PhysioTherapyCenter_Back Pain and Difficulty Walking

Health &Wellness The Newsletter About Your Health And Caring For Your Body

March 2019

YOU CAN WIN THE RACE AGAINST BACK PAIN Learn Why You Might Be Experiencing Back Pain While You Move

Health & Wellness The Newsletter About Your Health And Caring For Your Body

March 2019



• Back Pain and Difficulty Walking • Fixing your Stride • Healthy Recipe • Relieve Back Pain In Minutes CALL IN! Call for your FREE BACK PAIN ANALYSIS Call us today to schedule your first step out of pain! (345) 943-8700

Back Pain and Difficulty Walking Does going for a walk sound like a big pain in the back? For thosewhostrugglewithchronicbackpain,even the basic taskofgoing forawalkcanbeoverwhelmingand painful.Backpaincanstrikeatany time.Whether in the upper back, surrounding the neck and shoulders, or in the lower back at the lumbar or sciatica, back pain is something that no one likes to deal with for too long. Relyingonpainmedications tohelpyouovercomeback painwill leaveyoudisappointed.Whilepainmedications are frequently helpful at alleviating the discomfort of your back pain for a short period of time, they are not capable of resolving the issue that is causing your pain to develop in the first place. The only thing that can actually fix your back pain is addressing the issue that is causing your pain head on. Physiotherapy is a great resource for addressing your back pain and can be a helpful tool in getting you back on your feet.

Walking your Way Pain Free Walking is a great form of exercise, but more than that, it is a necessity of life. When you can’t walk, even basic tasks become complicated. Getting out of bed in the morning, getting to and from work, moving your way around the office, and even spending time with family on the weekends all rely heavily on your ability to walk. Whenyourbackpainbegins to interferewithyourability to move around freely, then you know it is time to start doing something about it. Conveniently,walking ismore thanagoalwhen itcomes to back pain, it could be part of the solution. Working with a physiotherapist to develop improved strategies and techniques with your walking could help you to get back on your feet even sooner than you thought possible. What’s more, for those who are able to walk, getting on your feet moreoftenwith targeted exercises could help you find relief from back pain even sooner than expected.

So, whether it is following a sudden injury or a chronic issue that has developed over time, physical therapy could be the answer to helping you enjoy life free of back pain. And the secret to success is learning to approach recovery one step at a time.


Here are several ways that you can start taking care of your back with each step you take: 1. Make sure that you are wearing the right types of shoes. While the golden rule for walking is to wear sneakers, not all sneakers are created equally. You need to wear a sneaker that is going to provide you with the arch support that meets your individual needs. This may mean upgrading from your minimal support sneaker to something more athletically designed. 2. Try a custom insert in your shoe. Of course, you can’t wear sneakers all the time. When you are at the office, professional footwear matters. You may find it helpful to have custom orthotics made for your work shoes so that you can have more arch support around the clock. 3. Work on improving your posture. If you are slouching when you walk, then that may be impacting the way that your back feels. Take a few minutes in the morning and again in the afternoon to stretch your back, and then make a point of keeping your shoulders square and your back straight as you walk. Simply standing tall may alleviate some of your back pain. Another way that walking can help alleviate back pain is by encouraging weight loss. Being overweight puts added pressure on your back, and this can contribute to increased back pain. Working with a physiotherapist to improve your walking techniquecan help you toovercomebackpain onestep at a time.

Whenyouareexperiencing regularbackpain—especially ifyouareexperiencing back pain while walking—you should consider ways that you can reduce back pain by taking small steps to support your back. There are several things that you can do at home to improve your stride, which can make a significant difference when it comes to managing back pain day-to-day.

QUICK & EASY HEALTHY RECIPE Vegetable Samosa – Mr. Sandeep’s Favorite!

Relieve Pain In Minutes Try this movement if you are experiencing pain.

Helps With Balance

INGREDIENTS •1 cup all-purpose flour •1/8 cup oil •1/8 cup water •4 boiled and mashed potatoes •1/2 cup green peas •chopped cashew nuts (optional) •raisins (optional)

•1/2 tsp garam masala •1/4 tsp pepper •salt to taste •1/4 tsp red chilli powder •1/2 tsp dry mango powder •1/2 tsp cumin powder •oil for frying

Tandem Stance Stand with one foot directly in front of the other so that the toes of one foot touch the heel of the other. Maintain your balance.

DIRECTIONS Mix flour, water, oil, salt and red chili powder to make the dough. It should not be very soft. Set aside for 15 minutes. Add garam masala, pepper, mango seed, and cumin seed powder, mix well and again, cover for 5-8 minutes. Add cashew nuts and raisins in the end and keep on a flame for 3-5 minutes. Set aside to cool. Heat two tsp oil and add potatoes and peas. Then cover on low flame for 5 minutes. Roll small balls of the dough like chapati. Cut each in two parts (like a semi-circle), then take one semi-circle and fold it in the shape of a cone. Use water while doing so. Stuff the mixture of potatoes, peas, and spices in that cone and seal it by taking a drop of water on your finger. Heat oil and fry. Serve hot with tamarind chutney or green chutney. PhotoCourtesyof:GayathriRamanan,

Call Today (345) 943-8700

Practice News Super Sweet Valent ine’s Day

Refer A Friend Care enough to share how physiotherapy helped you? Who do you know that could benefit from therapy? Send them our way! They will thank you, and so will we. Refer a friend to our clinic and receive a FREE 1/2 Hour Therapeutic Massage . Get in the game and get the word out.

A BIG thank you to one of our patient’s who made and shared with us this sweet and delectable Valentine’s Day treat: Strawberry Cheesecake Blondies. We really are touched by your kindness. They were delicious!

Cut out the card below and give it to someone you know who could benefit from physiotherapy.

Aches & Pains? We Offer FREE Screenings Helping You Get Back To Better Again!

25 Eclipse Drive, P. O. Box 10742 George Town, Grand Cayman, KY1-1007 Phone: (345) 943-8700



Attention Back Pain Sufferers!

Do You Have Difficulty With Back Pain?

• Decrease your pain • Increase your strength • Increase your activity level We can help:

• Increase your flexibility • Improve your health • Get back to living

Mention or Bring in This Coupon Today For a FREE Back Pain Consultation

Call Today: (345) 943-8700

Offer valid for the first 25 people to schedule. Expires 4-31-19.


I graduated with a Physiotherapy degree in India in 2002 and then acquired an M.Sc. in Sports and Health Sciences from the University of Exeter in the UK in 2006. As a Registered Physiotherapist with the Council of Professions Allied with Medicine in the Cayman Islands and with the Health and Care Professions Council in the UK, I bring over 14 years of experience in excellent patient care. I specialize in Neurological, Musculoskeletal, Geriatric, and Sports Injury related physiotherapy and rehabilitation. It is my belief that adopting a patient centric approach; to address and overcome illnesses and injuries that cause pain, discomfort and restrict movements in activities of daily living, is the most effective way to achieve the best therapeutic solutions. I have had the opportunity to work with National level athletes and clubs in events such as

swimming, track and field, and cricket to provide solutions for their injuries and return to sports. This has helped to widen my professional experience and offered me great insights into the different facets of this profession. I am very passionate about Physiotherapy and realize the opportunity the profession provides in working with people from diverse backgrounds with various challenges. It is very important that I effectively communicate the plan of care to each patient, their family and caregivers, enabling them to be active participants in the process of recovery. My commitment to learning and assimilation of knowledge on an ongoing basis will help me leverage the latest information and tools available for my patients, thereby, delivering the ultimate patient experience.

25 Eclipse Drive, P. O. Box 10742 George Town, Grand Cayman, KY1-1007

Phone : (345) 943-8700 Fax : (345) 943-8701


by Sandeep Kumar Rajavelu Balachander, Registered Physiotherapist

Stroke Rehabilitation is defined as the progressive, dynamic, goal orientated process aimed at enabling a person with impairment to reach their optimal physical, cognitive, emotional, communicative, and social functional level. The overall aim of physical rehabilitation is to reduce stroke-related disability and help stroke survivors relearn skills that are lost when part of the brain is damaged. It also teaches survivors new ways of performing tasks to circumvent or compensate for any residual disabilities. For example, these skills can include coordinating leg movements in order to walk or carrying out the steps involved in any complex activity. Individuals may need to learn how to bathe and dress using only one hand, or how to communicate effectively when their ability to use language has been compromised. What disabilities can result from a stroke? The types and degrees of disability that follow a stroke depend upon which area of the brain is damaged. Generally, stroke can cause five types of disabilities as follows: 1. Paralysis or problems controlling movement (motor control). Paralysis is one of the most common disabilities resulting from stroke. 2. Sensory disturbances including pain. Stroke patients may lose the ability to feel touch, pain, temperature, or position. 3. Problems using or understanding language (aphasia). At least one-fourth of all stroke survivors experience language impairments, involving the ability to speak, write, and understand spoken and written language. 4. Problems with thinking and memory. Stroke can cause damage to parts of the brain responsible for memory, learning, and awareness. 5. Emotional disturbances. Many people who survive a stroke feel fear, anxiety, frustration, anger, sadness, and a sense of grief for their physical and mental losses. What medical professionals specialize in post-stroke rehabilitation? Post-stroke rehabilitation involves physicians; rehabilitation nurses; physical, occupational, recreational, speech-language, and vocational therapists; and mental health professionals. Physical therapists specialize in treating disabilities related to motor and sensory impairments. They are trained in all aspects of anatomy and physiology related to normal function, with an emphasis on movement. They assess the stroke survivor’s strength, endurance, range of motion, gait abnormalities, and sensory

deficits to design individualized rehabilitation programs aimed at regaining control over motor functions. When can a stroke patient begin rehabilitation? Rehabilitative therapy begins in the acute-care hospital after the person’s overall condition has been stabilized, often within 24 to 48 hours after the stroke. The first steps involve promoting independent movement because many individuals are paralyzed or seriously weakened. Patients are prompted to change positions frequently while lying in bed and to engage in passive or active range of motion exercises to strengthen their stroke-impaired limbs. “Passive” range-of-motion exercises are those in which the therapist actively helps the patient move a limb repeatedly, whereas “active” exercises are performed by the patient with no physical assistance from the therapist. Depending on many factors—including the extent of the initial injury—patients may progress from sitting up and being moved between the bed and a chair to standing, bearing their own weight, and walking, with or without assistance. Researchers found that functional improvements could be late as one year after the stroke, which goes against the conventional wisdom that most recovery is complete by 6 months. The trial showed that 52 percent of the participants made significant improvements in walking, everyday function and quality of life, regardless of how severe their impairment was, or whether they started the training at 2 or 6 months after the stroke. What’s involved in stroke rehabilitation? There are many approaches to stroke rehabilitation. Your rehabilitation plan will depend on the part of the body or type of ability affected by your stroke. Physical activities might include: • Motor-skill exercises: These exercises can help improve your muscle strength and coordination. You might have therapy to strengthen your swallowing. • Mobility training: Youmight learn tousemobility aids, such as a walker, canes, wheelchair or ankle brace. The ankle brace can stabilize and strengthen your ankle to help support your body’s weight while you relearn to walk. • Constraint-induced therapy: An unaffected limb is restrained while you practice moving the affected limb to help improve its function. This therapy is sometimes called forced-use therapy.

• Range-of-motion therapy: Certain exercises and treatments can ease muscle tension (spasticity) and help you regain range of motion. Technology-assisted physical activities might include: • Functional electrical stimulation: Electricity is applied to weakened muscles, causing them to contract. The electrical stimulation may help re-educate your muscles. • Robotic technology: Robotic devices can assist impaired limbs with performing repetitive motions, helping the limbs to regain strength and function. • Virtual reality: Theuseofvideogamesandother computer-based therapies involves interacting with a simulated, real-time environment. Cognitive and emotional activities might include: • Therapy for cognitive disorders. Occupational therapy and speech therapy can help you with lost cognitive abilities, such as memory, processing, problem-solving, social skills, judgment and safety awareness. • Therapy for communication disorders. Speech therapy can help you regain lost abilities in speaking, listening, writing and comprehension. • Psychological evaluation and treatment. Your emotional adjustment might be tested. You might also have counseling or participate in a support group. • Medication. Your doctor might recommend an antidepressant or a medication that affects alertness, agitation or movement. Experimental therapies include: • Noninvasive brain stimulation. Techniques such as transcranial magnetic stimulation have been used with some success in a research setting to help improve a variety of motor skills. • Biological therapies , such as stem cells, are being investigated, but should only be used as part of a clinical trial. • Alternative medicine. Treatments such as massage, herbal therapy, acupuncture and oxygen therapy are being evaluated. • Wireless technology: An activity monitor might help you increase post-stroke activity.

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