 
 <prompt> Article:
Understand wetin physiotherapy dey mean. Massage your dog to help relieve pain wey arthritis dey cause. Learn some specific massage techniques. Try passive mobilization. Apply heat to your dog's arthritic limbs. Talk to your vet about transcutaneous nerve stimulation (TNS). <response>: Physiotherapy na di treatment of pain based on physical manipulation and non-pharmaceutical means. Massage, passive exercise, transdermal electrical stimulation (TNS), and heat therapy na all physiotherapy techniques wey fit dey use for house. Massage therapy dey stimulate di muscles around an arthritic joint and dey increase pressure within di tissue. Dis dey push fluid commot enter di blood and lymph vessels, and replacement interstitial fluid dey draw enter di vacuum. Dis one dey help remove toxic irritants wey dey affect di nerve endings wey don build up as a result of injury and inflammation. In return, new nutrients dey soak di area and dey encourage repair of inflamed joints and sprained muscles. An animal wey get sore joints dey get tense, stiff muscles and di tension for di muscles dey further compress di joint, wey dey make inflamed surfaces rub together, and dey cause more pain. Massage dey help di muscles to relax and dey stimulate di release of endorphins - a natural painkiller wey get similar chemical composition to morphine. If, for example, di hip joint dey pain, to massage di hip you suppose work from di extremity upwards (imagine massaging fluid back towards di heart). Move di flat of your palm for a rocking motion, apply pressure with di heel of di hand to di thigh muscles, work upwards towards di heart. Slow and gentle movements dey soothing, whilst hard and fast movements dey stimulating, so for pain relief, one motion every five seconds dey ideal. Massage di affected limb for 10-20 minutes, two to three times a day. Mobilization na di act of passively extending a limb with di aim of keeping di muscle conditioned, and di joint mobile. Di theory behind mobilization na to stop di cycle of pain wey dey restrict joint movement, wey dey lead to further loss of movement, and a downward cycle of limb under-use. Again, taking di example of an arthritic hip, passive mobilization involve gently stretching di affected hind leg backward, away from di head. Di owner fit do dis one with di dog in a standing or lying position. If both hips dey sore, e better make di dog lie down since e go dey uncomfortable to take extra weight on di opposite hip when one leg dey raised. To passively stretch di left hip, lay di dog on top im right side, with di left leg uppermost. Slide di left hand for front of di thigh halfway down di thigh bone, and cup di cranial muscles for di left palm. Apply gentle but firm pressure to push di thigh backward so that di dog paw go move backward. No force di movement, and stop if di dog dey uncomfortable. Hold dis extended position for around 40 seconds and then release. Try to do a 10 minute session twice a day. Dis one dey help to keep di joints supple and e dey relieve pain. Di application of heat dey help to dilate blood vessels and stimulate di circulation. In turn, dis one dey help to remove noxious toxins wey dey irritate pain receptor nerves. A simple method na to use a wheat bag, di kind wey you fit heat up for microwave. Follow di manufacturer's instructions to heat di bag, and with di dog wey dey lie down with di arthritic joint exposed, rest di warmed wheat bag over di joint. Leave am there for 10-15 minutes, and then follow with some passive movement exercises. Transcutaneous nerve stimulation (TNS) fit dey perform for house by an owner, provided dem get access to basic training and di appropriate equipment. Dis one involve di application of a small electrical current to di skin in order to numb sensory nerves and block pain transmission. Dis one dey achieved by stimulating delta fibers wey release enkephalin for di spinal cord, wey in turn reduce sensitivity to pain. One 20 minute session fit reduce pain for up to 24 hours. Di TNS machine na small handheld battery-powered box wey dey attached to two electrodes, wey you go place in contact with di dog skin. Pain dey blocked downstream from di electrodes, so to treat hip pain, place one electrode for either side of di spine approximately 15 cm (5.9 in) higher than di pelvis. 