PADMA SHRI AND DR BC ROY NATIONAL AWARDEE-DR JOHN EBNEZAR’S WHOLISTIC TOTAL KNEE RESTORATION AND REHAB PROGRAM (WHOlisic Therapy) FOR OA KNEES
MOTTO: “STOP ARTHRITIS BEFORE IT STOPS YOU”
Armed with a PhD in Arthritis, 5 Years of Research Work Involving World’s Biggest Clinical Trial on OA Knees, a Best Research Award And 50 Scientific Publications, Dr John Ebnezar Has Devised an Effective KNEE REHABILITATION PROGRAM For all stage Osteoarthritis of the knees that helps both in cure and prevention of OA Knees. His research has now International Recommendations by the AMERICAN COLLEGE OF ORTHOPEDIC SURGEONS-2013 GUIDELINES. VISIT-www.aaos.org/guidelines
GOAL: TO REHABILITATE THE KNEE TO NORMAL OR AS NEAR TO NORMAL AS POSSIBLE
Introduction: Osteoarthritis of the Knees is the commonest form of arthritis affecting 12% of the World population.
· In India it is more common and serious than diabetes and AIDS
· It is an old age disease, restricts mobility and function
· Arthritis in old age affects a person physically, mentally, emotionally, socially and financially and affects QUALITY OF LIFE
There are serious limitations in the present day treatment methods
· Non Pharmacological treatment - Not effective in isolation
· Drugs – Symptomatic, Short term only, Dangerous side effects
· Knee Replacement Surgeries–For less than 5% patients in end stage arthritis
· Alternative treatment methods - lacks scientific credibility
· None of the treatment methods either cure or prevent OA Knees
How should be the treatment method to be effective?
· Need for a treatment method that overcomes all these lacunae
· In Mild to Moderate Stage Osteoarthritis - Relieve the symptoms; prevent recurrence and progression to chronic arthritis.
· Need for an effective treatment program for severe OA knees in whom
Total Knee Replacement and other surgeries are not an option.
WHOLISTIC TOTAL KNEE REHABILITATION PROGRAM: This is the need of the hour. How is it different from other standard treatment methods?
Aim: To Restore Knees Back To Normal Or As Near To Normal As Possible.
· It is a MultimodaL, Integrated Non Pharmacological approach involving both Western (Modern) and Eastern (Traditional) treatment methods
· It is an individualized, Non-Invasive, Non-drug and Non Surgical treatment approach based on the arthritis stage and associated co-morbidities as per International Standard Recommendations by ACR.
INDICATIONS: WHO WILL BENEFIT FROM THIS TECHNIQUE?
· Any Stage Osteoarthritis
· Any Age Osteoarthritis
· Mild Osteoarthritis/Moderate Osteoarthritis
· Severe Osteoarthritis
· Severe Arthritis With Co-Morbid Conditions Like Diabetes, Hypertension Etc
· Severe Arthritis Where Patient Does Not Want Total Knee Replacement
· Severe Arthritis Where Patient Can’t Afford Total Knee Replacement
· Severe Osteoarthritis With Osteoporosis, Heart Disease Etc
· Severe OA Where Surgery Can’t Be Done Due To Medical And Anaesthetic Risks
· Severe Arthritis Where Nothing Can Be Done Due To Many Factors
TREATMENT MODALITIES (CHOICES ARE MADE FROM THE FOLLOWING LIST DEPENDING ON THE STAGE OF ARTHRITIS AND ASSOCIATED CO-MORBIDITIES). PATIENT BASED TREATMENT METHODS
INTEGRATED PHYSICAL THERAPY
· Thermotherapy – Hydrocollator Pack,Ultrasound,Short Wave Diathermy
· Electrotherapy – Ift,Tens,Russian Current
· Manual Therapies – Mobilisation,Manipulation,Mfr
INTEGRATED THERAPEUTIC EXERCISES
· Mobilization Exercises
· Strengthening Exercises
· Quadriceps Exercises
INTEGRATED YOGA THERAPY
· Loosening Practices
· IRT
· Strengthening Exercises
· QRT
· Asanas - Endurance Exercises
· DRT
INTEGRATED RELAXATION THERAPIES
· Meditation
· Pranaayama
· Yoga Nidra
REVERSAL THERAPY: The latest concept is OA knees is a lifestyle problem.
· RT reverses modifiable risk factors of lifestyle OA knees
BEHAVIORAL THERAPY: Like CBT helps counter stress, depression, and anxiety
INTEGRATED AYURVEDIC THERAPIES
· Abhyanga
· Jaanubasti
· Steam Bath
· Shirodhara
· Diet Therapy
INTEGRATED HEALTH EDUCATION
· Knee Education
· Modifications Of The Activities Of Daily Living
· Ergonomics ( Fitting Person To The Job)
· Postural Education And Knee Care
ADVANTAGES OF WHOLISTIC THERAPY
· Non Invasive, Non Drug, Non Surgical Therapy, Global Joint Therapy
· No Side Effects, No Complications, No Adverse Reactions
· Out Patient Procedure, No Need To Take Leave From Work
· Absolutely No Contraindications, Recommended Practically For Everyone
· Cheap, Simple, Easy To Do, Practical And Effective
· Can Be Done By Any One In Any Stage Of Arthritis In Any Age
· Controls The Associated Co-Morbidities Like Diabetes, Hypertension Etc
· Controls The Associated Co-Musculoskeletal Conditions
· Very High Success Rate And Prevents Progression Of The Disease
· It Aims To Empower People With Knowledge About Cure And Prevention
· In Short, It Aims At TOTAL KNEE RESTORATION
CREDIBILITY: Based On Scientific Clinical Trials And Is Evidence Based
DURATION OF THE TREATMENT: 3 WEEKS TO 4 WEEKS
MODE OF TREATMENT – IN PACKAGES ONLY
COST OF THE TREATMENT – 1/8TH TO 1/10TH THE COST OF SURGERY
RESIDENTIAL TREATMENT PACKAGES ALSO AVAILABLE
FOR DETAILS VISIT: www.johnebnezar.com