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The importance of exercise in physical Therapy

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The Physical Therapist's Role in Physical Activity

  1. The Benefits of Physical Activity page lists the positive health outcomes of exercise/physical activity. PA reduces the risk of cardiovascular disease, diabetes and many cancers, helps control weight, and contributes to mental well-being
  2. Among older people, it is well known that exercise and physical activity have an important role in maintaining independent living [ 12] functional capacity (maintaining muscle mass, strength and balance) [ 13, 14 ], prevention of chronic diseases [ 15] and maintaining quality of life [ 16 ]
  3. ate pain. Therapeutic exercises and manual therapy techniques such as joint and soft tissue mobilization... Avoid surgery. If physical therapy helps you eli
  4. Physical therapy is used to increase strength, endurance, flexibility, and stability as well as reduce your pain. With the help of therapeutic exercise, you can have your daily functions restored without going through major surgery
  5. Therapeutic exercise should be one of the main treatments you receive from your physical therapist. It doesn't matter if you are in a hospital, nursing home, school, or an outpatient orthopedic clinic. Physical therapists are movement experts, and exercise should be the primary tool your PT uses to get you moving better and feeling better. 1
  6. The Role of Scoliosis Exercises and Physical Therapy in Treatment Scoliosis, Physical Therapy, and Exercise. Over the years, there has been a lot of speculation about the role of... When Scoliosis Exercises are Less Effective. The larger the curvature is, the less effective scoliosis exercises will.
  7. Daily and regular exercise can improve your total wellness and reduce the risk of developing several diseases like type 2 diabetes, cancer and cardiovascular disease. Exercise can have immediate and long-term health benefits. Most importantly, regular physical therapy can improve your quality of life. Exercise improves your blood circulation and strengthen your heart. The increased [

The Mental Benefits of a Home Exercise Program A diligent home exercise program is imperative for patients who need to work particular muscles to recover. However, it is important in other ways, too. For patients who are both physically unable to move and mentally discouraged, the home exercise program is essential Physical therapists may also screen for risk factors for diabetes and diabetes-related complications and modify traditional musculoskeletal exercise prescription accordingly. Physical therapists must advocate for regular physical activity as a key component of the treatment of chronic diseases in all patient interactions

A home exercise program (HEP) is one of the most important aspects of physical therapy. This is an individualized set of therapeutic exercises that a patient is given in physical therapy to complete on their own at home. A HEP is given to a patient during their initial evaluation The following are the most common reasons that highlight the importance of physical therapy: Can improve mobility - Age is irrelevant to mobility needs. if you have trouble moving , standing, or walking, PT will help. Stretching improves flexibility and strength training can help you regain ease of motion in everyday activities Here are some other benefits you may get with regular physical activity: Helps you quit smoking and stay tobacco-free. Boosts your energy level so you can get more done. Helps you manage stress and tension The role of physical exercise and rehabilitation in delirium The motor component of delirium should be taken into account when designing interventions or strategies to address delirium. These interventions may have a special importance in frail older adults Progressive resistance exercise (PRE) is a method of increasing the ability of muscles to generate force. However, the effectiveness and safety of PRE for clients of physical therapists are not well known. The purpose of this article is to review the evidence on positive and negative effects of PRE as a physical therapy intervention

The role of physical exercise and rehabilitation in

10 Reasons Why Physical Therapy is Beneficial - Burke

Exercise is physical activity that is planned, with the purpose of strengthening muscles, improving physical endurance, and getting other health benefits associated with moving the body. Exercise is generally classified as light, moderate, and intense Because long-term adherence to exercise can be quite low, it is important to not only provide older adults with a choice of different exercise programs that best match their physical capabilities and physical activity interests but also incorporate strategies during the program that are aimed at improving the older adult's desire to continue exercising even after a structured program ends. Effective strategies include providing refresher sessions, ongoing self-monitoring in the form of.

What Are The Benefits Of Therapeutic Exercise? - Flowers

As stated before, home exercises are the cornerstone of a successful physical therapy program. Home exercises can reduce the likelihood of setbacks in physical therapy and can sometimes be the beginning of a brand new active lifestyle. Ultimately, home exercises can help patients make the most of their time at physical therapy and beyond Managing Your Health: The Role of Physical Therapy and Exercise will introduce learners to the concepts and benefits of physical therapy and exercise. Over six weeks learners will explore: Why physical activity and exercise are important, Exercise and Cardiovascular Disease, Exercise and Osteoporosis, Exercise and Cancer, Common Sports Injuries,. What Are the Exercises Helpful in Maintaining a Healthy Back? 1) Stretching Exercises We need to regularly stretch the muscles, tendons, and ligaments so that our spine gets good... 2) Strengthening Exercises Strengthening exercises focus on the core muscles that include the abdominal, hip.

For patients with chronic pain, improving physical function is nearly as important as improving pain. Physical function in FM has been found to be worse than that after congestive heart failure. Similar to pain, a multimodal physical activity program including aerobic, strengthening and flexibility exercises will improve physical function. Better chance to get quicker results in kids' physical therapy; A large component of physical therapy is building strength. It will vary from child to child on what needs help, but the importance of keeping up with at-home exercises is the same. It takes work to maintain the strength built, especially if it is new muscles Physical activity is an important component of a healthy lifestyle to reduce a person's risk of developing disease and subsequent disability. 1, 2 Physical inactivity is a growing public health concern. Among adults 18 years of age and older in the United States, the rate of inactivity remained steady at 40% from 1998 to 2005. 3 This concern is being addressed by many professional.

An Overview of Physical Therapy Exercise

(2001). The importance of sport and physical exercise in the prevention and therapy of osteoporosis. European Journal of Sport Science: Vol. 1, No. 3, pp. 1-20 Ann Intern Med 116: 529 (1992) 18. D. Levine, D.L. Millis, Veterinary medicine and the PT: Not just pet therapy PT Magazine of Physical Therapy 4: (1996) 38- 19. C. Lewis, Arthritis and exercise L. Biegel, Physical Fitness and the Older Person: A Guide to Exercise for Health Care Professionals, ed 1 (1984) Rockville MD, Aspen Systems 129- 20 When it comes to treating scoliosis, the focus is on reducing the curvature and managing the condition's progression. Just as exercise and physical therapy offer the average person a lot of health-and-wellness benefits, people with scoliosis can also benefit from a physical therapy program that's customized to their individual condition September 28, 2016. Physical therapy and exercise are important parts of a treatment plan for psoriatic arthritis. That is because physical activity helps maintain joint movement. Psoriatic arthritis inflames the joints, causing pain and stiffness. As the disease progresses, it can cause damage to the joints and limit range of motion

The Role of Scoliosis Exercises and Physical Therapy in

The long-term benefits of exercise for addiction recovery are not as well-known, in part because a person's recovery can be influenced by a variety of factors unrelated to physical movement and exercise. Most drug and alcohol treatment centers have a medical doctor onsite to regularly monitor physical health Aside from the long-term benefits to heart health, mental health, and longevity, exercise provides many direct and indirect benefits to patients healing from wounds. Physical activity can promote rapid wound healing, reduce oxidative damage, and promote a healthy lifestyle. This can improve patient outcomes and reduce the costs of treatment. 1 Physical exercise can play an important role in mental well-being and can even relieve symptoms of mental health conditions like depression and anxiety. While the physical health benefits of exercise are frequently discussed, the link between exercise and mental health is often overlooked

Importance of regular exercise - Standard Observer

their role in the family unit is essential to the evaluation process. As DM is a systemic condition, it is important for the physical therapist to perform a systems review according to the Guide to Physical Therapy,4 including review of cognition, communication, musculoskeletal system, neuromuscular system, cardiovascular/pulmonary system, and. The Role of Physical Therapy. The role of physical therapy is to help regain and restore the pain-free and comfortable movement and overall health that a person experienced prior to an injury, illness or disability. To achieve this, the physical therapist will design and monitor a planned program using a holistic approach Physical therapy, a typical focus of rehabilitation, involves exercising and manipulating the body. It can improve joint and muscle function, helping people stand, balance, walk, and climb stairs better. Techniques include. Range-of-motion exercises. Muscle-strengthening exercises

Why Are Home Exercise Programs Important? Physical

In addition to practitioners, occupational therapy researchers have an important role to play in promoting physical activity and nutrition. Although home- and community-based exercise programs are effective in improving cardiovascular health, adherence to these programs after discharge from therapy services or a research study is low ( Forkan. What Are Physical Therapy Exercises? Physical therapy exercises are designed to restore maximum body function with an aim on long-term benefits. This includes recovering from an injury, preventing further damage, relieving pain, or learning to live with a chronic condition With the myriad benefits of regular physical activity, when it comes to healthy aging, exercise is perhaps the closest thing there is to a miracle drug, says Scott Kaiser, MD, a family medicine physician and geriatrician at Providence Saint John's Health Center in Santa Monica, California

Physical therapy is a vitally important component to returning to full, pain free, normal function after complex hip arthroscopy or most other sports medicine procedures. I try to work closely with all therapists for my patients, as close communication between surgeon and therapist optimizes results Physical activity is established as an important therapy in the prevention and management of diabetes and diabetes-related health comorbidities. This course reviews new guidelines related to physical activity for improving glucose control and cardiovascular health in people with Type 1 and Type 2 diabetes and highlights ways to apply these.

Physical exercise can come in many forms! Physical exercise and wellbeing. Adding physical exercise has benefits in many aspects of wellbeing. Take a look at the wellness wheel. Physical exercise impacts mood. Research tells us that mood and physical health are related. And, mood is a predictor of well-being in many ways, including self-esteem. The primary role of physical therapy is to restore the joints that have been damaged by arthritis. Also, there would be prevention for the joints that are still good. Thus, one should use arthritis pain relief exercises and physical therapy to eliminate pain and stiffness as associated Physical therapy is an important component of orthopedic treatment. In fact, it is often one of the first steps in addressing an injury. Goals of Physical Therapy. Physical therapy provides a variety of benefits, including reduced pain, improved function, increased range of motion, proper alignment and more

Physical therapy can help you get the most out of your workouts and improve your overall health with the right exercises and stretching Researchers have found that patients who were treated with exercise showed less depression than those in the control groups and showed marked improvements in physical functioning.   Physical therapy plays an important role in exercise for patients with Alzheimer's disease by tailoring routines to meet the individual needs of each patient Exercise should be embedded as part of standard practice in cancer care and viewed as an adjunct therapy that helps counteract the adverse effects of cancer and its treatment. All members of the multi-disciplinary cancer team should promote physical activity and help their patients adhere to exercise guidelines Physical therapy and exercise have been postulated to be beneficial for patients with ALS. This article outlines the role of exercise in treatment of this disease. Amyotrophic lateral sclerosis (ALS) is a rare neurological disease that is characterized by the loss of motor neurons , which are nerve cells that control voluntary muscle movement

Quotes About Physical Strength

Hence, physical therapists give more importance to therapeutic exercises due to their outstanding health benefits. Physical therapists are experts in locating the underlying cause of back pain and provide their patients with a controlled exercise routine The Uses of Electrotherapy in Rehabilitation. Electrotherapy machines are a popular modality used in physical therapy and rehabilitation. Electrotherapy (also known as electrical muscle stimulation or e-stim) uses an electrical machine that delivers electrical impulses to a patient's body Mental Health Benefits From Lifestyle Physical Activity . Interventions Pubmed.ncbi.nlm.nih.gov Get All . Lifestyle physical activity (LPA) interventions are a promising alternative to structured exercise interventions for addressing mental health problems. The authors conducted a systematic review of the literature on LPA interventions in any population in order to determine (a) the extent to.

Regular exercise is one of the best things you can do for your health. It has many benefits, including improving your overall health and fitness, and reducing your risk for many chronic diseases.There are many different types of exercise; it is important that you pick the right types for you Course description: In this course, we will discuss how physical therapy has the potential to promote neuroplasticity and help with neuro-protection in people with Parkinson's Disease (PD). We will discuss the benefits of exercise in the management of both non-motor and motor symptoms of PD and what the current recommendations are for long term maintenance exercises for people with PD. The Importance of Home Exercise Compliance. Home exercises are usually given to patients at their first physical therapy visit and updated throughout the course of care. They are provided to reinforce what is completed during each visit and to eventually support the transition to independent management of the condition

Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing. Try more than one kind of exercise. Try to include physical activity that uses large muscle groups such as your thighs, abdomen (belly), chest, and back. Strength, stretching, and aerobic fitness are all important parts of a good exercise program Exercise acts as a drug; the pharmacological benefits of exercise. British journal of pharmacology. 2012 Sep 1;167(1):1-2. ↑ 2.0 2.1 Kroll HR. Exercise Therapy for Chronic Pain. Physical medicine and rehabilitation clinics of North America. 2015 May 31;26(2):263-81

The Role of Physical Therapists in Fighting the Type 2

Stretching keeps the muscles flexible, strong, and healthy, which is needed to maintain a range of motion in the joints. Without it, the muscles shorten and become tight. Then, when muscles are called on for activity, they are weak and unable to extend all the way. That increases the risk for joint pain, strains, and muscle damage. If possible one should stretch daily, focusing on the lower. Physical activity can include walking, running, dancing, biking, swimming, performing household chores, exercising, and engaging in sports activities. A measure called the metabolic equivalent of task, or MET, is used to characterize the intensity of physical activity. One MET is the rate of energy expended by a person sitting at rest Physical therapy (PT) is care that aims to ease pain and help you function, move, and live better. You may need it to: Relieve pain. Improve movement or ability. Prevent or recover from a sports. No two 'old' people are the same. According to APTA, physical therapy can restore or increase strength, range of motion, flexibility, coordination, and endurance -- as well as reduce pain. Physical exercise and activity are also important for maintaining long-term weight loss and are key in preserving lean body mass during and after weight loss. In overweight adult women, a dose-response relationship has been demonstrated between the amount of exercise and total weight lost as well as long-term weight loss maintenance [ 9 ]

The right physical therapy can help increase your strength and improve your flexibility and motion. Doing both could help improve your symptoms. Going to physical therapy may also be important for your worker's compensation claim. Prevent Long-Term Damage. Car accident injuries can last much longer than you think Find helpful learner reviews, feedback, and ratings for Managing Your Health: The Role of Physical Therapy and Exercise from University of Toronto. Read stories and highlights from Coursera learners who completed Managing Your Health: The Role of Physical Therapy and Exercise and wanted to share their experience. i found this course interesting n enjoyable. i got to know how to manage sports. A simple visit to one of our six physical therapy locations could be the visit that helps improve your quality of life. Whether you're suffering from an athletic injury, need help in exercise preparation, or are looking for help with a chronic issue, IMPACT Physical Therapy is here to help with our large range of physical therapy specialties

The Aquatic Physical Therapy and MS video produced by Laura Diamond, MS, PT, Diamond Physical Therapy Associates, PC, and Jill McElligott, PT, DPT, offers an introduction to the potential benefits of aquatic physical therapy for managing MS symptoms and enhancing fitness. It also provides interviews with a neurologist, a physiatrist and an. Therapeutic ultrasound is a treatment modality commonly used in physical therapy. It is used to provide deep heating to soft tissues in the body. These tissues include muscles, tendons, joints, and ligaments. Ultrasound in physical therapy is not to be confused with diagnostic ultrasound, which is an ultrasound that is used to see the inside of. Our warm salt water pool offers seniors the opportunity to experience the many benefits of aquatic exercise or therapy. We take pride in offering the best rehabilitation in Wilmington NC. If you or an aging parent need physical rehabilitation, then visit our Facebook page to learn more about the fitness center at Davis Community. Or, for more. Exploring the Importance of Cultural Competence for Physical Therapists. Cultural competence is the ability to understand how behaviors and attitudes coincide with cultural issues. In your physical therapy continuing education, you will focus on cross-cultural relations to implement new policies, training guidelines, and development activities Recovery from an injury is a process that involves diagnosis, a treatment plan, and a home exercise program. In order to help patients return to pre-injury status, Physical Therapists begin treatment and training in the therapy center while also introducing exercises that should be continued at home

Cardiopulmonary therapy: People who have suffered a heart attack, have heart disease or heart failure, or have undergone heart surgery can benefit from this type of physical therapy, which will help you learn to take sufficient exercise without exhausting yourself or causing your heart rate to increase above a safe level Advisory Board and is a physical therapist at the MedStar National Rehabilitation Hospital in Washington, D.C. Research tells us that exercise can be an amazing medication. But exercise, like medication, is only effective if it is right for a patient's condition and dosed at the appropriate level Exercise and physical activity can be enjoyable. They give you a chance to unwind, enjoy the outdoors or simply engage in activities that make you happy. Physical activity can also help you connect with family or friends in a fun social setting. So take a dance class, hit the hiking trails or join a soccer team

The Role of Physical Exercise in Wilderness Therapy for Troubled Adolescent Women Michael C. Caulkins, Dave D. White, and Keith C. Russell Journal of Experiential Education 2016 29 : 1 , 18-3 Ancient philosophers and physicians such as Plato and Hippocrates believed in the relationship between physical activity and health, and the lack of physical activity and disease. However, by the mid-20th century it was believed that physical activity might be harmful to health. Moreover, the recommended treatment of the time after myocardial infarction was complete bed rest

Why Your Physical Therapy Home Exercise Program (HEP) is

In Fitness and Physical Therapy, Physical Therapy Articles by Jeff Gilliam, PT, PhD, OCS June 11, 2014 Leave a Comment Addressing the Sum of the Parts Our goal as physical therapists is to fulfill rehabilitation needs optimizing function, and promote wellness in our patients The Importance Of Fitness And Physical Fitness - well. Your diet exercise routine and stress level are the foundation for how you feel. Exercise is an important bodily activity that enhances or maintains and physical fitness and overall health and wellness. Different forms of physical activities that can be done on regular basis are Brisk walking First, physical therapy massage aids with the reduction of pain caused by tense muscles or muscle injuries. In some cases, massage treatment can lead to a quicker recovery of those injuries. You can also experience less soreness after you do a physical therapy session or workout with the aid of a massage session Refer to a physical or occupational therapist, or a healthcare provider, regarding an exercise program that's right for you. Physical Therapy Physical therapy may be helpful in maintaining strength, mobility, and function regardless of the underlying cause of Peripheral Neuropathy (PN)

Benefits Of Physical Therapy. January 9, 2011, Harri Daniel, Comments Off on Benefits Of Physical Therapy. Benefits of Physical Therapy. Physical therapy refers to a type of therapy that makes use of physical agents like massage and exercises. It is a good long term choice for enhancing ability and comfort Slide boards can help physical therapy patients get the most out of their therapeutic exercise, including the following benefits: Feet and Ankles: Strengthens the plantar and dorsal muscles in the foot, and the deltoid, anterior talofibular, and calcaneofibular ligaments in the ankles. Core and Hips: Activates core stabilizers for consistent. Benefits Of Exercise - Exercise is defined as any movement that makes your muscles work and requires your body to burn calories. There are many types of physical activity, including swimming, running, jogging, walking and dancing, to name a few. Being active has been shown to have many health benefits, both physically and mentally Physical Therapists and Exercise Scientists with additional training in working with persons with arthritis may play an important role in helping these individuals become more physically active. Physical therapists (PTs) are optimally trained to develop and evaluate the appropriateness of physical activity programs in persons with arthritis The Importance of Exercise for Seniors. Exercise has countless benefits for those of all ages, including a healthier heart, stronger bones and improved flexibility. For seniors, there are additional benefits, like the fact that regular exercise reduces the risk of chronic diseases, lowers the chance of injury and can even improve one's mood

The Importance of Physical Therapy - Dayton Orthopaedic

The American Academy of Physical Medicine and Rehabilitation was approved as a medical specialty in 1947 by the Advisory Board of Medical Specialties. 1 Physical Medicine and Rehabilitation (PM&R. In addition to restoration of function, the American Physical Therapy Association's (APTA's) Guide to Physical Therapist Practice1 (the Guide) defines scope of practice to include a role in prevention, health promotion, wellness, fitness and screening activities. The goals of physical therapy intervention are t One of the most important prognostic factors in heart failure patients is physical capacity. Patients with very poor physical performance and otherwise eligible, may be listed as candidates for heart transplantation (HTx). After such surgery, life-long immunosuppression therapy is needed to prevent rejection of the new heart. The dark side of immunosuppression is the increased Continue readin

7 Easy Exercises to an Active LifestyleWhat should parents do for the healthy development ofImportance of Aerobics

Stretching muscles can improve your flexibility. There are benefits of going to a physical therapist for direction on stretching. They should be able to assign specific stretches based on your specific muscles and joints that are of concern. Stretching is a great way to increase blood flow and get more oxygen to the muscles and tissues The role of the family in Physical Therapy Page 43 a. Selecting the best options for your child Page 43 9. Things to consider when choosing an Intervention program Page 44 10. Services that may be included in early Intervention Programs Your child may perform exercises alone or with a Physical Therapist's help. Active therapy or. Exercise has been found to help treat and prevent depression, anxiety, substance abuse, and more. The goal of this worksheet is to provide a convenient source of psychoeducation for clients who might benefit from starting a basic exercise program, or increasing their level of physical activity. The first page of this worksheet lists the mental.

Physical Education QuotesAt Home Arm Exercises For Stroke Recovery Patients

Article Featured on New Life Thai Foundation. You might have heard people mention the benefits of TRE for the healing of trauma and for reducing stress. TRE stands for Trauma Release Exercise.The words 'traumatic' and 'traumatized' are used casually now in everyday speech, e.g The exercise program's pacing, specific exercises, and amount of practice with the physical therapist will vary depending on the condition and the individual's needs. Developing the right exercise for the individual sometimes requires trial and error, reviewing the person's response to the exercise, and adjusting the exercise accordingly Some type of exercise should be a part of your ankylosing spondylitis treatment plan. Physical therapy has many benefits, and can guide you through exercises safely and correctly This article will review these intersections of exercise and oncology, discuss the known mechanisms by which exercise exerts its salutary effects, and touch upon the future directions of exercise research in the oncology setting. Finally, recommendations are provided for clinicians to help patients with and without cancer take advantage of the benefits of physical activity

INTRODUCTION. Physical therapy and exercise are promising interventions for those with neurodegenerative diseases including Huntington's disease (HD) [].Over the last 15-20 years, there has been a significant increase in the number of research studies devoted to evaluating both the feasibility and efficacy of physical therapy and exercise interventions in individuals with neurodegenerative. Water-based exercise improves mental health. Swimming can improve mood in both men and women 10.For people with fibromyalgia, it can decrease anxiety and exercise therapy in warm water can decrease depression and improve mood 11, 12.Water-based exercise can improve the health of mothers and their unborn children and has a positive effect on the mothers' mental health 13 Here are 5 key benefits of in-home Physical Therapy: 1) Prevent falls & major injuries. As people age, their physical strength and balance tend to decline. This puts patients at risk for falls and opens the door for potential serious injuries. Well Care's Physical Therapists will travel to patients' homes to assess their muscle strength and. But physical exercise can be challenging for a variety of reasons: mobility, motivation, age, and other health conditions. A person's limits shouldn't preclude them from enjoying the benefits of an exercise routine, which is why new research from Charles James Stewart, a PhD candidate at Coventry University, and his research group are exploring an alternative with lower physical impacts

Rhabdomyolysis - Physiopedia

Postural Training: Physical therapy will address the postural changes after surgery with postural specific exercises and ergonomic assessments. Exercise: Exercise through all the phases (prior, during and after) is of vital importance and has been proven to minimize, or eliminate the side effects of treatment.7,8Physical therapy will provide an. Exercise Therapy The role of physical therapy in many conditions treated by the physical therapist will inevitably have functional restoration as a primary long term goal. To restore function means different things to different patients depending on the condition being treated. The kinesiological components that drive function include strength. Physical therapy, as a science, can be found in every sector. From the hospital to the spa to sports routines. However, there was once a time patients needed a full referral before they could seek help from a physical therapist. And although we begin with Hippocrates, physical therapy only became a widely accepted science in the 1900s Exercise is a planned, structured, and repetitive physical activity that has a purpose and calculated and planned energy expenditure. Exercise can be prescribed during the pre-habilitation phase (time period between cancer diagnosis and initiation of its treatment), habilitation (during treatment), and rehabilitation phase (after therapy in. Physical therapy became a separate branch of medicine at the beginning of the 20th century; the first international congress on physical therapy was held in Liège in 1905. In Russia physical therapy techniques, chiefly hydrotherapy and certain types of electrotherapy, were used from the beginning of the 19th century The benefits of physical therapy. A set of physical exercises for varicose veins helps improve blood flow, increases the patient's physical endurance, strengthening the structure of damaged blood vessels and muscles. If you do not neglect physical therapy (physical therapy), you can significantly alleviate the course of the disease, relieve.