Massagethepainaway

30/09/2025

Upper limb nerve pathology

16/09/2025

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When I tell patients that 90% of their serotonin is made in their gut, not their brain, everything clicks.

That anxiety you feel after eating certain foods? That brain fog that won’t lift? That crushing fatigue despite getting enough sleep? It’s not in your head, it’s in your gut.

Your digestive system is the front line of your immune system, controlling everything from your mood and energy to your skin and hormones. When your gut is inflamed or dealing with issues like SIBO, it sends distress signals directly to your brain through the vagus nerve.

This is why I always tell my patients: Start with the gut. Everything else follows.

Healing your gut doesn’t mean eating bland, boring foods forever. My low-FODMAP recipes prove that gut-friendly eating can be delicious, if your digestion is off, your energy, mood, skin, sleep, and hormones won’t fix themselves. But when you nourish your gut with the right foods, everything begins to heal.

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07/09/2025

Good visual. Empathy needs to have boundaries.

07/09/2025

Your body is eavesdropping on your thoughts.

When you think stressful thoughts, you activate transcription factors that turn on inflammatory genes. Inflammatory thoughts create inflammation in your body.

This stress response system evolved to help us survive acute threats - like running from a saber-toothed tiger. Your body floods with cortisol, blood sugar spikes, heart rate jumps. Perfect for short-term survival.

Stress is simply the perception of a real or imagined threat. Same input, different perception = completely different physiological response.

The solution isn’t avoiding stress - it’s changing your relationship to it. How you discharge it. How you perceive it. Your thoughts are literally your medicine or your poison. Choose wisely.

21/08/2025

🦵 Limb Length Measurement

📌 Shortening of the limb is common in hip diseases. Some of the shortening is compensated by the patient by 🔻 tilting the pelvis down on that side, 🦶 plantar flexing the foot, and 🦵 flexing the knee on the normal side.

🩺 While examining for shortening, it is important to note: whether shortening is present; if yes, whether it is true or apparent shortening; and if it is true shortening, whether it is from the hip (supra-trochanteric) or from some other part of the limb.

📐 It is customary to measure the apparent length (the length of the limb with compensatory mechanisms allowed) and true length (the actual length of the limb after removing the compensatory mechanism). Accordingly, after comparing the lengths on the two sides, apparent and true shortenings are calculated.

ℹ️ It is the apparent shortening which concerns the patient i.e., the shortening which remains even after compensation by the body. True shortening is of significance to the clinician for diagnosis, as it is the shortening produced by the disease due to actual destruction or shortening of the bone.

🔄 There may be a situation where all bones and joints are all right, but the limb is 'short'. This will be due to deformity at the hip, and will be called apparent shortening. There will be no true shortening in this situation. On the other hand, there may be true shortening of the bones, but the body, by compensating this shortening, may make the leg appear equal. Hence, there will be no shortening effectively (no apparent shortening), although true shortening is present, and can be detected by unmasking the compensatory mechanism.

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📏 Measurement of Limb Length

📍 Measurement of apparent length (B) : This is simpler to measure. The patient lies supine on the couch, as straight as he can. Both the legs should be parallel and in alignment with the body. Measurement is taken from any fixed point in the midline of the trunk (e.g., Xiphisternum, suprasternal notch etc.) upto the prominent tip of the medial malleolus. No attempt is made to correct any deformity while measuring the apparent length.

📍 Measurement of true length(A) : The patient lies supine. The first step is to check whether the pelvis is square. If yes, the length is measured from ASIS to the tip of the medial malleolus. If the pelvis is not square, the same is done first. As the pelvis is square, the hip deformity will show up. The limb length, from ASIS to tip of the medial malleolus is measured in the deformed position of the limb. When the normal limb is being measured for comparison, it is necessary that it be placed in the position as that of the affected limb. Hence, before measuring the normal limb, the pelvis must be squared, and the limb should be in a position, identical to that of the affected limb.

📍 Leg length measurement in standing position: In a hip without deformity, a quick and accurate method of measuring true shortening is as follows. The patient is asked to stand against a wall, facing the examiner. The pelvis may be tilted due to shortening of the limb. The examiner puts wooden blocks under the foot on the shorter side, one after another, till the ASISs on the two sides are level. The thickness of the blocks is measured. This indicates the amount of true shortening. Similarly, if the affected limb is longer, insert wooden blocks under the foot on the normal side, till the pelvis is square. The height of the wooden blocks indicates true lengthening of the affected limb.

🩻 CT scanogram is the radiological method of accurately measuring the limb length.

12/08/2025

of
disc: The discs that cushion and separate vertebral bones can rupture, either due to damage or aging, causing the soft core to leak out and pinch a nerve, resulting in discomfort.

injury: Accidents, falls, overexertion, and athletic strains are common culprits for back injuries.

stenosis: With this painful condition, the spinal canal shrinks, compressing the spinal column and creating painful pressure on the spinal cord.

: This is a common problem for older people in which the spine develops bone spurs and loses stability with accompanying stiffness, swelling, and loss of flexibility.
Soft tissue strain: Repetitive movements at work or play, or sudden exertion leading to a pulled back, can strain or damage spinal ligaments or the muscles that support the back.

: A congenital malformation of the spine in which the spine curves sideways. In later life, this condition manifests as back pain.

: A disease that develops over time as a result of changes in the structure and strength of bones. This degeneration and weakening of bones can eventually lead to spinal compression fractures.

-laminectomy syndrome: Failed back surgery can result in continued or heightened back pain, weakness, numbness and/or tingling, and even impaired blood flow to the spinal cord.

: This condition involves the slipping of vertebrae, creating pressure on the nearby nerves. This condition can affect any part of the spine but is most commonly found in the lower back.

pain syndrome: Often a chronic condition, characterized by muscle tightness that responds well to physical therapy.
Sacroiliac joint dysfunction: Damage to the joint connecting the pelvis and spine is a leading cause of lower back pain.

06/08/2025

03/08/2025

of Shoulder Pain
》Rotator cuff injuries (tendinitis, tear)

》Frozen shoulder (adhesive capsulitis)

》Shoulder impingement syndrome

》Shoulder dislocation or instability

》Bursitis

》Arthritis

》Fractures

◇Referred pain (from neck or heart issues)


●Pain during movement or rest

●Weakness in the shoulder or arm

●Limited range of motion

●Swelling or stiffness

●Clicking or popping sound

🏥 Physiotherapy Management
■Pain Relief:

》Ice/heat therapy

》TENS

》Ultrasound therapy

■Exercise Therapy:

》Range of motion exercises (wand exercises, pendulum swings)

》Strengthening (theraband, wall push-ups)

》Scapular stabilization exercises

■Manual Therapy:

》Soft tissue release

》Joint mobilization (Grade I-IV techniques)

■Posture Correction:

》Postural training (especially for rounded shoulders)

》Ergonomic advice

💡 Self-Care Tips
》Avoid overhead movements during acute pain

》Use a pillow to support the arm while sleeping

》Apply ice (acute) or heat (chronic) as needed

》Maintain good posture

》Perform prescribed exercises regularly.

02/08/2025

31/07/2025