Know How Fat Causing PCOD and Diabetes


Insulin resistance refers to the failure of the target tissues to respond normally to insulin. The target tissues for insulin include liver, muscles and fat tissues. Insulin resistance plays major role in development of type 2 diabetes mellitus which is one of the major life style disease in developed world. To understand the role and action of insulin in wide range of physiological processes serve has implication for the chronic diseases such as diabetes and PCOD. So, let’s get into the details of this very common disorder in order to a step to achieve the wholesome health.


Although, the exact way of the development of insulin resistance is not understood fully, obesity seems to be its primary cause. Obesity refers to the presence of more than 20% fat in the body as compared to the normal range acceptable for the particular gender and height. Fat tissues (adipose tissues) secrete hormone leptin and resistin which in turn serve in development of insulin resistance. Other factors that predispose the person to this condition include genetics and lifestyle. Children with parents have type 2 diabetes and insulin resistance are likely to develop the insulin resistance in their teen ages. Sedentary lifestyle and unhealthy food habits are not to be considered of the less importance in this.

Insulin resistance and PCOD

PCOD refers to “polycystic ovarian disease” i.e. presence of multiple cysts in ovaries as a result of disturbed menstrual cycle. PCOD is the disorder caused by disturbed functioning of ovaries and affects around 5-10% of the reproductive women causing infertility and miscarriages. Severe level of insulin resistance predisposes the probability of developing PCOD. The ovaries respond to the increased insulin level by increasing the secretion of LH and androgen hormones which in turn further aggravate the insulin resistance.

Insulin resistance and type 2 diabetes

Insulin resistance is well established as a feature of type of diabetes. The genetics, malnutrition and higher levels of fat tissues in body causes insulin resistance as a part of cardiovascular disorders and other metabolic abnormalities which in turn may lead to development of type 2 diabetes.

Symptoms and diagnosis

Symptoms of insulin resistance include tiredness, increased appetite, loss of concentration on any work, weight gain (especially belly fat), increased cholesterol levels and higher blood pressure. Diagnosis of insulin resistance is bit complicated as the symptoms do not appear until there is development of other risk factors. Diagnosis includes measurement of blood sugar levels over few months. Fasting blood sugar and glucose tolerance testing also serve in diagnosis of insulin resistance.

Prevention and care

Physical exercise has been proved as cornerstone in prevention of insulin resistance. It is also considered as better alternative in its treatment owing to the risk factors associated with medicines. Regular exercise regime as developed by trained physiotherapist leads to substantial improvement in insulin sensitivity. The moderate but regular exercise regime increases the glucose uptake up to 40% and also improves the glucose tolerance and insulin sensitivity. Exercise along with customized diet plans serve to reduce the body fat and decreases the chances of development of insulin resistance associated cardiovascular diseases and diabetes. Physical activities also bring about favorable changes in fat digestion and reduces the belly fat so as to prevent the development of above mentioned chronic diseases.

The wholesome approach of Eva Physiocare for patients with insulin resistance focuses on physiotherapy, exercise therapy and nutrition therapy so as to ensure the healthy life span to each individual.

Evidence based physiotherapy treatment for PIVD: an alternative to painful surgery!


“Why to go for painful spinal surgery with number of side effects when there is a safer and proved alternative available?”, asks Dr Aneeta Verma, a physiotherapist and nutritionist with 11 years of experience in helping people with medical conditions to regain their normal life via adopting healthy life style and physical therapy. “One of PIVD patient came to me with problem of back pain which reappeared again even after spinal surgery. A proper and customized physiotherapy treatment was structured for the same person who regain the confidence and better life with almost no back pain.” Let’s explore what is PIVD and dig the details of the mentioned alternative approach for the same.

What is PIVD

PIVD refers to “prolapsed intervertebral disc”. It is the protrusion of inner soft gel like portion of spinal disc and is also called as “slipped disc”. Spinal disc are the circular structures present between successive vertebrae of the spine. These discs have semi fluid mass of cartilage and collagen fibers in the center which is surrounded by rings of the fibers collectively called as annulus fibrosus. The spinal nerves come out through the spinal disc to obtain the messages from different body parts. The discs also makes back to bend and flex while serving as shock absorber. PIVD occurs when the disc is stretched enough to return to its normal shape or there is prominent bulging of inner soft fibers or there is complete spillage of the inner soft jelly or there is sequestration. There is inflammation around the bulged disc and pressing of the any of the spinal nerves.

Causes of PIVD

PIVD can occur due to incorrect posture, obesity, manual labor, weakened trunk, long sitting hours and/or ageing.

Symptom and diagnosis of PIVD    

Symptoms of PIVD include severe lower back pain, pain in legs, feet and buttocks due to pressed spinal nerve, muscular spasm, and loss of control over bowel movement. Pressing of last few spinal nerves causes Cauda equina syndrome which includes numbness in area around the anus, weak leg muscles, lower back pain and loss of control over the bowel and bladder.

Diagnosis is based on the symptoms and include SLR, bowstring tests and femoral stretch test.

Need of surgery?

In most of the cases, the painful treatment of spinal surgery is recommended which becomes mandatory for Cauda equina syndrome. Some of the risk factors associated with spinal surgery include damage of nerve root, infection, bleeding, nerve damage, formation of blood clots and even reappearance of pain in time, as it occurs in many cases.

Physiotherapy: An alternative approach

Having said about risk factors of spinal surgery, it becomes necessary to talk about the alternative approach. Though, surgery seems to give a quick relief from back pain as compared to the physiotherapy, it is not beneficial in long term owing to its too many side effects and no assurance of permanent pain relief. The physiotherapy aims at pain relief, muscle strengthening and relaxation, relief from inflammation and prevention of any further complications. The structured exercise regime includes nerve mobility exercises, press ups in prone condition, simple spinal movements in different poses (prone, supine, half lying, standing etc) and isometric exercises. A regular routine of exercise under supervision of experienced physiotherapist gives visible results. The person is then motivated to do some aerobic exercises, walk etc. to increase the strength of the muscles further. A routine of exercises keep the person away from any pain and nullify the need of any spinal surgery at all.

Eva physiotherapy and wellness clinic aims to achieve sum of the physical and mental health of the person who are demoralized due to recommended need of risky spinal surgery.

Know about stroke Prevention and Post Stroke Physiotherapy Role


Preventive healthcare services walk extra mile to ensure the overall health of individuals. The whole program is based on two basic components: preventive measures and restorative treatments.

Stroke is the condition where the plaque formation interrupts the blood supply to brain cells. Blood serves to carry nutrients and oxygen required for functioning of the brain. Stroke causes paralysis or loss of function of one leg and arm. Modern stagnant lifestyle, unhealthy eating habits, heredity, use of drugs increase the chances of stroke even in young individuals (less than 50years old).

Preventive measures aim to maintain the health by adopting healthy life style and eating habits using behavior changing strategies. It includes educating people about risk factors of stroke at young age as posed by smoking, junk food, alcohol consumption and stagnant life style. Various wellness programs for school children and corporate world are organized to inculcate the healthy habits in early life and to educate professionals about the risk factors respectively.
Smoking increases the chances of stroke by narrowing of vessels. Behavioral therapy to make the smokers quit it includes personal or even the telephonic counselling. Adopting healthy diet habits reduces to blood sodium level, maintain normal range of blood pressure and thereby reduces the risk of getting stroke. Diet rich in fruits and vegetables is recommended for the same. Obesity is one of the foremost risk factor for stroke. Regular physical activities, active life style, yoga, exercise, walk and of course, healthy diet keep the person away from obesity. Wellness programs to educate the people about increased risk of stroke by alcohol consumption as well as the counselling help to quit or at least, reduce the alcohol consumption.

Blessed people get the preventive care in time and stay away from life threatening stroke. But this is not the case with all!

Rehabilitation is the holistic approach that aims to regain the physical activities (sitting, standing, and walking) through exercise with focus on required proper diet and restoration of cardiorespiratory fitness.

Physiotherapy helps the stroke survivors to keep these nonfunctional muscles toned. Once the muscles regain their function, physiotherapy makes the patients to relearn everyday skills and retrain their healthy brain cells to control the affected body parts. The objective is to regain the lost functions of the muscles through mild but regular exercises followed by achieving the normal body movement using that function. In worst cases, even if the function cannot be restored due to severity of damage caused by stroke, physiotherapy helps the patient to regain the best of it using several equipments; sometimes with help of stick or other devices. Patients are recommended to start the physiotherapy at earliest even when they are in bed. The passive movements of limbs and the suggested correct posture to lie in prevent the possible stiffening of muscles and joints. This ensures quick regain of movement once functions of the muscles are restored.

Stroke survivors have reduces ability to manage the day to day life activities. Integral wellness and  self-management programs and counselling help them to adopt with the impact of stroke and to become actively engaged in daily life despite the long term effects of stroke on body.


Gastrointestinal Problems And Nutrition Therapy

Gastrointestinal problems / digestive disorders include a number of disorders such as constipation, irritable bowel syndrome, haemorrhoids, anal fissures, perianal abscesses, anal fistulas, perianal infections, diverticular diseases, colitis, colon polyps and cancer. Out of these disorders, constipation and irritable bowel syndrome are known as functional disorders and are generally attributed to an unhealthy lifestyle, among other things, leading to eating disorders and nutritional deficiencies. Thus, they can be reversed by way of nutrition therapy.

Functional Gastrointestinal Disorders – Causes

Functional gastrointestinal disorders such as constipation and irritable bowel syndrome are caused due to issues that affect the motility of the gastrointestinal tract causing it to lose motility. It is a result of low fiber diets, insufficient exercise, travelling, routine changes, excessive dairy products in diet, stress, resisting bowel movements (either from haemorrhoid pain, or otherwise), overuse of laxatives, taking antacid medications that contain calcium / aluminium, taking medications such as antidepressants and iron pills and pain killers, and pregnancy.

  1. Constipation: Constipation is a condition characterized by symptoms including difficulty to pass stools, bowel movement becomes irregular and infrequent / incomplete. It causes strain during bowel movements and often leads to fissures and haemorrhoids.

Nutrition Therapy: Since constipation is directly attributed to lack of fiber (roughage) in a diet, it is pertinent to have a diet that is rich in fiber. Foods include a number of fruits and vegetables, lentils, beans, whole grains and dark chocolates.

  1. Irritable Bowel Syndrome (IBS): Irritable bowel syndrome, also known as spastic colon, irritable colon, or nervous stomach, is where the colon muscles contract frequently. There are foods and medications that often trigger IBS. It is characterized by symptoms such as abdominal cramps, pains, gas problems, bloating, irregular bowel movements and an alternate phase of constipation and diarrhoea.

Nutrition Therapy: IBS is often triggered by certain foods and it can be reversed using nutrition therapy. To reverse IBS, a diet plan needs to be rich in fiber, which can be added through a number of fruits and vegetables, lentils, beans, whole grains, etc. Additionally, diet must not include caffeine, and monitored foods that trigger the IBS.

Most common gastrointestinal problems are a direct result of an unhealthy lifestyle and proper nutrition therapy can successfully reverse these conditions. We at Eva Physiocare have developed an integrated wellness programme designed specifically for patients with gastrointestinal disorders. The programme includes nutrition and diet therapy where the therapists make a diet chart well-suited to the patient and his or her lifestyle. In addition, we stress on physical therapy. Our physical therapist sets down an exercise regimen for the patient so as to let out the toxicity accumulated in the body and manage weight, both of which contribute to gastrointestinal disorders.