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HVLA technique also known as chiropractic adjustment is a treatment method done by a chiropractor or physiotherapist in which a controlled, sudden force is applied to the spinal joint to correct the position and alignment of spine and the musculature around it.  HVLA technique is a great method for immediate relief in patients with musculoskeletal pain and dysfunctions. Chiropractic adjustment can improve posture by facilitating spinal joint movements and by easing out the muscles and soft tissues attached to it.  In cases of restricted thoracic spine joint movements or lumbar spine movement where exercises can not give you immediate or fast recovery from the pain, chiropractic adjustment can be a great deal for those.  Here are some benefits of chiropractic adjustments;  This technique can help many because of the benefits it provides, however it Is not prescribed for all.   In some people it can be completely contra indicated as it might worsen the situation   So ruling out the red flags is mandatory before performing chiropracting adjustments.  There are some tests to identify whether it’s safe to perform chiropractic adjustments on a particular patient or not.it is your physiotherapist’s or chiropractors job to perform these tests on you to make sure you only get the benefits of the technique and if you are not suitable for these techniques then other therapy methods can be used.  There are few tests to check your joint stability  By performing these tests your physiotherapist or chiropractor will confirm and ensure your safety, always visit a practitioner who makes sure you are safe to under go such treatment.  In case of any positive test HVLA technique or chiropractic treatment is completely contra indicated.  There are some absolute contra indications in which chiropractic corrections can not be implemented.  Although there are some exceptions and for some this treatment can be contra indicated but for majority it is safe and can give wonderful results in cases of chronic pains. As it can be a risky procedure always make sure you visit a licensed practitioner with experience.  https://drnitinsharma.in/

Sports injury rehabilitation deals with athletes with injury, helps them in healing, recovering from the injury and plans prevention from future injuries and works on earliest and safe return to the sport.  Injury recovery can be a long and tiring process depending on the structure involved. Common injuries in athletes can be ACL injuries, hamstring strains, bone stress injuries, MTSS and other tendinopathy. Where muscle injuries can heal fast, ligament, tendon injuries may take longer to heal due to compromised vascularization. Depending on the timeline and type of injury your physiotherapist designs your sports rehab program.   Acute and chronic injuries have different timeline to heal.  Injury recovery needs attention of a multidisciplinary team including doctors and physiotherapists. In few cases of ligament injuries and fractures surgical correction may be needed.   INJURY PREVENTION  It is very important to learn preventive measures to avoid injury in all cases. Learning preventive measures can save you from painful and tiring experiences.  Your physiotherapist will assess your current strength and capacity to provide a better strengthening program to prevent future injuries, If you are an athlete and you want to learn more about preventive measures and your physical strength you can visit a physiotherapist or visit (add link here)  There are few preventive measures to save yourself from unwanted injuries:  In some cases, even after taking care of all preventive measures, an injury may occur once in a lifetime. As it’s a common say that ‘ Athlete and injury go hand in hand”. In case of an injury, planning a perfect rehab plan is your physiotherapists duty, this rehab can take up to  few weeks to months  to your return to sport.  You will need 8-12 weeks of plans after your injury to regain the muscle strength and for tendon and ligament injuries it can be longer upto 6 months.  In your sports rehab your physiotherapist will work on your muscles strength and conditioning,  improve neuromuscular control and proprioception and joint stability.  Proper warm up and cool down is very important while while strength training   It’s a basic mistake even athletes do many times. Working on your stamina and strength is the key to perform better in sports  but focusing on healthy recovery( physically and mentally) will be more helpful.  Points to remember when planning a workout to prevent an injuries:  1.Strengthening of major muscle groups like gluteal muscles,  quadriceps and hamstrings in lower limb and rotator cuff muscles, triceps and deltoids in upper body is important.  2.Strength of abdominal muscles for better control.  3.Joint and ligament stability  4.Proprioception and balance training  5.Sports specific plyometrics.  For sports rehabilitation in case of ligament and muscle injuries, your PT  starts with isometric contractions then gradual loading exercises, tendon loading exercises followed by joint stabilization and balance exercises are added. When planning for return to sports gradually plyometrics are added once adequate strength of muscles is achieved by the previous exercises.  For injury specific rehab visit us at ……. 

How physiotherapists can help Many people experience more pain during colder months – especially joint and muscle pains in the knee, hip and lower back. This is true, as the drop in barometric pressure due to temperature drops intensifies the pressure on nerves, which send pain signals to the brain.  Can something be done about this to alleviate intensifying pain during winter?  Yes, physical therapy can effectively assist in managing pain during colder months!  In this blog, we will give you some idea why Physical Therapy will help with pain management during fall and some tips on how to deal with it.  Why do people have chronic pain?  Chronic pain has many causes, such as illness, injury, and arthritis. Some people even suffer from chronic pain without evidence of past injury or disease. Chronic pain leads to decreased activity levels, job loss, financial difficulties, anxiety, and depression. Chronic pain is experienced differently with each individual. The most common complaints include:  Most injuries that cause chronic joint pain result from injuries to tissues, bones, muscles, or tendons. The pain might recur after treatment in cold weather, and that is why a physical therapist is needed. Physical therapists are movement experts who treat pain and the cause of pain in various ways, helping pain management or elimination.  What do Physical Therapists do to help Pain Management?  Physical therapists are experts not only in treating pain but also its source.  The physical therapist will perform a thorough evaluation to determine the best treatment. That includes:  Therapy included by Physical Therapist  Treatment and therapy involve technique like hands-on joint and soft tissue massage, functional movement therapy (FMT), active release therapy, joint mobilization therapy, and strength Training.  The physical therapist will improve your knowledge and understanding of your pain, why it occurs, what to do when you experience it, and how to manage it. The training and education will help to improve better movement and posture. A physical therapist will give exercises like low-impact aerobics training, which people typically tend to do less often during cold weather, to help restore movement, rebuild strength, and eliminate the pain. They will give you exercises for the target areas where you often hurt to make everyday living easier and pain-free.  

The plain truth about rehab if you dare to read it: It’s really hard! (For you, your therapist, and everyone who cares about you.) Hurt does not always mean harm. You will need to make actual changes. These changes may involve modifying your activities and/or taking steps to improve your general health. Your beliefs will be challenged. This process can be uncomfortable but you will learn a lot. You will make mistakes. Its totally normal, but learn from them. Your health provider is not perfect. We’re human. Your progress will not be linear. There will be ups & downs in the process. Failures will happen. You will get frustrated. You will have doubts. Trust the process, yourself & your therapist. There is no magical quick fix. Passive approaches to rehab are not the solution. Gimmicky products are not the solution. Be wary of anyone who promises instant results and cure-alls for everything & everyone. You need to be empowered to control your own journey. Structural changes on scans often won’t totally explain your pain. (Nor do you need to change them to change pain). Multi-disciplinary care approaches will almost always trump singular care approaches. Pain may not be the first thing to change. Rehab isn’t just about improving pain – it’s about improving quality of life and well-being. Your pain is always multifactorial. No, you’re not making anything up. Nobody has all the answers, but find professionals with more scientifically backed ones. It’s all about the small victories: treasure them. You’ll need to ask a lot of questions. You’ll need to write stuff down. You’ll need to set goals and prioritize what’s really important to you. You probably won’t improve all on your own. There’s never any guarantees, but there is always hope. Remember, change is always possible. In the end, it’ll be worth it.