Question 1

How do you treat Frozen Shoulder without surgery?

Accepted Answer

We use a phased, non-surgical protocol combining Maitland glenohumeral joint mobilization (Grades I-IV), Spencer technique, trigger point dry needling, and therapeutic ultrasound. This gently stretches the contracted joint capsule, reduces night pain, and restores overhead arm movement without forceful manipulation under anesthesia.

Question 2

Do you provide workstation ergonomics audits for IT companies in Madhapur and Financial District?

Accepted Answer

Yes. We provide on-site and remote workstation ergonomic audits for IT firms and professionals across Madhapur, Mindspace, RaiDurg, Kokapet, Financial District, and Hitech City. We evaluate monitor height, desk ergonomics, chair lumbar support, and provide customized exercises to eliminate 'Tech Neck' and carpal tunnel syndrome.

Question 3

What is your recovery protocol for Bell's Palsy facial paralysis?

Accepted Answer

Our neurological specialist Dr. Thanmayi provides early low-frequency electrical muscle stimulation, neuromuscular facial re-education, mirror biofeedback, and gentle facial massage. Starting within the first 1-2 weeks optimizes recovery of facial symmetry, eyelid closure, and smile control while preventing abnormal synkinesis.

Question 4

What conditions do you treat at Athletlance?

Accepted Answer

We treat a wide range of conditions including Back Pain (Sciatica/Slip Disc), Neck Pain (Cervical Spondylosis), Frozen Shoulder, Knee Osteoarthritis, Sports Injuries (ACL/Ligament tears), Stroke/Paralysis recovery, and Post-Surgical rehabilitation (TKR/THR).

Question 5

What is Manual Therapy?

Accepted Answer

Manual therapy is a highly specialized, hands-on treatment where our therapists gently move your joints and massage soft tissues to relieve tension. Sometimes, exercises alone aren't enough—manual therapy helps 'unlock' stiff areas, reduce immediate pain, and allow your body to move freely again.

Question 6

Do you offer advanced treatments like Dry Needling or Taping?

Accepted Answer

Yes, our team is trained in several advanced, evidence-based techniques. Depending on what your body needs to heal fastest, we may incorporate therapies like Dry Needling, Kinesio Taping, or Myofascial Release into your sessions to quickly reduce muscle knots and improve blood flow.

Question 7

Can physiotherapy help me avoid surgery?

Accepted Answer

In many cases, yes. For conditions like Slip Disc, Sciatica, or early-stage Knee Osteoarthritis, targeted physiotherapy can strengthen your supporting muscles and naturally reduce inflammation, often helping you heal well enough to avoid surgical intervention entirely.

Question 8

Do you provide specialized Stroke and Paralysis rehabilitation?

Accepted Answer

Yes. Helping patients recover from neurological conditions like stroke is a dedicated focus for our team. We use gentle, proven techniques (like NDT and PNF) to help stroke survivors regain their mobility, rebuild their balance, and safely return to their daily lives.

Question 9

Do you treat sports injuries like ACL or Meniscus tears?

Accepted Answer

Absolutely. We provide advanced sports physiotherapy for athletes in Hyderabad. Whether you have an ACL tear, Ankle sprain, or Tennis Elbow, we follow safe, athlete-specific protocols to ensure you can confidently return to your sport without fear of re-injury.

Question 10

How soon after orthopedic surgery should I start physiotherapy?

Accepted Answer

In most cases, gentle movement begins within 24 to 48 hours after surgery while you are still in the hospital. Once you are discharged, we can immediately begin home visits, strictly following your surgeon's safety protocols to ensure a smooth, confident recovery for joint replacements (TKR/THR).

Question 11

Do you provide physiotherapy for senior citizens?

Accepted Answer

Yes, caring for seniors is a very important part of what we do, and we highly recommend our home visit service for this. We focus heavily on fall prevention, gentle strengthening, and balance training so your older family members can confidently maintain their independence and quality of life.

Question 12

Do you offer Pediatric (Children's) Physiotherapy?

Accepted Answer

Yes, we provide gentle, play-based therapy for infants and children facing developmental delays, cerebral palsy, posture issues, or post-fracture stiffness. We also work closely with parents, teaching you safe ways to support your child's physical development at home.

Question 13

What does Women's Health Physiotherapy involve?

Accepted Answer

Our female therapists provide discreet, specialized care for women navigating pregnancy, postpartum recovery, and pelvic floor issues. We can safely help you manage back pain during pregnancy, heal abdominal separation (Diastasis Recti), and regain core strength after delivery in the privacy of your home.

Question 14

How does chest physiotherapy help COPD and post-ICU patients?

Accepted Answer

Chest physiotherapy utilizes Active Cycle of Breathing Techniques (ACBT), gentle postural drainage, and thoracic expansion exercises to loosen retained mucus secretions, expand lung capacity, and reduce shortness of breath.

Question 15

Can physiotherapy fix TMJ jaw pain and clicking?

Accepted Answer

Yes. TMJ physiotherapy uses intra-oral pterygoid myofascial release, masseter trigger point decompression, and manual joint distraction to realign the jaw disc and eliminate clicking, pain, and headaches.

Question 16

What is the approach for chronic pain and fibromyalgia?

Accepted Answer

We use evidence-based Pain Neuroscience Education (PNE), Graded Motor Imagery, and nervous system pacing to desensitize hyperactive pain pathways without triggering symptom flare-ups.

Question 17

How quickly after cast removal should fracture rehab start?

Accepted Answer

Fracture rehabilitation should begin immediately (within 24-48 hours) after cast removal or surgical clearance to reverse joint stiffness, reduce edema, and restore full muscle strength.

Question 18

How is vertigo (BPPV) treated with physiotherapy?

Accepted Answer

Our certified vestibular physiotherapists perform the Dix-Hallpike diagnostic test and apply the Epley canalith repositioning maneuver, which cures over 85-90% of BPPV cases in just 1 to 2 sessions without medication.

Question 19

What is NDT in stroke rehabilitation?

Accepted Answer

Neuro-Developmental Treatment (NDT) is a hands-on clinical therapy designed to retrain the brain to control muscles and restore normal movement patterns after a neurological injury.

Question 20

When should physiotherapy start after a stroke?

Accepted Answer

Physiotherapy should start within 24 to 48 hours of medical stabilization, even in the hospital, to prevent muscle wasting and joint stiffness.

Question 21

How many days a week does a stroke patient need physiotherapy?

Accepted Answer

In the acute phase, daily sessions (5-6 days a week) are highly recommended to maximize neuroplasticity, which can transition to 3 sessions a week as the patient regains independence.

Question 22

What causes sciatica pain?

Accepted Answer

Sciatica is caused by compression or irritation of the sciatic nerve, most commonly due to a bulging or herniated disc (slip disc) in the lumbar spine.

Question 23

How many sessions are needed for slip disc recovery?

Accepted Answer

Most patients experience significant pain relief within 3 to 5 sessions, with complete functional recovery and core strengthening completed within 10 to 12 sessions.

Question 24

What is dry needling, and is it painful?

Accepted Answer

Dry needling involves inserting thin needles into tight muscle trigger points. It is not painful, though patients may feel a mild 'twitch response' that brings immediate muscle relaxation.

Question 25

Can an ACL tear heal without surgery?

Accepted Answer

Partial ACL tears and some full tears in non-athletes can be managed non-surgically using advanced sports physiotherapy to strengthen the surrounding quadriceps and hamstrings.

Question 26

How long does ACL rehab take?

Accepted Answer

A complete return to competitive cutting and contact sports typically takes 6 to 9 months of structured rehabilitation to ensure the ligament graft is fully mature.

Question 27

What is Limb Symmetry Index (LSI)?

Accepted Answer

LSI is a clinical measurement comparing the muscle strength and hop distance of the injured limb to the healthy limb. It must be above 90% before returning to sports.

Question 28

Is physiotherapy painful for a frozen shoulder?

Accepted Answer

The stretching required to break down scar tissue can cause mild discomfort, but our therapists always work within your tolerance limit to ensure safe progress.

Question 29

Can diabetes cause a frozen shoulder?

Accepted Answer

Yes, people with diabetes are up to 5 times more likely to develop a frozen shoulder. Managing your blood sugar levels alongside physiotherapy is crucial for a full recovery.

Question 30

How can I relieve neck pain at work?

Accepted Answer

Frequent micro-breaks (every 30 min), monitor at eye level, and chin-tucks performed throughout the day are the most effective ways to relieve desk-related neck pain without medication.

Question 31

Do you offer ergonomic assessments for offices?

Accepted Answer

Yes. Our physiotherapists provide on-site workstation ergonomic audits for IT companies in Hyderabad's tech hubs like Hitech City and Kondapur to prevent repetitive strain injuries.

Question 32

When should physiotherapy start after a knee replacement?

Accepted Answer

Physiotherapy should ideally begin within 24 hours of surgery, even in the hospital bed, to prevent stiffness and blood clots. Home visits should continue from the day of discharge.

Question 33

Is it normal for the knee to be warm and swollen after TKR?

Accepted Answer

Yes, mild warmth and swelling are normal for the first 4 to 6 weeks after TKR as the body heals. Regular ice packs and elevation help manage this, which our home-visit therapist will guide you through.

Question 34

Can balance be improved at any age?

Accepted Answer

Absolutely. The brain retains neuroplasticity throughout life. Balance-specific exercises like single-leg stands, Frenkel's exercises, and Tai-Chi movements measurably improve stability even in patients over 80.

Question 35

What is Diastasis Recti?

Accepted Answer

Diastasis Recti is the separation of the rectus abdominis (six-pack) muscles along the linea alba, commonly occurring during and after pregnancy due to uterine expansion.

Question 36

Can Diastasis Recti heal without surgery?

Accepted Answer

Yes. The vast majority of Diastasis Recti cases heal completely with structured physiotherapy focused on transversus abdominis and pelvic floor activation, avoiding exercises that increase intra-abdominal pressure.

Question 37

When should I start home physio after hip replacement?

Accepted Answer

Home physiotherapy should begin on the day of hospital discharge, typically 3 to 5 days post-surgery. Early mobilization prevents hip stiffness and reduces the risk of dislocation.

Question 38

How many degrees should a knee bend after Total Knee Replacement?

Accepted Answer

A functional goal of 110°-120° knee flexion allows patients to sit on a chair, climb stairs, and get into vehicles comfortably. Physiotherapy within 24 hours of surgery is the key to achieving this.

Question 39

Why is home visit physiotherapy better after knee surgery?

Accepted Answer

Home visits eliminate painful travel in a car, reduce fall risk on clinic stairs, ensure the knee rests in a spine-neutral position post-therapy, and allow therapy in the patient's actual living environment.

Question 40

How long does Bell's Palsy take to recover with physiotherapy?

Accepted Answer

Most Bell's Palsy patients see significant facial movement recovery within 3 to 6 weeks with physiotherapy. Complete recovery is achieved in approximately 3 months for Grade I-III severity.

Question 41

Is electrical stimulation safe for the face?

Accepted Answer

Yes. Neuromuscular Electrical Stimulation (NMES) at appropriate parameters is a clinically proven, safe, and painless technique that reactivates dormant facial nerve pathways in Bell's Palsy.

Question 42

When should cardiac physiotherapy start after CABG surgery?

Accepted Answer

Chest physiotherapy starts in the ICU within 24 hours of CABG. Home-based Phase II cardiac rehabilitation begins on hospital discharge, typically day 5 to 7 post-surgery.

Question 43

Can rotator cuff tendinopathy heal without surgery?

Accepted Answer

Yes. Over 80% of rotator cuff tendinopathy cases resolve completely with physiotherapy using eccentric loading, manual therapy, and scapular stabilization exercises without surgical intervention.

Question 44

Can knee osteoarthritis be treated without a knee replacement?

Accepted Answer

Yes. For mild to moderate knee osteoarthritis, physiotherapy using quadriceps strengthening, manual joint mobilization, and gait correction can significantly reduce pain and delay or avoid the need for knee replacement surgery.

Question 45

What exercises are best for knee pain from osteoarthritis?

Accepted Answer

Low-impact exercises like straight leg raises, seated knee extensions, swimming, and cycling are most effective. Avoid high-impact activities like running on hard surfaces which increase joint stress.

Question 46

How many sessions of physiotherapy are needed for knee osteoarthritis?

Accepted Answer

Most patients with mild-moderate knee OA see significant pain reduction within 8-12 sessions. A maintenance program of 2-3 sessions per month is recommended for long-term joint health.

Question 47

What is the difference between cervical spondylosis and a neck sprain?

Accepted Answer

Cervical spondylosis is degenerative wear-and-tear of the cervical spine discs and vertebrae, causing chronic stiffness. A neck sprain is an acute soft-tissue injury from sudden force. Both respond well to physiotherapy but require different treatment protocols.

Question 48

Can cervical spondylosis cause numbness in the hands?

Accepted Answer

Yes. When cervical disc degeneration compresses nerve roots (cervical radiculopathy), it can cause tingling, numbness, and weakness radiating from the neck down into the arms, hands, and fingers.

Question 49

Is a cervical collar good or bad for neck pain?

Accepted Answer

Short-term (48-72 hours) collar use can reduce acute pain, but prolonged use weakens the neck muscles. Physiotherapy-guided deep neck flexor strengthening and postural correction are far more effective for long-term cervical spondylosis management.

Question 50

What is the pelvic floor and why does it matter?

Accepted Answer

The pelvic floor is a group of muscles and ligaments forming the base of the pelvis. They support the bladder, bowel, and uterus. Weakness or tightness causes leakage, prolapse, or pelvic pain — all of which physiotherapy can treat effectively.

Question 51

How do I know if I have a weak pelvic floor?

Accepted Answer

Common signs include leaking urine when coughing, sneezing, or laughing (stress incontinence), urgency to urinate, reduced sensation during intercourse, and pelvic heaviness or pressure — particularly after childbirth.

Question 52

Do Kegel exercises actually work for pelvic floor weakness?

Accepted Answer

Kegels work for pelvic floor underactivity (weakness), but 30% of women actually have a hypertonic (too tight) pelvic floor where Kegels worsen symptoms. A physiotherapy assessment is essential before starting any pelvic floor exercise program.

Question 53

Can physiotherapy slow the progression of Parkinson's disease?

Accepted Answer

Physiotherapy cannot cure Parkinson's, but regular exercise and gait training have been clinically proven to slow motor decline, improve balance, reduce fall risk, and maintain independence significantly longer.

Question 54

What is LSVT BIG therapy for Parkinson's?

Accepted Answer

LSVT BIG (Lee Silverman Voice Treatment) is an intensive, standardized physiotherapy protocol that trains patients with Parkinson's to make larger, more normal-sized movements by recalibrating their internal motor sense.

Question 55

How often should a Parkinson's patient have physiotherapy?

Accepted Answer

During early to mid-stage Parkinson's, 3-5 sessions per week are recommended. Regular physiotherapy maintains muscle strength, balance, and coordination, which directly reduces the frequency and severity of falls.

Question 56

What is BPPV and can physiotherapy cure it?

Accepted Answer

Benign Paroxysmal Positional Vertigo (BPPV) occurs when calcium crystals in the inner ear dislodge. The Epley maneuver — a specific head repositioning technique — resolves most BPPV cases in 1-3 sessions with a high success rate.

Question 57

Is it safe to drive when I have vertigo?

Accepted Answer

No. Active vertigo with spinning sensations makes it unsafe to drive. You should seek physiotherapy assessment and treatment before resuming driving. Most BPPV patients can return to normal activities within days of treatment.

Question 58

What is Phase II cardiac rehabilitation?

Accepted Answer

Phase II cardiac rehab is a structured, medically supervised exercise and education program that begins after hospital discharge. It includes progressive aerobic conditioning, breathing exercises, and lifestyle counseling to restore heart health safely.

Question 59

Can I do cardiac rehabilitation at home after a heart bypass?

Accepted Answer

Yes. Home-based Phase II cardiac rehabilitation is clinically proven to be as effective as hospital-based programs when supervised by a certified cardiopulmonary physiotherapist monitoring SpO2 and heart rate throughout each session.

Question 60

What is the most common cause of falls in elderly people?

Accepted Answer

The three main causes are muscle weakness (sarcopenia), poor proprioception (reduced sense of foot position), and medication side effects causing dizziness. All three are directly addressable through targeted physiotherapy.

Question 61

How long does it take to improve balance in elderly patients?

Accepted Answer

With consistent balance training 3 times per week, most elderly patients demonstrate measurable improvement in Timed-Up-and-Go (TUG) test scores within 6-8 weeks, indicating significantly reduced fall risk.

Question 62

What angle should my monitor be for good posture?

Accepted Answer

Your monitor should be at arm's length (50-70cm) with the top of the screen at or just below eye level. This keeps the cervical spine in a neutral position and prevents the 'forward head posture' that causes Tech Neck.

Question 63

What is 'Text Neck' and how is it different from Tech Neck?

Accepted Answer

Text Neck refers specifically to neck pain from looking down at a phone, while Tech Neck broadly includes neck strain from any screen — phone, laptop, or desktop. Both cause the same forward-head posture strain and are treated identically by physiotherapy.

Redefining Home Visit Physiotherapy

Empathy First

Certified Experts

Zero Wait Time

Our Journey

The Beginning

Athletlance Formed

First Clinic

Citywide Reach & Clinical Excellence

Transforming Lives Locally

Data Collation in Progress

Dr. D. Kedar Chandra (PT)

150+

About Our Process

How do you treat Frozen Shoulder without surgery?

Do you provide workstation ergonomics audits for IT companies in Madhapur and Financial District?

What is your recovery protocol for Bell's Palsy facial paralysis?

What conditions do you treat at Athletlance?

What is Manual Therapy?

Ready to move pain-free?

Redefining Home Visit Physiotherapy

Empathy First

Certified Experts

Zero Wait Time

Our Journey

The Beginning

Athletlance Formed

First Clinic

Citywide Reach & Clinical Excellence

Transforming Lives Locally

Data Collation in Progress

Dr. D. Kedar Chandra (PT)

150+

About Our Process

How do you treat Frozen Shoulder without surgery?

Do you provide workstation ergonomics audits for IT companies in Madhapur and Financial District?

What is your recovery protocol for Bell's Palsy facial paralysis?

What conditions do you treat at Athletlance?

What is Manual Therapy?

Book Physiotherapy Appointment in Hyderabad

Ready to move pain-free?