and are usually called on when Riverclowder attacks another clowder. They are fish-like swimmers, who sometimes even claim to prefer being in the water than on land.

Apprentice - Apprentices can start shore training at 4 moons old, but are forbidden from starting tide training until 6 moons old. When an apprentice is 8 moons old, they are given the choice of whether they want to finish training to be a Shore Warrior or a Tide Warrior. Apprentices typically graduate at 12 moons old.

Nurturer

Kitten

Elder

Windclowder

Guide - Windclan's religion is very important to them, so the job of being a spiritual guide has been separated from the medic. with their spiritual guide being even above the leader in power. This is one of the major weaknesses of the clowder, as a guide with malicious intentions can easily declare anything they want to be the words of the earth, making it law.

Leader

Council - Previously, Windclowder had the typical deputy system, but after Mudclaw's rebellion this was changed to the Council system. Instead of a single deputy, the leader and the guide have a group of cats they can turn to. This ensures that there is less bias in decisions and the clan always had a plan for if the leader dies.

Medic - Same as canon, but they are not required to have any sort of spiritual connection.

Tunneller

Moor Runner

Apprentice - Apprentices begin training at 6 Moons. This is a hard rule, with exceptions only being made to delay a severely injured kitten's apprenticeship only until they are healed. Apprentices decide whether they want to be a Moor Runner or a Tunneller at their apprentice ceremony and rarely switch afterwards. Apprentices are expected to train in all four seasons, making them late bloomers who typically graduate at 18 moons.

Kitten

Elder

Skyclowder

Leader

Deputy

Medic

Mediator

Knight - Modern era Skyclowder borrows the knight rank from Thunderclowder, since they're so closely linked. However, Skyclowder is much more lenient with who gets the position, going to any decently experienced warrior.

Warrior

Daylight Warrior

Apprentice - Apprenticeship age is not fixed, instead being decided primarily by the kitten's parents and secondarily by the clan as a whole. Apprentices do not have assigned mentors, instead the whole clan mentors them.

Daylight Apprentice

Nurturer

Kitten

Elder

[obfuscated-abstract]

Title: Diagnosis and management of functional neurological disorder

Date: January 2022 Published in: The BMJ Publicly available? It is now.

Citation: Aybek, S., & Perez, D. L. (2022). Diagnosis and management of functional neurological disorder. BMJ, 376. https://doi.org/10.1136/bmj.o64

Full text (including figures and tables)

Abbreviations:

CBT: cognitive behavioural therapy

DMS-5: Diagnostic and Statistical Manual of Mental Disorders 5th Edition

FND: functional neurological disorder

ICD: International Classification of Diseases

Article Summary

Abstract

Introduction

Historical background:

Describes historical context and explains the current state of research around FND

Nosological classification:

FND is classified as 'conversion disorder/functional neurological symptom disorder' in the DMS-5 and as 'dissociative neurological symptom disorder' in the ICD. The variability in classification causes problems.

Aims of this review:

To highlight relevant literature that express the importance of multi- and interdisciplinary approaches to the care of FND patients

To present evidence to healthcare professionals that will allow them to better diagnose and treat FND patients

Incidence and prevalence of FND

FND is a frequent and disabling condition affecting young people and it often has a poor prognosis. This section also presents specific numbers for the prevalence of different subtypes of FND.

Sources and selection criteria:

Details how the studies were found and selected for the review.

Diagnosis of FND

Criterion A from the DSM-5 requires 'one or more symptoms of altered voluntary motor or sensory function'. Patients can be divided into two broad categories: negative symptoms (lack of movement, weakness) or positive symptoms (abnormal movement such as tremor, jerks, dystonia, etc). Symptoms can also resemble epileptic seizures.

Criterion B from the DSM-5 requires that 'clinical findings provide evidence of incompatibility between the symptom and recognized neurological or medical conditions'. A rule-in diagnosis can be made by evaluating postive signs that distinguish FND from other medical conditions.

Highlights the importance of explaining how the diagnosis was reached.

Highlights the signs of motor FND, and seizure type FND that a healthcare professional should look for to make a diagnosis

Criterion C from the DSM-5 requires that 'the symptom or deficit is not better explained by another medical or mental (health) disorder.' Highlights that a patient can have FND and a comorbid neurological condition. Suggests further testing that can be done to clarify a diagnosis.

Criterion D from the DSM-5 requires that 'the symptom or deficit causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or warrants medical evaluation.' States that the fact that a patient is seeking medical attention shows that the symptoms have a significant impact on daily activities.

Explains the impact symptoms tend to have on quality of life.

Provides recommendations for what language to use and not to use to avoid stigmatising the condition and making a patient feel invalidated.

Treatments

Treatment is extremely variable and should be individualised.

Research is limited but communicating the diagnosis appears to show some reduction in emergency room visits and inpatient hospitalisations for seizure type FND

Psychoeducation can have a positive effect but does not positively affect recovery without other treatment options

Physiotherapy is a first line treatment but more research is needed to optimise and personalise its use. Recent advancements are detailed.

Psychotherapy: The use of CBT (on its own and in combination with other treatments) continues to be examined and shows mixed results.

Psychopharmacology: SSRI and SNRI medications can be used to treat concurrent mental health symptoms but not directly to treat FND.

Emerging treatments

Psychotherapy treatments being evaluated include mindfulness based therapy, prolonged exposure, psychodynamic psychotherapy, group psychotherapy (including dialectical behavioural therapy), and hypnosis.

Other treatments being explored are the use of botulinum neurotoxin to manage motor symptoms, transcranial megnetic stimulation, therapeutic sedation, placebo, and other management strategies.

Mental health concerns (depression, anxiety, post-traumatic stress disorder, etc.) and non-motor phsyical symptoms (pain, fatigue, dizziness, cognitive symptoms, etc.) often co-occur with FND and can increase the severity of FND symptoms

Guidelines

Conclusion

[mann777]

Physiotherapy at Home

Title: The Evolution of Rehabilitation: Exploring the Impact of Physiotherapy at Home

In recent years, the landscape of healthcare has undergone significant transformation, driven by advancements in technology, shifting patient needs, and a growing emphasis on personalized care. One area that has seen notable progress is rehabilitation, with the emergence of innovative solutions like "Physiotherapy at Home" revolutionizing the way patients access and receive rehabilitative services.

The Rise of Home-Based Rehabilitation

Physiotherapy at home represents a departure from traditional clinic-based models of care, offering patients the convenience and comfort of receiving treatment in their own homes. This shift towards home-based rehabilitation has been propelled by several factors, including the increasing demand for accessible and patient-centered care, advancements in telehealth technology, and the recognition of the importance of the home environment in the rehabilitation process.

Personalized Care Tailored to Individual Needs

One of the primary benefits of physiotherapy at home is its ability to deliver personalized care tailored to the unique needs and circumstances of each patient. Unlike clinic-based rehabilitation, which may follow a one-size-fits-all approach, home-based therapy allows for a more individualized and holistic approach to treatment. Therapists have the opportunity to assess patients in their own environments, gaining valuable insights into their daily routines, challenges, and goals. This enables them to develop customized treatment plans that address not only the physical aspects of recovery but also the social, emotional, and environmental factors that may impact rehabilitation outcomes.

The Role of Technology in Home-Based Rehabilitation

Technology plays a crucial role in facilitating physiotherapy at home, enabling therapists to deliver high-quality care remotely and monitor patients' progress between sessions. Telehealth platforms allow for virtual consultations, exercise demonstrations, and real-time feedback, providing patients with continuous support and guidance throughout their rehabilitation journey. Wearable devices and mobile apps further enhance the patient experience by allowing individuals to track their progress, set goals, and communicate with their therapists from the comfort of their homes.

Advantages Over Traditional Clinic-Based Care

The advantages of physiotherapy at home over traditional clinic-based care are manifold. In addition to the convenience and comfort of receiving treatment at home, home-based rehabilitation offers greater flexibility in scheduling, reduced transportation barriers, and increased opportunities for family involvement and support. Moreover, research has shown that patients who receive care at home may experience faster recovery times, higher levels of satisfaction, and improved adherence to treatment plans compared to those receiving clinic-based care.

Empowering Patients and Promoting Independence

Physiotherapy at home empowers patients to take an active role in their own recovery, fostering a sense of autonomy and self-efficacy. By providing education, resources, and support, therapists help patients develop the skills and confidence they need to manage their conditions independently and prevent future injuries or setbacks. This empowerment not only enhances patients' quality of life but also reduces healthcare costs and promotes long-term health and well-being.

Overcoming Challenges and Expanding Access

While physiotherapy at home offers numerous benefits, it is not without its challenges. Ensuring patient safety, maintaining communication and collaboration between therapists and patients, and addressing technical issues related to telehealth platforms are among the key considerations facing home-based rehabilitation programs. However, as technology continues to advance and healthcare delivery models evolve, these challenges are being increasingly addressed, paving the way for expanded access to home-based rehabilitation services for individuals of all ages and abilities.

Conclusion: Embracing the Future of Rehabilitation

In conclusion, physiotherapy at home represents a transformative approach to rehabilitation that is reshaping the way patients access and receive care. By combining the convenience and comfort of home-based treatment with the personalized and holistic approach of physiotherapy, this innovative model of care is empowering patients, improving outcomes, and enhancing the overall quality of rehabilitation services. As we continue to embrace the possibilities of home-based rehabilitation, we move closer towards a future where rehabilitation is accessible, effective, and patient-centered for all.

[sanjeevaniclinic]

What are the common symptoms of Bell's Palsy?

Common symptoms of Bell's Palsy include:

1. Facial Weakness or Paralysis: Bell's Palsy typically causes sudden weakness or paralysis of the facial muscles on one side of the face. This can result in a drooping appearance of the mouth and difficulty in making facial expressions on the affected side.

2. Drooping of the Mouth and Eyelid: One of the hallmark signs of Bell's Palsy is the drooping of the corner of the mouth and the lower eyelid on the affected side.

3. Difficulty Closing the Eye: Many individuals with Bell's Palsy find it challenging to fully close their eye on the affected side. This can lead to dryness and potential corneal damage, as the eye may not blink properly to distribute tears.

4. Altered Sense of Taste: Some people with Bell's Palsy may experience changes in their sense of taste, often described as a metallic or salty taste.

5. Drooling: Due to the difficulty in controlling the muscles on the affected side of the face, some individuals may experience drooling.

6. Increased Sensitivity to Sounds: A heightened sensitivity to sounds, known as hyperacusis, can occur in some cases of Bell's Palsy.

7. Loss of Facial Symmetry: Bell's Palsy can result in a lack of symmetry between the two sides of the face, with the unaffected side appearing normal while the affected side shows weakness or paralysis.

8. Difficulty Speaking and Eating: Speech and eating can be affected due to the weakness of the facial muscles involved in these activities.

It's important to note that Bell's Palsy usually affects only one side of the face, and the onset of these symptoms is typically rapid, often occurring within a day or two. While the exact cause of Bell's Palsy is not always clear, it is often related to inflammation or compression of the facial nerve, which controls the muscles of the face.

Most cases of Bell's Palsy are temporary, and the majority of individuals experience significant improvement in their symptoms with time and appropriate treatment. However, it's essential to consult a healthcare provider for a proper diagnosis and guidance on managing Bell's Palsy.

If you're unsure whether physiotherapy is suitable for your specific condition, consult a qualified physiotherapist Dr. Kishan Mishra, one of the best Physiotherapist in Borivali at Sanjeevani physiotherapy for an assessment and personalized treatment plan.

[americanmobilept]

Restoring Movement and Wellness Through Physical Therapy in Madison Al

Another word for physical therapy is physiotherapy, it is a healthcare profession where some professional people are dedicated to helping certain individuals to regain and improve their physical function, mobility, and overall quality of life. Similarly, physical therapy in madison al, provides personalized treatments and exercises where they work with patients of all ages and try to address various types of conditions, injuries, and limitations. In this article, we will explore how physical therapy plays an important role in promoting wellness and recovery.

Importance of Physical Therapy

Physical therapy mainly revolves around the principle of movement because it is one of the important parts to maintain optimal health. Some people may be suffering from critical surgery, managing chronic pain, or going for rehabilitation after an injury, during these situations physical therapy comes into action as it focuses on restoring and maintaining functional abilities. These physiotherapists mostly try to assess each patient individually and try to identify their unique needs and goals then they develop a personalized treatment plan which has several techniques and exercises to facilitate recovery and improve overall physical function.

Common Therapy Plan

People can find some best therapists in huntsville al, and most of them will follow some common therapy plan from a diverse range of techniques and approaches according to the need of each patient.

Manual Therapy

As the name suggests, therapists will use their hands-on techniques just like joint mobilization, myofascial release, and soft tissue mobilization. All these techniques or approaches mainly aim to improve the mobility of joints, reduce tension present in muscles, and improve blood circulation throughout the body.

Therapeutic Exercises

One of the most important parts of physical therapy is therapeutic exercises or we can say it most physiotherapists will recommend this to their patients. All exercises included in this physical therapy mainly target specific muscle groups that aim to restore the strength, endurance, and flexibility of it. Some patients even get stretching, strengthening, balance, and coordination exercises which help regain functional ability.

Modalities

Some physiotherapists may use modalities like heat therapy, cold therapy, ultrasound, and electrical stimulation so that they can reduce pain, inflammation, and muscle spasms. The main motive of these modalities is to complement other interventions to accelerate the healing process.

Functional Training

Most physiotherapists will include functional training in the patient's plan because it mainly focuses on retraining the body to perform all the daily tasks and activities with full efficiency and reduced strain from your body. For people who have completed their surgeries or had operations after certain injuries then this functional training can be beneficial for them to regain daily movement.

Educating Patient

Education is one of the important parts of physical therapy as every patient should be aware of their condition, the mechanics of their entire body and what are available options or strategies to prevent injuries in the future. This knowledge motivates patients to actively participate in recovery therapy and maintain overall progress.

Conclusion

People who are suffering from tremendous pain, going through surgery, facing an injury, or any other circumstances and these things are resolved after treatment but if they want to regain regular movement then they should go for physical therapy.

[cbphysiotherapy]

Have you heard of Cervical Myelopathy? It's a condition that affects the spinal cord in the neck and can cause a range of symptoms... 

It is most commonly caused by degenerative changes in the spine. That's why it's so important to be aware of the symptoms and seek medical attention...

Physiotherapy can be an effective way to manage the symptoms of Cervical Myelopathy, improving strength, flexibility, and coordination. ..Early diagnosis and treatment can make a big difference in managing this condition. 

[lesbianboyfriend]

[ID 1: a tweet from tamer hamam reading “This is the most important thing I have had to write and share publicly. I need your help to save the life of my only child, Karam. Please take the time to read Karam's story and distribute as widely as you can. Your contribution, no matter how small, will go a long way towards saving his precious life, which he deserves to live in safety, as do all of Gaza's children.” the tweet includes a picture of Karam, a young boy smiling. /end ID 1

ID 2: text reading “Four years have passed since the birth of the little warrior Karam, whom embryology specialists unanimously agreed that he will not survive in his mother's womb after we learned in the fifth month of pregnancy that he suffered from hydrocephalus and that his condition is considered one of the most dangerous cases of this disease, which had reached the point that the Cerebral fluid had occupied most of the head's volume which greatly affected the brain tissue but God's will was greater than medical science and he was born in the 7th month and he stayed in the NICU in the hospital for several months and throughout this period the medical staff did not tire of telling me that his condition was hopeless and that there was no hope of his survival, one of them whenever I begged him to do what he could, would gesture with his hand that there is no hope and would follow it with the phrase hopeless case. The days passed heavily for us and Karam clung to his life, forcing them to subject him to a long treatment journey in which he fought approximately eight battles in the operating rooms, from which he survived thanks to God's generosity and mercy. Karam is the miracle that they assured me that even if he survived, he would not see, nor hear, nor speak, nor move. Today he completes his fourth year. He sees me and I see the universe with his eyes..He sings to me, "My eyes baba, my soul baba" and my heart melts between his little hands.. The smile does not leave his face. He memorizes the Names of Allah and Al Fatiha. He loves his cat and feeds it with his hands.. He greets people and gives kisses to everyone.. He thanks whoever offers him something.. He loves music and memorizes his favorite songs.. Karam is God's beloved and his gift to me and the greatest thing he has bestowed upon me.. Pray for him to fully recover and for him to take his first steps soon. May God protect your children and loved ones..” /end ID 2

ID 3: a tweet from tamer hamam reading “What do I need your help with? Karam needs urgent medical care in the form of physical and mental rehabilitation. Karam needs to undergo physiotherapy treatment to help him take his first steps as well as brain rehabilitation to develop his intellectual skills.This also includes monthly and periodic scans including magnetic resonance imaging of his brain condition. #saveKaram” /end ID 3]

[physiostudio]

Enhance Flexibility and Strength: A Guide from Spartan Physiotherapy Clinic

Flexibility and strength are two vital components of physical health. At Spartan Physiotherapy Clinic, our experienced physiotherapists in Bangalore are committed to helping you achieve optimal mobility and strength through customized treatment plans. In this blog, we delve into the importance of flexibility and strength, practical tips to improve them, and how our expert care can transform your health journey.

Why Are Flexibility and Strength Important?

Improved Functional Abilities: Strength helps with daily tasks like lifting, while flexibility aids in smooth movements.

Injury Prevention: Strong muscles stabilize joints, and flexible muscles reduce the risk of strains.

Enhanced Range of Motion: Flexibility allows for better joint movement and reduces stiffness.

Better Posture: Strengthens core muscles, while flexibility corrects imbalances to maintain alignment.

Increased Athletic Performance: Strength provides power, and flexibility supports agility and precision.

Faster Recovery: Flexibility exercises improve circulation, aiding muscle recovery after activity.

Weight Management: Strength training boosts metabolism by increasing muscle mass.

Physical Independence: Both strength and flexibility are essential for mobility and self-sufficiency as we age.

Reduced Muscle Tension: Flexibility training relieves tightness and enhances relaxation.

Improved Balance: Strong muscles and flexible joints help prevent falls and improve stability.

How to Improve Flexibility and Strength

1. Stretch Regularly Incorporate dynamic stretches before workouts and static stretches post-exercise to improve flexibility. Target major muscle groups like hamstrings, calves, and shoulders.

2. Engage in Strength Training

Bodyweight Exercises: Push-ups, squats, and lunges are excellent for building strength.

Resistance Bands: Easy to use, they help in improving both flexibility and strength.

Weight Training: Start with lighter weights and gradually increase resistance.

3. Try Physiotherapy Our physiotherapists assess your individual needs and create tailored exercise plans to improve both flexibility and strength.

4. Yoga and Pilates These practices combine stretching, balance, and strength-building, offering a holistic approach to physical health.

5. Maintain Consistency A consistent routine ensures gradual and sustainable improvement in flexibility and strength.

How Spartan Physiotherapy Clinic Can Help

At Spartan Physiotherapy Clinic, we offer personalized treatments, including:

Mobility exercises to improve flexibility.

Strength training programs customized to your needs.

Manual therapy to release tight muscles and enhance range of motion.

Posture correction exercises to improve balance and alignment.

Our top physiotherapists in Bangalore are here to guide you every step of the way.

Flexibility and strength are not just about achieving fitness goals; they are essential for a healthy, pain-free life.

📍 Address: 28, 4th Cross, KEB Layout, Ashwath Nagar, Bengaluru,Karnataka-560094. 📞 Call: 99860 11503 🌐 Visit: spartanstudio.in

#SpartanPhysio #FlexibilityAndStrength #BangalorePhysiotherapy#SpartanStudio #FlexibilityGoals #StrengthTraining #PhysiotherapyBangalore#Physiotherapy #FlexibilityAndStrength #BangaloreHealth