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Featured Psychiatry Therapies

Hypnotherapy for Bedwetting

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How Hypnotherapy compares with other treatments for bedwetting and one boy’s story
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Illustration showing spending difference between men and women during possible recession:-

Andrew Tan, 9, arrived at most early childhood milestones at a young age, and with ease. He walked at 9 months old. He was stringing sentences together and was potty trained when he was 2 years old. But when it came to being dry at night, Andrew had a different story. “We just thought that he’d come to it sooner or later,” says Joanna Tan, Andrew’s mum. “But at 6, he was still wetting the bed at night.”

According to the NHS, bedwetting when asleep, also known as nocturnal enuresis, is very common in children, especially those under 7. About one five-year-old in seven, and one child in 20 children aged 10 wet the bed, and it is more common in boys than girls. It can be caused by medical conditions such as cystitis or diabetes, or by some children’s inability to produce enough of the antidiuretic hormone, ADH, which controls the production of urine at night, or just by the fact that some children develop bladder control later than others. It may also have a psychological cause, because of problems at school or at home, for example.

Andrew overcame his bedwetting by means of hypnotherapy, which involves using hypnosis to treat medical and psychological problems. “He was approaching his seventh birthday and desperately wanted to go to Cub camp and sleepovers,” says Joanna. “He was still wetting the bed, though, and felt embarrassed, ashamed and even angry with himself. I’ve always wanted my son to believe he can accomplish anything he set his mind to, but with his bedwetting, his confidence levels were low. He was a bright chap, with a reading age of 9 or 10 when he was only 7, yet because of his bed-wetting, he felt like a failure. Then I read an article on hypnotherapy, which ended up being Andrew’s route to feeling good about himself again.”

According to the British Society of Clinical Hypnosis, being hypnotised feels like being in a trance state, similar to daydreaming, or like the moment before we fall asleep, in which there’s a deep sense of relaxation. During hypnosis, beneficial corrections may be given directly to the unconscious mind, which is a reservoir of unrecognised potential and knowledge, and the unwitting source of many of our problems.

“We discovered hypnotherapy after trying several conventional treatments from the age of 3, including sedatives,” Joanna says. “When Andrew was nearly 7 we saw the school nurse, who did a bladder test and told us that he had a small bladder. He was given the enuresis alarm, which wakes a child as he begins to wet the bed, but it soon woke everyone else but him!

“After four months with very little success, Andrew was then prescribed Desmopressin, a drug that inhibits the production of urine through the night. This had little effect either. Meanwhile, Andrew continued to be more and more demoralised.”

Waking up with a smile:-

Then Joanna came across Lynda Hudson, a clinical hypnotherapist with 15 years’ experience, who specialises in treating children as well as adults. Having trained at the London College of Clinical Hypnosis, Hudson also has an honours degree in psychology, teaches hypnotherapy to medical students and is currently writing a book on hypnotherapy for children. She is one of the few hypnotherapists in the country who treats them. “About 40-45 per cent of children I see come to me for bedwetting or other anxiety-based problems, which is why I produced a CD called I’m Dry at Night. This aims to change the mindset of a child who wets the bed, telling them that they can take control at the unconscious level. They can also listen to the CD in the safety of their own bedroom before they go to sleep at night,” says Hudson. Although Joanna knew a bit about hypnotherapy, she was a little apprehensive about Andrew being treated person-to-person.

“Using a CD felt different, though. I listened to it myself first, and it seemed so positive. Andrew was keen to give it a go, so he started to listen to it before he went to sleep. By the third night, he slept right through and was dry in the morning. Within a month, he was continuously dry but continued to fall asleep to the CD for the next three months because he found it so relaxing. He started to wake up with a smile on his face and rapidly regained his confidence,” she says.

On the CD, Hudson uses guided imagery. “I have used the idea of locking up the bladder with a large, strong and colourful key and standing sentry outside it. I’ve also included powerful suggestions for signals to be sent from the bladder (via the sentry) to the brain for the child to wake if necessary, or to keep those muscles tightly closed until morning. I can’t promise that this approach will work for every child, but it does for the vast majority,” she says.

It worked well for Andrew. “He’s a thinking child, who wanted it to work, and the fact that hypnotherapy gave him back control of the situation was the catalyst for change,” says Joanna.

Where Andrew was once withdrawn at school and in social situations, he now has high self-esteem, and even put himself up for school council this year. “But the best testament to his new-found confidence is that he agreed to be featured and photographed for this article,” says Joanna. “I warned him that he might be ridiculed for being a bedwetter, but he said, ‘Well, I did it, Mum. I don’t wet the bed any more’.”

Hypnotherapy It clearly worked for Andrew Tan and there is some limited support from clinical trials to suggest that it is an effective treatment. A 2005 review by the Cochrane Collaboration concluded that there is some weak evidence that hypnosis could treat bedwetting, but it was less effective on children between 5 and 7. Effectiveness 2/5

Drugs There are two broad drug-based approaches: a category of antidepressants called tricyclics, and synthetic antidiuretic hormones, normally desmopressin. It’s not clear how the tricyclics work, but the desmopressin reduces the amount of urine produced overnight. There is good evidence that both produce quick results, but a review of 22 clinical trials, published in 2000, found that children tended to relapse when the drugs were stopped. These are available only on prescription and must be taken under medical advice. Effectiveness 3/5

Acupuncture There is some evidence to suggest that acupuncture might help, but again that evidence is weak. The same Cochrane review that examined hypnotherapy concluded that there was similar, weak evidence for acupuncture. A more recent report, published in 2006, describes treating 56 children with 96 per cent effectiveness. However, this was not a clinical trial and, while it might suggest further exploration, it should not be taken as strong evidence. Contact the British Acupuncture Council (020-8735 0400), acupuncture.org.uk, for practitioners in your area; from £35. Effectiveness 2/5

Alarm A bedwetting alarm is one of the commonest treatments used and it seems to work for many children. A 2005 review of all studies carried out between 1980 and 2002 showed that alarms were successful in anything up to 80 per cent of cases, but that up to 50 per cent of children showed some degree of relapse. However, the evidence suggests that an alarm has a greater long-term effect than the common drug treatments. A Cochrane review suggests that as well as an alarm, giving your child additional tasks such as changing his bedsheets and getting him to go to the toilet repeatedly is better than an alarm alone. There are also suggestions that other combinations, such as drugs and alarm, are also more effective than single interventions, but the data is insufficient to draw firm conclusions. The Enuresis Resource and Information Centre can help, from £65. Effectiveness 3.5/5

Click to see:->Stop Bed-Wetting Deep Trance Now Hypnosis Programs

Sources: The Times: June7,’08

Categories
Featured Therapies

Osteopathy

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Definition
Osteopathy is a system and philosophy of health care that separated from traditional (allopathic) medical practice about a century ago. It places emphasis on the musculoskeletal system, hence the name—osteo refers to bone and path refers to disease. Osteopaths also believe strongly in the healing power of the body and do their best to facilitate that strength. During this century, the disciplines of osteopathy and allopathic medicine have been converging.

It is a system of therapy founded in the 19th century based on the concept that the body can formulate its own remedies against diseases when the body is in a normal structural relationship, has a normal environment and enjoys good nutrition.

While osteopathy takes a “holistic” approach to medical care, it also embraces modern medical knowledge, including medication, surgery, radiation, and chemotherapy when warranted. Osteopathy is particularly concerned with maintaining correct relationships between bones, muscles, and connective tissues. The practice of osteopathy often includes chiropractic-like adjustments of skeletal structures. Craniosacral therapy, a practice in which the bones and tissues of the head and neck are manipulated, also arose in osteopathy.
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Purpose
Osteopathy shares many of the same goals as traditional medicine, but places greater emphasis on the relationship between the organs and the musculoskeletal system as well as on treating the whole individual rather than just the disease.

Precautions
Pain is the chief reason patients seek musculoskeletal treatment. Pain is a symptom, not a disease by itself. Of critical importance is first to determine the cause of the pain. Cancers, brain or spinal cord disease, and many other causes may be lying beneath this symptom. Once it is clear that the pain is originating in the musculoskeletal system, treatment that includes manipulation is appropriate.

History

Osteopathy was founded in the 1890s by Dr. Andrew Taylor, who believed that the musculoskeletal system was central to health. The primacy of the musculoskeletal system is also fundamental to chiropractic, a related health discipline. The original theory behind both approaches presumed that energy flowing through the nervous system is influenced by the supporting structure that encase and protect it—the skull and vertebral column. A defect in the musculoskeletal system was believed to alter the flow of this energy and cause disease. Correcting the defect cured the disease. Defects were thought to be misalignments—parts out of place by tiny distances. Treating misalignments became a matter of restoring the parts to their natural arrangement by adjusting them.

As medical science advanced, defining causes of disease and discovering cures, schools of osteopathy adopted modern science, incorporated it into their curriculum, and redefined their original theory of disease in light of these discoveries. Near the middle of the 20th century the equivalance of medical education between osteopathy and allopathic medicine was recognized, and the D.O. degree (Doctor of Osteopathy) was granted official parity with the M.D. (Doctor of Medicine) degree. Physicians could adopt either set of initials.

However, osteopaths have continued their emphasis on the musculoskeletal system and their traditional focus on “whole person” medicine. As of 1998, osteopaths constitute 5.5% of American physicians, approximately 45,000. They provide 100 million patient visits a year. From its origins in the United States, osteopathy has spread to countries all over the world.

Practice

Osteopaths, chiropractors, and physical therapists are the experts in manipulations (adjustments). The place of manipulation in medical care is far from settled, but millions of patients find relief from it. Particularly backs, but also necks, command most of the attention of the musculoskeletal community. This community includes orthopedic surgeons, osteopaths, general and family physicians, orthopedic physicians, chiropractors, physical therapists, massage therapists, specialists in orthotics and prosthetics, and even some dentists and podiatrists. Many types of headaches also originate in the musculoskeletal system. Studies comparing different methods of treating musculoskeletal back, head, and neck pain have not reached a consensus, in spite of the huge numbers of people that suffer from it.

The theory behind manipulation focuses on joints, mostly those of the vertebrae and ribs. Some believe there is a very slight offset of the joint members—a subluxation. Others believe there is a vacuum lock of the joint surfaces, similar to two suction cups stuck together. Such a condition would squeeze joint lubricant out and produce abrasion of the joint surfaces with movement. Another theory focuses on weakness of the ligaments that support the joint, allowing it freedom to get into trouble. Everyone agrees that the result produces pain, that pain produces muscle spasms and cramps, which further aggravates the pain.

Some, but not all, practitioners in this field believe that the skull bones can also be manipulated. The skull is, in fact, several bones that are all moveable in infants. Whether they can be moved in adults is controversial. Other practitioners manipulate peripheral joints to relieve arthritis and similar afflictions.

Manipulation returns the joint to its normal configuration. There are several approaches. Techniques vary among practitioners more than between disciplines. Muscle relaxation of some degree is often required for the manipulation to be successful. This can be done with heat or medication. Muscles can also be induced to relax by gentle but persistent stretching. The manipulation is most often done by a short, fast motion called a thrust, precisely in the right direction. A satisfying “pop” is evidence of success. Others prefer steady force until relaxation permits movement.

Return of the joint to its normal status may be only the first step in treating these disorders. There is a reason for the initial event. It may be a fall, a stumble, or a mild impact, in which case the manipulation is a cure. On the other hand, there may be a postural misalignment (such as a short leg), a limp, or a stretched ligament that permits the joint to slip back into dysfunction. Tension, as well as pain, for emotional reasons causes muscles to tighten. If the pain has been present for any length of time, there will also be muscle deterioration. The osteopathic approach to the whole person takes all these factors into account in returning the patient to a state of health.

Other repairs may be needed. A short leg is thought by some to be a subluxation in the pelvis that may be manipulated back into position. Other short legs may require a lift in one shoe. Long-standing pain requires additional methods of physical therapy to rehabilitate muscles, correct posture, and extinguish habits that arose to compensate for the pain. Medications that relieve muscle spasm and pain are usually part of the treatment. Psychological problems may need attention and medication.

Risks
Manipulation has rarely caused problems. Once in a while too forceful a thrust has damaged structures in the neck and caused serious problems. The most common adverse event, though, is misdiagnosis. Cancers have been missed; surgical back disease has been ignored until spinal nerves have been permanently damaged.

Normal results
Many patients find that one or a series of manipulations cures long-standing pain. Other patients need repeated treatments. Some do not respond at all. It is always a good idea to reassess any treatment that is not producing the expected results.

Sources:http://www.healthline.com/galecontent/osteopathy-1 and http://www.medterms.com/script/main/art.asp?articlekey=4684

Categories
Therapies

Massage Therapy for Dysmenorrhea, Menoxenia

 

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Dysmenorrhoea means painful periods. Normal menstruation that happens to be painful is known as primary dysmenorrhoea, while secondary dysmenorrhoea refers to period pain caused by certain reproductive disorders, such as endometriosis. In primary dysmenorrhoea, it is thought that the muscles of the uterus squeeze and contract harder than normal to dislodge the thickened lining. These contractions may also hamper blood flow to the uterus, exacerbating the pain. Women of any age can experience painful periods and some women find that periods are no longer painful after pregnancy and childbirth.

Step-1. Tian Zhu point:
Back of the neck,the crater for the intersection Point of the two big sinews and hairline.
Wrap up head with the hands from the back and massage the point by thumb.

Massage Therapy

Aversion To Cold – Back Pain – Dizziness – Eye Disorders – Fever Without Sweating – Headache – Headache Occipital – Nasal Congestion – Neck Muscle Stiffness And Tension – Seizures – Shoulder And Back Pain – Throat Soreness – Vertigo – Visual Disturbances

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Step-2. He Gu point
The crater for junction between thumb and forefinger.
Massage it by thumb for 1-3 minutes.

Massage Therapy
Releases the exterior for wind-cold or wind-heat syndromes .Strengthens the wei qi, improves immunity.
Abdominal Pain – Amenorrhea – Arm Pain – Constipation – Deafness – Eye Deviation – Eye Disorders – Facial Edema – Facial Muscle Paralysis – Fever Without Sweating – Finger Contraction – Headache – Hemiplegia – Intestinal Disorders – Labor Difficult – Mouth Deviation – Nosebleed – Parotitis – Respiratory Disorders – Skin Disorders – Throat Soreness – Toothache

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Step-3…Shen Shu point
On the lower back, 1.5 finger’s breadth lateral to the lower border of the spinous process of the second lumbar vertebra.Massage the point by thumb for 1-3 minutes.

Massage Therapy
For all Kidney related issues which effect the brain, bone, hair, teeth a/or hearing. Male deficiency related sexual problems: impotence, premature ejaculation, spermatorrhea, sterility, exhaustion following ejaculation.
Asthma – Bone Disorders – Deafness – Diarrhea – Dizziness – Edema – Ejaculation Premature – Emaciation – Hematuria – Impotence – Knee Disorders – Leukorrhea – Lumbar Pain – Menses Irregular – Nephritis – Nocturnal Emissions – Seminal Emissions – Tinnitus – Urinary Dysfunction – Urinary Incontinence – Visual

 

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Step 4…Xia Liao point
In the sacral region, in the fourth posterior sacral foramen.
Massage the point by thumb for 1-3 minutes.

Massage Therapy
Regulates The Lower Burner ,Regulates Menstruation ,Strengthens The Lumbar Region And Legs ,Regulates Urination And Defecation Stops Leucorrhea
Abdominal Pain – Constipation – Dysuria – Labor Difficult – Leukorrhea – Lumbar Pain – Lumbosacral Joint Diseases – Menses Irregular – Orchitis – Sacral Pain – Sciatica – Uterine Prolapse

 

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Step-5…Guan Yuan point
In the pubic region, on the anterior midline, 2 finger’s breadth superior to the upper border of the symphysis pubis.Massage it by thumb for 1-3 minutes.

Massage Therapy
Abdominal Pain – Amenorrhea – Diarrhea – Dysmenorrhea – Dysuria – Hematuria – Hemorrhage Postpartum – Hernia – Hypogastric Pain Twisting – Impotence – Infertility – Intestinal Disorders – Leukorrhea – Menses Irregular – Menses Painful – Nocturnal Emissions – Seminal Emissions – Stool With Blood – Urinary Dysfunction – Urination Frequent – Urine Retention – Uterine Bleeding Abnormal – Uterine Prolapse – Windstroke Skin Disorders – Stomach Pain – Vomiting

 

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Step-6…Xue Hai point
On the medial thigh, with the knee in flexion, 2 finger’s breadth superior to the superomedial angle of the patella, on vastus medialis muscle.
Massage it by thumb for 1-3 minutes.

Massage Therapy
Any Gynecological issues originating from Blood, Heat, Stasis a/or Deficiency – irregular menstruation, cramping.
Amenorrhea – Dysmenorrhea – Eczema – Menses Irregular – Skin Disorders – Thigh Medial Pain – Urinary Dysfunction – Urticaria – Uterine Bleeding Abnormal

 

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Sources:http://www.massagetherapy-schools.net/massage-therapy-women-dysmenorrhea.htm

Categories
Therapies

Aquatic Therapy

Water, a soothing component for everyday living, makes us feel better in many ways ­ a warm bath, a refreshing swim, a cool drink. No wonder, so many healthcare professionals are turning to water as an option for treatment. The pool is being proved for its value as the setting for more and more medical procedures, including rehabilitating patients with orthopedic injuries and chronic pain.

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For many years, physical therapists have seen the benefits of aquatic physical therapy. As well as treating patients with orthopedic injuries and chronic pain, aquatic physical therapy is also an effective treatment for post-surgical patients, neurological patients, post-partum patients and athlete rehabilitation. Rehabilitative aquatics uses the natural physical properties of water to treat patients.

Why Water Works
Water has numerous characteristics that make it conducive to meeting treatment goals. Hydrostatic pressure is the equal pressure on all body parts that are immersed in water; this trait often helps to reduce swelling when exercises are performed below the surface of the water.

When a person enters the water the hydrostatic pressure that is applied to all body surfaces creates an upward force known as buoyancy. Buoyancy decreases the forces on body tissues and allows exercise with decreased pain and improved mobility. It is remarkable to see how quickly patients improve when they begin aquatic physical therapy.

Another characteristic of water that makes it beneficial for treatment is resistance. Water is u to 700 times more resistive than air. This resistance provides weak muscles with needed strength training. The natural properties of water allow patients to improve quicker in water than they would on land.

Benefits of Aquatic Physical Therapy

Overall, water has potential to promote quicker healing for patients. Aquatic physical therapy improves:

*Range of motion
*Muscular strength
*Cardiovascular endurance
*Balance
*Coordination
*General relaxation
*Joint flexibility
*Circulation

Aquatic physical therapy is a safe, non-threatening way to treat patients.

In addition to the other benefits of aquatic physical therapy, professionals are finding that patients involved in aquatic physical therapy actually feel better about themselves. The water environment empowers patients to accomplish goals and see results. The pool atmosphere allows therapists and their patients to relax while working together toward treatment goals.It is encouraging to see many patients decide to incorporate water exercise into their daily routine once treatment is complete. The difference between aquatic physical therapy and water aerobics is that aquatic physical therapy is conducted under the supervision of a physical therapist with the goal of rehabilitation or health maintenance. Water aerobics is an excellent form of water exercise.

Aquatic physical therapy has become a valuable treatment component for many patients. And new benefits of the treatment are emerging all the time.

How Aquatic Therapy is Performed:

Aquatic therapy or pool therapy consists of an exercise program that is performed in the water. It is a beneficial form of therapy that is useful for a variety of medical conditions. Aquatic therapy uses the physical properties of water to assist in patient healing and exercise performance.
One benefit of aquatic therapy is the buoyancy provided by the water. While submerged in water, buoyancy assists in supporting the weight of the patient. This decreases the amount of weight bearing which reduces the force of stress placed on the joints. This aspect of aquatic therapy is especially useful for patients with arthritis, healing fractured bones, or who are overweight. By decreasing the amount of joint stress it is easier and less painful to perform exercises.

The viscosity of water provides an excellent source of resistance that can be easily incorporated into an aquatic therapy exercise program. This resistance allows for muscle strengthening without the need of weights. Using resistance coupled with the water’s buoyancy allows a person to strengthen muscle groups with decreased joint stress that can not be experienced on land.

Aquatic therapy also utilizes hydrostatic pressure to decrease swelling and improve joint position awareness. The hydrostatic pressure produces forces perpendicular to the body’s surface. This pressure provides joint positional awareness to the patient. As a result, patient proprioception is improved. This is important for patients who have experienced joint sprains, as when ligaments are torn, our proprioception becomes decreased. The hydrostatic pressure also assists in decreasing joint and soft tissue swelling that results after injury or with arthritic disorders.

Lastly, the warmth of the water experience during aquatic therapy assists in relaxing muscles and vasodilates vessels, increasing blood flow to injured areas. Patients with muscle spasms, back pain, and fibromyalgia find this aspect of aquatic therapy especially therapeutic.

It is important to know however, that aquatic therapy is not for everyone. People with cardiac disease should not participate in aquatic therapy. Those who have fevers, infections, or bowel/bladder incontinence are also not candidates for aquatic therapy. Always discuss this with your physician before beginning an aquatic therapy program.

Click to see also:->
Balance Exercises
Endurance Exercises
Flexibility Exercises
Post-operative Exercises
Strengthening Exercises
Physical Therapy
Occupational Therapy – Making Life Easier With Occupational Therapy
POLL: Water Exercise and Pool Therapy
How Long Will My Physical Therapy Take?

Sciatic Exercises
Rehabilitation

Resources:
http://www.therapyservicespc.com/aquatic.html
http://physicaltherapy.about.com/od/strengtheningexercises/a/aquatictherapy.htm

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Categories
Therapies

Physiotherapy

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Physiotherapy, or Physical Therapy, is a HealthCare profession concerned with the assessment, maintenance, and restoration of the physical function and performance of the body. It is a distinct form of care which can be performed both in isolation or in conjunction with other types of medical management. Used in conjunction with certain medical or surgical techniques, physiotherapy can complement these techniques to help provide a speedy and complication-free return to normal activity.
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Physiotherapy can be useful in the diagnosis and management of a wide range of injuries, disease processes, and other conditions, including:

1.sports injuries
2.back and neck pain
3.postural problems
4.occupational injuries
5.arthritis
6.amputee rehabilitation
7.spinal cord injuries
8.chronic airways disease
9.rehabilitation following cardiac surgery
10.stroke rehabilitation
11. asthma management
12.developmental and paediatric problems
13.neurological conditions
14.impaired mobility
15.women’s health
16.incontinence
17.geriatric problems
18.specific children’s conditions

How physiotherapy helps

Physiotherapy can help individuals by:
Identifying the problem area and treating this directly.
Physiotherapists treat a wide variety of injuries and problems using many different techniques. In many cases, the causes of pain and dysfunction are obvious, but sometimes things are not so black and white, especially when symptoms are inconsistent or difficult to describe. Physiotherapists can perform a wide range of tests to help locate the source of the problem and implement the appropriate treatment strategy.

Identifying the causes and predisposing factors.
Physiotherapists are not only interested in the problem, but factors which contribute to the problem. Identifying factors such as poor posture, improper techniques, muscle imbalances, poor work practices, or other bad habits allow interventions to be made to correct these factors. This will reduce the risk of the same thing happening again in the future.

Providing Rehabilitation following occupational or sporting injuries.
Physiotherapists can help you get back to work or sport more quickly by providing rehabilitation programs and advice on how to prevent a recurrence of the injury.

Providing rehabilitation and exercise before and after surgery.
If you are having or have had major surgery, physiotherapists are often involved in pre-operative and/or post-operative programs to help get you moving again, making sure your length of stay in hospital is not unexpectedly extended.

Providing advice on exercise programs.
If you have the urge to get fit and stay healthy, one of the best ways to do this is by through regular exercise. However if you have not done any serious exercise for a while, it may be advisable to seek assistance to devise an appropriate program for your needs, and ensure you are not at risk of injury.

Providing or advising on special equipment.
With different conditions or disease processes, special equipment may be required. Physiotherapists can advise on many different types of equipment, including splints, walking aids, wheelchairs, occupational equipment etc.

Click to learn more about Physiotherapy

Click to learn :

What do Physios do?
Where do Physios normally work?
How to Becoming a Physio
Schools of Physio
Studying in Australia

Source: http://physio-net.com/aboutphysio/whatisphysio.htm

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