10 Most Reliable Physiotherapy Clinics To Know in 2023

1. March|Issue 01|2023 Health Everything are Transforming Healthcare www.healthcareeverything.com A Systema?c Approach Managing Stress & Anxiety In-depth Analysis Impact of Daily Physical Ac?vity On Our Body 10 Most Reliable Physiotherapy Dr Paiwal's - Roadmap to a Pain-Free World Clinics to Know in 2023 Dr. Paiwal's Spine and Joint Pain Physiotherapy Clinic Redefining Spine and Joint Physiotherapy in India

2. Be?er Health and a better way of life.

4. Editor’s Note

5. Why Evidence-Based Physiotherapy Clinics hysiotherapy is a field that requires the most current P decision-making. This approach is called evidence-based practice (EBP), and it is crucial to ensuring that patients receive the best possible care and outcomes. Reliable physiotherapy clinics are those that prioritize EBP in their treatment interventions. Practice is Key to Reliable professional development among physiotherapists. By staying up to date with the latest research and treatment options, physiotherapists can provide the best possible care to their patients and advance in their profession. and reliable research evidence, along with clinical expertise and patient values, to guide clinical Finally, EBP in physiotherapy clinics helps to standardize practice. This ensures that patients receive consistent, high- quality care regardless of where they receive treatment. This is particularly important for patients who may move or travel to different locations. One of the primary reasons why EBP is key to reliable physiotherapy clinics is because it leads to improved patient outcomes. When physiotherapists use evidence-based treatments, they are more likely to provide effective interventions that have been proven to be successful. This, in turn, leads to better patient outcomes, which is the ultimate goal of physiotherapy. In conclusion, evidence-based practice is crucial to ensuring that patients receive the best possible care in reliable physiotherapy clinics. By using the most current and reliable research evidence, combined with clinical expertise and patient values, physiotherapists can provide effective treatment interventions that lead to improved patient outcomes, increased patient satisfaction, cost-effective care, professional development, and standardized practice. Another benefit of EBP in physiotherapy clinics is increased patient satisfaction. Patients are more likely to be satisfied with their care when they receive effective, evidence-based treatments. They are also more likely to have confidence in their physiotherapist's ability to help them recover. Insights Care's latest edition 10 Most Reliable Physiotherapy Clinics To Know in2023 focuses on the physiotherapy clinics that emphasize the importance of evidence-based practice in improving patient outcomes, increasing patient satisfaction, promoting cost-effective care and standardizing physiotherapy practice. EBP is also cost-effective. Physiotherapists who use EBP are more likely to avoid costly interventions that are not effective. This leads to more cost-effective care for patients and healthcare systems. In addition, using EBP promotes Hope you have an informative read! -Pooja Shah

6. 08 Cover Story Dr. Paiwal's Spine and Joint Pain Physiotherapy Clinic Redefining Spine and Joint Physiotherapy in India Contents

7. CXO 16 24 Green Operating Sustainability Anjali Physio Care Theatre: Focusing on 32 Stay Fit Women's Providing Drug-Free Pain Relief Through Physiotherapy Physiotherapy Rehab 28 20 Articles A Systematic Approach In-depth Analysis Managing Stress & Anxiety Impact of Daily Physical Activity On Our Body

8. Chidiebere Moses Ogbodo Editor-in-Chief Pooja Shah Saloni, Shreyasi Managing Editor Assisting Editors Visualiser David King Mrunalinee Deshmukh Art & Design Head Co-designer Paul Belin Sonia Raizada Art & Picture Editor Eric Jackson Carol Smith Business Development Manager Marketing Manager James Vincent, Nick Thomas, John Smith, Alex Vincent Mary, Linda and Kelly Business Development Executives Sales Executives Jacob Smile Amar Sawant Technical Head Assistant Technical Head David, Robert Technical Consultants Alina Sege Renuka Kulkarni Digital Marketing Manager Assistant Digital Marketing Manager SME-SMO Executives Gemson Eric Smith Research Analyst Tanaji Fartade Circulation Manager sales@healthcareeverything.com March, 2023 Contact Us: Insights Success Media Tech LLC 555 Metro Place North, Suite 100, Dublin, OH 43017, United States Phone - 302-319-9947 Email: info@healthcareeverything.com For Subscription: www.healthcareeverything.com Insights Success Media and Technology Pvt. Ltd. Survey No.133/134, Brand Square, Office No. 512, Kunjir Chowk, Pimple Saudagar, Pune, Maharashtra 411027. Phone - India: 7410033802, 74100058552 Email: info@healthcareeverything.com For Subscription: www.healthcareeverything.com Follow us on : www.facebook.com/Healthcareeverything/ https://twitter.com/healthcareeverything Copyright © 2023 Insights Success Media and Technology Pvt. Ltd., All rights reserved. The content and images used in this magazine should not be reproduced or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior permission from Insights success. Reprint rights remain solely with Insights Success Media and Technology Pvt. Ltd. Insights Care is powered by Insights Success Media and Technology Pvt. Ltd.

9. 10 Most Reliable Physiotherapy Clinics to Know in 2023 Company Featuring Brief From consultation, physical assessment and diagnosis, to psychological counseling, Anjali Physio Care provide a customized treatment plan for patients’ recovery. Anjali Physio Care anjali-physio-care-the- physiotherapy.business.site Anjali Telang Owner Dr Anjana Kachru Physiotherapist strives to providing the highest quality care to help clients get back to your normal activities as quickly as possible. Dr Anjana Kachru Physiotherapist Sharadjjkmishra.wixsite.com Dr Anjana Kachru Director Dr Kalyani Rukmangad-Best Physiotherapist, Dr Aniruddha's Advance Ortho and Polyclinic Drkalyanirukmangad.com Dr Kalyani Rukmangad Founder & CEO Dr Aniruddha's Advance Ortho and Polyclinic aims to help patients with physical injuries, managing pain & improve their quality of life Dr Soumya’s Physiotherapy and Rehab is a Best Physiotherapy clinics in Wakad, Aundh, Kalewadi, Pimple Saudagar, Rahatni, Hinjewadi and Chinchwad. Dr Soumya’s Dr Soumya S Nanda Director Physiotherapy and Rehab Drsoumyaphysio.in Guided by a clear vision, excellent expertise and international quality equipment, Dr. Paiwal's Spine and Joint Pain Physiotherapy Clinic is redefining the Spine and Joint Physiotherapy in India. Dr. Paiwal's Spine and Joint Pain Physiotherapy Clinic Drpaiwals.com Dr. Gaurav Paiwal Director First Physio Clinic involves treatment of spinal pain and sports injuries and has a particular interest in improving the sporting performance. Augustine Joseph Director First Physio Clinic Firstphysio.in Physioactive Physiotherapy providing care for orthopedic & sports injuries, Ante & Post Natal Care and Neurological conditions. Dr. Ankit Srivastava Owner Physioactive Physiotherapy Revive Physio Clinic’s primary focus is to find the source of your problem, provide appropriate treatment to help clients with pain management & building strength. Revive Physio Clinic Revivephysio.co.in Poonam Patil Owner Stay Fit Women's Physiotherapy Rehab https://www.instagram.com/s tay_fit0204/ Stay Fit Women's Physiotherapy Rehab supports women of all ages in addressing their physical health issues. Dr. Mamta Prakash Owner Ucchvas is a new generation adult support care center for intensive physiotherapy, continuity of medical care, nursing and other services. Vijay Bathina Director Ucchvas Ucchvas.com

10. COVER STORY Dr. Paiwal's Spine and Joint Pain Physiotherapy Clinic Redefining Spine and Joint Physiotherapy in India We are specialists in Spine Pain, Knee Pain, Diabe?c Neuropathic Pain and Diabe?c Foot Care. In Spine, we are healing the slipped discs, stenosis of the spinal canal, disc bulges, disc hernia?ons, disc sequestra?ons, and everything else that can cause pain, ?ngling, numbness and throbbing in the neck, shoulder, arm, forearm, low back, bu?ocks, thighs, and legs. In Knee pain, we are into the healing of the most common OPD problem: Osteoarthri?s and Ligament Injuries, especially Meniscus tear and cruciate ligament tears.

11. Dr Gaurav Paiwal Director Dr Paiwal's Spine and Joint Pain Physiotherapy Clinic

12. 10 Most Reliable Physiotherapy Clinics to Know in 2023 I n the present competitive and informative era, the number of people who experience pain is striking. With the increasing screen-time of mobile and laptop usage, non-nutritive food intake and less duration of sleep—there has been a cumulative effect on the pain conditions among people, such as slip disc or spondylitis, namely cervical spondylitis or lumbar spondylitis. Concepts to give total pain relief to spine pain patients, which is what I am doing now. What are the key offerings of your clinic, and how are they impacting the demographic concerned? We are specialists in Spine Pain, Knee Pain, Diabetic Neuropathic Pain and Diabetic Foot Care. In Spine, we are healing the slipped discs, stenosis of the spinal canal, disc bulges, disc herniations, disc sequestrations, and everything else that can cause pain, tingling, numbness and throbbing in the neck, shoulder, arm, forearm, low back, buttocks, thighs, and legs. In Knee pain, we are into the healing of the most common OPD problem: Osteoarthritis and Ligament Injuries, especially Meniscus tear and cruciate ligament tears. Non-healing wounds and pain in the legs are very common in chronic diabetics. We are healing them too. All this is through pure deep penetration physiotherapy treatment via class 4 laser and tecar therapy, which are international treatment modalities, and we use them with our specially set protocol customized to meet the treatment needs of each patient. To get people’s pain under control, Dr. Gaurav Paiwal, the director of Dr. Paiwal's Spine and Joint Pain Physiother- apy clinic, understands that sometimes prescribed drugs or other conventional treatments aren’t enough. This adds a new scope at Dr. Paiwal’s Clinic for easing pain through a complementary approach to physiotherapy. Guided by a clear vision, excellent expertise and international-quality equipment, the clinic is redefining Spine and Joint Physiotherapy in India. Through its specialized treat- ment—Dr. Paiwal’s Rapid Relief Programme, equipped with world-class modalities from France and Germany; the clinic holds the expertise to relieve patients from chronic spine or joint pain. Serving since 2007, Dr. Paiwal's Spine and Joint Pain Physiotherapy Clinic has attained the most qualified and experienced physiotherapists in Udaipur. Through such a strong base, the clinic has managed to avoid over 800 Knee Replacements and 2000 Spine surgeries, becoming the most reputed clinic in the country. Please enlighten us about yourself and your professional milestones so far. What was your inspiration while entering the physiotherapy segment of the healthcare industry? Let’s dive in to learn more about Dr Paiwal’s clinic and its operations behind. Dr. Gaurav, kindly brief us about your physiotherapy clinic and the ideas and developments that led to its inception. Well, way back in 2002, when I entered the field, there was no physiotherapist in Udaipur to guide or offer advice. So, it was tough to choose the field. But I found out a lot via various sources in metros and whatever I could find out through the available internet at that time. Then I was fortunate enough to have been taught by the greatest and most elite spine physiotherapists of country in my graduation days, namely, Dr Ramakrishnan Mani and others. They were and are the stalwarts of physiotherapy in the country and moulded my direction towards the problem, which had the highest footfall of any orthopaedic or physiotherapy clinic in the country. This is how it started in 2003, when I had terrible back pain without any cause. It was so severe that I wasn’t able to turn around in bed for two days. Those two days in bed and number of such In 2007, after completing my graduation from the most prestigious physiotherapy college in the country, Manipal College of Allied Health Sciences, I was offered job by the most renowned physiotherapist in the country, Dr. Ali Irani, at Nanavati Hospital, Mumbai, on a good package. But, with a vision to create a field for pain physiotherapy and to device a line of treatment for Neck and Back Pain patients suffering from chronic spondylitis and similar problems in my hometown Udaipur and around, I came back here. Vision was very clear that I wanted to device a protocol which can heal slipped disc in lumbar spine or cervical spine and give permanent pain relief to patients plus saving them from Spine surgeries. It took me many years and many degrees to come up with Dr. Paiwal’s Spinal Pain

13. Most of the medical management goes around to treat symptoms and controlling blood sugar. This is where our specialized physiotherapy protocol comes into play, as we are healing damaged nerves and neurons and promo?ng the repair of various receptor cells in the legs and feet that are sending abnormal painful sensa?ons to the brain from the damaged nerve sites. This protocol we had designed with exper?se of many years.

14. Unknown Myths About Physiotherapy Physiotherapy is considered a referral prac?ce in India, which means that nearly 80% of the pa?ents needing physiotherapy in any form think that they need a doctor's referral to go to a physiotherapist. This is the biggest drawback in the field. This causes pa?ent loss as they don’t get proper results from physiotherapy on ?me, and physiotherapist loss due to fewer OPD visits. In developed countries, they follow the "First Contact Prac?ce," which means all non-trauma?c cases are referred to a consultant physiotherapist for treatment. This is a huge myth which is slowing the awareness among the crowd for surgery free pain relief treatment. Through pure deep penetra?on physiotherapy treatment via class 4 laser and tecar therapy—which are interna?onal treatment modali?es—we use them with our specially set protocol customized to meet the treatment needs of each pa?ent.

15. Awards Ÿ Healthcare Icon of Udaipur Award 2019 Ÿ Physio?mes Clinical Exper?se Award 2021 Ÿ Silicon India Top 10 Promising Physiotherapy Clinics in India 2021 Ÿ Corona Warrior Award 2021 Ÿ Gautam Gaurav Samaan 2022 Ÿ Healthcare Pride Award 2022

16. patients in our Manipal OPD made me go into spine pain concepts. In contemporary times, effective pain management has become a necessity for most people. How is your clinic meeting this demand efficiently, especially with the use of emerging technological solutions? Almost everyone feels such pain sometime in their life. For instance, knee pain comes in by 30s or 40s if any sports injury history is there earlier or in early 50s in case of no such injury. Pain in such active and responsible years disturbs the life a lot. A lot of fear sets in. Fear of pain comes from bad experiences. This is where our role comes in. We are healing it completely. Emerging technological advances has made the line of treatment very effective and long lasting as compared what we used to give earlier. Better technology, better penetration, better healing, and thus better pain relief for patients What has been your approach to solving the increasing prevalence of diabetic neuropathy? How is it revolutionizing the industry? Pain in such ac?ve and responsible years disturbs the life a lot. A lot of fear sets in. Fear of pain comes from bad experiences. This is where our role comes in. We are healing it completely. Diabetic Neuropathy is basically common in geriatric patients with uncontrolled blood sugar levels and with variable and unexplained clinical features like burning, tingling, soreness, tenderness, pricking, and throbbing in the leg and foot with or without a padded sole or a thick sole. Most of the medical management goes around to treat symptoms and controlling blood sugar. This is where our specialized physiotherapy protocol comes into play, as we are healing damaged nerves and neurons and promoting the repair of various receptor cells in the legs and feet that are sending abnormal painful sensations to the brain from the

17. damaged nerve sites. This protocol we had designed with expertise of many years. In your opinion, what are the major challenges in the physiotherapy niche? How are you using your leadership skills to turn them into opportunities? A few of the major challenges are: distance education physiotherapists (people who have qualified from distance education before 2010), the monopoly of allopathy in the pain industry, and Indian Association of Physiotherapists Politics. To elaborate, the country has nearly one lakh physiotherapists, of whom only 50% are graduates from colleges where they studied physiotherapy as a science. 50% are quakes who have passed out from college seeking degrees from distance education method. How can a doctor who is taught through the distance education method render actual treatment? This is where quality treatment is lost in our country. So, half the treatment in country is being done by them out of all patients. Hospitals hire them on low salaries and with fewer facilities to exploit. Our national association, IAP have already given membership to many such quakes to work. This is how politics have come in. And lastly, pain industry in India is controlled by conventional medical system reason being. They are more in number, fast recovery, and less of qualified physios in country who can treat. What are the future goals of your clinic? How do you envision upscaling its operations and extending its reach in 2022 and beyond? The dream is to heal everyone’s slipped disc in the lumbar or cervical spine and osteoarthritis pain, especially. Upscaling is a long process. Right now, making patient base for that. Eyeing few patented treatments to offer in the near future. Spine pain industry would be too big in the years to come, reason being everyone is walking on spine and their spine is in too much stress. As an expert in the field, what would be your word of advice to budding entrepreneurs wishing to enter this healthcare segment? Please share any clientele, awards, or recognition (if available or permissible). Clear your educational content thoroughly while you are in college. Just passing exams is not enough. Thorough knowledge is necessary to surpass professional competition by a huge margin. Secondly, have expertise in one or two diseases. Nobody can be expert in all. Just find your potential as per your interest and work to refine it again and again. Learning is a lifelong process, as is refining your skills. Don’t stop with less. Clientele: Those suffering from Neck and Back Pain, Osteoarthritis and Diabetic Foot or Neuropathy in Rajasthan and neighboring states.

18. Dr. Anjali Telang Director of Anjali Physio Care and Senior Consultant Anjali Physio Care March 2023 16|www.healthcareeverything.com

19. 10 Most Reliable Physiotherapy Clinics to Know in 2023 Anjali Physio Care I t's been a while since you're suffering from physical pain in your body and none of the medication is quite helping you. Getting to the root of the pain is challenging, thus, Anjali Physio Care, an advanced physiotherapy center walks you through the unexplored medical science of physiotherapy. From consultation, physical assessment and diagnosis, to psychological counseling, you seek a customized treatment plan for your recovery. and anatomical knowledge. And physiotherapy stream was an unexplored line of medical science as compared to any other field. Please tell us about yourself and your role at the clinic. I am the Director of the clinic. After completing my graduation in 2009 from Mahatma Gandhi Memorial Medical College Indore, M. P., I started my journey from Bangalore where I worked in different hospitals and clinics In an interview with Insights Care, Dr. Anjali Telang, the Director of Anjali Physio Care and Senior Consultant, talks about the clinic's mission and operations to support patients in keeping their bones and muscles healthy. Our mission is to add quality life for every individual and encourage them to do exercises every day. At present, most people have a sedentary lifestyle due to si?ng jobs. Keeping bones and muscles healthy is the key to quality life. Following are the excerpts from the interview. Brief us about the clinic. What led to its inception? Anjali Physio Care is an advanced Physiotherapy center that runs on the principles of prevention and treating the root cause of the problem. We have a dedicated team of physiotherapists committed to the well-being of our patients. I always wanted to help people having challenges with physical health and I possess strong problem-solving skills March 2023 17|www.healthcareeverything.com

20. for more than a year. Then I worked as a freelancer in London, followed by Singapore for two years. In 2013, I moved to Pune and started my own clinic Anjali Physio Care—an advanced Physiotherapy center. Thus, awareness and the importance of Physiotherapy are required in society. Anjali Physio Care runs various online/offline sessions, home programs, webinars and workshops so that the mass community can get the benefit of physiotherapy. What are the mission and vision of the clinic? What technological support does the clinic uses to conduct its operations? Our mission is to add quality to the life of every individual and encourage them to do exercises every day. At present, most people have a sedentary lifestyle due to sitting jobs. Keeping bones and muscles healthy is the key to a quality life. Anjali Physio Care operates on electrotherapy machines which include IFT, US THERAPY, TENS, EMS, and various exercise equipment which help in reducing patients' pain and other issues related to muscles and ligaments. It provides stability to joints and ligaments. By the end of this year, we plan to add advanced therapy machines such as matrix rhythm therapy, Laser, etc, to the current set of therapy equipment. Tell us about the services offered by Anjali Physio Care. We have provided our services to 15k plus patients and helped more than 500 patients to avoid their surgeries for slipped discs in the cervical and lumber spine. What challenges do you go through at the clinic and how do you turn them into opportunities for growth? Apart from that, we also provide post-operative care and home care for cases like fractures, sports injuries, accidents, burn and neurological conditions, and help them to live their life happily and independently. Physiotherapy requires patience and time commitment from patients who want to achieve results. It's not the case where you visit a doctor once and takes medicines for a prescribed period. Encouraging patients to visit the clinic for a prescribed duration of time, out of their busy schedules, is a challenge. What is the need for customized treatment for patients in healthcare? Customized treatment protocols for each patient according to their conditions help to deliver care and full recovery. Apart from electrotherapy and exercises, expertise in advanced treatments like dry needling therapy, cupping therapy, sports tapping, chiropractic treatment, and core strengthening are the key elements of our protocol. At Anjali Physio Care, we focus on patient health and satisfaction which provides us with opportunities to grow. To motivate patients for effective treatment, we share success stories with similar cases, provide home visits and develop a treatment plan for the patients who are not able to visit the clinic. We also conduct personal follow-ups to make sure they are following the treatment protocol. What do you think is required to improve the care measures in the healthcare sector? How do you plan to scale the clinic's operations in 2023? The healthcare system needs to focus on awareness of physiotherapy among the people so that they can educate them on the advantages of physiotherapy measures over medicine. As physiotherapy is still not considered a first line of treatment in the field of medical health and society. By the end of this year, we are planning to open multiple branches in other parts of the city. This will help us expand and provide care to the people. Our target is to focus on offering the best Physiotherapy services to society with maximum accessibility. Moreover, most insurance companies do not accept Physiotherapy claims without reference from orthopedic doctors. As a result, most of the patients seek physiotherapy treatment only after a reference from Orthopaedic doctors. March 2023 18|www.healthcareeverything.com

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23. A Systematic Approach Managing Stress & Anxiety F many people deal with stress. Problems at work, health concerns, financial obligations, and other aspects of daily life frequently raise stress levels. or many people, stress and anxiety are common feelings. Millions of adult Americans report experiencing stress or anxiety daily. Every day, In addition, a person's susceptibility to stress is influenced by several factors, including genetics, the level of social support they receive, their coping style and personality type. This means that some people are more likely to experience stress than others. Additionally, research indicates that people of color, LGBTQIA+ individuals, parents and people working in professions like healthcare and social work are more likely to experience higher stress levels. It is essential for one's overall health. That is because persistent pressure hurts well-being and builds your gamble of ailments, for example, coronary illness, uneasiness problems and sadness. It's vital to comprehend that pressure isn't equivalent to psychological wellness problems, for example, tension and discouragement, which require therapy from clinical experts. Albeit the tips underneath may free many sorts from pressure, they may not assist individuals with these circumstances. Let's delve and have a look at evidence-based ways to manage stress March 2023 21|www.healthcareeverything.com

24. Increase Physical Activity Procrastination was linked to higher stress levels in a Chinese study of 140 medical students. According to the study, procrastination and delayed stress responses were also associated with more negative parenting styles, such as punishment and rejection. A 6-week study on 185 college understudies found that participating in vigorous activity two days out of every week fundamentally diminished apparent pressure and saw pressure because of vulnerability. In addition, self-reported depression was significantly reduced due to the exercise routine. Give yourself some uninterrupted time while you work on the things that need to be done today. Multitasking or switching between tasks can be stressful in and of itself. Numerous other studies have demonstrated that engaging in physical activity helps reduce stress levels and improve mood, whereas sedentary behavior may increase stress, low mood and trouble sleeping. Practice Mindfulness Mindfulness is a practice that anchors you to the current second. Meditation and mindfulness-based cognitive therapy (MBCT), a type of cognitive behavioral therapy, are two methods of stress reduction that use mindfulness. Common mental health conditions like anxiety and depression can be alleviated with regular exercise. Start with light activities like biking or walking if you are currently inactive. If you choose something you enjoy, you might have a better chance of keeping it up over time. Even if you only meditate briefly, regular meditation can help you feel better and lessen your stress and anxiety symptoms. Follow a Healthy Diet There are a lot of books, apps and websites that can teach you the basics of meditation if you want to try it. Additionally, there may be therapists in your area who are trained in MBCT Your diet impacts all aspects of your health, including mental health. According to studies, a diet high in ultra- processed foods and added sugar is linked to higher levels of perceived stress. Spend Time in Nature Chronic stress can cause you to overeat and reach for highly palatable foods, harming your mood and overall health. Spending more time outdoors may assist in stress reduction. It demonstrates that being immersed in nature and spending time in outdoor spaces like parks and forests are healthy ways to manage stress. You can help ensure your body is adequately nourished by consuming fewer highly processed foods and beverages and eating more whole foods like vegetables, fruits, beans, fish, nuts, and seeds. In turn, this might make you more able to handle stress. According to a review of 14 studies, college-aged people may benefit from spending as little as 10 minutes in a natural setting to improve psychological and physiological markers of mental well-being, such as perceived stress and happiness. Minimize Phone Use and Screen Time Many people are forced to use smartphones, computers and tablets daily. While these gadgets are often important, utilizing them over and over again may increase anxiety. Camping and hiking are great options, but not everyone enjoys or has access to them. You can look for green spaces like local parks, arboretums and botanical gardens, even in a city. In general, spending too much time in front of screens is linked to lower psychological well-being and higher stress levels in adults and children, according to several studies. Excessive smartphone use is also known as "Phone addiction." In a nutshell, Evidently, stress is an unavoidable part of our lives. However, being chronically stressed is most likely to affect our physical and mental health. Learn to Avoid Procrastination Keeping on top of your priorities and avoiding procrastination is another way to take control of your stress. Screen time may also have a negative impact on sleep, which in turn may increase stress levels. Your productivity may suffer due to procrastination, leaving you scrambling to catch up. This can make you feel stressed, which is terrible for your health and sleep quality. Thanks to the above-mentioned ways that help to reduce stress, anxiety and improve overall psychological well- being. Although there are many ways to manage and reduce stress on your own, getting help from professionals is important when needed. - Shreyasi Shelke March 2023 22|www.healthcareeverything.com

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26. Green Theatre: Focusing on Sustainabil?y Operating The Next Step In Greener Surgical Single Use Plastic N emissions annually and spends over £50 million a year on carbon permits. of devices. From test equipment like vials and beakers to surgical instruments, catheters, and implants, plastics are used more and more for their high performance, lightweight and lower costs. Single-use devices are safer than reusable ones (reprocessing comes with environmental impact as well). HS aims to be the world's first net zero national health service. The NHS in England is responsible for around 20 million tonnes of carbon dioxide Doctor Code: Do No Harm Single-use medical device plastics are used in surgery worldwide as a necessary part of safety and efficacy. Device origin is well documented in production teams and regulatory documentation but mostly unknown beyond the manufactures name on the box. This article aims to give a snapshot of where medical device plastic comes from, what happens when it is disposed of, and why it may not be as bad as you think. Diverse medical applications, product durability and biocompatibility are all important factors that original equipment manufacturers (OEMs) of medical plastic products must consider to meet market demands. Just as important, medical-grade plastic materials must meet regulatory requirements throughout the globe. To ensure that the plastic material is safe and effective for medical products, polymers for medical devices are generally made of thermoplastic materials. High-income countries generate, on average up to 0.5 kg of hazardous waste per hospital bed per day and an operating theatre list around 6.5kg. This is the modern journey of medical plastic to and from an operating room. Polypropylene is a cost-effective medical-grade plastic material and is used where steam-sterilized medical devices are necessary. In addition to resistance to steam sterilization, mechanical performance properties of polypropylene include durability for the number of cycles it can be reused. Its recyclability also makes it an attractive medical-grade plastic. Polypropylene is a lower carbon plastic than others (for example, PVC and Polyethylene) therefore being a lower impact material to use. Step 1: The Plastic in its original form Medical plastic products have become more advanced as the global market for high-quality medical devices continues to expand. Such devices have become a necessary and vital component in the modern healthcare system. Medical plastic products are available in a wide assortment March 2023 24|www.healthcareeverything.com

27. Step 2: Using self-retaining retractors as an example For illustration, this article uses a well-established and commonly used surgical retractor (Galaxy II from JUNE Medical) made out of Terlux. A plastic injection-molded single-use, self-retaining surgical retractor. Approximately 10 000 self-retaining ring retractors are used in the UK annually. Modern versions are lightweight, with the most innovative frame weighing in at only 62g. Calculation of 1 Year Use of 1 device (production Co2) 62g per unit x 10,000 units = 620kg *3.5k (as the upper value) is 2170kg = 2.17 tonnes CO2 / year from manufacture as an upper limit (1.24 tonnes as lower) A self-retaining surgical retractor (Galaxy II) available via NHS Supply Chain Angela Spang Angela Spang is the inventor of The Queen's Award-winning medical device Galaxy II. She is passionate about making surgery safer and easier and works alongside some of the world's best surgeons to make their (and her own) ideas into useful medical devices. Terlux Processing: Injection Molding, Film Extrusion, Profile Extrusion, Sheet Extrusion, Blow Molding, Thermoforming Delivery form: Pellets Special Characteristics: Transparent, melts at 220 degrees Celsius Brighton, where it is stored in controlled environments. Terlux beads (coloured or clear) are then melted and/or mixed and injection moulded in large machines that fill metal moulds with melted Terlux into the unique shape of Galaxy II frames and cam locks. Delivered via boat transport to United Kingdom in containers, Terlux is shipped to the manufacturing site in March 2023 25|www.healthcareeverything.com

28. Assembly Parts are inspected, cleaned and quality checked by trained staff, and put into a clean room for assembly. Frames are then hand assembled according to strict work instructions, and again quality checked. Clean rooms are fascinating places that looks intimidating: everyone is fully covered in protective gear, and nobody talks much. Concentration levels are VERY high! and safety concerns of staff for tissue retraction are well documented. Self-retaining retractors are lightweight, gentle on the patient's tissue, and last for as long as they need to without getting tired or needing to shift position. They are adaptable to almost any surgery and come with a range of different hooks and accessories. Modern ring retractors have safety cam locks that cannot break off instead of screws and use new materials that are strong, yet weigh only 62g – a big benefit from an environmental perspective. Packaging The Galaxy II retractor is then packaged into Tyvek bags and sent to Steris for sterilisation. Step 3: During surgery John Radcliffe in Oxford calculated their theatre waste: Ÿ Clinical waste/list = 6.15kg/list Ÿ Recycled waste/list = 1.74kg/list The retractor is placed above the incision, fastened with small skin hooks, and then removed once the procedure is complete. It is discarded into clinical waste together with approximately 6kg of other waste and managed as per the hospitals waste management policy. Surgical retractors like Galaxy II is used in a range of procedures, and over 10,000 self-retaining ring retractors are used in the UK every year. It is a surgical instrument used to separate and manipulate the edges of a surgical incision or wound or to hold back underlying organs and tissues so that body parts underneath may be accessed. Benefits: reduced need for staff, improved working environment, better access to surgical site, less crowded operation room, always sterile and available. Downside: Single use plastic. Figure 2 Galaxy II Snowman with 12 mm Blunt Hooks and 3-finger claws used to assist in hernia surgery. Photo Credit Prof Than Step 4: The Burning Incineration of waste has been widely practised, but inadequate incineration or the incineration of unsuitable materials results in the release of pollutants into the air and Surgical assistants sometimes assist surgeons in the process of retraction, but the staff is more expensive, and the health March 2023 26|www.healthcareeverything.com

29. in the generation of ash residue. Incinerated materials containing or treated with chlorine can generate dioxins and furans, which are human carcinogens and have been associated with a range of adverse health effects. Incineration of heavy metals or materials with high metal content (in particular lead, mercury and cadmium) can lead to the spread of toxic metals in the environment. waste from clinical areas was disposed of via orange clinical waste bags. There are now recycling bins in every anaesthetic room of the three largest operating suites, as well as in recovery and staff rest areas. Waste segregation has become routine for many members of staff, and approximately 22% of theatre waste is now recycled. Decades of work to reduce single-use plastic has resulted in much leaner and less wasteful hospitals, but there is more to be done. Understanding what aspects of medical surgical devices are necessary (for example, those that cannot be safely or cost-effectively reprocessed) is a step in the right direction for environmentally aware hospital staff. However, modern incinerators operating at 850-1100 °C and fitted with special gas-cleaning equipment and comply with the international emission standards for dioxins and furans. Clinical waste is divided into different types, depending on the nature of the waste. For example, it is really important to separate highly-infectious, infectious and non-infectious waste. Waste incineration has improved so much in the last few years that the focus is shifting to other places in the chain to innovate for a greener alternative. In addition, with the progress made in modern manufacturing materials and processes, the better Innovation from an environmental perspective is to create products using materials that "burn better", weigh less and produce less output to offset. Highly-infectious materials are treated separately in High Temperature Energy Recovery Incineration Facilities with such as Grundon. Infectious waste is sent to Alternative Treatment facility where it is rendered safe through a unique steam treating process. Angela Spang is a Swedish born medical device innovator. She lives in the UK and has won numerous awards, most notably The Queens Award 2021 for Innovation for her GalaxyII surgical retractor. Highly-infectious materials, sharps bins, pharmaceutical, cytotoxic/cytostatic medicines, and anatomical waste will be sent to High Temperature Energy Recovery Incineration facility. Not only does this divert waste from landfill, but the steam created is used to power a steam turbine to generate electricity. Offensive waste (also known as non-infectious waste) can be sent to special Energy from Waste facilities, ensuring zero waste to landfill and generating renewable electricity for export to the National Grid. The output of gas from the burning of clinical waste is Step 5: Where can surgical staff now make the biggest impact? Waste separation in the operating theatre is hugely impactful Oxford University Hospitals Trust has reduced the amount of waste going to landfill or incineration by introducing recycling into the operating theatre setting. Previously all March 2023 27|www.healthcareeverything.com

30. In-depth Analysis Impact of Daily Physical Activ?y On Our Body A healthy lifestyle necessitates regular physical activity. Regular exercise can significantly impact our mental and physical well-being because the human body is designed to move. Without further ado, let's get started and learn more about the health benefits of regular exercise! Controlling your Weight Recent research demonstrated that exercise benefits the body differently depending on the day. It is well established that exercise improves health. Be that as it may, researchers don't have the foggiest idea why activity planning creates these different results. The most comprehensive study of exercise performed at various times of the day was recently carried out by an international team of scientists to gain a better understanding. Being active daily can also help you control your weight. Practice consumes calories, which can prompt weight reduction or weight upkeep. Physical activity also contributes to the development of lean muscle mass, which can speed up metabolism and further assist in weight management. Stronger Bones and Muscles Their research shows how the body produces different well- being advancing flagging particles in an organ-explicit way following activity relying upon the hour of the day. Sleep, memory, exercise performance and metabolic homeostasis are just a few of the many aspects of health that are impacted by these signals. Our bones and muscles can also benefit from regular exercise. When you exercise, new muscle tissue is made, making you stronger and lasting longer. Weight-bearing activities, like weightlifting or climbing, can likewise assist with fortifying bones, lessening the gamble of osteoporosis and breaks. March 2023 28|www.healthcareeverything.com

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32. Enhanced Health in the Heart endorphins, which make us feel good and bad. Because of this, exercise can be a promising therapy for people struggling with depression or anxiety. Improving cardiovascular health is one of the essential advantages of regular exercise. Physical activity can aid in blood pressure reduction, circulation enhancement and heart disease risk reduction. Running, cycling and swimming are all examples of cardiovascular exercises that can help improve heart health. Further Developed Rest Quality It has been demonstrated that engaging in physical activity enhances the duration and quality of sleep. Regular exercise can help regulate sleep patterns, resulting in better quality sleep and daytime performance. Better Mental Well-being Increased Level of Energy Daily physical activity has the potential to benefit our mental health and physical well-being. The practice has been displayed to lessen the side effects of tension and sorrow, develop a mindset and lift confidence. Physical activity regularly can also assist in lowering levels of stress, resulting in improved mental health as a whole. Physical activity has also been shown to boost energy levels. Endorphins are released during exercise, which can improve mood and energy levels. Additionally, regular exercise can help improve cardiovascular function, which can lead to higher levels of overall energy. Protection from Illnesses and Injuries Schedule Workout Duration and Frequency Exercise not only makes you stronger physically, but it also keeps your body healthy by lowering your risk of developing chronic diseases. Exercise also prevents obesity-related diseases like diabetes and heart disease by assisting in weight management. Reduced risk of chronic disease: Regular exercise maintains healthy blood sugar and insulin levels. Prior to going to any type of exercise one opts for, plan out workout sessions to fit in a particular duration and also make sure to stick to how long each workout session would be. Most experts recommend exercising four to five days a week along with varying lengths and structures of workouts with a mix of different activity types. Regular physical activity has been demonstrated to lower the risk of developing chronic conditions like type 2 diabetes, some cancers and Alzheimer's disease. Improved insulin sensitivity, decreased inflammation and enhanced immune function are all benefits of exercise that can lower the risk of chronic disease. In a nutshell, The simplest way to reap these benefits is to schedule exercise time each week simply. You can get the most out of your exercise time if you do it right and dedicate yourself to it. More Youthful and Glowing Skin There are numerous health benefits to engaging in regular physical activity. Regular exercise has numerous benefits, including reduced risk of chronic disease, improved mental health, weight management and improved cardiovascular health. The post-practice shine is a genuine article - practice helps your skin and makes it look younger by setting off the development of cell reinforcements. Skin health is improved by these antioxidants, which repair cell damage and increase blood flow. Whether it's a brisk walk, a run, or a yoga class, tracking down ways to integrate active work into our daily schedules can significantly affect our general well-being and prosperity. Improvements in Mood Exercise not only boosts your energy but also makes you happier. When we exercise, we release hormones like - Shreyasi Shelke March 2023 30|www.healthcareeverything.com

34. Stay Fit Women's Physiotherapy Rehab Providing Drug-Free Pain Relief Through Physiotherapy I Physiotherapy Rehab supports women of all ages in addressing their physical health issues. No matter which part of your body is aching, the center brings forth drug- free relief and cure for your acute and chronic pain. f you're experiencing intense pain in your body but ignoring it due to your busy schedule—then you might want to consider physiotherapy. Stay Fit Women's children) in 2006 in Indore. After marriage when I moved to Pune, my husband told me to start a center exclusively for females. I agreed with him and also felt that females ignore many of their pains because of their other priorities. So I started a center where women can get therapy sessions for not only their visible problems but also for hidden or silent sufferings like urine/stool leaks, and menstrual & sexual issues. In an interview with Healthcare Everything, Tripti Somani, a Physiotherapist discusses the center's journey, from her realization of the importance of physiotherapy to supporting females for their less-discussed problems such as periods, intercourse, and leakage of urine, organ prolapse, diastasis recti, other related through Pelvic Floor Rehabilitation sessions at the center. I am a member of the Indian Association of Physiotherapists (IAP) and the Society of Physiotherapists (SOP). I have also participated in various social programs. Some of the instances are: I worked with Beautiful Foundation Tomorrow (BTF) to contribute my expertise for children with special needs during covid time. I've connected with "AVNI" devoted to eco & body- friendly menstrual products so that I can guide and motivate females to use products that are not only body- friendly but also sustain environmental health. I take awareness sessions and webinars on menstrual and pelvic floor health in societies, schools, etc. Ÿ Following are the excerpts from the interview: Ÿ Please tell us about the clinic. What led you to venture into the physiotherapy sector? Stay Fit Women's Physiotherapy Rehab is a Physiotherapy Centre to help females of all age groups with any physical health issues. When I was in the tenth standard, my father got severe neck pain that was radiating to his arm. No medication helped at that time but progressive physiotherapy sessions made him get back to routine life. Ÿ Tell us about the mission, vision and values of the clinic. Feeling strong and capable has always been part of my identity as a woman specifically after becoming the mother of two children. I want to pass along the same feeling to every woman I possibly can. Using my background in Fitness, Yoga, Natural Therapy and Acupressure combined with the techniques of Physiotherapy, I want every woman to STAY FIT always. Thus I realized that physiotherapy provides drug-free management for both acute and chronic troubles that help people physically, mentally, socially and psychologically fit. This incident inclined me towards the physiotherapy sector. Brief us about yourself and shed some light on your operations at the clinic. I am a Physiotherapist specializing in Pelvic Floor Rehabilitation with 15+ years of experience in clinical practice. I started my practice for all (men, women and March 2023 32|www.healthcareeverything.com

35. 10 Most Reliable Physiotherapy Clinics to Know in 2023 Since 2014, Stay Fit Women's Physiotherapy Rehab has been working on every aspect of female health. We have upgraded ourselves to provide solutions for less discussed problems related to periods, intercourse and leakage of urine, organ prolapse, diastasis recti, etc. through Pelvic Floor Rehabilitation sessions. Tripti Somani, Physiotherapist Director Stay Fit Women's Physiotherapy Rehab Shed some light on the operations that the clinic has been involved in so far. How do they contribute to delivering the type of care that patients need? Since 2014, Stay Fit Women's Physiotherapy Rehab has been working on every aspect of female health. We have upgraded ourselves to provide solutions for less discussed problems related to periods, intercourse and leakage of urine, organ prolapse, diastasis recti, etc. through Pelvic Floor Rehabilitation sessions. What services or core products that the clinic has to offer to its patients? How do they differ in providing care to the patients? Customer satisfaction is our priority so there is no waiting zone in our center. We are using advanced technologies in treating pelvic floor issues through dilators, vibrators and weight trainers. Our services are for females of all age groups for conditions like: March 2023 33|www.healthcareeverything.com

36. Childhood (toe walking, flatfoot, etc). Adolescence (period problems, puberty, gut health, etc). Adults (musculoskeletal & neural pains, pregnancy, delivery, diastasis recti, weight management, incontinence, organ prolapse, etc). infra-sternal angle is more than 95° it causes middle back pain and bloating and if it's less than 85° it causes acid reflux and neck and shoulder pain. Ÿ Ÿ Ÿ If by correcting the infra sternal angle we can relieve gastric and pain issues it would be a great help for those who have chronic acidity and neck pain and disturbed sleep. To enhance the effectiveness of our treatment we discuss and educate our clients about social issues, and problem management with respect to their lifestyle and health in relation to cultural and religious aspects too. This is how we not only treat the present problem but also manage the root cause of the trouble so our results are long-lasting. What challenges did you face and how you turn them into opportunities for growth? The most challenging part was the lack of readiness among females to spend time and money on their physical health. Most of the females believe that as they have gone through pregnancy and delivery they have to live with some pains in their life. In your opinion, does the healthcare system need to focus on improving physiotherapy measures for the patients? What sets the clinic apart from others in the industry? To break this myth, I've designed therapy sessions in such a way that it has not only helped them but they have also started contributing to help other fellow females with similar mindsets and problems too. I strongly believe if you make a family woman physically and mentally fit, you make the whole family strong. Physiotherapists have a vast role to play in the healthcare system. The role of physiotherapy is not restricted to acute injuries and surgeries but also to the improvement of chronic conditions like Paralysis, Parkinson's, Asthma, Spinal pains, vertigo, etc. What advice would you like to give to budding entrepreneurs and enthusiasts who desire to venture into the sector? It is very useful in keeping your body fit during and after pregnancy. Physiotherapists have a major contribution, to making children with physical disabilities, functionally independent. They also gradually make people fit and functional with hand and leg prosthetics. Physiotherapy is a field that demands a lot of physical and mental effort."Be empathetic towards your clients" are the keywords of my professors and have helped me so far. I would say the same thing to young entrepreneurs. Don't work only for your monetary benefits but work for the betterment of your patient's health and you will achieve everything you dream for. How does the clinic envision scaling its services and operations in 2023 and beyond? The uniqueness of our center lies in that we exclusively work for the betterment of female health and fitness covering every aspect of physical, mental, social and psychological well-being. What technological operations does the clinic take into consideration and why? Gait and Breathing analysis along with simulation techniques are used which works effectively. IFT, TENS, Russian Current, Ultrasound & K- Tapping Techniques are used for quick relief for patients in acute pain. Mobilization with postural correction /adjustments and awareness techniques makes the results effective. By training more enthusiastic female therapists and increasing awareness through social media platforms like YouTube, LinkedIn and Instagram, we are working on our visibility and availability. We have already started online services to increase our reachability. Connecting with like minds will help us to grow for the benefit of society. What specific R&D operations is the clinic leading at present? Why do you find those essential? Instagram: Stay Fit At present we are working on the relation of change in infra-sternal and its impact on the body. In our research on randomly selected 10 females we have found that if the Youtube: Stay Fit March 2023 34|www.healthcareeverything.com

40. Health Everything are Transforming Healthcare www.healthcareeverything.com