neuro physiotherapy rehab

Peripheral Neuropathy is a condition caused by damage to the nerves outside the brain and spinal cord, often leading to numbness, tingling, burning pain, weakness, or balance problems. It can make walking, standing, and daily activities feel more difficult over time. At Physionyx Physiotherapy & Rehab, Dr. Niraj Kumar helps manage peripheral neuropathy with supportive physiotherapy aimed at improving balance, strength, mobility, and functional independence. The treatment is designed to reduce the impact of nerve-related weakness and help patients move more safely and comfortably in daily life.

Neuro Physiotherapy & Rehab

Neuro Physiotherapy & Rehab

Neuro Physiotherapy & Rehab

Bell's Palsy Bell's palsy is a sudden, usually temporary weakness or paralysis of the facial muscles on one side of the face, caused by inflammation or compression of the seventh cranial (facial) nerve. What happens Onset is typically rapid, with symptoms peaking within 48 hours. The affected side may show a drooping eyebrow and mouth, inability to close the eye, drooling, altered taste, and sensitivity to sound. It is often idiopathic, but viral reactivation (e.g., herpes simplex) and other triggers are suspected. Recovery outlook Most people start to improve within 2 weeks and regain near-normal or normal function within 3–6 months. About 85–90% recover most facial movement, though some may have residual weakness or synkinesis (involuntary muscle movements). Common treatment approaches Medications: Early corticosteroids (and sometimes antivirals) can improve the chance and speed of recovery. Eye care: Lubricating drops/ointment, eye patching or taping at night to protect the cornea if the eye doesn't close fully. Physiotherapy / facial exercises: Gentle facial muscle exercises, massage, and neuromuscular re-education to enhance movement and reduce long-term complications. Other options: Electrical stimulation, acupuncture, and in select chronic cases, procedures like Botox for synkinesis or surgery for severe, persistent cases. When to seek urgent care Because facial weakness can also be a sign of stroke or other serious conditions, sudden facial droop should be evaluated urgently—especially if accompanied by limb weakness, speech difficulty, severe headache, or other neurological signs.

Guillain-Barre Syndrome is a rare nerve condition in which the immune system attacks the peripheral nerves, causing weakness, tingling, and sometimes paralysis. It often starts in the legs and can spread upward, so prompt medical care and rehabilitation are important. At Physionyx Physiotherapy & Rehab, Dr. Niraj Kumar helps support recovery with carefully guided physiotherapy focused on rebuilding strength, improving mobility, restoring balance, and reducing the impact of nerve-related weakness. The treatment is medically sound and aimed at helping patients regain function safely during recovery.

Multiple Sclerosis (MS) Physiotherapy Specialized physiotherapy for people living with Multiple Sclerosis to maintain mobility, reduce stiffness and spasticity, improve balance and walking, and support long-term independence—at every stage from early diagnosis to advanced disease. Who this service is for - Newly diagnosed individuals wanting to stay active, strong, and mobile - People experiencing weakness, fatigue, balance problems, stiffness/spasticity, or unsteady gait - Those with relapsing-remitting, secondary progressive, or primary progressive MS seeking to optimize function and safety - Patients aiming to complement neurological care and medications with structured, evidence-based exercise and rehabilitation What the MS Physiotherapy service includes 1. Comprehensive Neurological Assessment - Evaluation of strength, range of motion, posture, and tone - Functional assessment: transfers, walking distance, stairs, and daily activities - Screening for fatigue, sensory changes, and cognitive impact on movement 2. Individualized Exercise & Treatment Plan Programs are tailored to symptoms, disease type, and current activity level. Common components: - **Aerobic / endurance training** - Treadmill, stationary cycling, elliptical, or walking programs at safe, monitored intensities - Shown to improve fitness, walking ability, and reduce fatigue in people with MS - **Resistance and strength training** - Targeted strengthening for legs, hips, trunk, and upper body using bands, light weights, or machines - Helps maintain independence in standing, walking, stairs, and transfers - Balance and coordination training - Static and dynamic balance exercises, weight-shifting, stepping, and dual-task work - Strategies to reduce fall risk and increase confidence on uneven surfaces or in crowds -Spasticity and flexibility management - Regular stretching, prolonged holds, and positioning strategies - Advice on posture, seating, and night splints if needed Gait re-education and mobility aids - Practice of walking patterns, step length, and arm swing - Assessment and training with walking aids (stick, crutches, walker, orthoses) when appropriate - Fatigue and energy conservation - Pacing techniques, activity planning, and rest-break strategies - Education on managing heat sensitivity and planning exercise around “good” times of day - Functional and task-specific training - Practice of real-life tasks: getting out of bed, standing from a chair, carrying objects, climbing stairs, and community mobility - Home programs to maintain gains between sessions - **Optional adjuncts (as appropriate)** - Hydrotherapy/aquatic therapy (exercises in warm water to reduce load and spasticity) - Manual therapy, soft-tissue techniques, and gentle joint mobilization for pain and stiffness - Electrotherapy (e.g., TENS) for pain or muscle facilitation where indicated ### 3. Education & Self-Management - How to exercise safely with MS and recognize overexertion or heat-related symptom flare - Long-term home exercise plans and activity goals - Coordination with neurologists, MS nurses, and occupational therapists for comprehensive care ## Benefits you can expect - Better walking ability, endurance, and balance - Reduced stiffness, spasms, and secondary pain - Improved confidence and safety in daily activities - More effective management of fatigue and activity levels - Enhanced quality of life and ability to stay independent longer ## Why choose PhysioNyx for MS care - Neurological physiotherapy with a focus on MS-specific challenges: fatigue, spasticity, balance, and gait - Individualized, progressive programs that adapt to relapses, progression, and changing goals - Integration of aerobic, resistance, balance, and mind–body approaches in line with current evidence and guidelines - Clear home programs, caregiver education, and collaboration with your medical team

Neuro Physiotherapy & Rehab

Vestibular Rehabilitation: Repositions inner ear crystals to treat vertigo and balance disorders.