D.P.T for U

06/05/2025

Mobilization and manipulation
protocol

SWD


exercise
Upper trapezius stretch
Levator scapulae stretch
Trunk rotation
Overhead arm reach
Wall stretch
Lat side stretch

exercise
Neck roll
Shoulder roll
Overhead arm reach
Chair rotation
Thoracic extension
Row
Face pulls
Scapular squeeze
Wall angel
Reverse dumbbell fly
Lat pulldown
Shrugs
W retract

04/05/2025

28/04/2025

28/04/2025

A neck muscle spasm is an involuntary contraction or tightening of the neck muscles, often accompanied by pain and stiffness.

A neck spasm is sudden tightness and pain in your neck muscles. A spasm may be caused by some activities or repeated movements. For example, you may be more likely to have a neck spasm if you slouch, paint a ceiling, work at a computer, or sleep with your neck twisted.


》Sudden, intense, sharp pain in your neck
》Difficulty in moving your neck and shoulders
》Heightened pain during neck and shoulder movements
》Headaches
》Dizziness
》Pain in your head or down the shoulder, arm, or back
》Tingling sensations at the base of the neck
》Tender spots in the neck, referred to as trigger points.
》Sudden, intense, sharp pain in your neck
□Difficulty in moving your neck and shoulders
Heightened pain during neck and shoulder movements
□Headaches
□Dizziness
□Pain in your head or down the shoulder, arm, or back
□Tingling sensations at the base of the neck
□Tender spots in the neck, referred to as trigger points
□Common Triggers of Muscle Spasms in the Neck.

:

》Sprains and strains)
》Cervical myofascial neck pain
》Overuse, such as prolonged computer work or lifting heavy objects
》Poor posture, whether it’s slouching while sitting or tilting the head while standing
》Awkward sleeping positions
》Inadequate neck support from a mattress or pillow during sleep
》Carrying a heavy bag with a shoulder strap
》Prolonged cradling of a phone between the ear and shoulder
》Emotional stress
》Teeth clenching or grinding during sleep
》Dehydration

》Meningitis (infection in the brain)
》Cervical spondylosis (arthritis affecting the neck)
》Ankylosing spondylitis (fusion of the neck bones)
》Spasmodic torticollis (tightening and twisting of the head to one side)
》TMJ (temporomandibular joint disorder affecting jaw muscles)
》Whiplash injuries (forceful forward and backward bending of the neck)
》Trauma sustained during accidents or falls.

Muscle Spasm
◇Heat therapy
◇Icing
◇Massage
◇Dry Needling
◇Scapular Squeeze
◇Scalene Stretch
◇Neck Side Bends
◇Spinal manipulation
◇Deep transverse friction massage
◇Gentle stretching exercise
◇Muscle strengthening exercise
◇Ultrasound therapy
◇Tapping
Relaxation technique

like ibuprofen or acetaminophen

Future Neck Spasms
Making lifestyle adjustments is key to averting future neck spasms.

■Maintain Good Posture
■Take Regular Breaks
■Adjust Screen Height
■Stress-Relief Practices
■Regular Exercise
■Early Stretching
■Supportive Sleep Setup
■Hydration
■Phone Use Awareness
■Lighten Shoulder Load

21/04/2025

👉 Frozen Shoulder is a condition in which the shoulder joint becomes stiff and painful, resulting in limited movement.

Inflammation of the Capsule and Synovial membrane of the shoulder joint leading to Adhesion formation that results progressive pain and movement stiffness or restricted of the shoulder joint is called frozen Shoulder.


There are 2 types of frozen shoulder-

✅Primary –Idiopathic
✅Secondary – Due to risk factors

of ‘Frozen Shoulder’

There are 3 classical stages in frozen shoulder.

Stage 1: Freezing stage or painfulstage
Duration: 6 weeks to 9months
Pain gradually increases and shoulder movement becomes more limited.

Stage 2: Frozen stage or adhesive stage
Duration: 5 to 12 months
Pain may decrease, but stiffness remains, making it difficult to move the shoulder fully.

Stage 3: Thawing stage or recovery stage
Duration: 5 to 26 months
Movement slowly returns and stiffness decreases.



Plain X-ray ofshoulder
Non-contrast MRI
Invasive arthroscopy
Physical examination
Special test: LAM test



1. *Age*: More common after 40.
S*x: Female-45-55years & male 50-60years
2. *Trauma*: Injury or surgery.
3. *Inflammatory conditions*: Diabetes, rheumatoid arthritis.
4. *Immobility*: Prolonged periods of inactivity.
5. *Hormonal changes*: Menopause, thyroid disorders.
6. Dislocation
7. Fracture
8. Hemiplegia

features / Symptoms:

1. Progressive pain, stiffness of shoulder joint 2.Movement restricted
3.Deformity
4.Oedema
5.Pain increase at night over deltoid region 6.Loss of function / movement
7.Muscle spasm-pectoralis major, latissimus dorsi.
8. *Pain*: Dull, aching, or sharp pain in the shoulder and upper arm.
9. *Stiffness*: Limited mobility and stiffness in the shoulder joint.
10. *Limited range of motion*: Difficulty lifting, rotating, or moving the shoulder.

factors Primary:

Rotator Cuff pathology
Bicipital tendinitis
Acromioclavicular joint arthritis

✅ Secondary:

Diabetes Mellitus
Stroke
Hyperthyroidism
Ischemic heart disease
Prolong immobilization.

management for Frozen Shoulder:
of treatment:
1.To relief pain
2.To reduce swelling
3.To prevent deformity
4.To improvemusclepower
5.To increase circulation
6.To prevent muscle spasm
7.To rehabilate thepatient

procedure:

■ Stage 01:

Range of motion exercise
Pendulum exercise
Finger walk
Cross-body stretch
Hands up
Stretching Exercises for Adhesive Capsulitis
Pass a ball behind your back
Strength-Building Exercises for Frozen Shoulder

■ Stage 02:

Stretching
Mobilisation
Anterior posterior glide
Abduction adduction glide
End range mobilization
Passive supine forward elevation

■ Stage 03:

Stretching
All types of shoulder movements
Swimming
Aquatic therapy, or pool therapy
Forward bending shoulder exercise
Internal Rotation
Abduction
Mobility Exercises
Pole exercises
Standing arm swings
Balance Exercises for Frozen Shoulder
Standing arm swings

exercise/Remedies:
Pulley exercise
Wall climbing exercise
Towel pull exercise
Lateral raise
*Pendulum exercises*: Gently swing arm.
*Wall push-ups*: Stretch shoulder muscles.
*Arm circles*: Rotate shoulders.
*Heat or cold packs*: Apply to affected area.
*Over-the-counter pain relievers*: Consult physician.

■ Do’s and Don’ts:

Move slowly and avoid any jerking motions.

Pushing too hard can lead to more pain and stiffness.

Try to keep your movements controlled and stay within a comfortable range.

✅ Prevention
1. *Regular exercise*: Maintain shoulder mobility.
2. *Posture correction*: Avoid slouching.
3. *Shoulder stretches*: Regularly stretch.
4. *Stress reduction*: Manage stress.

✅Resources:

1. American Academy of Orthopaedic Surgeons (AAOS)
2. National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

fri

08/04/2025

🧠Spinal Cord Injuries Explained!
Understanding the differences between complete and incomplete spinal cord injuries is crucial for proper diagnosis and rehabilitation.
🛑Paraplegia:
Complete: Total loss of motor and sensory function below the injury level.
Incomplete: Partial loss of function, with some preserved sensation or movement.
🛑Tetraplegia (Quadriplegia):
Complete: No motor or sensory function in arms, trunk, or legs.
Incomplete: Limited motor or sensory preservation.
💡Types of Incomplete Spinal Cord Injuries:
1️⃣Brown-Séquard Syndrome - Impaired motor function on one side and sensory loss on the other.
2️⃣Central Cord Syndrome - Weakness more pronounced in the upper limbs.
3️⃣ Posterior Cord Syndrome - Loss of proprioception while maintaining motor function.
4️⃣Anterior Cord Syndrome - Impaired motor and pain/ temperature sensation, with preserved proprioception.
Doctor of physical therapy

05/04/2025

🌟 **Plantar Fasciitis Unveiled** 🌟
1. **What is it?**
Inflammation of the plantar fascia – the tissue supporting your foot arch.
2. **💔 Symptoms:**
- Severe heel pain, especially with morning steps.
- Persistent pain can last months to years (80% still feel it after a year).
3. **⚠️ Risk Factors:**
- Age: Most common in those 45-64.
- Weight: Higher risk in overweight individuals.
- Occupation: Jobs that need prolonged standing.
- Limited mobility in toes.
4. **🩺 Diagnosis:**
- Heel pain assessment and sometimes advanced imaging (ultrasound/MRI).
5. **💪 Treatment Options:**
- Stretching exercises 👟
- Orthotics for strain reduction 🌙
- Night splints
- Injections for pain relief 💉
- Shock wave therapy 📡
- Surgery if pain persists 🛠️
6. **📉 Long-term Outlook:**
- Recovery possible, but 44% may still have pain after 15 years (usually less severe).

04/04/2025

03/04/2025

Common Causes of Back Pain (By regions)🌟

🟣Cervical Region

▪️ Lordosis
Abnormal inward curvature, straining muscles and joints.
▪️ Bone Spurs
Bony growths causing pain and stiffness.
▪️ Herniated Discs
Soft tissue bulging, pressing on surrounding nerves.
▪️ Spinal Stenosis
Narrowing of the spinal canal, compressing nerves.
▪️ Spondylolisthesis
Vertebra slipping, pressing on nerves and joints.
▪️ Poor Posture
Slouching, straining cervical muscles and joints.

🔵Thoracic Region Back Pain Causes:

▪️ Osteoporosis
Weakened bones, leading to fractures and injuries.
▪️ Spinal Stenosis
Narrowing of the spinal canal, compressing nerves.
▪️ Herniated Discs
Soft tissue bulging, pressing on surrounding nerves.
▪️ Kyphosis
Abnormal outward curvature, straining muscles and joints.
▪️ Scoliosis
Abnormal sideways curvature, straining muscles and joints.
▪️ Poor Posture
Slouching, straining thoracic muscles and joints.

🟢Lumbar Region Back Pain Causes:

▪️ Compression Fracture
Vertebra collapse, causing pain and stiffness.
▪️ Spinal Stenosis
Narrowing of the spinal canal, compressing nerves.
▪️ Herniated Discs
Soft tissue bulging, pressing on surrounding nerves.
▪️ Sciatica
Sciatic nerve irritation, causing leg pain and numbness.
▪️ Lordosis
Abnormal inward curvature, straining muscles and joints.
▪️ Poor Posture
Slouching, straining lumbar muscles and joints.

Dr. Vikas gautam PT