3F'8fsf] ;d:of

/
lkmlhof] pkrf/

%
8f= /fh]Gb« vqL
k':ts M 3''“8fsf] ;d:of / lkmlhof] pkrf/

n]vs M /fh]Gb| vqL

d'b|0f k|lt M !))) k|yd k6s

k|sfzs M 8f= /fh]Gb« vqL

l8hfOg/ M ;lGbk /fhynf

kmf]6f]u|fkm/ M b]j]Gb| zfSo

k|sfzg ldlt M 11-01-2021

Edition : 1st

Price : Rs.

ISBN No. :

gf]6 M n]vssf] cg'dlt lagf of] lstfa k'gM k|sflzt ug{ lgz]if 5 .
d]/f] egfO{
of] lstfa n]Vgsf] nflu d]/f] !) jif{sf] cg'ej, d]/f] lzIff , ;fyLefO{sf] ;Nnfx ;'emfjx?n] dnfO{ k|]/0ff
lbPsf] 5 . . s]lx q[l6 ePdf kl5 cfpg] ;+:s/0fdf ;'wf/ ug]{ 5' . lrlsT;s / :jf:Yo ;'ljwf ckof{Kt
ePsf] xfd|f] h:tf] d'n'sdf lkmlhof]y]/fkL / of]u pkrf/n] cem cToflws dxTj /fVb5 eGg] tYo xfdL ;a}
nfO{ ljlwt}} 5 . dfgj hLjgdf s'g} g s'g} a]nf z/L/sf] 3fF6L, kfv'/f, s'Ogf], gf8L, 9f8, sDd/, uf]lnufF7f],
3'F8f, hf]gL{ / s's{'Rrf b'v]sf] kfO{G5 . pQm b'vfO{af6 s;/L 5'6sf/f kfpg ;lsG5 / To;sf] pkfox? s]
s] x'g\ eGg] ljifodf ;/n tl/sfaf6 hfgsf/L lbg vf]lhPsf] 5 .
k|fs[lts lrlsT;f k¢lt k|lt k||To]s AolQm / ;dfh ;a} kl/lrt 5g\ . o;sf] pkof]uaf6 k|fKt nfe ePsf]
sf/0f of] lawL ckgfpg] k|ltlbg a9\b} uO/x]sf] kfO{G5 . o; If]qdf sfo{/t hgzlQmn] ;lx pkrf/ k|lalw
;a{;fw/0f dfem k'/fpg ;s'g\ eGg] p2]Zo /fv]/ ;a}n] a'‰g] ul/ dft[ efiffdf lrq ;lxt k':ts tof/
kfl/Psf] 5 . o;af6 cf—cfkmgf] ;d:ofsf] ;dfWffg k|fKt ug{ ;Sg]5g\ . cfkm\gf] cWoog cjlwdf xfl;n
u/]sf] lzIff / sfo{ cjlwdf k|fKt cg'ej / ;xof]uaf6 cnu—cnu ;d:of ;dfwfg ug{ ;xof]u xf];\
elg oxfFx? ;dIf of] k':ts ;dk0f{ u/]sf] 5' . eljiodf cfjZostf cg';f/ kl/dflht ul/ of] k':ts
pknAw u/fpg k|oTg ul/ /xg] 5' . of] k':tsnfO{ d}n] tLg efudf jlu{s/0f u/]sf] 5',h;n] ubf{ ;a}nfO{
Jofofdx? a'‰gnfO{ w]/} g} ;lhnf] x'G5 eGg] cfzf u/]sf] 5' .
of] k':ts lkmlhof]y]/fkL pkrf/sf af/]df l;sfpg] ,pkrf/ ug]{ / :jo+ la/fdL ;a}sf lgldQ pkof]uL x'g]
u/L tof/ ul/Psf] 5 . o;df ug{ x'g] tyf ug{ gx'g] s'/fnfO{ klg hf]8 lbOPsf] 5 . o;n] xfdL ;a}nfO{
;xof]u u5{ eGg] cfzf ub{5' . of] Ps ;xof]uL k':ts xf] .
dnfO{ of] k':ts tof/ kfg{ ;xof]u ug'{x'g] ;Dk"0f{ kl/jf/ Pj+ ;fyL efO{x?nfO{ ;–wGojfb lbg rfxG5'
M;xsld{ 8f= j|mflGt kGt, 8f= /Gh' b'jfn, 8f= ;lngf, O{= ;'/]Gb« Tjfogf / 6fO{k ug{ d¢t ug]{ xfd|f]
cflTdo lbbL ;fg' dxh{gnfO{ x[bo b]lv g} wGojfb lbg rfxG5' . g]kfn SofG;/ xl:k6n P08 l/z{r ;]G6/
xl/l;l4sf, 8f=;'lbk >]i7 (Chairman) / 8f= ljh]z /fh l3ld/], hglxt jf;'snf tyf o;sf] Designing,
Arranging ul/lbg] ;lGbk /fhynf / kmf]6f]u|fkm/ b]j]Gb| zfSo ;/nfO{ wGojfb 1fkg ug{ rfxG5' . o:t}
w]/} lstfax? klxn] g} k|sflzt eO;s]sf 5g\ , To;nfO{ klg oxfFx?n] kl9lbg' x'G5 eGg] cfzf u/]sf] 5' .

8f /fh]Gb« vqL
Sr. Consultant Physiotherapist
Unit Head
lkmlhof]y]/fkLsf] kl/ro
lkmlhof]y]/flki6 Ps ef}lts lrlsT;s xf] , h;n] /f]usf] klxrfg, lgb]{zg, k/fdz{ ug'{sf] ;fy} zf/Ll/s
;fwg / pkfo¢f/f /f]u / c;Ifdtfsf] pkrf/ ug]{ ub{5 . ef}lts lrlsT;sx?nfO{ z/L/sf] ;+/rgf /
sfdsf] lj:t[t 1fg x'G5 . rf]6k6s, /f]u / ljleGg cj:yfsf sf/0faf6 ePsf] z/L/sf] v/faL, /f]usf]
kl/If0f, /f]usf] klxrfg tyf lasf/ sfo{sf] pkrf/ ug{ k|lzlIft ul/Psf] x'G5g\ . pgLx?n] ;a} pd]/sf
dflg;nfO{ :jf:Yo sfod /fVg / k|aw{g ug{ d¢t u5{g\ . ha JolQm zf/Ll/s ,dgf]j}1flgs jf cGo
la/fdLaf6 c;Ifd x'G5 To; l:yltdf k'[g:yf{kgf ug{' / dflg;nfO{ klxnfsf] cj:yfdf kmsf{pg d2t ug'{
lkmlhof]y]/flki6sf] ljz]iftf xf] .
ef}lts lrlsT;sn] s;/L d4t ug{ ;S5 / hGdb]lv j[¢fj:yf;Ddsf dflg;sf] hLjgdf ef}lts
lrlsT;sn] dxTjk''[0f{ :jf:Yo ;]jfx? pknAw u/fp5g\ . To; dWo] s]lx pbfx/0fx? lgDg cg';f/ 5g\ .
zNols|of kl5 la/fdLnfO{ cfkmgf] v'§fdf pEofpg] u5{g\ .xf8hf]gL{x?sf rf]6k6s, uw{g, sDd/, 3'8fFsf]
,b'vfO{ / gzfsf ;d:ofx?sf] pkrf/ u5{g\ v]ns'baf6 x'g] rf]6k6ssf] pkrf/ ug]{ / /f]u lg/f]w tyf
k'g/f{j[l4df /fo ;Nnfx lbg] u5{g\ .crfgs 3ft (Stroke) ;'k'Dgfgf8Ldf (Spinal Cord Injury) Iflt
dfz+k]zL / :gfo' ;DaGwL ljsf/ gzf sdhf]/ x'g] /f]u (Parkinson’s Disease) df pkrf/ ;fy} k'[g{:yfkgf
ug{ d¢t u5{g\ .:jfzk|Zjf; / d'6' ;DaGwL cj:yfsf] Aoj:yfkg / pkrf/ ug]{ u5{g\ . x8\8L eflRrg] ,
hf]gL{ ;DaGwL jfy (Arthritis) bf]xf]l/g] rf]6k6s (Strain And Sprain Injury) h:tf
zf/Ll/s ;d:ofx?sf] pkrf/ ug]{ u5{g\ .

ef}lts lrlsT;sn] s;/L sfd u5{{g\ ?

pkrf/ sfo{s|ddf lgDg s'/fx? k5{g\ .

;fwf/0f rfnsf] Aofofd (Free Exercise), df+;k]lz tGsfpg] Jofofd (Muscle Stretching),df+;k]
lz alnof] agfpg] Jofofd (Muscle Strengthening),hf]gL{ ;+rfng u/fpg] (Joint Mobilization)
,tfk jf a/kmsf]] (Heat And Ice) k|of]u u/]/ ,d}g (Wax) k|of]u u/]/ ,dfln; u/]/ (Soft Tissue
Manipulation),alQ (IRR, UVR) k|of]u u/]/ ,b'v]sf] 7fFpdf 6]k nufP/ (Taping)
k/fxjlgs (US) / cGo ljB'lto pks/0fsf] (SWD, TENS, IFT, Muscle Stimulation And Traction)
k|of]u u/]/ ,kfgL k|of]u u/]/ (Hydrotherapy), 3/df ug{sf] nflu s;/t l;sfO{ ;Nnfx ;'emfj lbP/
,s[lqd c+u / ;xoftfsf pks/0fx? k|of]u u/]/ rNg l;sfpg], lx88'n ug{ nufpg] / hfgsf/L d'ns
lzIff / k/fdz{ lbP/ .
 ;'lrx?
lrgf/L !
3'F8fsf] xl•x? @
3F'8fsf] gZffx?
3'F8fsf] /Qmglnx?
3F'8fsf] df+;k]lZfx?
3F'8fsf] ;d:ofx?
• Baker’s cyst
• Chondromalacia patellae(CMP)
• Osgood schlatter’s diseases
• Knee bursitis
• Osteochondritis diseases of knee
• Plica syndrome
• Quadriceps muscle strain
• Quadriceps muscle contusion
• Hamstring
• ACL/PCL tears
• Meniscal tears
• Femoral fracture
• Tibial patella fracture
• • Iliotibial band syndrome(IT band)
• • OA knee
OA knee ^
kl/ro
sf/0fx?
;d:of / nIf0fx?
hfFrk|tfn
pkrf/x?
*
• lkmlhof]y]/fkL !*
• d]l8sn !*
• ;h{/L !*
/f]syfd,3/df ul/g] ;Nnfxx? @)
ug{ x'g] ÷ ug{ gx'g] @$
gf]6 @%
Reference
 lrgf/L
xfdL ;a}nfO{ yfxf ePs} s'/f xf], 3'F8fsf] s''g} g s'g} ;d:ofn] ubf{ xfd|f] lbgrof{df c;/ kl//x]sf] x'G5 .
clxn]sf] @! cf}+ ztflAbdf w]/} oGqsf] ljsf;sf] sf/0fn] ubf{ 3'F8fsf] jl/kl/ ljleGg lsl;dsf ;d:ofx?
cfOk/]sf] 5 . of] 3'F8fsf]] ;d:ofx? eGg] lrgf/L k'l:tsf af6 xfdLn] hg;d"xnfO{ s] a'emfpg rflx/x]sf
5f} eg] 3'F8fsf] agfj6, xl•sf] ljsfz df+;k]zL, tGt', glzsf /Qmgln, /f]ux? hfFrk|tfn ljleGg k|sf/
sf pkrf/ k2ltx? h:t} cyf]{ / Go"/f]] , lkmlhof]y]/fkL c+s'k~r/, c+s'k]|;/, ;'hs y]/fkL, /]ls, g]r/f]
y]/fkL, of]uf cflb .

3F'8fsf] xl•x?

xfd|f] 3F'8fdf $ j6f xl•x? x'G5g\ .

h:t} M Femur, Tibia, Fibula and Patella.

3F'8fsf] gZffx?

xfd|f] 3F'8fdf lgDg lsl;dsf gzfx? x'G5g\ .

• Tibial nerve
• Common fibular (peroneal) nerve
• Medial sural cutaneous nerve
• Lateral sural cutaneous nerve

3F'8fsf tGt'x?

xfd|f] 3F'8fdf kfFr -%_ dxTjk"0f{ tGt'x? x'G5g\ . h:t}M

• Medial Collateral Ligament
• Lateral Collateral Ligament
• Anterior cruciate ligament
• Posterior cruciate ligament
• Patellar ligament

@%
 3'F8fsf] /Qmglnx?

3'F8fsf] /Qmglnx? lgDg lsl;dsf] 5g\ .

• Popliteal artery
• Genicular arteries
• Anterior tibial artery
• Posterior tibial artery
• Fibular artery
• Lateral superior genicular vein
• Lateral inferior genicular vein
• Great saphenous vein
• Small saphenous vein

3F'8fsf] df+;k]ZfLx?

3F'8fdf cg]sf}+ lsl;dsf df+;k]zLx? x'G5g\ . h:t}M

• Quadriceps
• Rectus Femoris muscles
• Vastus lateralis
• Vastus intermedius
• Vastus medialis
• Sartorious
• Biceps femoris
• Gastrocnemius
• Peroneus longus (fibularis longus)
• Extensor digitorum longus
• Tibialis anterior.

@%
 3'F8fsf] ;d:ofx?

• Baker’s cyst
• Chondromalacia patellae(CMP)
• Osgood schlatter’s diseases
• Knee bursitis
• Osteochondritis diseases of knee
• Plica syndrome
• Quadriceps muscle strain
• Quadriceps muscle contusion
• Hamstring muscles strain
• ACL/PCL tears
• Meniscal tears
• Femoral fracture
• Tibia fracture
• Patella fracture
• Iliotibial band syndrome (IT band)
• Popliteus tendinitis
• Patellar tendinitis
• Genu Valgum
• Genu Varum
• OA knee (Osteoarthritis of knee)

@%
 Baker’s cyst

3F'8fsf] k5fl8sf] h]n kbfy{ aflx/ cfO{ ;'lGgg'nfO{

Baker’s cyst elgG5 . h;n] ubf{ 3''F8f df]8\g ux|f]
eO{ b'vfO{ x'G5 .

Chondromalacia patellae (CMP)

Patella sf] 3if{0f eO{ lvOP/ g/d x'g'nfO{

Patella
Chondromalacia patellae (CMP) elgG5 . of] k|fo h;f]
aRrfdf b]lvG5 . o;df Quadriceps df;'df ;d:of x'G5g\ .

Osgood schlatter’s diseases

3F'8fsf] lglSnP/ tGt' km}lnO 7'nf] x'g]nfO{

Tibial Tuberosity
Osgood schlatter’s diseases elgG5 .

Knee bursitis

3''F8fdf ePsf bursa x? sf] ;'hgnfO{ Knee bursitis

elgG5 . 3F'8fsf] w]/} bursa 5g\, h;n] ubf{ ;d:of w]/}
x''G5 .

@%
 Osteochondritis diseases of knee Plica syndrome

Tibia dflyNnf] efu (Chondyle) df ;'hg Plica Ps Shelf –like Membrane xf] .
x'g', b'Vg', tftf] x'g', /ftf] x'g' / sfddf cj/f] Tibiofemoral hf]gL{sf] Synovium ;f];]/ leq
w cfpg'nfO{ Osteochondritis diseases of kl§ bf]a|]/ ;'hg, /ftf], tftf] eO{ 3F'8f b'Vg'nfO{
Knee bursitis
knee elgG5 . o;df b''vfO{ w]/} x''G5 . Plica syndrome elgG5 .

Quadriceps muscle strain Quadriceps muscle contusion

Quadriceps df;'sf] crfgs df;' sl;g] Quadriceps df;'df aflx/L wSsf of gwfl/nf]
jf s]xL sf/0fn] jf bunt sf] sf/0fn] Pp6} j:t''jf6 rf]6 nflu lgnf]kg cfpg'nfO{ Quadriceps
s'/f w]/} k6s bf]xf]/fP/ df;'sf] b'vfO{ x'g'nfO{ muscle contusion elgG5 .
Quadriceps muscle strain a'lemG5 .

@%
 Hamstring muscle strain ACL tears

Hamstring df;'sf] crfgs df;' sl;g] jf Anterior Cruciate Ligament (ACL) Pp6f
Band like tGt' xf] ,h;n] Tibia sf] dflysf]
Pp6} s'/f w]/} k6s
bf]xf]/fP/ df;'sf] b'vfO{ x'g'nfO{ Hamstring efu / Femur sf] tNnf] efunfO{ cufl8af6
muscle strain a'lemG5 .
hf]8\5 . of] k|fo h;f] v]ns'bsf] sf/0faf6 x'G5
,ha b'O{hgfsf] pN6f] wSsfaf6 Pop Wjlg cfO{
PCL tears Anterior Cruciate Ligament (ACL) RofltG5 .
of] @! cf}+ ztflAbdf 7'nf] ;d:of xf] .

Meniscal tears

Posterior Cruciate Ligament (PCL)] Pp6f

Band like tGt' xf] , h;n] Tibia sf] dflysf]
efu / Femur sf] tNnf] efunfO{ k5fl8af6
hf]8\5 . of] k|fo h;f] v]ns'bsf] sf/0faf6 x'G5
, ha b'O{hgfsf] pN6f] wSsfaf6 Pop Wjlg cfO{ Tibia sf] Condyle dfly ePsf] h]n h:tf] t/n
Posterior Cruciate Ligament (PCL)] RofltG5
kbfy{ Rofltg'nfO{ Meniscal tears elgG5
. of] @! cf}+ ztflAbdf 7'nf] ;d:of xf] .
@%
 Femoral fracture Iliotibial band syndrome (IT band)

Femur xl• efFlRrg'nfO{ Femoral fracture lt3|fsf] aflx/L efudf ePsf] band sf] Hofbf
elgG5 . k|of]u of w]/} tGsfP/ To;df b'vfO{ x'g'nfO{
Iliotibial band syndrome elgG5 .

Tibial fracture Popliteus Tendinitis

Tibia xl• efFlRrg'nfO{ Tibial fracture Popliteus Tendon sf] ;'hgnfO{ Popliteus
elgG5 . Tendinitis elgG5 . o;sf] b'VffO{ 3F'8fsf] k5fl8lt/
b]lvG5 .

@%
 Patellar tendinitis (Jumper’s Knee)

Patella Tendon sf] ;'hg, /ftf], tftf] eO{ b'Vg'nfO{ Patellar

Tendinitis elgG5 . o;sf] b'VffO{ 3F'8fsf] aflx/lt/ b]lvG5 .

Genu Valgum (Knock Knee)

3F'8f Pscfk;df hf]l8g'nfO{ Genu Valgum (Knock Knee)

elgG5 .

Genu Varum (Bow Knee)

3F'8f Pscfk;af6 kml6g'nfO{ Genu Varum (bow Knee)

elgG5 .

@%
 OA knee -3F'8f lvOg' _

kl/ro
of] Ps degenerative ;d:of xf] , h'g a'9]zsfndf al9 b]lvG5 . o;df 3F'8fdf ePsf xl•x? lvO{g] u5{ .
of] w]/} dfqfdf b]lvg] ;d:of xf] . o;sf] /f]syfd / pkrf/ ;Dej 5 . of] dlxnf k'?if dWo] dlxnfdf al9
b]lvG5 , h'g #M! sf] ratio df 5 lsg ls dlxnfx?df g5'g] ;'s]kl5 hormone sf] u8al8, hormonal
imbalance eP/ x'G5 . of] wear and tear joint df x'G5 . of] age relate xf] / c? s/0faf6 klg
x'G5 . o;df knee sf] alignment gldNbf,jl/kl/ 3F'8fdf rf]6 k6sn] ubf{ ,c? s]lx s/0fn] 3F'8f jl/kl/
surgery eO{ lvO{g hfG5 . wear and tear a9b} uO{ hf]8\g]sf] articular cartilage 39b} hfG5 . Bone
spur n] ubf{ 3F'8f df]8g ufXf] x'G5 / creptius sound ;'lgG5 .

Becomes frayed and rough

Protective space between bones decreases, bone rubbing on bone

Produce painful bone spurs

of] b'O{ lsl;dsf] x'G5 .
• Primary OA
• Secondary OA
Primary OA
o; lsl;dsf] OA c? Apparent underlying cause geO{ cfkmgf] zl//sf] sf/0fn] x'G5 .
Secondary OA
o; lsl;dsf] c? sf/0faf6 x'G5 . o;df abnormal concentration force ,post traumatic
OA
cause, abnormal articular cartilage or RA af6 x'G5 .

@%
 sf/0fx?M
• unt cf;gn] ubf{
• Dff]6f]kg
• hf]gL{ w]/} rnfodfg x'gfn]
• a'9]zsfn - #) jif{ eGbf dfly _
• v]ns'bsf] sf/0fn]
• w]/} k6s Ps} lsl;dsf] 3F'8fsf] rfn
• c? s'g} :gfo' ;DalGw ;d:ofn]

;d:of / nIf0fM
• laxfgLkv 3'F8f jl/kl/ hul8g' • Hff]gL{af6 s6s6 cfjfh cfpg'
• 3'F8f ;'lgg', b'Vg' • Dff+;k]zLsf] df]6fO{df sld x'g'
• lx8\g ufx\f] x'g' • 3F'8fsf] rfndf sld x'g'
• 3F'F8f bf]afg{ g;Sg' • w]/}a]/ p7\g] of a:bf 3'F8f b'Vg'' .

hfFrk|tfn
!_ k|of]uzfnf (Lab Test):-
• TC, DC, ESR, Hb, CRP, Rh factor, Uric acid, Vit D, Vit B12 cflb .
@_ X-ray:-
• AP view ,Lateral view and sky line view
#_ MRI
$_ CT Scan
%_ Special Tests – Mc Murray test, Apley’s test, Varus stress test, Valgus stress test, Fluctuation
test, Patellar tap test, Clarke’s sign, McConnell test, Active Patellar grind test etc.

pkrf/
• lkmlhof]y]/fkL • d]l8sn • ;h{/L

lkmlhof]y]/fkLsf] pb]Zox?
• b'vfO{ sd ug{] / km]/L bf]xf]l/g glbg] . • 3F'8fsf] rfnnfO{ a9fpg] .
• ;'Gg]sf] sd u/fpg] . • /Qm;+rfngnfO{ a9fpg] .
• Dff;' alnof] agfpg] . • Tffnd]n ldnfpg] .
• 3F'8fsf] agfj6 ;lx agfpg] . • Rff]6k6s x'gaf6 hf]ufpg] .
• k'gM rf]6k6s nfUgaf6 arfpg .
gf]6 M dfly pNn]lvt pkrf/ ljlwx? lj/fdLsf] cj:yf x]/L km/s x'g ;S5 . ;a}nfO{ ;a} pkrf/ kb}{g .
@%
 TENS

TENS eGg] pks/0f !)-!% ldg]6 ;Dd nufO{G5 . b'vfO{ ;/]sf] 5 of 5}g eGg] x]/]/ o;nfO{ ;f]lx :yfgdf
nufO{G5 . o;n] b'vfO{ sd ub{5 / of] k|fo h:;f] ;'?sf] b'vfO{df k|of]u ul/G5 / b'O{ j6f of rf/ j6f
pads k|of]u ul/G5 . of] pads motor points of b'v]sf] efudf /flvG5 .

IFT

o;df b'O{j6f Medium Frequency k|of]u u/]/ Beat Frequency lgsfn]/ !)–!% ldg]6 ;Dd pkrf/
ul/G5 . of] klg b'vfO{ sd ug{ k|of]u ul/G5 / of] k|fo h:;f] k"/fgf] b'vfO{df k|of]u ul/G5 . rf/
j6f pads k|of]u ul/G5 .
US

US eGg] pks/0f ljz]if ul/ ;'lGgPsf] / df+;k]zLsf] b'vfO{ ePsf] :yfgdf nueu %—& ldg]6 ;Dd
ul/G5 . of cj:yf x]l/ ;do a9fpg ;lsG5 . o;n] soft tissue sf] ;d:ofdf w]/} g} /fd|f] sfd u5{ .
SWD

of] High Frequency pks/0f xf] . h'g tftf] ;]sfpg k|of]u ul/G5 . o;nfO{ !) – !% ldg]6 ;Dd ul/G5 .
o;df disc of pads k|of]u ul/G5 . SWD w]/} leqf ;Dd uO{ tftf] lbG5 / b'vfO{ sd ub{5 . o;n] blood
circulation a9O{ b'vfO{ sd u/fp5 .

MWD

of] klg Ps lsl;dsf] High Frequency pks/0f xf] . o;df tftf] ls/0f b'v]sf] 7fpFdf lbP/ !) – !%
ldg]6 ;Dd pkrf/ ul/G5 . of] Ps dxTk"0f{ lalw xf] h:n] w]/} lsl;dsf] ;d:ofdf w]/} g} /fd|f] sfd u5{ .

Laser Therapy

of] Ps lsl;dsf] ljls/0f k|of]u ul/ u/Lg]] pkrf/ ljlw xf] . o;df %–& ldg]6 soft tissue df ljls/0f
k7fO{{ pkrf/ ul/G5 . of] @! cf}+ ztflAbsf] pRr pkrf/ ljlw xf] .

HP/ MH

Dry heat or Moist heat af6 tftf] ;]sfpg] pks/0f xf] . o;nfO{ !) – !% ldg]6 ;Dd /flvG5 . o;n]
blood circulation a9O{ b'vfO{ sd u/fp5 .

@%
 3'F8fsf] Jofofdx?

• v'§f l;wf u/L a:g] .

• 3F8' fd'lg tlsof jf ?dfn 8Nnf] kf/L
/fVg] .
• 3F8' fsf] ann] tlsof jf ?dfnnfO{ lyRg] .
• !) ug]/ % kN6g} bf]xf]/fpg] .

• v'§f l;wf u/L a:g] .

• 3F8' fd'lg tlsof jf ?dfn 8Nnf] kf/L
/fVg] .
• 3'8F' fn] tlsofnfO{ lyRg] / s's
' R{' rfnfO{
cfkm}+ dfly p7\5 .
• s]lx a]/ To:t} u/L /xg] .

• v'§f l;wf u/L a:g] .

• b'O{ 3'8F fsf] aLrdf tlsof /fVg] / b'a}
3'8F fn] tlsofnfO{ RofKg] .
• s]xL ;do ToxL cj:yfdf /xg] .

@%
 3'F8fsf] Jofofdx?

• l;wf u/L a:g] .

• b'a} 3'8F fsf] ann] hldglt/ lyRg] .
• ToxL cj:yfdf s]lx a]/ /xg] .

• pQfgf] k/]/ ;'Tg] jf v'§f l;wf u/L

a:g] .
• Pp6f Pp6f v'§fnfO{ kfn}kfnf] p7fpg] /
Ps d'7' L hlt p7fO{ !) uGb} % k6s
bf]xf]/fpg] .

• v'§f l;wf u/L a:g] .

• s'sR{' rfn] 6]sL 3F8' fnfO{ yf]/} v'Drfpg] .
• ToxL cj:yfdf /xL tnlt/ 3'8F fn]
ws]Ng] jf lyRg] .
• s]lx a]/ ToxL cj:yfdf /xg] / kfn}
kfnf] b'j' } v'§fdf ug]{ .

@%
 3'F8fsf] Jofofdx?

• b'a}v'§f l;wf x'g] u/L a:g] .

• xftsf] cf}n F fn] v'§fsf] cf}nF fx?nfO{ 5'g] .
• Tolx cj:yfdf s]lx a]/ /xg] / tn
v'§fsf] d'l' g tlGsPsf] dx;'; x'G5 .

• vf6\dfb'a' } v'§f nfdf] x'g] ul/ a:g] .

• Pp6f v'§fsf] s's ' R{' rf d'lg lknf] jf tlsof
/flv tn lyRg] .
• s]xL ;do ToxL cj:yfdf /xg] .

• v'§f l;wf u/L a:g] .

• 3'8F fsf] aLrdf tlsof /fVg] / v'§fdf
! s] lh sf] tf}n afWg] .
• ToxL 3'8F fn] tlsofnfO{ lyRg] To;f] ubf{
s's' R{' rfnfO{ dfly p7fpg] .
• s]xL ;do ToxL cj:yfdf /xg] .

@%
 3'F8fsf] Jofofdx?

• 6]an
' jf cUnf] 7fFpdf j:g] .
• v'§fnfO{ ;fO{sn rnfP h:t} u/L
cufl8 k5fl8 u/L rnfpg] .
• of] ! b]lv @ ldg6 ;Dd ug]{ .

• 6]an
' jf cUnf] 7fFpdf j:g] .
• Pp6f v'§fnfO{ l;wf ul/ dfly p7fpg] .
• s]lx a]/ To:t} ug]{ .
• km]l/ csf]{ v'§fnfO{ klg To:t} ug]{ .

• l;wf eP/ a:g] . -v'§fnfO{ l;wf /fVg]_

• b'a} xft 3'8F fdfly /fvL 3'8F fsf] uf]nf]
xl•nfO{ tn dfly, bfofF afofF ug]{ .

@%
 3'F8fsf] Jofofdx?

• 3f]K6f] k/]/ ;'Tg] .

• b'a} 3F8' fnfO{ v'Drfpg] / Pp6f v'§fsf]
s'sR{' rfdf /fVg] .
• Pp6f v'§fsf] s'sR{' rfn] wsfNg] / csf]{
v'§fsf] cf}nfn] /f]Sg] .
• km]l/ csf]{ v'§fnfO{ klg To:t} ug]{ .

• v'§f l;wf u/L a:g] .

• ! lsnf] tf}nsf] afn'jfnfO{ v'§fdf afFlw
prfNg] .
• ToxL cj:yfdf s]lx a]/ /xg] .

@%
 3'F8fsf] Jofofdx?

• 6]an
' jf cUnf] 7fFpdf j:g] .
• Pp6f v'§f csf{] v'§fdf vK6fpg] / dfly
lt/ prfNg] .
• To:t} csf{] v'§fnfO{ klg ug]{ .

• d]rdf a:g] .
• Ps v'§fnfO{ csf]{ v'§fdf vK6fpg] .
• tnsf] v'§fn] dflysf] v'§fnfO{ wsNg] /
dflysf] v'§fn] /f]Sg] .
• s]xL ;do ToxL cj:yfdf /xg] / km]/L
csf]{ v'§fnfO{ klg ug]{ .

• d]rdf jf cUnf] 7fpFdf v'§f emf]NnfP/ a:g] .

• b'a' } 3'8F fsf] lardf tlsof /flv lyRg] .
• s]lx ;do ToxL cj:yfdf /xg] .
 3'F8fsf] Jofofdx?

• l;wf pleg] .
• b'a' } xft sDd/ dfly /flv b'O' 6} s's
' R{' rf
p7fpg] .
• s]lx a]/ ToxL cj:yfdf /xg] .

• l;wf pleg] .
• b'a' } xftnfO{ 3'8F' fdfly /fVg] / v'§fsf]
s's' R{' rf 6]sL k}tfnf p7fpg] .
• s]lx a]/ ToxL cj:yfdf /xg] / km]/L
cfsf]{ v'§fnfO{ ug]{ .

• l;wf pleg] .
• b'a' } xft sDd/ dfly /flv Pp6f v'§f
cufl8 csf]{ v'§f k5f8L /fVg] / cuf8Lsf]
v'§f nfO{ hlt ;Sof] cufl8 v'DRofpg] .
• s]lx a]/ ToxL cj:yfdf /xg] / km]/L
cfsf]{ v'§fnfO{ ug]{ .
 d]l8sn(Medicine)
• Analgesics • Non-steroidal anti-inflammatory drugs (NSAIDs)
• Topical analgesics • Glucosamine and chondroitin sulfate
• Injections: steroid injections and hyaluronic acid injections.
• Supportive devices and orthotics

;h{/L(Surgery)
• Arthroplasty or total joint replacement • Arthrodesis • Osteotomy

Gff]6M dfly pNn]lvt cf}ifwL / ck/]zg s]an hfgsf/Lsf] nfludfq xf] / of] 8fS6/sf] ;Nnfx adf]lhd dfq ug{k' 5{ .

/f]syfd, 3/df ul/g] ;Nnfxx? (Preventive Measures/Home advices/Do’s and Don’ts)

ug{ x'g]
• lgoldt Jofofd ug]{ .
• e¥ofËsf] v'8l\ snf r9\bf b'vs] f] v'§f klxnf / To;kl5 gb'vs] f] v'§fn] 6]Sg] / To:t}
tl/sfn] e¥ofË r9\g] .
• lxF8bf hlxn] klg 5f]6f] kfOnf rfNg] / larlardf cf/fd ug]{ .
• b'vs] f] 7fpFdf tftf]kfgLn] ;]sfpg] jf Ice massage -a/km dfln;_ ug]{ .
• lxF8bf lg–Sofk nufpg] t/ ;'Tbf lg–Sofk km'sfNg] .
• df]6f]kgnfO{ sd ug]{ .
• rkL{df a:g sdf]8 k|of]u ug]{ .
• ;lhnf] h'Qf k|of]u ug]{ .
• ;xfotfsf] nflu nf}/f] jf n¶L k|of]u ug]{ .
ug{ gx'g]
• 3'8F f 6]s/] ga:g] . • nfdf] kfOnf x'g] u/L glxF8g \].
• w]/} a]/ ;Dd gp7\g,] ga:g], glx8\g] . • pk|mg] xfdkmfNg] sfd gug]{ .
• rs6Ldf a:bf kn]6L s;]/ ga:g] . • u|xf| } rLh gp7fpg] .
• nfdf] ;do;Dd glx8\g,] gpleg] . • eFO' d
{ f 6'S?Ss ga:g] .
• e¥ofË w]/r} f]6L gr9\g] . • psfnf] cf]/fnf]df w]/} lxF88'n gug]{ .
• xf]rf] d]rdf ga:g], Stool df ga:g] .
• u]8fu'8L, df;sf] bfn, bxL, tfdf, kfnFu' f], /ftf] df;' / uf]ne]8f gvfg] .

;lx d]rsf] k|of]u ;lx sdf]8sf] prfO{ / xfG8Lnsf] e¥ofËsf] v'8l\ snf r9\g] tl/sf
k|of]u

;lx n¶Lsf] k|of]u KNEE CAP KNEE CAP

kf}li6s cfxf/
OA ;d:of ePsf la/fdLx?nfO{ zf/Ll/s tf}n lgoGq0fdf /fVg' lgs} h?/L x'G5 . To;}n] ;Gt'lnt cfxf/nfO{
(Balanced Diet) pkrf/ k¢ltsf] Ps dfWod agfpg ;lsG5. OA ;d:of b]lvPdf k|dv ' kf}li6s tTj eg]sf]
le6fldg ;L, 8L, j]6f Sof/f]l6g (Beta-carotene) ;fy} cf]du] f–# (Omega-3) km]l6 Pl;8sf (Fatty Acid) cfjZos
kb{5 . To;}n] b}lgs $))–%)) uf|d kmnkm"n tyf t/sf/L ;fy} t]nxg (Seeds) pkef]u ug]{ :jf:Yosf] nflu nfebfo
x'G5 . To;} u/L b}lgs lrNnf]sf] dfqf @)–#) uf|d cfjZos kb{5 . ljz]if u/L dlxgfjf/L /f]sL ;s]sf] dlxnfx?nfO{
´08} !@)) ld=ln uf|d SoflN;dsf] cfjZos kb{5 .

cfjZos kg]{ kf}li6s tTj k|lt lbg cfjZos dfqf

dlxnf k'?if

le6fldg ;L 65 mg 80 mg

le6fldg 8L 600 IU 600 IU

j]6f Sof/f]l6g (Beta-carotene) 2400µg 2400µg

cf]du] f–# (Omega-3,EPA+DHA) 250-500 mg 250-500 mg

:jf:YosdL{sf] ;Nnfx cg';f/ cf]du] f–#sf] pkof]u ug{ ;lsG5 .

le6fldg ;Lsf] d'Vo vfB >f]t cdnf,sfutL,;'Gtnf,cDaf cflb .
le6fldg 8Lsf] d'Vo vfB >f]t laxfgLsf] Gofgf] 3fd l;w} 5fnfdf kg]{ ul/ lnbf{ le6fldg 8Lsf] sdL x'g kfpFbg} .
 gf]6
•dfly pNn]lvt Jofofdx? ef}lts lrlsT;ssf] ;Nnfx adf]lhd ug'x{ f]nf . o;n] xflg klg ug{ :fS5 .
• pNn]lvt Jofodx? !) rf]6L uGg] / !) rf]6L g} bf]xf]¥ofpg] . lbgsf] tLg k6s ug]{ .
• olb Jofofd ubf{ s]lx cK7\of/f] k/]df t'?Gt ef}lts lrlsT;ssf] ;Nnfx lng'xf]nf .
• olb dfly pNn]lvt Jofod ubf{ cK7\of/f] ePdf Jofod gug]{ / t'?Gt} ef}lts lrlsT;s;Fu
;Nnfx ug]{ .
• olb Jofod ubf{ zl// a9L b'vd ] f Jofod gug]{ .
• b'vfO{ sd ePkl5 dfq Jofofd z'? ug]{ .
• b'vfO{ p:t} ePtfklg sf/0f / cj:yf km/s x'gx] b' f b]vfl;lsdf cfkm' v'lz Jofod gug{'
/fd|f] x'G5 .
• lkmlhof]y/] fkL pkrf/sf] d'Vo tLg nIo /xG5 . b'vfO{ sd u/fpg', gzf df+;k]lz zlQmzfnL
agfpg' / k'g bf]xf]l/g glbg' .
• dfly pNn]lvt ef}lts Jofodx? ;a} lsl;dsf /f]unfO{ pkof]uL x'bg } /f]usf] lsl;d /
k|sl[ t x]//] x'G5 .
• dfly pNn]lvt Jofodx? ufO{8sf] nflu Dffq x'g,\ cfkm" v'l' ; k|of]u ug{ x'bg } .
• u]8fu'8' L, tfdf, bxL, /ftf] df;',' sfnf] bfn, kfn'Ë
' f], uf]ne]8f, Rofp, cold drinks, hard drinks, soft
drinks cflb gvfg] .

References

1. Ebenezer
2. Essentials of orthopaedics and applied physiotherapy by joshi and kotwal
3. The complete solution of physical therapy By Dr rajendra Khatri
4. Physiotherapy treatments for stroke By Dr rajendra Khatri
5. www.physio-pedia.com
6. https://www.healthline.com