Physiotherapy- A Specialized Science
Physiotherapy is a specialized science which offers remedial solutions for a host of physical problems. It comprises of a series of treatments that help in tackling different conditions of the patient and enable a faster recovery for him or her. Specialization can be done in several areas like sports medicine, women’s health, paediatrics and geriatrics and within each of them; there can be varied areas of practice.
Total knee replacement (TKR) in an orthopedic surgical procedure where the articular surface of the knee, the femoral condyles & tibia plateau are replaced. In 50% of the cases the patella is also replaced. The aim of the patella reconstruction is to restore the extensor mechanism. It depends on the level of bone loss, which kind of patella prosthesis is placed. The main clinical reason for the operation is osteoarthritis with the goal of reducing an individual’s pain & increasing function. Other reason can be trauma or other rare destructive diseases of the joint. Regardless of the cause of the damage to the joint, the resulting progressively increasing pain and stiffness and decreasing daily function lead the patient to consider total knee replacement. Decision regarding whether or when to undergo knee replacement surgery are usually not easy for the patient.
There is something that many people take on a daily basis that could be putting them at increased risk for COVID-19 and other viruses as well as liver and kidney damage, pneumonia, C. difficile, muscle wasting and other serious conditions. And the truly upsetting thing for me is that there are very effective, natural alternatives that could be used instead.
The loss of US population matches the death toll of second World War. We cannot gloat on this depressing position. Defense methods like social distancing, frequent washing of hands, cleaning car knobs, door knobs, table surfaces, avoiding public crowded places like theaters, sports arenas, wrestling, boxing matches avoiding public transportation, like buses, trains, including air and cruise travels.
Patient compliance is an essential part of patient recovery and rehabilitation in physical therapy, particularly when patients have a chronic or longer anticipated recovery time. We recently had a patient who expressed dismay that she wasn’t “getting any better.” This patient had a history of late cancelling appointments and not only non-compliance with her home exercise program but frequently lost the instructions all together. In spite of that, she had met many of the goals that were set for her and once she was reminded of those met expectations she felt better and was re-inspired by her treatment plan.