Navkriya Physiotherapy and Rehablitation Centre

12/10/2019

07/10/2019

https://youtu.be/v7YLNUOChww

♥ Get Deep Tissue Nirvana TODAY: http://www.mobosystem.com/GoMobo 10% OFF + FREE SHIPPING with code: psychetruth10 ♥ A NEW YOU! Try WellnessPlus FREE! https:...

05/10/2019

A singer , A philanthropist...but originally A Top Physiotherapist by Profession ..Fondly known as DR BALAJI , Dr G.K Balaji, director synapse physio pvt ltd, head of department physio therapy at fortis hospital Mohali, head of department physio therapy at chitkara university what fun this guy is!!! SAY WANAKKAM AND WADDEWAALA HELLO TO DR BALAJI this Sunday, 6th October , 3-4 in EK MULAQAAAT With me only on MY FMFM Fortis Hospital Mohali !!!

05/10/2019

https://youtu.be/szSmagocGKs

Gunther von Hagens' 4 lesson series titled "Anatomy for Beginners". This episode deals with the nervous system. WARNING: This video contains educational nudi...

05/10/2019

05/10/2019

https://youtu.be/4Eo9jwRiHdM

This animation won the Gold prize at the Safety@Work Creative Awards 2013.

04/10/2019

https://youtu.be/pgkg8u_VVl0

Chesterfield Royal Hospital NHS Foundation Trust is delighted to present our Antenatal Education Class, a patient information video. We hope that the followi...

03/10/2019

Mckenzie exercises?
How do they work?
How much do we understand Mckenzie approach?
We know that the well-known Mckenzie Lx extension exercise for posterior disc derangement.
For example, once there is a tear in the annular fibrosus, the material from the nucleus pulposus shifts posteriorly through the tear, especially more during Lx flexion such as bending forward and sitting. This is called "discogenic pain".
Therefore, how we understand about Mckenzie approach is that Lx extension can shift the material from the nucleus pulposus anteriorly. some patients with discogenic pain may respond to this well.
Mckenzie recommends extension exercises in the treatment of posterior disc derangement because of stress reduction on the pain-sensitive posterior annulus due to anterior displacement of the nucleus.
Yes. This is his theory. However, does this really occur to everyone with the posterior disc derangement?
What if the extension exercises worsen the discogenic pain?
This worse pain is commonly thought due to degenerative spinal joints like spinal stenosis.
HOWEVER,
Research!!
Greater disc bulging under postural loading occurs with advancing degenerative disc disease. Increasing bulging was noted at lower spinal levels (L4–L5 and L5–S1)
Grade 1 discs displayed the expected response to dynamic positions. However, more degenerative discs behave less predictably, and EXTENSION may result in significant POSTERIOR disc bulging.
These results question the popular therapeutic techniques.
I am not against Mckenzie exercises. Some patients respond to them well.
This research clearly proves that patients should be individually assessed and treated by pathomechanism rather than focusing on pathology.
If pathology (disc herniation) is focused, then we may prescribe the Mckenzie extension exercises to all patients with disc herniation. Therefore, focusing on pathomechanism may be more appropriate.
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