Shruti Ramekar
Shruti Ramekar
Shruti Ramekar
NQ222165
Bhakti Kishor Nirmal et al/LONG WAVE DIATHERMY COMBINED WITH PHYSIOTHERAPY MANAGEMENT FOR POST OPERATIVE ELBOW
STIFFNESS: A CASE STUDY
ABSTRACT
Background: Elbow stiffness is a common complication after elbow surgeries. Physiotherapy
rehabilitation plays a crucial role in restoring elbow function after surgery. Long-wave diathermy
(LWD) is a widely used modality in postoperative management of elbow stiffness.
Case Description: A 51-year-old female homemaker was sent toPhysiotherapy department She
experienced discomfort and stiffness around the elbow joint.the patient was involved in an RTA. It
was revealed a fracture of the right olecranon compound III B fracture with a right head fracture.
She underwent ORIF surgery with olecranon plating. On the Numerical Pain Rating Scale (NPRS), the
pain was 7/10 while activity (movement)PT intervention was more conservative with LWD to
manage her pain.
Conclusion: Postoperative long-wave diathermy for elbow stiffness can be a helpful therapy option
for improving joint mobility and reducing discomfort. Long-wave diathermy combined with joint
mobilisation exercises may produce greater results than either method alone.
DOINumber:10.48047/nq.2023.21.5.NQ222165 NeuroQuantology2023;21(5):1728-1733
eISSN1303-5150 www.neuroquantology.com
NeuroQuantology | March 2023 | Volume21 | Issue 5 | Page 1728-1733| doi: 10.48047/nq.2023.21.05.NQ222165
Bhakti Kishor Nirmal et al/LONG WAVE DIATHERMY COMBINED WITH PHYSIOTHERAPY MANAGEMENT FOR POST OPERATIVE ELBOW
STIFFNESS: A CASE STUDY
eISSN1303-5150 www.neuroquantology.com
NeuroQuantology | March 2023 | Volume21 | Issue 5 | Page 1728-1733| doi: 10.48047/nq.2023.21.05.NQ222165
Bhakti Kishor Nirmal et al/LONG WAVE DIATHERMY COMBINED WITH PHYSIOTHERAPY MANAGEMENT FOR POST OPERATIVE ELBOW
STIFFNESS: A CASE STUDY
JOINT EXAMINATION
eISSN1303-5150 www.neuroquantology.com
NeuroQuantology | March 2023 | Volume21 | Issue 5 | Page 1728-1733| doi: 10.48047/nq.2023.21.05.NQ222165
Bhakti Kishor Nirmal et al/LONG WAVE DIATHERMY COMBINED WITH PHYSIOTHERAPY MANAGEMENT FOR POST OPERATIVE ELBOW
STIFFNESS: A CASE STUDY
DIAGNOSTIC EVALUATION: Some radiological motion, strengthen muscles, and improve 1731
investigation, like X-ray, were assessed on the muscle integrity in the affected area.For the
basis on subjective and objective evaluation. elbow joint, Kalternborn mobilization and
Finally ,findings are positive for Postoperative mainland mobilization techniques (scooping)
Elbow stiffness. were used. These techniques involve the use
of gentle, controlled movements to mobilize
THERAPEUTIC INTERVENTION: the joint, reduce stiffness, and improve range
Initially in this case, a combination of of motion.A Paraffin wax bath was used for
physical therapy interventions were used to the wrist to reduce pain and stiffness. This
address pain, stiffness, and muscle integrity of involves immersing the affected area in warm
the elbow joint, shoulder, and paraffin wax, which can help to increase blood
wrist.Cryotherapy was used to reduce pain in flow, reduce stiffness, and promote
the affected area. This involves the healing.Finally, ergonomic advice was given to
application of cold therapy for a duration of 5 address any factors that may be contributing
to 10 minutes, twice a day. This can help to to the patient's symptoms. This may involve
reduce inflammation and swelling in the area, adjustments to work or daily activities to
which can contribute to pain. Long wave reduce strain on the affected area.Frequent
diathermy was also used to reduce pain, breaks can help you avoid overuse injuries
decrease stiffness, and improve muscle that can lead to elbow stiffness. Try taking a
integrity in the elbow joint. This involves the 10-15 minute break every hour or so to
use of a high-frequency electrical current to stretch your arms and move around.Consider
generate heat in the affected area, which can investing in ergonomic tools that are designed
help to increase blood flow, reduce stiffness, to reduce strain on your arms and elbows. For
and promote healing.the intensity of LWD for example, using a kitchen tool with an
post-operative elbow stiffness will typically ergonomic handle can help reduce stress on
range from 100 to 150 watts was used for 10 your elbow joints.Make sure you're sitting or
to 15minutes.Wand exercises, strengthening standing with good posture to help reduce the
with theraband and dumbbell exercises, finger strain on your elbows. Avoid hunching over or
ladder exercises, and pulley exercises were slouching, and make sure your shoulders are
also introduced to address the shoulder. relaxed.Overall, this combination of
These exercises can help to improve range of interventions aims to reduce pain, improve
eISSN1303-5150 www.neuroquantology.com
NeuroQuantology | March 2023 | Volume21 | Issue 5 | Page 1728-1733| doi: 10.48047/nq.2023.21.05.NQ222165
Bhakti Kishor Nirmal et al/LONG WAVE DIATHERMY COMBINED WITH PHYSIOTHERAPY MANAGEMENT FOR POST OPERATIVE ELBOW
STIFFNESS: A CASE STUDY
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