Physiotherapy

Discover physiotherapists, clinics, rehabilitation information, professional opportunities and physiotherapy resources.

Sunday, 6 November 2016

Physical therapists / Physiotherapists are Doctors but can use "Dr" prefix to the name?

Physical therapists / Physiotherapists are Doctors but can use "Dr" prefix to the name?
This is very awkward situation when someone asks in ignorance, if physiotherapists are doctors or not? They can use Prefix "Dr" or not.
Are physical therapists doctors




Yes Physical Therapists / Physiotherapists are Doctors: 

We have (4.5 year Bachelors degree BPT) + (2 year Master degree MPT) + (3 year Doctoral degree) = Doctor of Physical Therapy.  Here’s a crazy thought, from kindergarten to doctoral graduation I have spent 22 years of my 29 year life in school, we are skilled and master of our medical subjects.

Physiotherapists / Physical therapists are musculoskeletal expert:
A comprehensive study of healthcare providers found that physical therapist knowledge of the musculoskeletal system is second only to specialized orthopedic physicians.  So don't get confused over our expertise.

Physiotherapists are movement specialist:
Along with extensive knowledge of the musculoskeletal system , I specialize in the kinesiology of our body as a dynamic and biomechanics moving system functioning in synergy to perform everything from daily activities to elite athletic competition like Olympics. We provide our esteemed services to all.

Direct access: 
Britain (UK) become the first state to allow the physical therapists to prescribe the medicine
Physiotherapists are skilled in prevention, assessment and management of conditions affecting the musculoskeletal, circulatory, respiratory and nervous systems. We utilize several different methods and therapies as well as continual training to ensure that our techniques are perfected and our patients well-being is assured.

Adding to this in the state of Washington, you do not need a physician referral to see a physical therapist.  And in all states, physical therapists with their doctorates are educated in differential diagnosis and can properly diagnose and direct you to the appropriate healthcare provider if it falls outside our scope of physiotherapy practice.

Physiotherapists/ physical therapists are cost-effective:
 Various studies show physical therapy is more effective and less expensive than medical care or surgery with results lasting longer.  Studies also show care is less expensive when going to a physiotherapist / physical therapist FIRST versus being referred from your primary care provider.
Costly drugs with side effects

Physical therapists / physiotherapists provide cutting edge treatments:

Physiotherapists utilize manual therapy, SFMA, trigger point dry needling, electrotherapy which is having no side effects and cost effective.

                                                                        Many a times some insecure and notorious professionals climes that physiotherapist should not use Dr as prefix, according to them it is wrong, so let’s have a deep insight on this issue.
Why Can’t Physiotherapists, the medical practitioner, treating patients, prefix Dr with their name?

 Who has regulated, authorized, awarded the degree for the medical practitioners like MBBS, BAMS and BDS etc to prefix Dr with their names?


 Does it regulated under any Indian Universities or MCI or DCI or IMA the Private association.?

 Ridiculous as blurred . Does the IMA has the audacity to object on Govt of Gujurat's notification on Physiotherapists prefixing Dr with their names??? If yes Who then allowed them to prefix Dr. before their names without having Ph. D degree?

 It is illegal even for a MBBS BDS BAMS etc qualified practitioner to prefix Dr with their names without having Ph. D. degree.

Certainly they are referred as doctor so as physiotherapists and all are supposed to write Doctor after their name as their profession if law is to be interpreted.

 But this irony and not in consonance with any central or state government or University regulations.
It is even not understood need to be debated in which context Supreme Court of India has given the degree for prefixing Dr. to the registered medical practitioner as claimed by IMA, Gujarat Branch.

Friends please tell me why then Engineers prefix Er. Charted Accountants as CA. who has allowed them to prefix like this . If it goes on as a fashion in practice then why people are then doing Ph. D and getting the degree to prefix Dr. with their names.


To my opinion only Ph. D degree holders are eligible to prefix Dr with their name if law is to be interpreted weighing importance to the degree awarded by Indian universities. Therefore, no so called medical practitioners be it MBBS or BPT etc are allowed to prefix Dr with their names without Ph. D degree.

Most important, they are honored and referred as doctors while treating patients and they can add Doctor after their names as medical practice (Doctor) is their profession but can't prefix Dr with their names without Ph. D Degree.

The Ph.D. is originally a degree granted by a university to learned individuals who had achieved the approval of their peers and who had demonstrated a long and productive career in the field of philosophy (in the broad sense of the term philosophy, the pursuit of knowledge).


THE word doctor originate from Latin means teacher. The appellation of "Doctor" (from Latin: teacher) was usually awarded only when the individual was in middle age.
It indicated a life dedicated to learning, to knowledge, and to the spread of knowledge.
So according to this who are doctor? One who have doctorate degree, offered by university in respective field, or as matter of convention who has devoted their most of life in the field to attain the knowledge in the respective field?

You would be surprised to know that historically, lawyers in most European countries were addressed with the title of doctor?

it is very clear  that the Prefix Dr used by registered medical professionals holding a bachelor degree is a matter of cultural convention and granted by history as an honorary.

Physiotherapy is totally drug less therapy and a established profession having 4 and 1/2 years to 9 and 1/2 years of education in the prescribed course and clinical skills. Physiotherapists assess, evaluate, diagnose and treat a variety of clinical conditions with physical means. in many cases a

Physiotherapist assist the medical doctors during the rehabilitation of a patient as a member of the medical team which alone will not make physiotherapy profession a paramedical course.....when other country health care professionals are working as a team for betterment of their patients through a holistic approach, our country people are still busy with the matter "who can write Dr. and who can not…

Now coming back to physiotherapist, if the major community of Physiotherapist in India wants to prefix Dr in to their names, it should be allowed as a matter of convention same as manner the dentist are using from 90s.


 IAP has released a press note that the Physiotherapist who wants Dr as prefix should Use Pt as suffix to make sure they are Physiotherapist not the RMP and they don't prescribe medication.


Prescribing right is a matter of government of India and only registered medical professionals can prescribe Drugs.

Physiotherapist in UK has provision to do prescription with experience and certain qualification, but in India any physiotherapist or other Professionals who is not RMP and prescribing medications is a Quack. But using Dr as a Prefix is not a quack.

Why a Physiotherapist community willing to use Dr as prefix to their name? The answer to this is that India is such a vast country where majority of the population thinks who treats patient is a doctor, doesn’t  matter they are educated or illiterate. They don’t Recognized Physiotherapist as independent healthcare professionals so they lack trusting Physiotherapist as Independent Practices.

In last 15- 20 years physiotherapy has evolved from Diploma to Doctorate level. They are no more subordinate to medical Doctors, share the equal status. To gain the similar trust from population, (that they are capable of treating independently) they need to prefix Dr as a convention that all other health care professional’s uses.
  



Point to be noted Orthopedic Doctor S. Brent Brotzman M. D. and PHYSIOTHERAPIST Kevin E. Will, P. T. who wrote this excellent book for clinical orthopedic rehabilitation but Brotzman didn't use prefix Dr.
But unfortunately in India a M. B. B. S, PMR, MCI and physiotherapist and occupational therapists are fighting for using prefix Dr. Why????????????





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Wednesday, 26 October 2016

11 things you must have done during BPT in physical therapy schooling

11 things you must have done during  BPT 

1st year: 


Fresher's party:

Everyone at physiotherapy college enjoys their fresher party. Memories of fresher party always cherished in our heart, they take us back to the lovely moments of college life. Everyone remembers those funny titles which our seniors awards to us in fresher party.

Photo in Apron and Name plate on chest:

It is very good experience to everyone to get in to the Physiotherapy college after the schooling. We all feel proud and feels like a doctor at that time.We all keep  framed that special photo. I think all must have that special photo with them.




Roaming around  outside the college campus with apron on:

We all use to show off our apron and steth in neck while visiting to the tuck shops near the college. Even though at that time we are not able to listen and make out results from steth sound.


2nd year:

Knee jerk:

We all use to play with our knee hammer in the class and also at hostel. I left with no one in my class whose knee jerk is not checked by me.


 Tease the model and Subjects:

 The guys who were always ready to become the subjects for muscle stimulation in electro-therapy class, surface marking in anatomy class use to be most flirtatious. We use to tease them by increasing the current intensities during the practical classes.


Try hard to become Exercise therapy model:

 Who want to leave the chance to rest on class couch while other perform passive exercises and stretching on you.



3rd Year:

Roam around the hospital and wards for new learning and having the feel of a doctor.

Conferences and college tour:

These are the events what we use to wait eagerly. Conference visits and college tours are always exciting and fun filled.





Workshops and seminar:

Some of the senior physios in our field use to conduct conferences and workshops for students.
Most of use  got trapped for these kind of cheap workshops and seminars.

Bunk Classes

Bunk the Bio stats, pedagogy, psychology, psychiatry and Surgery classes.


4th Year:

Hostel life:
Most of us have enjoyed that life even if we are non hostler we use to stay at hostel and enjoy the life.


Expulsion from library is a very common phenomenon of college life.

We can't keep quite in library as we are seniors now.


Farewell party: 

Farewell party is also a event of our college life which we can't forget through out life. This event is filled with the agony of leaving the friends, college and happiness of entering in to the practice.








Sunday, 23 October 2016

Cord blood banking: a different aspect for safer future

Cord blood banking: a different aspect for safer future 

In order to understand the cord blood banking, first of all we have to understand the cord blood.

What is cord blood?

It is the blood in your baby's umbilical cord (In placental mammals, the umbilical cord (also called the navel string, birth cord or funiculus umbilicalis) is a conduit between the developing embryo or fetus and the placenta).
Cord blood contains stem cells that have properties to grow into blood vessels, organs, and tissues.


Researches are going on along with clinical trials on cord blood to explore  their suitability for helping those with Spinal cord injuries, brain injury, autism,  and other conditions. These specialized cells are already used to treat dozens of diseases.


So your baby's cord blood can be collected by professionals at birth and stored for future use if required to fight some diseases if any.

What is cord blood banking?

Cord blood banking involves in collecting blood left in newborn's umbilical cord and placenta and storing it for future medical use if required, because cord blood contains potentially lifesaving cells called stem cells.

For cord blood storage, you have two main options:

You can donate your baby's cord blood to a public cord blood bank for anyone who needs it.
You can pay to store your baby's cord blood in a private cord blood bank for your family's use.


Benefits of cord blood banking?

Cord blood offers a number of advantages to donors and transplant recipients. It is easy to collect, often more likely to provide a suitable match and is stored frozen, ready to use. 
Now as we know that cord blood is a rich source of blood stem cells so it is very beneficial to store the cord blood.
Stem cells are the building blocks of the blood and immune system of the body. Stem cells have the ability to develop into other types of cells, so they can help repair tissues, organs, and blood vessels if needed in future. Patients with conditions like leukemia, for instance, chemotherapy is often used to rid their body of diseased cells so that normal blood cell production can be restored. Once that happens, the disease goes into remission.



Stem cells are also found in bone marrow, human embryos, fetal tissue, hair follicles, baby teeth, fat, circulating blood, and muscle. Every part of the human body contains some stem cells, but sadly most of them are not a rich enough source to be harvested for therapeutic applications.

If the treatment fails or disease recurs, however, doctors often do a stem cell transplant. It is a transfusion of stem cells from the bone marrow, peripheral blood (blood in the bloodstream), or cord blood from a healthy donor can help create a new blood and immune system, giving the patient a better chance of making a full recovery.


Unlike the stem cells in bone marrow or peripheral blood, stem cells in cord blood are immature and haven't yet learned how to attack foreign substances. It's easier to match transplant patients with cord blood than with other sources of stem cells because the cord blood stem cells are less likely to reject the transfusion.

     
How is cord blood collected?

Cord blood is collected right after birth. The collection process is painless and safe for you and your baby. 

In fact, it's so quick and painless that parents – caught up in holding and bonding with their new baby – are often unaware it has even happened.

Here's how it's done?

Clamping and cutting the cord
After you've delivered your baby, whether vaginally or by c-section, the cord is clamped and then cut in the usual way – either by your partner or your Doctor or medical professional.

You can delay cord clamping, as long as the delay is brief – no more than a minute or two. (If cord clamping is delayed too long, the blood in the cord will clot. And once the blood clots, it's of no benefit to anyone – it doesn't go to your baby and can't be collected for storage.)

Extracting the cord blood
Your doctor or healthcare professional then inserts a needle into the umbilical vein on the part of the cord that's still attached to the placenta.  It is safe and pain free as the needle doesn't go anywhere near your baby.


Now the blood drains into a collection bag. Commonly, 30 to 140 milliliter of blood is collected. The entire process takes less than 10-15 minutes.

Shipping:
The blood is shipped to a cord blood bank, where it's tested, processed, and cryopreserved (preserved by controlled freezing) for long-term storage.
Some family cord blood banks now offer to collect a segment of the umbilical cord in addition to the cord blood. Umbilical cord tissue contains stem cells that are different from cord blood stem cells, and researchers are studying their possible use in future.




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Wednesday, 19 October 2016

Physiotherapy can help you in post-viral arthritis

Physiotherapy can help you in post-viral arthritis 
How to get rid of the joints pain after viral fever?

Viral fever outbreaks can be seen commonly now a days. Most of the viral fevers are associated with symptoms of joint pains  also known as arthralgia. Viral fever usually reveals as joint pains affecting small and large joints of both upper and lower extremities. In some cases, the joint pain may persist even after the fever is resolve, this is known as post-viral arthritis.


Viral arthritis  resolved in few days commonly but sometimes it causes crippling symptoms or may mask other forms of arthritis. 

Viral arthritis has been increasing  rapidly since the last few years. These cases mostly reported mostly in the months of June to October. 

What cause viral arthritis?

Dengue virus,
Alpha viruses including the infamous chikungunya virus,
Parvovirus B1,  
Mumps and rubella viruses, 
Human immunodeficiency virus (HIV). 
Hepatitis viruses including A, B and C viruses, 
Enteroviruses, 
herpes simplex virus, 
Epstein Barr virus, 
cytomegalovirus, 
Unknown viruses.

Differential diagnosis :

Acute rheumatic fever, 
Sjogrens Syndrome, 
Lupus Rheumatoid arthritis, 
Undifferentiated spondyloarthropathy. 

The two phases of Viral Arthritis:

Early Phase (First 10 Days) 
Patient complains of fever, myalgias  (muscle pains), symmetric polyarthralgias (multiple joint pain), transient rash,   and conjunctivitis.

Poly arthralgia involves mainly the wrists, hands, ankles and toes.
Swelling of the joints is a characteristic clinical finding in these patients. 
During this phase, elevation of liver enzymes (AST, ALT and J-glutamyltransferase) and muscle enzymes (creatine phosphokinase and lactate dehydrogenase) is observed in 50% of the patients, accompanied by cytopenias -reduction in blood cell numbers (thrombocytopenia which is a fall in platelet numbers, and leucopenia which is a fall in WBC numbers). In some cases minute haemorrhages under the skin can be seen. 


Medicine play important role at this stage to reduce morbidity and complications.
Pharmaceutical agents used to treat patients suffering from viral arthritis include non steroidal anti-inflammatory drugs (NSAIDs). Medicines including anti malarials,
interferons, 
corticosteroids, 
immunoglobulins, 
anti neoplastic agents, 
other anti-inflammatory drugs and analgesics may be required. 

Later Phase (After 10 Days) 
In This phase there is no associated fever or rash complained by patients. 
Most patients comes with pain and swelling of the joints in both their hands and legs. Some patients may complains of having stiffness in these joints in the mornings. 
The potential benefits of drugs should be weighed against their potential risks and it is prudent to seek specialist help if symptoms are prolonged and do not respond to simple measures. 
If it is a typical viral arthritis then there is no need of specialists and patients should be reassure that symptoms are self limiting and it is unlikely to develop in to a worse or serious condition.
In this phase physiotherapy can play a better role.


Physiotherapy is the solution to prevent morbidity in post viral arthritis

As per studies all cases of such viral attacks are nondestructive for joints and not develop in to the chronic condition.


  • Physiotherapy prevent morbidity of such conditions very efficiently.



  • To prevent the side effects of excess use of  painkillers the physiotherapy modalities like TENS (nerve stimulation) and IFT (interferential therapy) are efficient and have no side-effects.

  • Morning stiffness can be prevented with the help of contrast bath, auto stretching  and A PROM exercises.



  • Ultra sonic therapy and positioning with exercises protocol can prevent the swelling in such patients.











  • Muscle strength and Range of motion can be easily achieved with the help of Physio therapeutic exercises.


  • Relaxation can be achieved through various breathing and relaxation techniques.


So contact your nearest Physiotherapist today and get rid off  all your Post viral arthritis related problems..




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