Hemiplegia

A Comprehensive Guide to Understanding Hemiplegia and the Various Treatment Options Available

Hemiplegia

What is Hemiplegia?

Hemiplegia is a medical condition that causes paralysis or weakness on one side of the body. It is usually caused by a stroke, brain injury, or other conditions that affect the central nervous system. In Hemiparesis, which is a partial paralysis of one side of the body.

Hemiplegia can also be caused by other conditions such as cerebral palsy, multiple sclerosis, and tumor growth.

Symptoms may include weakness in the arms and legs, loss of sensation in one side of the body, and difficulty moving one side of the face. Treatment for hemiplegia often includes physical therapy and medications to help reduce pain and improve mobility.

Physical therapy can help people with hemiplegia improve their ability to sit, stand, and walk. Medications may be prescribed to combat and reduce symptoms and associated condition such as to control Blood pressure and Diabetes.  

Lifestyle changes such as reducing alcohol intake, maintaining a healthy weight and taking care of overall health are also encouraged for people with hemiplegia.

The rehabilitation process typically takes six to 12 months but can be as long as two years. It is important that everyone meets with a physician, therapist and occupational therapist on a regular basis during rehabilitation.

Cause:

Hemiplegia is a condition that affects one side of the body, causing paralysis, muscle weakness, and loss of sensation. Although the exact cause of hemiplegia is not known, it can be caused by a variety of factors including stroke, traumatic brain injury (TBI), tumors, and infections. In some cases, the cause may be unknown. Understanding the potential causes behind hemiplegia can help doctors diagnose and treat this condition more effectively.

Overview of Common Symptoms of Hemiplegia

Hemiplegia is a neurological disorder that affects one side of the body and can cause paralysis, weakness, muscle spasms, sensory loss, and balance problems.

It is caused by damage to the brain or spinal cord which can occur due to stroke, head injury or other medical conditions. The symptoms vary depending on the severity of the damage and can range from mild weakness to complete paralysis.

It can have a significant impact on a person's quality of life and ability to perform everyday activities.

It is important to recognize these symptoms as early as possible in order to receive treatment and prevent further complications.

Exploring Treatment Options for Hemiplegia

Hemiplegia is a condition that affects half of the body, resulting in paralysis and other physical impairments. It can have a significant impact on a person's quality of life and ability to perform everyday activities. Fortunately, there are treatment options available to help improve the symptoms of hemiplegia.

Physical therapy and occupational therapy are two of the most important treatments for Paralysis, as they can help improve mobility, reduce pain, and increase independence. Additionally, medications may be prescribed to reduce spasticity or treat other symptoms associated with hemiplegia.

Tips for Living with Hemiplegia and Maximizing Quality of Life

Hemiplegia is a stroke that has caused the patient's Body muscles to weaken and become paralyzed on one side of the body. These patients are more likely to experience pain, have poor balance, and limited mobility which can lead to depression. 

Some tips for people with hemiplegia include moving slowly, taking breaks during physical activities, increasing their intake of water, eating smaller meals more frequently, reducing stress levels by practicing breathing exercises or meditation techniques in addition to limiting caffeine intake. 

Many patients will also use assistive technology devices such as wheelchairs and walkers to ease their movement throughout life.

Ankle Pain And Physiotherapy Treatment :

Ankle Pain And Physiotherapy Treatmeny

Foot and ankle pain can have many causes, but Peach Physical Therapy and Wellness Center can help you get back on track. Foot and ankle pain can have a variety of causes, but can be relieved with light exercise and stretching. Foot and ankle pain may occur suddenly due to an acute injury, or it may develop over time due to an underlying chronic condition.
    
A foot or ankle injury can cause so much pain that it avoids putting stress on the foot. Depending on the severity of the sprain, a person may or may not put weight on the leg. Even if your ankle isn't sprained, your leg will sway a lot and you'll have to constantly correct your balance. If you've ever experienced foot and ankle pain, you know that getting around can be a lot more difficult.
    
Due to our constant standing, ankle and foot injuries can be common, especially during sports and physical activity. Because we spend so much time on our feet, injuries to our ankles or our feet can severely limit our daily lives and health. You spend a lot of time using your legs every day, and if you suffer from foot and ankle pain, it can have a major impact on your life. Swelling and pain from exercise are the main symptoms of a foot or ankle injury, as well as the inability to support any weight.
    
The most common cause of pain in the midfoot is pain in the joints of the middle tarsus after an ankle injury. Ankle sprains are a common injury with a high recurrence rate, usually after landing on a bent, inverted plantar foot. An ankle ligament injury is known as an ankle sprain and can be graded 1 to 3 depending on the severity of the injury. Previous research has shown that a lateral ankle sprain is one of the most common sports injuries encountered by physical therapists.8, 22 A lateral ankle sprain occurs when the foot rolls inwards, resulting in overstretching of the lateral ligaments.
    
Because of the importance of movement in the ankle, there are also many muscle attachments around this area, so tendon injuries can also affect the function and stability of the joint. Based on experience, it is important to strengthen and lengthen the ankle after an injury in order to reduce the risk. Even if you don't need surgery, you will likely need to go through a rehabilitation and exercise program to treat your ankle injury.
    
Your early physical therapy sessions are designed to help manage pain and swelling from ankle ligament repair. Your physical therapist will choose certain activities and procedures to help restore normal ankle movement. They can start with "passive" movements your physical therapist does to gently move your ankle and foot, and then progress to "active" exercises and stretches that you do yourself.
    
Your physical therapist will determine if the muscles in your foot, ankle, or calf are tight, begin stretching either foot, and teach you how to stretch them. As treatment progresses, Advantage Physical Therapy will gradually put stress on the ankle joint.
    
Benefit The physical therapist will use procedures to improve range of motion in the ankle without straining the ligaments. Our physical therapists will use treatments to stop swelling, relieve pain, and protect your injured ankle from stress. This form of treatment strengthens the muscles around the ankle and improves balance and joint feel.
    
The exercises restore mobility and maintain sufficient strength and stability in the ankle joint. Regular strength training can strengthen muscles, improve mobility, and prevent future injury. Regular light exercise can help relax the muscles and tendons so that the foot can move normally again and relieve pain. Exercise helps relieve pain by loosening the soft tissue in your feet.
    
In some simple cases of ankle pain, some exercises can help relieve some episodes of pain. Studies have shown exercise to be effective in reducing the symptoms of plantar fasciitis, Achilles tendon and ankle sprains. Anti-inflammatory drugs can help relieve pain and swelling and get people back to their previous activities after an ankle sprain.
    
Proper treatment of a sprained ankle can prevent chronic pain and instability. Recurrent ankle sprains If you have had repeated ankle sprains, ankle stabilization surgery may be indicated, especially if conservative treatment such as braces and exercises has not helped. Ankle injuries, such as sprains, result in long-term ankle instability in about half of patients.
    
Many types of injuries can occur in the foot and ankle, some are more traumatic, such as a sprain, while others can slowly turn into debilitating pain for no reason, such as plantar fasciitis. An ankle fracture can feel like a severe sprain, with immediate and intense pain, followed by swelling, bruising, and inflammation shortly thereafter.
    
In an ankle sprain, multiple structures can be involved, so a full assessment of the foot and ankle is recommended, including the mechanism of injury, observation of the patient's gait, standing posture, and wearing custom footwear.

Physiotherapy Treatment:
    
A physical therapist can assess the condition and general condition of the ankle joint and develop a set of exercises based on the extent, severity of the ankle injury and where it needs the most strengthening. Our physical therapists can teach you exercises that strengthen these muscles, help you control your ankle and improve your sense of joint position. Ankle Strengthening Exercises Once you have sufficient range of motion and can comfortably carry the weight of your injured ankle, it's time to move on to the next step: strengthening exercises. Once your ankle regains mobility and strength, you can engage in activities such as jogging and cycling.
    
Whether you're suffering from an acute injury or a chronic foot or ankle condition, you can find relief at the Peach Physical Therapy and Wellness Center. Other types of solutions, such as pain relievers and home remedies that offer only temporary pain relief, physical therapy treatments can provide you with a permanent solution to your ankle and foot pain without medication or surgery.

Piriformis Syndrome : Physiotherapy Treatment & Exercise

Piriformis Syndrome

 

Piriformis syndrome, also called Piriformis syndrome, is a condition caused by a muscle in the buttocks called the piriformis muscle. 

The piriformis muscle runs from the sacrum (the bony area in the spine between the hips) to the femur (the thigh bone), and helps to rotate the leg and causes it to flex. When the piriformis muscle becomes tight or irritated, it can cause symptoms such as pain, numbness, and tingling in the butt and lower leg. 

Piriformis syndrome is also sometimes called sciatica, which is an umbrella term for symptoms caused by irritation of the sciatic nerve.

The piriformis is a large muscle that runs along the base of the buttocks. It connects the hip to the back of the thigh, and helps to turn the leg in an outward direction.

Cause:

The cause of piriformis syndrome is typically an injury to the piriformis muscle. The most common cause of an injury to the piriformis muscle is a fall or direct trauma to the area. Less often, it can be caused by a spinal condition such as spondylolisthesis, or in rare cases, by a tumor in the sacrum. Piriformis syndrome can also be caused by another medical condition, such as a herniated disc in the lower back, a stress fracture, or a sciatica pain disorder.

Piriformis syndrome (PS) is a painful condition of the musculoskeletal system and is most often caused by macrotrauma of the buttocks, leading to inflammation of the soft tissues, muscle spasms, or both, leading to nerve compression. When there is piriformis dysfunction, it can cause a variety of signs and symptoms, such as pain in the area of ​​the sciatic nerve, including the gluteal region, back of the thigh, back of the leg, and lateral surface of the foot.
  
People turned to the term "deep glute syndrome" because recent research has confirmed that there are more structures in the hip that can cause compression of the sciatic nerve than the piriformis muscle. In fact, the term "gluteus gluteal syndrome" is currently favored in some medical circles because there are many tissues that can put pressure on the sciatic nerve in the subgluteal space (buttocks). The sciatic nerve can be pinched by fibrous bands that contain blood vessels, the gluteal muscles, one of the six deep hip rotators, the hamstrings, or anatomic abnormalities.

It is estimated that about 5% of cases of sciatica (irritation of the sciatic nerve causing pain that radiates from the back or buttocks to the leg, calf, and foot) are associated with piriformis syndrome. The pain is thought to be the result of passive stretching of the piriformis muscle and pressure on the sciatic nerve at the sacrospinous ligament. The two exercises shown in the videos above - the knee to the chest and the piriformis stretch - relieve sciatic pain associated with the piriformis muscle because they stretch the piriformis muscle.

A series of stretches that target the piriformis, hamstrings, and hip extensors can help reduce sciatic nerve pain and restore the patient's freedom of movement. If your doctor tells you that piriformis syndrome causes sciatic nerve pain, some exercise can help relieve symptoms. Although medications such as pain relievers, muscle relaxants, and anti-inflammatory drugs may be recommended, the mainstays of treatment for piriformis syndrome are physical therapy, exercise, and stretching. Conservative management of piriformis syndrome (PS) includes medications [nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, and neuropathic pain medications], physical therapy, lifestyle changes, and psychotherapy.

Using a glute-strengthening program, especially the weaker gluteal muscles, retraining muscle movement can help relieve pain. Under tangential pressure, the muscle compression of the sciatic nerve is weakened and the pain of piriformis syndrome (PS) is relieved. Because of the anatomical location of the piriformis muscle in relation to the gluteus maximus, moist heat or ultrasound is often used to preemptively relax the muscle prior to stretching. ) poses are performed in both sitting and standing positions to effectively relax the tense piriformis. The piriformis muscle is responsible for lateral rotation of the femur and abduction during hip flexion and is an important functional muscle during everyday activities such as walking, jogging, or sitting.
 
Piriformis strain. The piriformis muscle rotates and abducts the hip and is therefore a very important stabilizing muscle. The piriformis muscle plays an important role in lower body movement because it stabilizes the hip joint and lifts and rotates the hip away from the body, allowing you to walk, shift weight from foot to foot, and maintain balance. There have also been opposing beliefs that the piriformis muscle can work in a more extended position, which puts it under more eccentric stress during daily activities. Simply put, the piriformis muscle is one of the thigh muscles that plays a key role in rotation, flexion, and abduction (from the midline) of the thigh.

Physical therapy can successfully treat the symptoms of a piriformis strain. The piriformis muscle is the junction of the sacrum with the femur. The piriformis muscle can become tight, painful, and give symptoms of sciatica.

Some authors have linked piriformis syndrome to a shortening or "spasm" of the piriformis muscle that causes compression of the sciatic nerve. - Surgical trauma, lumbar spine and sacroiliac joint disease and overuse. With this in mind, standard treatment for piriformis syndrome aims to reduce spasm or shortening of the piriformis muscle and any associated inflammation. Specifically, this patient had hip extensor, abductor, and hip external rotator weakness, limited control of the hip and pelvis during functional exercise testing, and reappearance of passive stretching and activation of the piriformis muscle. The authors also report that other studies on the subject of piriformis syndrome have also found insufficient hip abductor strength in people who are predisposed to piriformis syndrome, which occurs during vigorous exercise such as walking or running.

Of course, there are many different possibilities for conditions affecting this area, but the top three are; radiating pain in the buttocks that may involve the legs or hamstrings, impaired range of motion in the hips, and sciatica that may radiate to the lower back. Causes of hip pain include temporary discomfort such as bursitis, bruising, piriformis syndrome, muscle fatigue, and shingles, as well as more serious long-term conditions such as cancer, sacroiliitis, and sciatica herniated discs.

The FAIR test was performed by placing this patient in a lateral decubitus position on the healthy side, with the affected (upper) hip joint passively displaced in flexion, adduction, and internal rotation.

The piriformis muscle contraction was tested by placing the patient in the FAIR testing position and asking the patient to lift the knee off the sofa for 5 seconds. 2 In the friction test, the FAIR test, and the contraction test, the patient was found to reproduce symptoms in the hip and thigh muscles of the thigh. Pear test

Paralysis Treatment

Paralysis Treatment

Treatment for vocal cord paralysis may include voice therapy, mass injections, surgery, or a combination of therapies. Treatment for vocal cord paralysis depends on the cause, the severity of the symptoms, and when they started. If the symptoms of vocal cord paralysis don't go away completely on their own, surgical treatment may be suggested to improve your ability to speak and swallow.

To do this, the doctor may delay permanent surgery for at least one year from the onset of vocal cord paralysis. In rare cases, people who have had this surgery may need a second surgery to reposition the implant. Depending on your specific concerns and goals, you may need more than one operation for a successful muscle transplant. We can only use grafts and nerve transfers if your facial paralysis has lasted less than two years.

With prolonged paralysis, nerve grafts and grafts do not work. Nerve Transplant When the facial nerve is damaged, there is a period of time during which it is possible to restore the lost function of the nerve (re-innervate) the facial muscles by transplanting another nerve into the area. The inability to move the facial muscles on one or both sides is called facial paralysis. Facial palsy is the loss of movement on one or both sides of the face due to damage to the facial nerve and/or malfunction of the facial muscles.
    
The problem may affect one or both sides of the face with marked reduction in features and problems with speech, blinking, swallowing saliva, eating, or communicating through natural facial expressions. Facial palsy can result from nerve damage due to congenital conditions (present at birth), trauma, or diseases such as a stroke, brain tumor, or Bell's palsy. For example, Bell's palsy is a condition that can cause temporary facial paralysis. Temporary paralysis, such as that caused by Bell's palsy or a stroke, may resolve into temporary paralysis without treatment.

Bell's palsy is the most common type of facial palsy, but it's unclear what causes it. Partial paralysis or paralysis can cause significant muscle weakness and movement disorders. Partially paralyzed people maintain some degree of control over the affected muscles. The most common symptom of paralysis is the loss of muscle function in one or more parts of the body.

Paralysis is often easy to diagnose, especially when loss of muscle function is evident. The paralysis is often limited to one arm, sometimes even to some muscles in one arm. Some people suffer from less severe forms of paralysis, especially when their lesions are located very low in the spinal cord. Paralysis is almost always the result of nerve or spinal cord injury rather than damage to the affected area.

When paralysis occurs as a result of a spinal cord injury or chronic neurological disease, a person may regain partial muscle control. In fact, paralysis is a continuum, and the type of paralysis that a person develops shortly after a spinal cord injury (SCI) can change with time, rehabilitation, and careful treatment. People with complete paralysis will need a permanent spinal implant for the treatment to work. People may experience localized, generalized, partial, or complete paralysis.
    
Depending on the form of periodic paralysis (PP) you have, symptoms can be mild or severe, lasting anywhere from a few minutes to a few days. Depending on the form of periodic paralysis (PP) you have, seizures can be caused by low or high levels of potassium in the blood, exercise, stress, cold and carbohydrate-rich foods, fasting, certain medications, or high levels of thyroid hormones Triggered. Compared to other forms of PP, episodes of skeletal muscle weakness tend to be frequent but not as severe. Periodic paralysis (PP) causes sudden onset of muscle weakness, stiffness, or short-term paralysis.

Occasionally, periodic paralysis (PP) can slowly worsen over time and cause permanent muscle damage. Primary periodic paralysis (PPP) is a group of rare conditions in which muscles temporarily become stiff, weak, or unable to move. 

Strokes, spinal cord injuries and cerebral palsy can cause paralysis. Damage to the brain and nerves can also cause localized paralysis, such as when a brain tumor that compresses a nerve paralyzes part of the face.

Since a number of diseases can cause nerve damage, additional tests may be needed to determine the cause of the paralysis. Additional tests may be needed to confirm or rule out the diagnosis if the cause of the sudden paralysis is not obvious. For internal parts of the body where paralysis is more difficult to identify, a doctor may use x-rays, CT scans, MRIs, or other imaging studies. While waiting for surgery, your doctor may offer voice therapy to prevent misuse of your voice while your nerves are healing.
    
In a second surgery, a healthy nerve is removed from another area of ​​the neck to replace the affected vocal cords. We attach the muscle graft to the nerve on the affected side of the face or the nerve on the opposite side. Sometimes we use a small piece of nerve (called a graft) from another part of your body to put you back together. The stimulation to the spine is enough to reach these few nerve fibers and bring them back to life.

A relatively new procedure called epidural stimulation has also shown promise, in which doctors surgically implant a device into the spinal cord to deliver electrical currents that connect nerve signals from the brain. For decades, doctors and researchers have been trying to use spinal cord stimulation to help paralyzed patients regain mobility. Now, a team of researchers has developed a new electrode system that has successfully restored range of motion in three paralyzed patients with their entire leg and trunk. The downside of this approach is that these techniques fail to stimulate certain nerves in the spinal cord that control movement in the legs and trunk.

Shoulder Pain : Cause, Symptoms, Physiotherapy Treatment

Shoulder Pain

A common cause of shoulder pain is pain in the rotator cuff tendon (the ligament that connects muscle and bone). Pain in your shoulder when you raise your arm above your head could mean you have a problem with your rotator cuff. Or you may not remember any specific injuries but still have shoulder pain.

In some cases, movement may be limited and shoulder misalignment may cause pain. In most conditions, it is painful to use or move the shoulder, but in some cases, the shoulder becomes stiff. The pain is usually felt at rest and does not worsen with shoulder movement. Because of this mobility, the shoulder is more likely to be injured or cause problems.

A problem with any part of this shoulder joint architecture can cause shoulder pain, weakness, or instability. Problems with the joints and associated nerves in the neck and upper back can also be a source of shoulder pain. There are many causes of shoulder pain, and not all of them are due to problems with the shoulder joints or related structures. Shoulder pain can be caused by osteoarthritis, muscle tears, tendonitis, and many other causes.

Swelling, injury, or bone changes around the rotator cuff can cause shoulder pain. The most common cause of shoulder pain occurs when the rotator cuff tendons get pinched under the bony area of ​​the shoulder.

If you experience pain in your shoulder at night that makes it difficult for you to sleep or wakes you up, you may have a torn one or more rotator cuff tendons. To address a rotator cuff problem, the doctor will check your shoulder for tenderness and raise your arm to see what position you're in for pain. Treatment for rotator cuff tendinitis involves resting the shoulder and avoiding activities that cause pain.

Rotator cuff problems are related to a group of muscles and tendons that help attach the head of the arm bone to the shoulder socket. The most common fractures are the clavicle (collarbone) and the humerus (the arm bone closest to the shoulder). This injury affects the joint where the clavicle and shoulder blade meet.

Shoulder avulsion most commonly occurs from a blow to the shoulder or a fall on the shoulder, or from an outstretched arm or arm. Sudden (acute) injury can result from a fall onto an outstretched arm, a direct blow to the shoulder, or abnormal twisting or flexion of the shoulder. Shoulder injuries most often occur during sports, work, household chores, or falls. This type of injury often occurs in people who play contact sports such as football and get hit in the shoulder.

With this type of injury, you may feel pain when you reach above your head, and your shoulder may feel weak. You can also have this type of injury if you feel pain when you raise your arm above your head and weakness in your shoulder when you try to lift something above shoulder level. You can injure your shoulder while doing manual work, playing sports, or even repeating movements.

When you have a problem with your shoulder, it prevents you from moving freely and can cause a lot of pain and discomfort. Degenerative and other diseases of the body can also cause shoulder problems or cause pain that travels along the nerves to the shoulder.

Although many shoulder conditions, including rotator cuff tendinitis, can be associated with a frozen shoulder, the cause is often unknown. There is no known cause of frozen shoulder, which presents with progressive pain on movement and stiffness. Frozen shoulder, called adhesive capsulitis, is a common condition that results in joint stiffness and pain that can be constant.

Frozen shoulder rarely recurs on the same shoulder where it originally started, but people can reappear on the opposite shoulder. Adhesive capsulitis occurs when the connective tissue around a joint thickens and becomes stiff, limiting the movement and function of the joint. The shoulder sac thickens and contracts, creating discomfort.

In the shoulder, the bursa, which is located between the rotator cuff tendon and the acromion (acromion), can become inflamed, most commonly with repetitive motion. Another common cause is pain in the subacromial bursa (a buildup of fluid under the top of the shoulder). The most common cause of upper shoulder pain is an abnormality of the acromioclavicular (AC) joint.

Tendinitis and bursitis cause pain in the front and sides of the shoulder, and stiffness can also occur. Shoulder pain can sometimes be described as a stabbing pain.

Pain in the rotator cuff usually means rotator cuff tendinitis or inflammation of these tendons and inflammation of the bursa, the smooth, slippery sacs that the tendons slide over; or a rotator cuff tear, where one of the tendons is torn due to overuse or injury. In addition to spinal or disc problems, you may also experience shoulder pain due to other health problems, ranging from pneumonia, pancreatitis, and gallstones to inflammation around the heart and heart attack. Shoulder pain can also be caused by problems affecting the abdomen (such as gallstones), the heart (such as angina or a heart attack), and the lungs (such as pneumonia). The doctor may also examine other areas of your body, such as your neck or abdomen, to rule out non-shoulder causes.

Ultrasounds can show swelling, damage, and problems with tendons, muscles, or other soft tissues in the shoulder. MRI uses radio waves to create images that show what's going on inside the bones and soft tissues of the shoulder, such as muscles and tendons. X-rays can show any changes caused by arthritis of the shoulder joint (such as bone spurs or narrowing of the joint space) or fractures.

SAMARPAN PHYSIOTHERAPY CLINIC

SAMARPAN PHYSIOTHERAPY
FITNESS  & REHAB. CLINIC

Samarpan Physiotherapy Clinic

Bapunagar Physiotherapy Clinic:


(1) Samarpan Physiotherapy Clinic,  Chandragupt Flat, Nr.Ramaji Mandir, B/H:Nilkanth Dairy,  India Colony   Road,Bapunagar,Ahmedabad-380024

DR.NITESH PATEL
(BPT,MIAP)

 Mo : 9898607803

 

Mobile Physiotherapy Clinic

B-01, Jagatnagar Society, Opp.Shaktidhara Society,

India Colony Road, Tollnaka, Bapunagar, Ahmedabad.

Dr. Anjali Pandya - Physiotherapist.

Dr. Sumiya Qureshi - Physiotherapist

Dr. Pal Rawal - Physiotherapist

Amaraiwadi Physiotherapy Clinic:

(2) Bansidhar society,B/H:Bansidhar medical store,Rabari colony
cross road,vastral road,amaraivadi,ahmedabad-380026

DR.RAHUL RATHOD
(BPT,MIAP)

Mo  :  6352845017

      : 7285084764


Vastral Physiotherapy Clinic :

(3) B-04, Shivalik Bunglow,
       Near.Ratanpura Gam,
       Near. Metro Pillar 156
       Vastral,
       Ahmedabad

Dr.Nitesh Patel
Mo No : 7777976968

 

Nava Naroda Physiotherapy Clinic Address :

 

Samarpan Physiotherapy Clinic

,5,  Govardhan Galaxy Bunglow, Near. Fortune Circle,

Behind.Shalby Hospital, Near. Haridarshan Circle

Nava Naroda, Ahmedabad.

 

Dr. Nitesh Patel - Physiotherapist.

Mo No :09898607803

 

Dr. Varsha Patel - Physiotherapist

 

Dr. Pankati Patel - Physiotherapist

 

Related Post :

Bell's Palsy