S.D Physiotherapy and rehabilitation center

S.D Physiotherapy and rehabilitation center physiotherapist

Parkinson’s Disease:--Physio Syed Didar. S.D Physiotherapy and rehabilitation centerCollected.
08/02/2026

Parkinson’s Disease:--
Physio Syed Didar.
S.D Physiotherapy and rehabilitation center
Collected.

👉A disc bulge at the L4-L5 and L5-S1 levels, combined with a neurological deficit, indicates that the bulging material i...
08/02/2026

👉A disc bulge at the L4-L5 and L5-S1 levels, combined with a neurological deficit, indicates that the bulging material is likely compressing the spinal nerve roots (typically L5 or S1) in the lower back.

👉 This condition often causes radiculopathy, which is pain, numbness, or weakness in a specific nerve distribution. While many disc bulges resolve with non-surgical treatment, the presence of a neurological deficit (such as weakness or numbness) warrants careful monitoring and often medical intervention to prevent permanent nerve damage.

👉Common Symptoms of L4-L5/S1 Deficits❄️

🌼 Radicular Pain (Sciatica): Sharp, shooting pain radiating from the lower back/buttock down the leg and potentially to the ankle or foot.

🌼 Weakness (Motor Deficit):
L4-L5 (L5 Nerve): Difficulty lifting the foot or toes (foot drop), walking on heels, or great toe extension.
L5-S1 (S1 Nerve): Weakness when pushing up on tiptoes or flexing the knee.

🌼 Sensory Changes (Numbness/Tingling):
L5: Outside of the leg, top of the foot, or between the first and second toes.
S1: Calf, lateral ankle, or bottom of the foot.
Reflex Changes: Diminished ankle-jerk reflex (S1) or knee-jerk reflex (L4).

🥼Physio Syed Didar.
Former physiotherapist at kikla village hospital under Libyan health ministry
S.D Physiotherapy and rehabilitation center.

Tibialis anterior anatomy of knee:--Physio Syed Didar. Former physiotherapist at kikla village hospital under Libyan hea...
08/02/2026

Tibialis anterior anatomy of knee:--
Physio Syed Didar.
Former physiotherapist at kikla village hospital under Libyan health ministry.
S.D Physiotherapy and rehabilitation center.

Nerve root functions upper & lower extremity :--Physio Syed Didar. Former physiotherapist at kikla village hospital unde...
08/02/2026

Nerve root functions upper & lower extremity :--
Physio Syed Didar.
Former physiotherapist at kikla village hospital under Libyan health ministry.
S.D Physiotherapy and rehabilitation center.

Anatomy & Physiology combination :---Physio Syed Didar Former Libyan government physiotherapist at kikla village hospita...
07/02/2026

Anatomy & Physiology combination :---
Physio Syed Didar
Former Libyan government physiotherapist at kikla village hospital.
S.D Physiotherapy and rehabilitation center.

Normal Range of Motion (ROM):--Physio Syed Didar. Libyan government physiotherapist at kikla village hospital from Libya...
04/02/2026

Normal Range of Motion (ROM):--
Physio Syed Didar.
Libyan government physiotherapist at kikla village hospital from Libya.
S.D Physiotherapy and rehabilitation center.

Home based shoulder pain exercise :--Physio Syed Didar. S.D Physiotherapy and rehabilitation center
05/01/2026

Home based shoulder pain exercise :--
Physio Syed Didar.
S.D Physiotherapy and rehabilitation center

Pr*****ed Inter Vertebral Disc:----(PIVD)Physio Syed Didar. S.D Physiotherapy and rehabilitation center.
05/01/2026

Pr*****ed Inter Vertebral Disc:----(PIVD)
Physio Syed Didar.
S.D Physiotherapy and rehabilitation center.

💥(Frozen Shoulder (Adhesive Capsulitis)DefinitionFrozen shoulder is a condition characterized by progressive pain and st...
21/12/2025

💥(Frozen Shoulder (Adhesive Capsulitis)
Definition
Frozen shoulder is a condition characterized by progressive pain and stiffness of the shoulder joint due to inflammation and tightening of the joint capsule, leading to restricted active and passive range of motion.

Causes:--
Diabetes mellitus
Prolonged immobilization
Post-stroke condition
Shoulder injury or surgery
Idiopathic (unknown cause)

Clinical Features
Gradual onset of shoulder pain
Night pain
Progressive stiffness
Restricted active and passive range of motion
Difficulty in daily activities

Stages
Freezing Stage – Increasing pain with gradual stiffness
Frozen Stage – Reduced pain but severe limitation of movement
Thawing Stage – Gradual improvement in mobility

Differential Diagnosis:-
👉Rotator cuff tear
👉Shoulder osteoarthritis
👉Cervical radiculopathy
👉Subacromial bursitis

Diagnosis:-
Primarily clinical examination
Global restriction of shoulder movements
X-ray to rule out arthritis
MRI if symptoms are atypical or severe

Physiotherapy Management:--
Clinical Interventions
Heat therapy
Transcutaneous Electrical Nerve Stimulation (TENS)
Passive stretching exercises
Joint mobilization techniques

Pain-free range of motion exercises
Home Exercise Program
Pendulum (Codman) exercises
Wall climbing exercises
Stick-assisted shoulder movements
Towel stretching exercises
(Performed 2–3 times daily)

Prognosis
Recovery is gradual and may take 3 to 4 months
Early and consistent physiotherapy leads to better outcomes

Physio Syed Didar.
S.D Physiotherapy and rehabilitation center.

Dermatomes
21/12/2025

Dermatomes

Foot and ankle nerve EntrapmentsS.D Physiotherapy and rehabilitation center. Physio Syed Didar.
21/12/2025

Foot and ankle nerve Entrapments
S.D Physiotherapy and rehabilitation center.
Physio Syed Didar.

>>>Posturing in Brain Injury: Decorticate vs DecerebrateThe image shows two abnormal body postures that appear in severe...
21/12/2025

>>>Posturing in Brain Injury: Decorticate vs Decerebrate

The image shows two abnormal body postures that appear in severe brain injury. These postures help identify where the brain lesion is located.

>1. Decorticate Posturing (Abnormal Flexion)

How it looks:
• Arms flexed inward over the chest
• Hands clenched
• Legs extended and stiff

What it means:
• Damage is above the brainstem, usually in the:
• Cerebral hemispheres
• Internal capsule

Why it happens:
The brain injury interrupts pathways from the cortex, so the flexor muscles overpower extensors → causing the patient to bring arms toward the “core” → “de-COR-ticate = toward the core.”

>2. Decerebrate Posturing (Abnormal Extension)

How it looks:
• Arms extended straight down
• Hands turned outward
• Legs extended and stiff
• Body may arch

What it means:
• Damage is below the red nucleus, involving:
• Midbrain
• Brainstem
• Pons

Why it happens:
Lower brainstem injury removes flexor control → extensor muscles dominate → causing rigid extension of arms and legs.

>>> Clinical Severity
• Decorticate = severe injury
• Decerebrate = more severe and worse prognosis because the lesion is deeper in the brainstem.
Physio Syed Didar.
S.D Physiotherapy and rehabilitation center.

Address

Jatrabari
1362

Opening Hours

Monday 09:00 - 23:00
Tuesday 09:00 - 23:00
Wednesday 09:00 - 23:00
Thursday 09:00 - 23:00
Friday 09:00 - 23:00
Saturday 09:00 - 23:00
Sunday 09:00 - 23:00

Telephone

+8801675762547

Website

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