Saturday, 26 August 2017

WE SHOULD USE HOT OR COLD TREATMENT IMMEDIATELY AFTER PAIN OR TRAUMA / INJURY?

We all might have administered hot / thermo treatment immediately after any small or big injury during course of our life... sometimes or the other.


                                         
There is a big myth that HOT treatment gives us instant relief after pain or injury. It may be in any form either hot water bottle , or hot pack / hydrocollater pack  etc. which are easily available in markets these days.If not any hot pack, people advice you to put your handkercheif after puffing some warm air in it and placing it on your injured part. 

Although this is NOT at all true.

Studies show that giving hot treatment immediately after an injury leads to increase in vascular/blood supply to the injured tissue which in turn causes an increase in enzymes at the injury leading to more swelling up of the affected part.This causes an increase in pain and tenderness as well as triggers the inflammation which causes redness , increase in bleeding (if an open wound) and discolouration of the skin too.


Therefore we all should strictly AVOID  heating our body parts and advise others too.



Now coming to the infamous COLD treatment after injury. People usually think that cold will give you less recovery and would even harm you more but this is NOT true.
 
The primary reason for using cold in acute injury to lower the temperature in injured area, this helps the injured tissue survive the hypoxia and limits further tissue injury.

Using cold immediately after any injury will lead to vasoconstriction / decrease in the diameter of blood vessels leading to a diminished blood flow to the affected part thus decreasing swelling and also diminishing inflammation which in turn causes less pain and controls bleeding. Also it causes
an instant pain relief via sending cold impulses through the spinal cord and inhibiting pain signals to the brain thus creating an instant pain relief on the affected part.

                                

Therefore we come to a conclusion that we always have to use COLD PACKS after every injury be it small or big, any muscle pull or sprain , strain etc. 

If you have cold packs it is well and good. You can make one at home for an emergency via placing some ice cubes on a dry towel and wrapping atleast two layers of  the same towel on them.Now you  can place it on the affected body part and relax for about 10 - 20 mins.

CAUTION : You should take care that time does not exceed 20 mins as the ice pack reverses its effect and now gives the properties of cold pack after 20 mins get over.


Hunting response:

§When cold is applied for longer periods of time or when tissue temperatures reaches less than 10° C  vasodilation may occur. (Cold induced vasodilation)
 

 

EFFECTS OF COLD PACKS:

 


Decreased nerve conduction velocity:


§Cold decreases the nerve conduction velocity of both sensory and motor nerve.

§It is also possible that cold bombards central pain receptors areas with so many cold impulses that pain impulses are lost.

 

Increased pain threshold:

 

§Cold depresses the excitability of free nerve endings and peripheral nerve fibers, and this increases the pain threshold.

Reduction in muscle guarding:

§Reduction in muscle guarding relative to acute trauma has been observed by all active athletic trainer.

§The literature reviews indicates various reason with common thought of decreased muscle spindle activity.

 

Decreased spasticity:


§Cold applications can enhance voluntary control in spastic conditions.

§It can temporary decrease spasticity.

§These changes are thought to be caused by a decrease in the discharge from the afferent spindles and GTO’s as a result of decreased muscle temperature.



Decreased metabolic rate:
 
§The application of cold decreases cell permeability, decreases cellular metabolism .
 

Decreased edema:

§Cold controls increase in capillary permeability and reduces the intravascular pressure.


 


Flexible Homemade Ice Pack

  • 2 cups water
  • 1 cup rubbing alcohol or high-proof vodka (I used Everclear)
  • food coloring for the blue tint (optional)
  • 2 zip-top bags – quart or gallon-size or vacuum sealer bags
Mix the water and alcohol together in one of your zip-top bags and add food coloring, if desired, until you get that perfect blue tint. Next, release as much air as possible and seal the bag. I recommend double bagging for strength. (If you have a vacuum sealer use a vacuum seal bag for the outer layer to further prevent accidents.) My trusty Foodsaver works like a charm. After my leaky bag/wet pillow incident I wasn’t taking any chance.

Stick your new flexible homemade alcohol ice pack in the freezer for about 12 hours before using it for the first time. Once frozen it will be icy, a little slushy, and perfectly flexible for any body injury that needs the cold treatment.

NOTE: When you use this be sure to put a cloth between your skin and the pack – these are very cold!

 

A Few Tips and Tricks



If you use a quart size zip-top bag, your ice pack will be more square shaped, and a gallon-size will give you a longer more narrow pack. Use whichever you prefer. I like the gallon size better because they wrap around body parts better.
Different alcohols will give different results. Rubbing alcohol is around 70% alcohol, and the Everclear I used is about 95% alcohol. So, you may want to freeze the inner bag first to make sure you like the amount of flexibility before committing to permanent double-bagging. The general rule is – more alcohol = slushier ice pack.

 

Cost Savings Breakdown



The savings for making your own homemade ice pack is significant. Flexible ice packs generally run between $10 and $14 a piece. The approximate material costs (at time of writing) for the homemade pack are:

  • Water – 2¢
  • Rubbing Alcohol – 75¢
  • Gallon zip top bag – 13¢
  • Food Vacuum Sealer Bag – 38¢

Total Cost: – $1.28
Total Savings: – $8.72-$13.72, or 87%-91%.

Monday, 21 August 2017

Qatar-Consultancy Job-Physotherapist and Physiotherapy Specialist vacancies for a Hospital in Qatar.
Contact Consultancy: Jerry Varghese
Physiotherapy Specialist Job Code: JRE14963 :
Details and Link to apply: http://www.jerryvarghese.com/Job-Search/ReqSearch.aspx?stype=1&RefNo=JRE14963
Job Update on Aug 20
Physiotherapist Job Code JRE14962: Details and Link to apply:  http://www.jerryvarghese.com/Job-Search/ReqSearch.aspx?stype=1&RefNo=JRE14962

Tuesday, 15 August 2017

1.)Maldives-Consultancy Job-Female Physiotherapist vacancy for a Hospital in Maldives.
Qualification: BPT with 2+years Manual therapy experience and International English Language Testing System (IELTS) Score 5.5
Salary range: 1000-1200 US Dollars + Food and Accommodation

M: Dr.Dara Raj PT@ +91 9605181825 (Thiruvananthapuram Number)
E-Mail: dararajinn@gmail.com


2.)Delhi-Railways-Physiotherapist vacancy on contract basis in Northern railway Central hospital, Basant Ln, Aram Bagh, Connaught Place, New Delhi.
Qualification: BPT
Job Update on Aug 14
The advertisement along with the Job application form is attached with this mail.
The candidate should send application duly filled in all respect along with required documents through ORDINARY POST only, so as to reach office of the Medical Director, Northern Railway Central Hospital Basant Lane New Delhi 110055 within the closing date. However, the application can be dropped in Box kept in Room No. 26, Northern Railway Central Hospital Basant Lane, New Delhi 110055 upto 04/09/2017 at 17:00 hrs of the closing date.


3.)Dehradun-State Government-Physiotherapist vacancies in Uttarakhand Ayurved University (An autonomous body of Uttarakhand Government),  Harrawala, Dehradun, Uttarakhand
Qualification: BPT
Website: http://www.uau.ac.in/vacancy.php
The job notification and the job application form is attached with this mail
Job Update on Aug 14
Last date to apply: 05/09/2017


4.)Delhi-Physiotherapy Teaching staff for an Institute near near Dwarka Mor metro station.
Qualification: MPT
Job Updated on Aug 14
Contact Dr.Singh@ +91 9810536375 for details.


5.) Patna- Physiotherapist vacancy in Divy Physiotherapy Clinic, Danapur, Patna.
Qualification: BPT
M: Dr.Indrajeet Jeta PT@+91 7986922202
Job Update on Aug 14
E-Mail: dpcindia17@gmail.com

UAE PHYSIOTHERAPY VACANCY 2017

1.) Saudi Arabia-Direct Employer-Female Physiotherapist vacancy in Prince Sultan Armed Forces Hospital, Madinah
Qualification: Saudi Prometric cleared Physiotherapist
Contact Consultancy: Jessena Human Resources
Job Update by Physiotherapy Jobs Portal: www.physiotherapyjobs.co.in on Aug 14
Details: http://ibs.jesseena.com/webportal/php/web_vacancy_listing_show.php?div=M&vacancy_id=MzUzNQ==&vacancy_r_id=MzQ0Mg==&type=vin
E-Mail:  jhrhealthcare@gmail.com



2.)Qatar-Direct Employer-Physiotherapist vacancy for a Polyclinic in Doha.
Qualification: Qatar Prometric cleared Physiotherapists

E-Mail: polyclinichr@gmail.com


3.) Oman-Consultancy Job-Physiotherapist vacancies for a Medical Centre.
Qualification: Oman Prometric cleared Candidates
Contact Consultancy: Ace management

Ph: 0824-4282789
E-Mail: acemanagementcorp@gmail.com , francisnoronha@ymail.com

Tuesday, 8 August 2017

1.) Maldives-Consultancy Job-Female Physiotherapist vacancies for Sri Lanka based Revival Medical Healthcare center at Maldives.
Qualification: MPT (Ortho/Neuro/Sports) 
The selected Candidate should clear IELTS (Score required is 5.5)
Job Update Aug 03
Salary Range: 1700 US Dollars+ Sharing accommodation +visa and ticket
E-Mail:  vineet.mutneja@gmail.com




2.)Lucknow-State Government-Physiotherapist vacancy in  Dr. Shakuntala Misra National Rehabilitation University, Lucknow.
The Advertisement is attached with this mail
Job Updated on Aug 03
The application form along with necessary enclosures should reach :The Registrar, Dr.Shakuntala Misra National Rehabilitation University, Mohaan Road, 
Lucknow - 226 017 
Last date to apply: 29th August, 2017


3.) Kollam-State Government-Physiotherapist vacancy in Arogya Keralam, NHM, Kollam, Kerala.
Qualification: BPT with 3+ years exp
Job Update on Aug 03
Website: http://www.arogyakeralam.gov.in/index.php/careers-/opportunities/299
The Notification is attached with this mail
Interview on Aug 09, 2017



4.)Azamgarh/Baddi/Akola/Agartala/Guna-Physiotherapist vacancies for Home care through Health Zone in Azamgarh(Uttar Pradesh), Baddi (Himachal Pradesh), Akola (Maharashtra), Agartala (Tripura) and Guna(Madhya Pradesh).
Qualification: BPT/MPT
Job Update on Aug 03
E-Mail: joinus.healthzone@gmail.com



5.) Delhi- Physiotherapist vacancies for Pro Active Physiotherapy Centre in South Delhi 
Qualification: BPT/MPT with 0-5 yrs exp
Website: http://www.proactivephysio.in/index.html
Job Updated on Aug 03
E-Mail: proactivephysiotherapy2012@gmail.com
1.) Kuwait-Direct Recruitment-Female Physiotherapist vacancies for a Professional Home care Company in Kuwait.
Qualification: BPT with 3+ years exp
Number of vacancies: 03
Job nature: Home Care. Transportation and Accommodation provided. To work along with Dr.Sunil PT, a Physiotherapy Jobs Portal member. Service charges applicable for Visa Process.

2.)Job Update by Physiotherapy Jobs Portal: www.physiotherapyjobs.co.in on Aug 03
If interested in working for Home Care in Kuwait, send your resume to Physiotherapy Jobs Portal @
E-Mail: info@physiotherapyjobs.co.in
(Mention “Home Care-Kuwait” in the subject line of the mail)


3.)Kuwait-Consultancy Job-Physiotherapist vacancies for a Medical Centre in Kuwait.
Qualification: BPT with 5+ years experience
Contact Consultancy: OCS Group, Mangalore.
E-Mail: admin@iocsgroup.com


4.)United Arab Emirates (UAE)-Direct Employer-Male Physiotherapist vacancies in White Wings Home Health Care Center, Abudhabi.
Qualification: HAAD cleared Physiotherapists
Job Update by on Aug 03
Contact +971 2 621 1101 for details.

5.)UAE-Direct Employer-Female Physiotherapist vacancy in Al Towaili Physiotherapy Centre, Al Ain.
Qualification: HAAD cleared/DHA Licensed Physiotherapists
Job Update on Aug 03
E-Mail: altowaily@gmail.com



5.)UAE-Direct Employer-Physiotherapy Assistant Vacancy in Cleveland Clinic, Abudhabi.
Qualification: BPT with 2+ years exp
Job Update on Aug 03
Details and link to apply: http://jobs.clevelandclinic.org/job-detail.html?3650831-physical-therapy-assistant&utm_source=Indeed.com&utm_medium=Organic&utm_content=3650831&utm_campaign=none


6.)Qatar-Consultancy Job-Physiotherapist vacancy in Al Hamdi Hospital, Qatar
Qualification: Qatar Prometric exam cleared Physiotherapists
Contact Consultancy: AJ Placements, Cochin
The advertisement is attached with this mail.
Ph: 0481-2537223/ +91 9947322551
Job Update on Aug 03
E-Mail: sgmoh2017@gmail.com , ajcochin2016@gmail.com

UAE (DHA/HAAD/MOH) , Saudi Arabia, Qatar and Oman License exams can be taken online from India. Eligibility: BPT with 2 + years experience...