Category: Lower Back Pain

Ankylosing Spondylitis : Back Pain

Posted on by Dr Dharam

A chronic inflammatory disease that mostly affects the axial skeleton, ankylosing spondylitis (AS) can cause pain, stiffness, and even spinal fusion. To effectively manage AS, we at Elite Physiotherapy and Sports Injury Centre provide individualized, evidence-based physiotherapy interventions.

Understanding Ankylosing Spondylitis

The hallmark of ankylosing spondylitis, a form of axial spondyloarthritis, is inflammation in the spine and sacroiliac joints. Parts of the spine may fuse as a result of the new bone that forms as a result of this inflammation over time. Although the precise reason is yet unknown, genetic factors—specifically, the presence of the HLA-B27 gene—have a significant impact. Environmental variables may also influence the start and progression of disease.

Causes and Classification

AS is under the category of inflammatory rheumatic diseases known as spondyloarthritis. An autoimmune reaction, in which the body’s immune system targets its own tissues, is thought to be the main cause. One known risk factor is genetic predisposition, particularly the HLA-B27 gene. Infections and other environmental causes may also contribute to the development of disease.

Clinical Features and Symptoms

Common symptoms of AS include:

  • Persistent stiffness and discomfort in the lower back, particularly in the morning or after extended periods of inactivity.
  • Peripheral joints such as the shoulders, knees, and hips may experience pain and swelling.
  • Inflammation where tendons and ligaments connect to bones is called enthesitis.
  • Fatigue and decreased mobility.
  • A stiff spine may result from spinal fusion in more advanced stages.

Diagnostic Methods

Diagnosis of AS involves:

  • Clinical Evaluation: Evaluation of medical history and symptoms.
  • Imaging: MRI or X-rays to identify alterations in the spine and sacroiliac joints.
  • Laboratory Tests: Blood tests to look for the HLA-B27 gene and indicators of inflammation.

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

At Elite Physiotherapy and Sports Injury Centre, we provide a comprehensive physiotherapy approach tailored to the needs of AS patients:

1. Assessment Techniques

  • A comprehensive evaluation is carried out utilizing:
  • Postural Analysis: Finding any anomalies or compensatory patterns.
  • Range of Motion (ROM) Measurements:  Evaluating joint mobility and flexibility.
  • Strength Testing: It is the process of assessing the endurance and strength of muscles.
  • Special Tests: To evaluate spinal and sacroiliac joint involvement, particular orthopedic tests are used. such as the Schober test, the SI compression test, and Gaenslen’s test, etc.

2. Treatment Modalities

To improve therapeutic results, we use cutting-edge modalities:

  • Shock Wave Therapy: Using acoustic waves, shock wave therapy helps musculoskeletal tissues repair.
  • Super Inductive System: Reduces pain and inflammation by stimulating deep tissues with high-intensity electromagnetic fields.
  • High-Intensity Laser Therapy: Reduces inflammation and speeds up tissue repair by using concentrated light.
  • Dry Needling and Cupping Therapy: Uses specific procedures to relieve pain and tightness in the muscles.

3. Exercise Therapy

A personalized exercise program focusing on:

  • Exercises for Spinal Mobility: To preserve and enhance flexibility.
  • Strengthening exercises: These support spinal alignment by focusing on the postural and core muscles.
  • Aerobic Conditioning: To lessen tiredness and increase general fitness.

Why Choose Elite Physiotherapy and Sports Injury Centre?

Our center offers:

  1. Expert Physiotherapists: Specialized in managing complex conditions like AS.
  2. State-of-the-Art Equipment: Utilizing advanced therapeutic modalities.
  3. Holistic Approach: Addressing physical, emotional, and lifestyle aspects of AS.
  4. Personalized Care: Tailored treatment plans to meet individual needs.

If you’re experiencing symptoms of Ankylosing Spondylitis or seeking specialized care, contact Elite Physiotherapy and Sports Injury Centre today. Our dedicated team is here to support you on your journey to better health and mobility.

Sciatica – Culprit for your long running lower back pain

Posted on by Dr Dharam

A common condition that causes pain, numbness, or weakness along the sciatic nerve is sciatica. This nerve travels down each leg from the lower back through the buttocks. Our goal at Elite Physiotherapy and Sports Injury Centre is to improve function, reduce pain, and enhance quality of life through individualized treatment strategies.

What is Sciatica?

Pain that travels along the sciatic nerve route is referred to as sciatica. Usually, it impacts one side of the body. The pain might hamper everyday activities and ranges from mild to severe. Even while it usually goes away on its own, persistent cases need professional attention.

Causes of Sciatica

  • Herniated Disc: The nerve root is compressed by a slipped disc.
  • Spinal Stenosis: The nerve is compressed when the spinal canal narrows.
  • Degenerative Disc Disease: Nerve discomfort is caused by disc wear.
  • Spondylolisthesis: A nerve is pinched when one vertebra slides across another.
  • Piriformis Syndrome: The piriformis muscle irritates the sciatic nerve.
  • Trauma or Injury: Nerve damage can result from accidents.
  • Infections or tumors are uncommon but possible causes.

Clinical Features, Signs, and Symptoms

  • Sharp, shooting pain from the lower back to leg.
  • Tingling or numbness in the foot or leg.
  • Weakening of the leg muscles.
  • Prolonged standing or sitting causes the pain to worsen.
  • walking or carrying out regular tasks with difficulty.

Diagnostic Methods and Special Tests

An accurate diagnosis is essential for successful treatment. We conduct a comprehensive evaluation at Elite Physiotherapy and Sports Injury Centre by integrating a physical examination and patient history.

Common Diagnostic Techniques:

  • The Straight Leg Raise (SLR) test: Involves raising the straightened leg to assess nerve root irritation. Pain reproduction suggests sciatica.
  • Slump Test: The patient sits with their knee extended and their spine flexed. If sciatic symptoms show up, it’s positive.
  • Crossed Straight Leg Raise Test: Lifting the unaffected leg while replicating symptoms indicates a disc herniation.
  • Neurological Examination: Assesses strength, reflexes, and sensory abilities.
  • Doctors may recommend imaging tests such as MRIs or CT scans to confirm disc herniation or stenosis.

Physiotherapy Management of Sciatica

At Elite Physiotherapy, we aim to reduce discomfort, increase range of motion, and stop recurrence. We emphasize individualized, evidence-based strategies with premium modalities.

1. Manual Therapy

  • To increase spinal mobility and lower nerve pressure, we use soft tissue methods and joint mobilization.

2. Therapeutic Exercises

  • Stretching: To relieve tension, focus on the piriformis and hamstrings.
  • Exercises for Stabilization: Use low-load core strengthening to enhance spinal support.
  • Exercises for Nerve Mobilization: Encourage sciatic nerve mobility without making symptoms worse.

3. High-End Modalities

A. Shock Wave Therapy

  • Efficient in promoting blood flow and nerve regeneration to lessen chronic pain.

B. Super Inductive System (SIS)

  • Provides deep electromagnetic pulses to the afflicted area to increase circulation and decrease inflammation.

C. High-Intensity Laser Therapy

  • Reduces inflammation, discomfort, and promotes healing by penetrating deep tissues.

D. Dry Needling & Cupping Therapy

  • Physiotherapists target trigger points and relieve tense muscles, which is especially beneficial for sciatica caused by piriformis syndrome.

4. Postural Correction and Ergonomic Exercises

  • We provide home home-based exercise program for your posture correction that will help to minimize nerve compression.

Why Choose Elite Physiotherapy and Sports Injury Centre?

For sciatica, we offer a comprehensive, patient-focused therapy. Our skilled therapists and cutting-edge methods guarantee a quicker, secure recovery. We ensure long-term relief by tailoring each plan to each client’s unique demands.

At Elite Physiotherapy, we think that in order to assist patients properly heal from sciatica, we need to combine science, technology, and compassionate treatment.

Piriformis Syndrome and its Elite Management

Posted on by Dr Dharam

What is Piriformis Syndrome?

Behind the gluteus maximus, deep in the buttocks, is a tiny, flat muscle called the piriformis. It joins the apex of the femur to the sacrum. Its main function is to support the pelvis and aid in hip rotation when walking or running. The sciatic nerve that passes through or beneath the piriformis muscle may be compressed if it gets tense, swollen, or spasms. The result of this is Piriformis Syndrome.

Causes of Piriformis Syndrome

  • Overuse of muscles from repetitive sports like cycling or jogging
  • Damage or trauma to the gluteal area
  • Extended periods of sitting, particularly with bad posture
  • Variations in anatomy, where the piriformis is where the sciatic nerve travels
  • Piriformis muscle inflammation or spasm
  • Conditions affecting the lumbar spine that lead to transferred sciatic pain

Classification of Piriformis Syndrome

Although there is no strict classification system, it is commonly categorized based on the cause:

  • Primary Piriformis Syndrome: brought on by congenital defects or anatomical variances.
  • Secondary Piriformis Syndrome: Caused by inflammation, misuse of the muscles, or trauma.

Clinical Features / Signs & Symptoms

  • An excruciating, deep buttock pain
  • Often misdiagnosed as sciatica, pain radiating down the back of the thigh
  • Along the sciatic nerve distribution, numbness and tingling
  • Increased discomfort when sitting or moving the hips
  • The piriformis muscle is painful.
  • Having trouble walking or climbing stairs, for example

Diagnostic Methods, Tests, and Physical Examination

Physical Examination and Special Tests

  • Palpation: Potential involvement is indicated by tenderness over the piriformis muscle.
  • Piriformis Muscle Stretch Test: The patient is in a supine position while the examiner passively rotates, adducts, and flexes the hip. Piriformis involvement is suggested by pain reproduction.
  • Freiberg Test: Pain occurs when the extended thigh is forced to rotate internally.
  • Pace Test: Pain in the piriformis region is caused by outward rotation of the hip and resisted abduction.
  • Straight Leg Raise Test: It may be positive in certain situations; however, it aids in ruling out lumbar disc herniation.
  • Imaging and Other Investigations: MRI or Ultrasound Imaging

Physiotherapy Management at Elite Physiotherapy and Sports Injury Centre

1. Manual Therapy and Soft Tissue Techniques

  • Piriformis Muscle Release: Expert soft tissue release eases sciatic nerve constriction and eases tense muscles.
  • Trigger point therapy: It reduces pain and spasms by applying direct pressure to muscular knots.

2. Therapeutic Exercises

  • Stretching exercises that target the hamstrings, hip adductors, and piriformis to release tension.
  • Strengthening exercises: To increase pelvic stability, strengthen your gluteus medius and core muscles.
  • Exercises for Postural Correction: Focusing on spinal alignment and good sitting posture.

3. High-End Physiotherapy Modalities

  • At Elite Physiotherapy and Sports Injury Centre, we employ advanced modalities for effective treatment:
  • Shock Wave Therapy (SWT): High-energy waves stimulate tissue repair, reduce inflammation, and improve circulation.
  • Super Inductive System (SIS): Provides deep heating, enhancing muscle relaxation and reducing spasms.
  • High Intensity Laser Therapy (HILT): Accelerates tissue healing and reduces nerve-related pain by penetrating deep tissues.
  • Dry Needling: Thin needles target trigger points to release muscle tension and improve blood flow.
  • Cupping Therapy: Increases circulation and releases fascial restrictions in the piriformis and surrounding tissues.

4. Education and Lifestyle Modification

  • Educating patients on avoiding prolonged sitting, proper stretching, and regular exercise prevents recurrence.

5. Home Exercise Program

  • We provide personalized home exercise programs, including stretching and strengthening exercises, to maintain progress.

Why Choose Elite Physiotherapy and Sports Injury Centre?

At Elite Physiotherapy and Sports Injury Centre, we provide highly individualized physiotherapy service together with cutting-edge diagnostic methods. Utilizing cutting-edge technologies and evidence-based techniques, our skilled team specializes in treating Piriformis Syndrome. We guarantee that each patient gets a comprehensive evaluation and a customized treatment strategy.

Combining manual therapy, therapeutic exercises, and state-of-the-art techniques like Shock Wave, SIS, HILT, Dry Needling, and Cupping improves our outcomes. We provide patients with the information and resources they need for long-term recovery in addition to treatment.

Understand Spondylolisthesis

Posted on by Dr Dharam

What is Spondylolisthesis?

The sliding of one vertebral body relative to the next, known as spondylolisthesis, results in pain, radicular symptoms, or mechanical symptoms. It may result from idiopathic, acquired, or congenital causes. The degree of slippage (Meyerding Classification) of one vertebral body on the next vertebral body determines the grade of spondylolisthesis.[1]

What Causes Spondylolisthesis?

  • Congenital weakness, stress fractures, and spinal degeneration are common reasons.
  • Athletes’ recurrent stress or aging-related deterioration may potentially be the cause.
  • Traumatic accidental injuries
  • Pathological factors, such as connective tissue disorders and neoplasms.
  • Following a laminectomy.
  • Early-life decline in neural arch strength

Clinical Presentation

Pain presentation

  • Low back pain (lumbar) or neck pain (cervical)
  • Can mimic radiculopathy
  • Worsens with spinal extension or palpation
  • Improves in flexed or supine posture

Neurological involvement

  • Radicular pain due to nerve root compression (foraminal narrowing, disc protrusion, or canal stenosis)
  • Reduced spinal ROM
  • Possible neurological deficits

Musculoskeletal findings

  • Hamstring tightness or spasm
  • Muscle weakness and atrophy
  • Crouched gait (Phalen-Dickson sign) due to postural compensations

Functional impairments

  • Disturbed coordination and balance
  • Difficulty walking

Elite Physiotherapy’s Personalized Approach

At Elite Physiotherapy & Sports Injury Centre, we value your unique needs. We start with careful evaluation. Design a plan that fits your lifestyle and pain level. We blend manual therapy, therapeutic exercises, and advanced modalities to restore function and strength.

Assessment Technique & Specialized Physiotherapy Test

To fully assess spondylolisthesis, we use a multi-step approach:

Postural Analysis

  • Observe spinal alignment, pelvic tilt, and posture during standing and movement.
  • Look for abnormal lumbar curves or forward displacement.

Movement Testing

  • Test active and passive spine flexion, extension, and side-bending.
  • Note pain levels and movement restriction.

Specific Segmental Move Test

  • Applying targeted mobilization to each lumbar segment while feeling for resistance or movement.
  • This reveals the precise vertebra level that has shifted or lacks stability.

Functional Load Assessment

  • Observe how the spine responds under gentle compressive load in neutral or extension.
  • Assess pain response and stability under real-life stress.

Neurological Screen (if needed)

  • Check reflexes, muscle strength, and sensation in lower limbs.
  • Rule out nerve compression from the shifted vertebra.

Personalized Physiotherapy Management

1. Pain Relief and Initial Stabilization

  • Begin with gentle manual therapy targeting the affected vertebral level.
  • Use soft-tissue release to ease muscle tightness.
  • Apply electrotherapy (like TENS or ultrasound) to relieve pain and reduce muscle spasm.

2. Core Stabilization and Neutral Spine Control

  • Teach deep abdominal bracing in neutral spine position.
  • Guide pelvic tilts and glut activation exercises to reduce spinal load.
  • Progress into bird-dog, focusing on spine control with limb movement.

3. Lumbar Segmental Mobilization

  • Apply controlled mobilization at the specific slipping segment.
  • Use directional preference movements to encourage vertebral alignment.
  • Reassess after each session to ensure progress.

4. Flexibility and Paraspinal Strengthening

  • Stretch tight hamstring and hip flexor muscles without forcing movement.
  • Incorporate side-planks and modified bridges to strengthen trunk and glutes.
  • Progress with Swiss-ball control exercises for added stability.

5. Functional Training and Movement Re-education

  • Advise and train safe movement patterns for daily tasks.
  • Use squat-to-stand drills with neutral spine emphasis.
  • Incorporate dynamic balance work, such as single-leg stance with trunk rotation.

6. Gradual Return to Sport or Activities

  • Include sport-specific drills with controlled spine posture.
  • Gradually increase intensity, speed, and complexity.
  • Monitor form to prevent shear forces on the lumbar spine.

7. Education and Prevention

  • Teach proper posture and body mechanics for activities such as bending, lifting, and sitting.
  • Provide a personalized home exercise program for spinal stability.
  • Schedule periodic follow-ups to track progress and adjust treatment.

Why Elite Physiotherapy Excels

  • We offer expert, hands-on care tailored to each slip’s severity.
  • We maintain a safe, progressive plan built on spinal mechanics.
  • We combine manual therapy, movement control, and sport readiness.
  • We stress patient education, empowering long-term spine health.
  • We monitor closely and adapt therapy as you improve.

Conclusion

At Elite Physiotherapy & Sports Injury Centre, we guide healing from spondylolisthesis with precision, compassion, and progression. We blend assessment with active treatment, core retraining, and safe return to activity. We help you reclaim pain-free movement with strength, control, and confidence.

Lumbar Spinal Stenosis

Posted on by Dr Dharam

Introduction

Our specialty at Elite Physiotherapy & Sports Injury Centre is helping discerning people regain their range of motion, lessen their pain, and improve their function. Lumbar spinal stenosis requires a thorough, scientifically supported physical therapy regimen that is administered with accuracy, compassion, and clarity.

What Causes Lumbar Spinal Stenosis?

Lumbar spinal stenosis is caused by narrowing of the spinal canal or nerve-exit tunnels. Therefore, typical contributors consist of:

  • Degenerative changes: facet joint overgrowth, disc bulging or herniation, and thicker ligaments (ligamentum flavum) all contribute to canal narrowing.
  • Nerve roots inside the canal are pinched by bone spurs and facet hypertrophy.
  • One vertebra slides forward in degenerative spondylolisthesis, which reduces neural space.
  • In rare cases, the cause is congenital spinal canal constriction.

Neurogenic claudication is characterized by symptoms such as leg discomfort, numbness, and weakness that get worse when standing or walking and get better when bending forward or sitting.

Physiotherapy Assessment Techniques

To properly customize treatment, a comprehensive physiotherapy evaluation is essential. Important actions consist of:

  • History: Examine the onset, postures that aggravate and relieve the condition, and any functional restrictions in the detailed history.
  • Observation and gait analysis: take note of antalgic movements, flexed postures, walking patterns, and posture.
  • Range of Motion (ROM): Assess both active and passive lumbar flexion and extension using range of motion (ROM); restricted extension may be a sign of facet involvement.
  • Palpation: Static or dynamic palpation can be used to identify segmental dysfunction, muscular spasms, or soreness.
  • Neurological testing: strength, sensitivity, and reflexes (ankle, knee) aid in identifying nerve involvement.
  • Specific tests, such as the Kemps, slump, and straight leg lift, are used to identify nerve stress or root compression.
  • Functional treadmill or bicycle stress tests: Stress tests on a functional treadmill or bicycle mimic walking to elicit symptoms and validate neurogenic claudication.

Moreover, these results enable us to distinguish lumbar stenosis from other causes and identify patterns of neurogenic claudication.

Physiotherapy Management at Elite Physiotherapy Centre

Each client is given a customized program that combines functional integration, strengthening, mobility retraining, and manual treatment.

1. Neural decompression and pain relief

  • Flexion-based positions: utilizing assistive supports or sitting with your back flexed forward relieves pressure on your nerves.
  • Exercises that include lumbar flexion, such as knee-to-chest and pelvic tilts, help to relieve nerve compression and open up neural foramina.
  • When used properly, controlled lumbar extension exercises can decompress nerve roots and move disc material; use them only under close supervision.

2. Improvement in Mobility and Flexibility

  • To reduce stiffness and enhance functional capacity, gently stretch the hip flexors, hamstrings, and lower back.
  • Partial-weight support exercises or aquatic treatment can lower axial load, preserve mobility, and lessen pain.

3. Strengthening and Core Stabilization

  • exercises that support spinal alignment by activating the deep core (such as the transverse abdominis) with the pelvic tilt, dead bug, and bridge.
  • Gradually strengthening the lower limbs and glutes enhances balance, improves gait, and lowers lumbar demands.

4. Aerobic and Functional Conditioning

  • Walking, swimming, and recumbent cycling are examples of low-impact aerobic exercises that improve functional mobility and endurance.
  • Gradual advancement with an emphasis on endurance building and symptom-guided pacing.

5. Education & Manual Therapy

  • Specific manual procedures to move restricted joints and relieve segmental stiffness.
  • Teaching body mechanics, posture, and movement patterns to reduce symptom triggers and increase safe functional utilization.

However Every element at Elite demonstrates our commitment to accuracy and customer results:

Stress our practical manual treatment expertise in conjunction with top-tier, scientifically supported exercise regimens.

Emphasize our individualized treatment, careful observation, and alignment with functional goals in language that is clear, dynamic, and client-focused.

Conclusion

A focused, sympathetic, and function-driven physiotherapy approach is necessary for lumbar spinal stenosis. Additionally, the following are combined at Elite Physiotherapy & Sports Injury Centre:

  • Competent evaluation and customized treatment regimens,
  • Progressive training for strength, endurance, and mobility,
  • Manual interventions that are hands-on,
  • Under close observation, flexion-based and potentially extension-based therapies,
  • Instruction that promotes long-term recovery

This all-encompassing strategy aids in pain relief, increased walking tolerance, and the restoration of high-level function.

Understanding Disc Herniation

Posted on by Dr Dharam

What Causes Disc Herniation?

Disc herniation often begins with disc degeneration, where the central gel (nucleus pulposus) loses hydration and structural support. Aging makes discs brittle and prone to tears under stress.

Contributing factors include:

  • Trauma or sudden strain, such as lifting or twisting improperly.
  • Repetitive poor posture or prolonged sitting which shifts pressure unevenly across discs.
  • Genetic predisposition, from collagen or matrix gene variations.
  • Athletic activity or contact sport, which demands forceful spinal flexion or impact.

Elite Physiotherapy Assessment for Disc Herniation

1. Detailed patient history

  • We ask about onset, triggers, radiation, posture, prior treatments, and daily limitations.

2. Neurological and orthopaedic testing

  • We evaluate reflexes, muscle strength, sensation, and gait.

3. Special physiological tests

  • Straight Leg Raise (SLR): high sensitivity but variable specificity.
  • Cross-straight Leg Raise: low sensitivity, high specificity.

4. Red flag screening

  • We rule out fractures, infections, malignancies, or cauda equina syndrome.

5. Imaging when needed

  • MRI is the gold standard for confirming a disc herniation. X-ray or CT may rule out other issues.

Elite Physiotherapy Treatment of Disc Herniation

Acute Phase (First 24–48 Hours)

  • To lessen stiffness, promote gentle activity, such as quick strolls.
  • For pain management and inflammatory reduction, recommend cold therapy.
  • Encourage frequent postural changes and supportive seating.

Sub-acute and Improvement Phase

  • To assist with central discomfort, concentrate on directional preference exercises.
  • For lumbar support, introduce motor control and core stability activities.
  • Add cardio exercises like cycling or walking gradually.
  • Focus on strengthening and extending your hamstrings, hips, and back muscles.
  • Stretch your hamstrings, hip flexors, and back extensors.
  • Engage the quadratus lumborum and transversus abdominis.
  • Practice lunges, crawling movements, and bridging.
  • Start with five repetitions and work your way up to ten or fifteen.

Post-operative or Advanced Phase

  • Start treatment four to six weeks after surgery.
  • Pay attention to ergonomics and safe daily practices.
  • Make use of progressive training that is customized for every activity or sport.

Why Choose Elite Physiotherapy & Sports Injury Centre?

  • Superior diagnostics and state-of-the-art technologies such as new TR-Therapy, class 4 laser, CRET, and cryotherapy.
  • A welcoming, patient-centered setting managed by seasoned experts.

Final Words

For disc herniation, Elite Physiotherapy & Sports Injury Centre provides excellent, research-based care. You heal more quickly and effectively because to our comprehensive evaluation, individualized care, and skilled rehabilitation methodology. Whether you’re an athlete or just active, you can trust our cutting-edge techniques and caring staff to help you on your path to recovery.

Get in touch with Elite Physio to schedule a consultation or for additional information. You deserve the best treatment for your spine.

Lumbar Radiculopathy: Lower Back Pain

Posted on by Dr Dharam

Introduction

Nerve irritation or compression in the lower spine is known as lumbar radiculopathy. It results in weakness, tingling, or acute leg pain. In a compassionate, contemporary setting, Elite Physiotherapy treats it with cutting-edge diagnosis and premium physiotherapy. The causes, evaluation procedures, and treatment plan customized for our clients are explained in this blog.

Causes of Lumbar Radiculopathy

  • Herniated disc: A herniated disc occurs when a spinal nerve is compressed by mushy disc gel.
  • Spinal stenosis: Nerve roots become irritated by spinal stenosis, a narrowing of the spinal canal.
  • Degenerative changes: Arthritis or bone spurs may cause roots to become compressed.
  • Spondylolisthesis: Spondylolisthesis is a condition in which a vertebra slips and hits nerves.
  • Trauma or injury: Nerve symptoms may be brought on by an abrupt strain or impact.

Assessment at Elite Physiotherapy

Patient history

  • We start by asking specific questions on the location, onset, and nerve-related symptoms of pain.

Neurological screening

  • We assess sensations in dermatomal patterns, reflexes (knee, ankle), and muscular strength (e.g., foot dorsiflexion for L4).

Special test: Straight Leg Raise (SLR)

  • It evaluates inflammation of nerve roots. We raise the leg straight up while the patient is in a supine position. Nerve involvement is indicated by pain radiating below the knee.

Slump test

  • We ask the patient to straighten their leg, flex their neck, and sit up slumped. Nerve tension is confirmed by radiating symptoms that are reproduced.

Functional assessment

  • We look at spinal mobility, gait, posture, and movement patterns.

Physiotherapy Management at Elite Physiotherapy

A. Pain relief and nerve mobilization

  • To ease neurological tension, we employ mild nerve-gliding activities. To lessen inflammation and nerve discomfort, we might also use Class 4 laser, CRET therapy, and interferential therapy.

B. Core and spinal stabilization

  • To build deep stabilizers, we provide safe, focused activities. They prevent nerve inflammation and lower disc pressure.

C. Flexibility and posture correction

  • We stretch the hip flexors, piriformis, and hamstrings. Additionally, we use postural education and guided feedback to retrain posture.

D. Functional re-training

  • We provide ergonomics, walking mechanics, and sit-to-stand guidance. We restore safe, useful movement to everyday activities and athletics.

E. Gradual return-to-activity

  • Our procedures move slowly. Only after nerve sensations subside can we start low-impact aerobic or sport-specific exercises. After that, we work to fully recuperate.

F. Supportive environment

  • Our clinic offers a welcoming, therapeutic environment with state-of-the-art equipment and a knowledgeable staff. In a cozy environment, clients receive targeted treatment.

Why Elite’s Approach Stands Out

Feature Benefit for You
Advanced techFaster pain reduction and better nerve recovery
Personalized planTailored treatment for your unique condition
Active rehab focusBuilds strength, mobility, and functional ability
Warm care cultureSupportive healing vibe enhances recovery
Experienced team Skilled therapists guide every rehab step

Conclusion

Nerve irritation or compression in the lower spine causes lumbar radiculopathy. At Elite Physiotherapy & Sports Injury Centre, we use accurate diagnosis, proactive care, and customized physiotherapy to provide quick and long-lasting relief. In a contemporary healing environment, we integrate sophisticated therapy, soft-tissue flexibility, stability, and nerve-mobilizing procedures. Our clients regain function and resume optimal performance with careful progress.

Don’t wait if you have severe leg and back pain. Get in touch with Elite Sports Injury & Physiotherapy Center. Our goal is to get you moving again in a friendly, professional setting.

SI Joint Pain Explained: Advanced Physiotherapy Treatment at Elite Physiotherapy

Posted on by Dr Dharam

Introduction

A common but sometimes misdiagnosed condition affecting the lower back and buttocks is sacroiliac (SI) joint pain. Our specialty at Elite Physiotherapy and Sports Injury Centre is precise diagnosis and state-of-the-art management of SI joint dysfunction. We guarantee our patients’ functional recovery and long-lasting alleviation by employing cutting-edge modalities and sophisticated physiotherapy procedures.

What Is the SI Joint and Why Does It Matter?

The sacrum, or base of the spine, and the ilium, or pelvic bone, are joined on both sides by the sacroiliac joint. It provides stability and stress absorption and is essential in the transfer of weight between the upper torso and lower limbs. This joint can cause severe pain and limited motion if it becomes irritated, inflamed, or malfunctioning.

Causes of SI Joint Pain

It may arise due to various reasons, including:

  • Traumatic injury (fall, sudden impact)
  • Repetitive stress from sports or prolonged standing
  • Pregnancy-induced ligament laxity
  • Inflammatory conditions like ankylosing spondylitis
  • Leg length discrepancies
  • Postural imbalances or altered biomechanics

Mechanism of Injury

Either hypomobility (limited movement) or hypermobility (excess movement) of the joint are the usual cause of SI joint dysfunction. Both disorders cause inflammation, muscle imbalance, and referred pain by interfering with the body’s natural load distribution.

Signs, Symptoms, and Clinical Features

Patients with SI joint dysfunction often report:

  • Dull or sharp pain in the lower back, buttocks, or posterior thigh
  • Pain worsens with standing, stair climbing, or prolonged sitting
  • Difficulty turning in bed or rising from a seated position
  • Tenderness over the PSIS (posterior superior iliac spine)
  • Sometimes, leg pain without true nerve involvement

Diagnostic Methods at Elite Physiotherapy

At Elite Physiotherapy and Sports Injury Centre, we rely on detailed clinical assessment, movement analysis, and specialized physical tests to accurately diagnose SI joint dysfunction. Our assessment includes:

Physical and Functional Evaluation

  • Postural and pelvic alignment assessment
  • Gait and functional movement analysis
  • Muscle strength, flexibility, and stability testing

Special Tests for SI Joint Pain

We use a combination of validated orthopedic tests to provoke and isolate SI joint dysfunction:

  • Distraction Test
  • Compression Test
  • Thigh Thrust Test
  • Gaenslen’s Test
  • Sacral Thrust Test
  • FABER (Patrick’s) Test

A positive response in three or more of these tests significantly increases the diagnostic accuracy for SI joint pathology.

Personalized Physiotherapy Treatment at Elite Physiotherapy

Our treatment philosophy at Elite Physiotherapy is personalized, evidence-based, and function-focused. We use an integrated approach that includes:

1. Manual Therapy

  • SI joint mobilization or manipulation
  • Soft tissue release for gluteal, piriformis, and iliopsoas tightness
  • Myofascial release to relieve muscular adhesions

2. Corrective Exercises

Our rehab plans are built to restore stability, mobility, and strength:

  • Core stabilization exercises to support pelvic alignment
  • Pelvic tilt, bridging, and clamshells for gluteal activation
  • Functional movement retraining (lunges, squats) with proper pelvic control
  • Proprioceptive and neuromuscular re-education for joint control and balance

We progress exercises based on patient goals, functional limitations, and sport-specific requirements.

3. High-End Modalities at Elite Physiotherapy

We combine clinical expertise with advanced modalities to accelerate healing:

Shockwave Therapy

  • Useful in chronic SI joint pain due to ligament or tendon irritation. It promotes tissue repair and pain relief.

CRET Therapy (Capacitive and Resistive Electric Transfer)

  • Improves deep tissue healing, reduces inflammation, and enhances blood flow to the sacroiliac region.

Super Inductive System (SIS)

  • Used for pain modulation and muscle activation around the pelvis and lumbar spine. It’s non-invasive and safe for SI joint issues.

High-Intensity Class 4 Laser Therapy

  • Delivers deep photothermal stimulation to reduce pain, relax muscles, and improve circulation in the affected area.

Cryotherapy

  • Effective in managing acute SI joint inflammation by reducing swelling and muscle spasm.

Hydrotherapy (if indicated)

  • For patients with high pain levels or poor tolerance to land-based exercises. Water buoyancy reduces joint stress while allowing movement.

Note: We use these modalities based on condition severity, chronicity, and patient-specific responses. Our approach is always customized.

4. Ergonomic and Postural Correction

  • We educate patients on proper posture, lifting techniques, and workstation modifications to prevent recurrence. For athletes, we tailor sport-specific biomechanical correction strategies.

5. Taping and Bracing

  • We use kinesiology taping or pelvic belts to provide temporary support, especially in hypermobility cases or during pregnancy-related SI joint dysfunction.

Why Choose Elite Physiotherapy for SI Joint Pain?

Elite Physiotherapy and Sports Injury Centre, a reputable name in orthopaedic and sports rehabilitation, is situated in Delhi, NCR. For long-lasting effects, our highly skilled therapists employ a comprehensive, cutting-edge approach.

We stand out because:

  • Personalized 1-on-1 treatment sessions
  • State-of-the-art modalities and machines
  • Functional assessments with sports-specific integration
  • Safe and effective pain management without drugs
  • Emphasis on long-term recovery and performance

Don’t Ignore Your SI Joint Pain

Chronic pain, postural problems, or compensating injuries in the lower spine or hips can result from untreated SI joint dysfunction. Quality of life can be enhanced and problems can be avoided with early diagnosis and skilled physical treatment.

Book your consultation today at Elite Physiotherapy and Sports Injury Centre. Let us help you move pain-free and perform better with expert hands and advanced physiotherapy care.

TR-Therapy

Posted on by Dr Dharam

Revolutionizing Rehabilitation with TR-Therapy

At Elite Physiotherapy and Sports Injury Centre, we take pride in continuing to lead the way in medical innovation by providing innovative treatments that transform recovery and rehabilitation. One of the most cutting-edge techniques we use is TR-Therapy, a novel therapy designed to speed up recovery, lessen discomfort, and increase general mobility. Modern technology and individualized treatment are flawlessly combined in this therapy, guaranteeing each patient receives the best possible outcomes.

What is TR-Therapy?

Targeted Radiofrequency Therapy, or TR-Therapy for short, is a non-invasive therapeutic approach that uses high-frequency electromagnetic energy to encourage deep tissue repair. In contrast to conventional treatments, TR-Therapy induces regulated hyperthermia (deep heating) by penetrating deeply into muscles, ligaments, and connective tissues. Significant pain reduction, enhanced circulation, and a quicker recovery are all made possible by this special mechanism. The versatility of TR-Therapy, which can be utilized with or without thermal effects, makes it ideal for a variety of injuries and medical disorders.

How TR-Therapy Works?

A closer look into TR-Therapy’s process reveals that it uses a combination of ergonomic applicators and sophisticated radiofrequency radiation to give targeted treatment:

  1. Capacitive Mode: This mode concentrates on soft tissues and the skin, targeting superficial tissues. It’s perfect for ailments like small sprains or inflammations that need to be treated at the surface level.
  2. Resistive Mode: The resistive mode targets deeper structures, such as tendons, joints, and muscles. It works especially well for joint stiffness, deep muscle injuries, and persistent pain.
  3. Dynamic Impedance Control: During therapy, a state-of-the-art function called Dynamic Impedance Control continuously analyzes tissue impedance. This guarantees the best possible energy delivery, modifying in real time for optimal efficacy and comfort.

Patients frequently report feeling a calming warmth that eases tension and relaxes muscles during therapy. TR-Therapy’s combination of thermal and physical impacts makes it both fun and effective.

Applications of TR-Therapy at Elite Physiotherapy and Sports Injury Centre

At our center, we include TR-Therapy into all-encompassing treatment programs to address a variety of ailments. Here are a few of the most important uses:

1. Management of Chronic Pain

The quality of life can be greatly impacted by chronic pain, particularly in regions like the shoulders, neck, or lower back. Deep tissue relaxation, a reduction in muscle tension, and long-term pain relief are all benefits of TR-Therapy. For people with ailments like frozen shoulder, cervical spondylosis, or lumbar pain, this makes it a great choice.

2. Improved Muscle Regeneration

Active people and athletes frequently have small tears, overuse injuries, and muscular weariness. TR-Therapy increases oxygen delivery to tissues and circulation, which speeds up muscle recovery. This therapy helps patients return to optimum performance more quickly, whether they are recovering from strenuous training sessions or treating sports-related injuries.

3. Edema and Post-Traumatic Swelling

Edema and swelling can impede the healing process for those recovering from surgery or trauma. The non-thermal application of TR-Therapy efficiently lowers inflammation and encourages lymphatic drainage, which speeds up healing and increases mobility.

4. Myofascial Pain Syndrome

Widespread pain and stiffness can be caused by trigger points in muscles and fascia. TR-Therapy precisely targets these regions, relieving tension and reestablishing regular muscular function. This is particularly helpful for ailments like tennis elbow, IT band dysfunction, and plantar fasciitis.

5. Tendon and Joint Rehabilitation

Rest and rehabilitation must frequently be carefully balanced in cases of joint and tendon injuries. The focused approach of TR-Therapy guarantees efficient therapy without overtaxing the afflicted area. Because of this, it is the preferred treatment for tendinitis, ligament sprains, and arthritis.

Why Choose Elite Physiotherapy and Sports Injury Centre?

Elite Physiotherapy & Sports Injury Centre was founded in 2008 and has been at the forefront of revolutionizing rehabilitation and physiotherapy in India. What sets us apart is this:

  • Holistic Rehabilitation: Our method helps patients get back to their regular activities or sports after receiving therapeutic treatment. We place a strong emphasis on result-oriented healing, making sure that patients not only recover but also perform at their best.
  • Cutting Edge Facilities: We provide our patients with the newest developments in medical technology thanks to our state-of-the-art physiotherapy equipment, which includes TR-Therapy systems.
  • Tailored Care Plans: Each patient at Elite Physiotherapy is given a customized treatment plan based on their unique requirements, objectives, and recovery schedules. To optimize benefits, TR-Therapy is smoothly included into these plans.
  • Sports Physiotherapy Expertise: We have years of expertise treating athletes and active people, and our focus is on improving athletic performance and treating sports injuries.

Experience the Difference

At Elite Physiotherapy and Sports Injury Centre, we combine knowledge, technology, and compassion to provide unmatched care. TR-Therapy is evidence of our dedication to quality and innovation in rehabilitation. TR-Therapy can be extremely beneficial whether you’re trying to improve your athletic performance, manage a chronic illness, or recover from an injury.

Stop by our office today to learn more about how you can include TR-Therapy in your healing process. Allow us to assist you in starting along the path to an active and pain-free life.

Cryotherapy

Posted on by Dr Dharam

Cryotherapy: A Modern Approach to Recovery and Healing at Elite Physiotherapy and Sports Injury Centre

We at Elite Physiotherapy and Sports Injury Centre are committed to providing cutting-edge therapies to improve sports performance, manage pain, and speed up recovery. Cryotherapy, a ground-breaking method of wellness and rehabilitation, is one of our cutting-edge treatments. The benefits and science of cryotherapy, including the use of cryoair and cryobaths, are discussed in this article along with how these therapies are included into our treatment plans.

What is Cryotherapy?

Cold treatment, also known as cryotherapy, uses extremely low temperatures to treat patients. This technique has been used for many years to lessen pain, promote healing, and reduce inflammation. By narrowing blood vessels and lowering nerve activity in the afflicted location, cryotherapy helps to reduce swelling and relieve pain.

Cryo baths and cryo air are the two main types of cryotherapy that we use at Elite Physiotherapy. Both approaches work well, and how they are used will rely on the patient’s particular requirements.

Cryo Bath: Submersion Therapy for Full-Body Recovery

Cryo baths, also called ice baths, involve submerging the body (or specific body parts) in cold water, typically maintained between 10°C and 15°C. Many athletes and injury-recovering patients employ this type of hydrotherapy.

Benefits of Cryo Baths:

  1. Reduces Muscle Soreness: After training or competition, athletes frequently choose cryo baths because they are a very effective way to relieve delayed onset muscle soreness (DOMS).
  2. Improves Circulation: The cold water makes blood vessels contract; these vessels then expand as the body temperature returns to normal, increasing blood flow and eliminating waste products from metabolism.
  3. Reduces Inflammation: Cryo baths hasten the healing process by lowering swelling in strained or injured muscles.
  4. Enhances Mental Recovery: The shock of cold water triggers the release of endorphins, elevates mood, and lowers stress levels.

At Elite Physiotherapy, we provide personalized cryo bath treatments to guarantee each patient’s utmost comfort and efficiency. Our cryo baths fulfill your specific needs, whether you are recovering from intense physical activity or a sports injury.

Cryo Air: Targeted Cooling for Precision Therapy

Cryoair therapy targets specific body parts by delivering cooled, dry air through specialized equipment. Without the requirement for submersion in water, the air temperature can drop as low as -30°C to -60°C, producing a powerful cooling effect.

Benefits of Cryo Air Therapy:

  1. Localized Treatment: For sprains, tendinitis, or joint pain, cryo air is perfect for focusing on certain wounds or trouble spots.
  2. Comfortable and Non-Invasive: Patients who are sensitive to cold or wet circumstances may find cryo-air therapy to be a comfortable alternative to ice packs or cryo baths because it does not require direct contact with water.
  3. Fast Recovery: Usually lasting five to fifteen minutes, sessions provide quick results.
  4. Enhances Skin and Tissue Health: The deep cooling promotes the formation of collagen and increases skin suppleness, which is advantageous for the healing process following surgery.

Our cutting-edge cryo-air equipment at Elite Physiotherapy enables accurate temperature control and application, guaranteeing that patients receive the best care possible for their conditions.

Why Choose Cryotherapy at Elite Physiotherapy?

At Elite Physiotherapy and Sports Injury Centre, we provide unmatched care by fusing state-of-the-art technology with our extensive expertise. The purpose of our cryotherapy treatments is to:

  • Accelerate Recovery: Cryotherapy can help you get back to your activities more quickly, whether you’re an athlete or someone who has chronic pain.
  • Enhance Performance: Frequent cryotherapy procedures can maximize general physical performance, decrease weariness, and increase circulation.
  • Personalized Care: After evaluating each patient’s health, we suggest the best cryotherapy technique, whether cryo air, cryo bath, or a combination of the two.

What to Expect During Your Session

Our skilled specialists will walk you through each step of the cryotherapy procedure when you visit Elite Physiotherapy. We make sure the water temperature for cryo baths is both comfortable and efficient, and we modify the time to fit your demands and tolerance. Our professionals apply focused relief using cold air therapy by concentrating on the afflicted area using handheld instruments.

Conclusion

In the fields of sports medicine and rehabilitation, cryotherapy is revolutionary. Elite Physiotherapy and Sports Injury Centre proudly provides this cutting-edge treatment to our patients. Cryotherapy can be a potent complement to your treatment strategy, whether you’re trying to manage chronic pain, recover from an accident, or enhance your athletic performance.

Make an appointment for cryotherapy with us right now to discover the life-changing advantages of cold therapy. Allow us to provide you with the knowledge and attention you need to reach your performance and recovery goals.