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MENTAL HEALTH TREATMENT in NIGERIA

The World Health Organisation defines health as a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity.  A lot of times, mental well-being can be overlooked.

Mental health means  a state of well-being where the individual realises his or her own potential, can cope with stress and word productively able to make contribution to the community. In other words, mental health means balanced thinking, healthy emotions, coping with stress and managing challenges well.  

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7 Common Gym Injuries and Managing it Without Medications

Injuring the body while trying to achieve a fitness goal can be a major set-back. It’s annoying as it limits you from achieving your target and it’s also worrying because you are concerned about its severity and how long it would take to get back to your active lifestyle.

How do you know when to wear brace, when to rest the part, when to change your footwear and when to see a physiotherapist? Below is a list of commonly occurring injuries in people with fitness goals. Physiotherapists have been extensively trained to manage ailments and help in rehab without the use medications. For most injuries, the first intervention recommended is usually PRICE: Protection, Rest, Ice, Compression and Elevation. Not heat. Do NOT use heat balm or rub vigorously when you have an acute injury.

 

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Shoulder Pain in Breastfeeding Mothers

As a nursing mother, there is so much to juggle in the first few months after giving birth. Sleepless nights, diaper changes, finding a good nanny or maid, hosting visitors and guests are a few of the things to contend with externally. Internally , a lot is also going on and the focus is usually on the baby while mothers tend to neglect themselves. Remember a healthy mommy is a healthy baby and we know you want to take care of yourself without using using medications.

 

Shoulder pain

Shoulder pain is a common complaint in nursing mothers. Shoulder pain can occur either because they repetitively use the same arm to carry the baby or let the baby sleep off on their arms especially while nursing at night. This places parts of the shoulder joint under stress and the constant irritation of this region can lead to shoulder pain. Most commonly, bursitis or shoulder impingement are the most commonly occurring diagnosis in breastfeeding mom’s. Mom’s shoulder is also a term which has been used to describe the cluster of symptoms associated with breastfeeding. This pain can be diffuse or specific to a region, it can also triggered by specific movements such as reaching behind to wear seatbelt, lying on that side, trying to carry the baby to the back.

 

Guidelines for managing shoulder pain while breastfeeding

Below are a few guidelines on how to minimise the occurrence of shoulder pain when nursing

  1. Alternate sides. Most people tend to carry their babies on their right side because they are right handed. However, to minimise the chances of injuring the shoulder region, it is better to alternate the side on which you carry the baby switching from the left and right sides frequently.
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Upper Back Pain while Breast Feeding

As a nursing mother, there is so much to juggle in the first few months after giving birth. Sleepless nights, diaper changes, finding a good nanny or maid, hosting visitors and guests are a few of the things to contend with externally. Internally and often neglected are the body pains and musculoskeletal dysfunction your body may be experiencing.

The most common type of pain mothers experience occur in in the upper back, neck and shoulder. Though these three body parts are located close to each other, pain or dysfunction in them can occur separately or at the same time. If left unattended to, pain in one area can spread to another. For instance, a mother struggling with upper back pain may develop neck pain if she does not manage the upper back pain properly.

Upper back pain: It usually extends from the upper spine around the thoracic level upwards towards the base of the neck. There may even be palpable knots around the shoulder blades and muscles. It typically occurs as a result of imbalance in the muscles because the shoulders roll forward and shorten the chest wall while the upper back muscles lengthen and become weak.

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Physiotherapy After Spine Surgery

 

Physiotherapy after Spine Surgery

The choice to undergo a spine surgery is a tough one to make. There’s a lot of concern and consideration about the risks, complications, safety, competence of the surgical team, success rate, resources, support system and prognosis. We understand. At PhysioCraft, we work with you through the journey and the decision making process.

Once the decision has been made to have a spine surgery, ideal circumstances require that you are seen by the physiotherapist not only after the surgery but also before the surgery. Asides getting acquainted with you, pre-surgery physiotherapy prepares you and your body for the surgical process and reviews everyday activities with you. While on admission and a few hours after the surgery, physiotherapy should start.  In the early hours post-op, everyday movements such as how to breathe, how to cough and get out of bed are examples of the movements which are reviewed.

As you get stronger after the neck or back surgery, there are several ways in which physiotherapy helps after spine surgery.

Pain management: While a certain amount of pain can occur after surgery, there are ways to manage it conservatively and without medication. This is where we as physiotherapists have had extensive training. At PhysioCraft, we have worked with several clients to reduce the consumption of their pain medications even after surgery.

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How to Find Physiotherapist in Nigeria Part 2…The current perspective

This is a three (3) part article. Part 1, the historical perspective can be found here and part two, the future perspective here.

With the federal and state government unable to employ physiotherapy graduates despite the need to, two things have happened. First, there has been an increase in private practice with majority offering itinerant (mobile) physiotherapy though there are a few brick and mortar locations. Second, the profession has been beleaguered by brain drain the most beneficiary countries being UK and USA. The insufficient employment opportunities has also acted as a stimulus for some venturing into other professions, social media campaigns, creation of healthcare hubs, gadget sales, sports events and even politics. Though clinical physiotherapy is still the most prominent cadre of physiotherapy, other sectors are healthcare policy, research, education, supply chain and advocacy.

physiotherapy jobs

Career options for physiotherapists

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Physiotherapy Scoliosis Treatment In Nigeria

What is scoliosis?

Scoliosis is a sideways curvature of the spine. The degree of curvature of the spine can vary from C-shape to an S-shape. Several people have a degree of curvature as but if the curve exceeds 10 degrees, a diagnosis of scoliosis is made. Scoliosis is more common in girls than in boys. Sometimes, a “wait and see” approach may be used when scoliosis is first observed because it may not progress further. During that period, scheduled checks are recommended and if it is progressing, intervention may be recommended.

S shaped scoliosis

scliosis assessment

PhysioCraft client being assessed for scoliosis. Notice the extra folds on one side

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How to Find Physiotherapists in Nigeria…a Historical Perspective

To find physiotherapists in Nigeria, the historical perspective gives insight on where a some can be found:

Doyen of Nigeria Physiotherapy Dr. Abayomi Oshin who oversaw the construction of the best physiotherapy dept till date, UCH Ibadan

In Nigeria, physiotherapy came into prominence around the 1950’s. They were commonly called “Dokito Komorin” that is, “Doctor who teaches children to walk.” This was because physiotherapists played a key role in teaching children how to walk and use walking aids after the polio epidemic in the 1950’s.  The term “Dokito Komorin” phrase was likely isolated to western part of Nigeria because that is where the physiotherapy profession training first started in Igbobi Orthopeadic Hospital in Lagos and later in University College Hospital Ibadan.

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What is Foot Drop or Injection Palsy?

foot-drop image from msviews.org

Physiotherapy Treatmet of Foot drop or Injection Palsy

Foot drop or drop foot refers to the inability to lift off the front part of the foot. It can occur because the nerve, muscles or tendon responsible for the movement have been damaged. The most common cause is injury or trauma to peroneal nerve, a nerve which supplies the muscles and helps in transmission of sensation in the foot. Foot drop is usually a symptom of another problem rather than a disease itself. Because the ability to lift off the foot is a critical part of the way we walk, foot drop often affects the gait.

In Nigeria, the term injection palsy is commonly used interchangeably with foot-drop. Unfortunately, injection palsy is quite common in children this is because, children are still frequently given injection in the buttocks area and since they don’t have muscle bulk or fat pads in the region, they are more susceptible to the nerve being injured by the injection needle. This is one of the reasons injections should only be given as a last resort to children, mothers are advised to ask questions pertaining this whenever they have to visit the hospital and injection is suggested.

 

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