Physiotherapy and Rehabilitation

Musculoskeletal or Orthopaedic Physiotherapy

You can benefit from Orthopedic Physiotherapy care for soft tissue injuries, muscular imbalances, joint pain and various spine conditions. ReLiva Physiotherapy is focused on non-surgical approach to treat injuries or illness related to musculoskeletal conditions to decrease pain and restore function. Our clinical team would work with you 1-on-1 throughout your recovery which makes a significant difference in getting you better.

#### Some of the most important benefits of Orthopaedic physiotherapy include:
- Pain relief
- Pre & post surgical care
- Injury management
- Mobility & independence
- Avoiding surgery

Orthopedic Conditions and Symptoms We Treat

From injuries, fractures to back pain, neck pain and spine issues, our orthopedic physiotherapy experts treat a wide variety of musculoskeletal issues for effective and speedy pain relief and recovery

##### Bone and Muscle Pain
- Spondylosis and Sciatica
- Herniated disc, slipped disc
- Back pain – lower back pain, upper back pain
- Neck pain, Cervical pain
- Spine conditions
- Shoulder pain, tailbone pain

##### Geriatric Comorbidities
- Knee pain (knee arthritis)
- Joint pain and arthritis in hands
- Balance & mobility for elderly
- Finger and wrist pain
- Dizziness (Vertigo & Parkinson’s)
- Chronic back pain

##### Muscle Sprain & Strains
- Muscle spasm
- Ankle sprain, heel pain, foot pain
- Calf muscle pain and leg pain
- Pelvic pain
- Hip pain, buttock pain

Sports Physiotherapy Program

Sports physiotherapy for treating sports injury and addressing performance and training issues of sportspersons and athletes. Whether you are a 18 year old professional tennis player or a 45 year old taking up marathon running, our physiotherapist can help you achieve your goals with fewer injuries and faster recovery. ReLiva has also provided support to marathons, corporate sports programs and elite soccer training programs. We can develop personalised, sport-specific programs to help athletes of all performance levels with the following objectives:

- Restore function
- Decrease pain
- Increase strength and flexibility
- Injury prevention and education
- Optimize performance

#### Sports Injuries and Conditions We Treat
Recover from common sports injury with expert sports physiotherapy for Ankle Sprain, Tennis Elbow, ACL Tear, Shoulder dislocation to get back to your daily active life

##### Leg and Foot Pain
- Plantar Fasciitis : Heel pain
- ACL injury, ACL tear treatment
- Runner’s knee, shin splints
- Hip pain, hamstring, shin pain
- Tailbone pain – coccydynia
- Ankle sprain and ankle pain

##### Arm and Shoulder Pain
- Frozen Shoulder, Adhesive Capsulitis
- Tennis elbow
- Shoulder pain, shoulder tendinitis
- Fracture and Dislocation
- Wrist pain, hand pain
- Elbow pain

##### Fitness & Sports Rehab
- Post operative physio (ligament repair)
- Muscle strain and ankle sprains
- Treatment for gym injuries, football injuries
- Running injury and knee pain
- Core strengthening for lower back pain
- Zumba and dance injuries

Post operative Physiotherapy

Post operative physiotherapy plays a crucial role in post operative rehabilitation, as post surgery physical therapy ensures faster and complete recovery after surgery and effective return to prior level of physical function. If you are going for a planned surgery, then consider pre operative physiotherapy. Afterall, the stronger you are before surgery, the stronger you will be after!

#### Our post-operative physiotherapy after surgery focuses on:
- First controlling the inflammation
- Then restoring your full normal range of motion, and
- Progressing on to advanced strengthening and stretching.

Physiotherapy and Surgery

Physiotherapy plays an important role within the surgical journey by encouraging early ambulation and promoting the return to function for patients

#### Post operative physiotherapy: Who can join?
Common surgeries requiring post-operative physiotherapy care are:
- Joint replacement: Knee replacement physio after TKR, Hip replacement surgery (THR)
- Shoulder surgery: Shoulder Reconstruction, Shoulder Stabilisation, Rotator Cuff Repair, Acromioplasty, Capsulotomy, Fracture
- Spine surgery (Neck & Back): Discectomy, Laminectomy, Spinal Fusion/ Spinal Stabilisation
- Elbow pain: Tennis Elbow Release, Golfers Elbow Release, Fracture plate
- Wrist & Hand: Carpal Tunnel Release, Fracture repair, Tendon Repairs
- Knee Rehab: ACL and Ligament Reconstruction, Arthroscope, Meniscal Repairs, Chondroplasty, Lateral Release, Patella Tendon Transfer
- Calf: Achilles Tendon Repairs, Fasciotomy
- Ankle & Foot: Ankle Reconstruction, Ligament Repairs, Arthroscope, Fracture, Spur Removal, Bunionectomy

#### Pre operative physiotherapy: Who can join?
If you are undergoing a planned surgery, then we can also help you with pre-surgery module of your physiotherapy programme. This will not only help you to recover faster after surgery but also reduce the chances of post-operative complications. Patients may avail of rehabilitative services at our clinic.

- Spine surgery (Neck & Back): Discectomy, Laminectomy, Spinal Fusion/ Spinal Stabilisation
- Knee Rehab: Arthroscopy, Meniscal Repairs, Chondroplasty, Lateral Release, Patella Tendon Transfer, TKR

Neurological Physiotherapy

People surviving conditions such as Stroke, Multiple Sclerosis, Neuron disease, Paralysis, Muscular Dystrophy, Guillain Barre Syndrome, Parkinson’s disease etc have disorders of the nervous system. They need to relearn skills, they lose because of the damage to their brains, spinal cord or nerves. Neuro physiotherapy focuses on regaining independence for ADL. Our experts will use 4 step standardized ReLiva process for neurological assessment of the specific conditions of the patient and chart out a treatment plan using a combination of:

- Education and promotion of self-management
- Hands-on neurological techniques like soft tissue stretches, joint mobilizations etc.
- Balance work
- Exercise therapy
- Sensory retraining
- Pain management
- Practicing activities of daily life
- Teaching the care-givers, techniques on moving or positioning

#### Neuro Disorders and Neurological Conditions We Treat
From Stroke Paralysis, Bell’s Palsy, Motor Neuron Disease, Parkinson’s, Multiple Sclerosis or Spinal Chord Injury physiotherapy in neurological conditions can help regain mobility and independence.

##### Stroke Paralysis
- Brain Stroke Rehabilitation
- Paraplegia, Partial Paralysis
- Monoplegia, Quadriplegia
- Hemiplegia – left sided hemiplegia, right side hemiplegia

##### Spinal Cord Injury
- Spinal cord injury treatment
- Spinal muscular atrophy (SMA)
- Physiotherapy for cervical spine surgery, lumbar spine surgery
- Muscular Dystrophy
- Facial paralysis

##### Neuro Conditions
- Parkinson’s disease treatment for parkinsonism
- Facial palsy
- Bell’s palsy
- Muscular dystrophy
- MS, Nerve injury

Other areas of expertise

##### Cardiopulmonary physiotherapy
Cardiopulmonary physiotherapy is a specialized area of physiotherapy that focuses on improving the function of the heart and lungs, primarily for individuals with respiratory and cardiac conditions. It aims to enhance exercise tolerance, improve respiratory function, and enhance overall quality of life by addressing conditions like chronic obstructive pulmonary disease (COPD), asthma, cystic fibrosis, and cardiovascular diseases.

- Cardiac rehabilitation is a complex, interprofessional intervention customized to individual patients with various cardiovascular diseases such as:
- Coronary artery disease (CAD),
- Heart failure
- Myocardial infarctions
- Patients who have undergone cardiovascular interventions such as coronary angioplasty or coronary artery bypass grafting.

##### Physiotherapy during pregnancy
Physiotherapy plays a vital role in supporting mothers both before and after child- birth, addressing physical changes and potential complications. Antenatal physiotherapy focuses on preparing the body for labor, managing pregnancy-related pain, and teaching relaxation techniques. Custom made packages for Antenatal exercises are available to suit the need of all pregnant women offered as online and offline classes.

##### Physiotherapy during postnatal
Physiotherapy during postpartum period is found to accelerate the involution process and facilitate recovery and helps to regain pre-pregnancy health status. Postnatal physiotherapy assists with recovery, including muscle strengthening, addressing perineal pain, and managing conditions like diastasis recti (abdominal separation).