Dr Sancho Physiotherapy and Rehab Centre

Part time 8-12
Male/female
Genuine

BPT graduate required. Work hours will be 7am to 2pm ( 7hours).

⭐ ORTHOSTATIC HYPOTENSION ⭐

Orthostatic hypotension also called postural hypotension is a form of low blood pressure that happens when you stand up from sitting or lying down. Orthostatic hypotension can make you feel dizzy or lightheaded, and maybe even faint. Orthostatic hypotension may be mild and last for less than a few minutes. However, long-lasting orthostatic hypotension can signal more-serious problems.

CAUSES

✔Dehydration. Fever, vomiting, not drinking enough fluids, severe diarrhea and extreme sweating can all lead to dehydration
✔️Heart problems.(bradycardia, heart valve problems, heart attack and heart failure.)
✔️Endocrine problems. Thyroid conditions, adrenal insufficiency (Addison's disease) and low blood sugar (hypoglycemia) can cause orthostatic hypotension.
✔️Nervous system disorders. Parkinson's disease, multiple system atrophy, Lewy body dementia, pure autonomic failure and amyloidosis, can disrupt your body's normal blood pressure regulation system.
✔️Postprandial hypotension

SYMPTOMS

✔️Feeling lightheaded or dizzy after standing up
✔️Blurry vision
✔️Weakness
✔️Fainting (syncope)
✔️Confusion
✔️Nausea.

TREATMENT

Orthostatic hypotension treatments include:
✔️Lifestyle changes including drinking enough water; drinking little to no alcohol; avoiding overheating; elevating the head of your bed; avoiding crossing your legs when sitting; and standing up slowly.
✔️Compression stockings.
✔️Medications. Several medications, fludrocortisone is often used to help increase the amount of fluid in your blood, which raises blood pressure. Midodrine raises standing blood pressure levels by limiting expansion of your blood vessels, which in turn raises blood pressure.
✔️Droxidopa (Northera) may be prescribed to treat orthostatic hypotension associated with Parkinson's disease, multiple system atrophy or pure autonomic failure.

✳️RESTLESS LEGS SYNDROME ✳️

DEFINITION:
"An irresistible urge to move the legs."

*CLINICAL FEATURES*

❇️Many patients report a creepy-crawly or unpleasant deep ache within the thighs or calves, and those with more severe RLS may have discomfort in the arms as well.
❇️For most patients with RLS, these dysesthesias and restlessness are much worse in the evening and first half of the night.
❇️The symptoms appear with inactivity and can make sitting still in an airplane or when watching a movie a miserable experience.
❇️The sensations are temporarily relieved by movement, stretching, or massage.
❇️This nocturnal discomfort usually interferes with sleep .
❇️RLS is very common, affecting 5–10% of adults and is more common in women and older adults.

*ETIOLOGY*

A variety of factors can cause RLS:
➡️Iron deficiency is the most common treatable cause, and iron replacement should be considered if the ferritin level is

Medical massage therapist will be working in a physiotherapy based clinic. Locals will be given preference.

Medical massage therapist will work in a physiotherapy clinic based center. Locals will be given preference.

New COVID entry in Nepal.