Rotator Cuff Tears

2. Lower Back Pain (Mechanical)

Vishudh Kaya Pain relief and Multispeciality clinic in kharar
  • Goal: Strengthen deep core muscles (transverse abdominis) to support the spine and reduce strain.
  • Ergonomic Adjustments: Raise your computer screen to eye level, use a lumbar roll in chairs, and avoid
  • Slouching when standing.
  • Movement Education: Learn hip-hinge techniques (bending at hips, not spine) for lifting and squatting to protect your back.
  • Use heat therapy (15–20 minutes) before activity to loosen stiff muscles and ice (10–15 minutes) after activity for acute pain.
  • Avoid prolonged sitting—set a timer to stand/stretch every 30 minutes.
  • Progress exercises gradually: Overloading weak muscles too soon can worsen pain.

3. ACL Tears (Knee Ligament Injury)

Knee Ligament Injury
  • Reduce Swelling: Ice therapy, compression, and elevation to manage inflammation.
  • Restore Motion: Gentle range-of-motion exercises (heel slides, seated knee extensions) to prevent stiffness.
  • Strengthen Pre-Surgery: Focus on quad activation (straight-leg raises) and hamstring stretches to prepare for post-op recovery.
  • Mid-Stage (Weeks 6–12):
    • Resistance Training: Leg presses, mini-squats, and hamstring bridges with resistance bands.
    • Gait Retraining: Correct walking patterns to avoid compensatory limping.
  • Stand on one leg, slightly bending the knee. Hold for 30–60 seconds, focusing on steady control.
  • Progress: Close your eyes, add arm movements, or balance on a cushion to challenge stability.
  • Goal: Restore proprioception (joint awareness) to prevent reinjury.
  • Wear a knee brace during high-risk activities (e.g., hiking, sports drills) in early recovery to reduce strain on the healing ligament.
  • Avoid returning to pivoting sports too soon—most ACL rehab programs take 6–12 months for full recovery.
  • Consistency is critical: Skipping rehab phases increases reinjury risk by up to 30%.

4. Plantar Fasciitis

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  • Ice Therapy: Roll a frozen water bottle under your foot for 10–15 minutes to numb pain and reduce inflammation.
  • Taping: Use kinesiology tape or athletic tape to support the arch, offload the plantar fascia, and improve alignment during walking.
  • Night Splints: Wear a splint while sleeping to keep the plantar fascia gently stretched, preventing morning stiffness.
  • Calf Stretches: Tight calves pull on the plantar fascia—stretch them daily (see key exercise below).
  • Towel Curls: Sit barefoot, place a towel on the floor, and scrunch it toward you using your toes to strengthen intrinsic foot muscles.
  • Plantar Fascia Release: Massage the sole with a golf ball or lacrosse ball, applying gentle pressure to release tension.
  • Gait Analysis: A physiotherapist assesses walking/running patterns to correct issues like over pronation (excessive inward rolling of the foot).
  • Footwear Advice: Recommend supportive shoes with arch support or custom orthotics to distribute pressure evenly.
  • Activity Modification: Gradually increase running mileage or switch to low-impact cross-training (e.g., swimming) to avoid flare-ups.
  • Stand on a step with heels hanging off the edge.
  • Lower one heel down until you feel a stretch in your calf and Achilles tendon. Hold for 30 seconds.
  • Repeat 3x per leg, twice daily. Focus: Keep knees straight to target the gastrocnemius muscle.

5. Sciatica

Sciatica
  • Nerve Gliding Exercises: Gentle, rhythmic movements (e.g., seated sciatic nerve flossing) to reduce nerve irritation and improve mobility.
  • Modalities: Heat therapy to relax tight muscles or ice packs to numb acute pain.
  • Positional Relief: Identify pain-easing positions (e.g., lying on your back with knees supported) to avoid aggravating the nerve.
  • Glute Activation: Bridges, clamshells, and side-lying leg lifts to strengthen weak glutes and reduce pressure on the sciatic nerve.
  • Core Strengthening: Dead bugs, bird-dogs, and planks to stabilize the spine and prevent nerve compression.
  • McKenzie Method: Direction-specific exercises (e.g., prone press-ups for extension-based relief) to centralize pain away from the leg.
  • Movement Retraining: Teach proper lifting, bending, and sitting techniques to protect the lower back.
  • Flexibility Work: Regular hamstring and hip flexor stretches to reduce tension contributing to nerve compression.
  • Ergonomic Adjustments: Use lumbar support in chairs, avoid prolonged sitting, and modify workstation setups.
  • Lie on your back, cross the affected leg over the opposite thigh (ankle just above the knee).
  • Gently pull the unaffected leg toward your chest until you feel a stretch in the buttock of the crossed leg. Hold for 30 seconds.
  • Repeat 3x per side, twice daily. Tip: Keep your lower back flat on the floor to avoid straining.
  • Avoid prolonged sitting: Set reminders to stand, walk, or stretch every 30 minutes. Use a standing desk if possible.
  • Modify activities: Skip heavy lifting, deep squats, or high-impact exercises during flare-ups.
  • Sleep smart: Place a pillow between your knees when side-sleeping to keep hips aligned and reduce nerve strain.

Bonus: How to Speed Up Recovery for Any Injury

  • 3 Universal Tips:
  1. Consistency > Intensity
  • Small daily efforts beat heroic weekly sessions.
    • Example: 10 minutes of targeted stretches/mobility work daily is far more effective than an hour once a week.
    • Pro tip: Pair rehab exercises with an existing habit (e.g., post-brushing teeth or during TV ads) to build routine.
  • “Good pain” = Mild discomfort from muscle activation (e.g., shaking during a plank).
  • “Bad pain” = Sharp, shooting, or worsening pain during/after movement.
    • Rule: If pain lingers >24 hours or alters your movement (limping, guarding), dial back intensity.
  • Hydration: Dehydration slows tissue repair—aim for 2–3L water/day (more if active).
  • Protein: Supports muscle/ligament healing (1.6–2.2g/kg body weight if active).
  • Anti-inflammatory foods:
    • Turmeric + black pepper (curcumin reduces inflammation).
    • Fatty fish (salmon, sardines for omega-3s).
    • Dark leafy greens (magnesium for muscle relaxation).

Conclusion

FAQs for “5 Common Injuries Physiotherapy Can Help You Recover From (And How!)

How soon should I start physiotherapy after an injury to ensure effective recovery?

Early intervention is key! Starting physiotherapy within days of an injury (once acute swelling subsides) can accelerate healing, reduce scar tissue, and prevent long-term complications. Always consult a physiotherapist first for personalized advice.

Can a rotator cuff tear heal completely with physiotherapy, or is surgery always required?

Many rotator cuff tears respond well to physiotherapy, especially partial tears. Strengthening exercises, manual therapy, and activity modification can restore function. Surgery is typically reserved for severe or non-responsive cases.

What exercises should I avoid if I’m experiencing lower back pain?

Skip high-impact activities (e.g., running, jumping) and heavy lifting. Avoid exercises that strain the spine, like sit-ups or toe touches. Focus on gentle core stabilization (e.g., bird-dog stretches) as recommended by your physio.

How long does it take to recover from an ACL tear with physiotherapy?

Recovery varies, but expect 6–12 months for a full return to sports. Physiotherapy focuses on rebuilding strength, balance, and agility. Consistency with your rehab plan is critical to avoid re-injury!

Are there home exercises to complement in-clinic physiotherapy for plantar fasciitis?

Yes! Rolling a frozen water bottle under your foot, calf stretches on a step, and towel curls can ease tension. Pair these with in-clinic treatments like taping or gait analysis for faster relief.