PAL Physiotherapy - Sector 56

Hello, I am Dr Rajesh Pal. I am Physiotherapist and have 17 years of clinical experience. I had been graduated from Utkal University and have specialisation in Orthopaedics. Today I am going to talk about the very common problem in Indian context of a middle age person. Specially females are more affected than male. This is known as Knee Osteoarthritis.

As we have a tradition of siting on the floor and by virtue of our eating process, we usually have large belly. So, this is a bigger problem with respect to time nowadays specially in females beause of stading in kitchen in the urban areas. So, we are going to talk about what it is? How we are going to prevent? What are the treatment options for it?

This is a problem of ageing, this is not a disease. As we age, there are certain changes happens in the body. Likewise, the bone also changes as knee is the weight bearing area and we have a habit of sitting and getting up from the floor. So, the knee joints, the cartilage develop some inflammation which is known as Knee Osteoarthritis.

What are the causes?

Causes are;

• Poor thigh muscles
• Heavy weight
• Floor sitting
• Genetic predisposition

We can not do for Genetic disposition but we can certainly take care of our knees in respect of strength of the thigh muscles, mobility of the knee joint and strength of the bone.

So, I am going to demonstrate very simple 3-4 exercises which has to be done on day to day basis to prevent this condition.

First Exercise-

Sit on the yoga mat, keep the leg straight and simply try to tighten the thigh muscles. Hold the tightening of muscles for 10-15 seconds and then relax. Do 20 repitions of each leg in the similar way.

Second Exercise- 

Lie down on the yoga mat. Pull your leg up till 20-30 degrees and hold it for 10-15 seconds and then relax. Repeat the same 20 times and do it with both legs.

Third Exercise-

I am here using a roll but you can also use a pillow. Put your leg over the roll and tighten your thigh muscle and pull the feet toward yourself. Hold this position for 10 seconds and then relax. Do 20 repetitions for each leg.

Fourth Exercise-

Lie down on the floor side ways. Broaden your legs, that is open your knees and bring it down. Laternal part of the thigh muscles gets activated which take care of the weight bearing condition of the bone.

Fifth Exercise-

Some exercises are closed Kinetic Chain Exercises which can be done with the help of the ball as I am showing. In this, stand straight facing the back towards the wall and keep the ball in between your back and teh wall. Move down in such a way so that your body makes 90 degree with the supoort of the ball at the back as shown. Repeat 20 times.

The person who is doing the above mentioned 5 exercises in a day will be more in the condition to prevent this knee arthritis. But as we know that this condition is progressive and gradually it becomes worst.

• Maintain your weight.
• Do the exercises
• Keep the mobility of the knee joint
• Avoid sitting on the floors.

If you want to consult me, you can book an appointment through Lybrate.

Hello, I am Dr Rajesh Pal. I am a physiotherapist and I have 17 years of clinical experience. I have been graduated from Utkal University and I have masters degree in Orthopaedics and physiotherapy. Today we are going to talk about very common problem which people are facing because of technology which is Neck pain.

India is a youth population and youth is technologically driven. So, they use more of laptops, spending more time on phones. So, because of the neck postures get affected and the muscles which control the posture of neck are under tremendous stress and gradually they develop some or other kind of problem which result into Neck pain. Today, I am going to give some tips that how to prevent all such problems.

There are different causes of Neck pain:-

• Posture- One has to beware of their posture. If you keep your neck bent for a long time, then the neck muscles are in acute pressure that creates some kind of knots in that muscle which is called trigger point. So, here is my trick to prevent this that whenever you use your phone, keep the phone in eye level in order to keep your neck in neutral position. This will reduce the stress of trapezius muscle. 
• The second commonest cause is stress.  We should adapt some technologies and modicfication in our lifestyle to take care of the stress. Under stress, these postural muscle remain in tightened state for a long period of time and that eventually leads to these kind of problems. Try to relax yourself. Go with the time and nature and keep yourself happy. One should not worry about what is happening and what should be the best way because nothing best is available in this world. Go with what is happening.
• The third factor which contribute to these kind of problem is Sleep. Nowadays the sleeping schedule has changd because of work. In some MNCs, there is a culture in which people have to work in the night and sleep during the day. The sleeping pattern has changed and it is causing such kind of problems. So, try to maintain good sleep. Fix a time of sleeping. Keep the environment of the room in such a manner to induce better and relaxing sleep.
• The another important factor is diet. The food we eat, plays an important role. Having a packed or preserved food can lead to muscle injury. This kind of food contains some chemicals which induce such problems. Avoid having these packed food and start having home made fresh food which is more healthy.
• The last thing I want ot share is that spending more time on computer is harmful. Gadgets emit radiations which absorb water from our muscles. AS we know that our body is made up of 80% of the water. If the water quantity get reduced then the muscle problems starts developing. So, keep yourself hydrated. Make sure that you drink one glass of water in every 2 hours.
• Do stretching exercises of neck muscles and shoulders.

If you indulge in such habits, you can easily prevent these problems.

If you want to contact me, I am available on Lybrate and book an appointment there for consulting me.

Thank you for watching this video.