Talk to Physiotherapist on Difficulty In Standing (Question For Physiotherapists)
Asking for Mother, Female, 71 years old, Tarbela
Age: 71 years Weight: 130 kg Height: 5 ft No diabetese or blood pressure Arthritis for the last 30 years and developed transverse meylitis in 2010 (recovered up to 70% by 2017). Since 2014 she is using a stand to walk a few steps and go to washroom.
Medicine in use: Dologab (1+1), Glupik (1 per day) Bone Health B (1 per day), Annuva (usually 1+1)
Problem: For the last 10 to 15 days, my mother is experiencing difficulty in standing up. This problem started when she sat on a couch for straight 4 hours as someone came to meet her. Her left thigh muscle got pulled and later she started to experience difficulty in standing up. Sometimes, she is able to stand up with ease while at other times she stands up after 3 to 4 attempts and walks with difficulty. However, her walk gets better after taking a few steps.
Are there any home exercises to improve her condition?
Ms. Maryam Tahir - Nutritionist
BS (Hons.) Food & Nutrition | Rahim Yar Khan
I can help and guide you properly
Consult with Physiotherapist if muscular issues
Consult a physiotherapist so that you can be guided properly
Patients with transverse myelitis need continuous exercises to keep their affected area functional and strengthened. Although this kind of long-term exercises plan can be carried out by patient at home, but it is advised to visit a physiotherapist for complete evaluation of the patient and get a home exercise plan. Transverse myelitis can affect different patients differently, so a generalized exercise program doesn't work for everyone one. Plus, keep your primary physician updated with recent changes in your mother's condition.
check electrolytes plus start physiotherapy home session for her mobility. contact nearest physiotherapist
Dr. Farwa Qasim Pt - Physiotherapist
DPT Neurorehabilitation, posture & gait training (UK) Sports kinesio taping (UK) Dry needling/Acupuncture (UK) Mulligan techniques (BHR) Osteopathy techniques (CAN) ICU Physiotherapy (UK) Hijama therapist (Unani Tib medical college) General & chronic disease prevention, fitness & health guide (DM,HTN,PCOS,Fatty liver,Dementia, fibromyalgia) (UHS)(UK) | Lahore
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she needs muscle strengthening and physio on regular basis
Yes, gentle strengthening and mobility exercises will help, along with avoiding prolonged sitting and using supportive chairs. But since she has a neurological history and recent change, I strongly recommend getting at least a physiotherapy assessment to rule out new nerve/joint issues.
You need to consult a physiotherapist for her proper assessment and treatment.
Your mother needs proper physiotherapy treatment because both her muscles and knees are weak.
Physiotherapy will help reduce pain, improve strength, and restore mobility.
A regular treatment plan is important for long-term recovery.
With consistent care, her daily activities will become easier and more comfortable.
Asst. Prof. Dr. Asima Irshad Pt - Physiotherapist
BS.PT, Post Professional Doctor of Physical Therapy, PHD Rehabilitation Sciences | Islamabad
consult physiotherapist for proper evaluation
Dr. Muhammad Ahmed Saleemi PT - Physiotherapist
DPT, MS-OMPT, Certified Orthopedic Rehabilitation Specialist, CCTP, CDNT | Lahore
4 Positive Reviews
Important First Step
Since your mother has a history of arthritis, transverse myelitis, and recent onset of thigh pain/difficulty in standing, it’s very important to rule out any acute muscle injury, nerve compression, or joint issue. Please consult her treating physician/orthopedic/neurologist before starting exercises.
Safe Home Measures & Gentle Exercises
(Do these only if pain is not severe and no red flags like swelling, severe weakness, or sudden loss of control)
1. Warm Compress
• Apply warm packs to the left thigh for 10–15 minutes, 2–3 times daily to relax muscles and reduce stiffness.
2. Gentle Muscle Activation
• Quadriceps setting: While lying or sitting, tighten the thigh muscles (push the back of the knee gently into the bed) and hold for 5–7 seconds. Repeat 10 times, 2–3 sets/day.
• Gluteal squeeze: Squeeze the buttocks together, hold 5 seconds, relax. Repeat 10–15 times.
3. Assisted Sit-to-Stand Practice
• Use a stable chair with armrests.
• Place both feet flat on the ground, shoulder-width apart.
• Lean slightly forward, push through arms and legs to stand up.
• Practice slowly, 5–10 repetitions, 1–2 times/day.
4. Gentle Stretching (if pain-free)
• Hamstring stretch (seated): Sit on a chair, slowly extend one leg forward with heel on floor, lean slightly forward to feel stretch behind thigh. Hold 15–20 seconds. Repeat 3 times each leg.
• Calf raises (holding support): Stand with support, slowly lift heels off the floor, hold 2–3 seconds, lower down. 10–15 repetitions.
5. Walking with Support
• Encourage short walks with her walker/stand, a few times daily.
• Stop if there is sharp pain, dizziness, or instability.
Red Flags – Seek Medical Attention if:
• Pain worsens or radiates down the leg.
• Sudden loss of strength in legs.
• Inability to bear weight at all.
• New bladder or bowel symptoms.
Dr. Usman Arif PT - Physiotherapist
DPT, MS in Pediatric Physiotherapy DPT (UOS), MSPPT (RIU) Clinical & Pediatric Physiotherapist | Lahore
4 Positive Reviews
Since she already has a history of transverse myelitis and arthritis, it would be safest if you could arrange a physiotherapist’s in-home assessment. They can check her thigh/hip strength and guide progressive strengthening without risk of falls.
for home exercises you should need to visit physicaltherapy department
Dr. Hamna Syed - Physiotherapist
DPT, Master in Advanced physiotherapy (MSAPT) | Lahore
5 Positive Reviews
Yes, there are home exercises, but cannot prescribe without assessment. please consult a physiotherapist for assessment. After that, the therapist will teach you about home exercises that are relevant to your patient condition
Here are a few simple ways to keep walking easy while you’re on dologab, glupik, bone‑health B, and Annuva: • Keep your blood sugar steady. Check levels before and after walks, and eat a small snack if you feel shaky. • Wear shoes that fit well, have good arch support, and keep your feet dry. Change socks if they get damp. • Look for any sores or redness on your feet. If you notice anything, clean the area and keep it covered. • Strengthen the muscles that support your knees and hips with gentle squats, calf raises, and balance drills. • Stay hydrated and take breaks if you feel fatigued. Short, frequent walks can be more comfortable than one long session. • If you experience pain, numbness, or swelling, stop walking and talk to your provider. These steps can help you stay active and protect your joints while managing diabetes and bone health.
For home workouts that keep your joints happy and your blood sugar steady, try a short circuit of low‑impact moves: start with a 5‑minute warm‑up—march in place or gentle side steps. Then do 2 sets of 10–12 seated leg lifts, 10 calf raises on a step, and 10 wall push‑ups to strengthen the upper body. Finish with a 30‑second balance hold on one foot (use a chair for support if needed). Repeat the circuit 2–3 times, taking short breaks and sipping water. Keep the pace easy, and stop if you feel pain, numbness, or swelling. These simple moves help maintain bone strength and support walking without overloading your joints.
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yes, consult online
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