Dr.Ashutosh Srivastav -PT

Dr.Ashutosh Srivastav -PT Physiotherapists

01/03/2026

Traumatic brain injury patient rehabilitation program

Age - 70 LBP
01/03/2026

Age - 70
LBP

Cervical Spine Special Tests (Clinical Examination Guide)Cervical spine special tests are used to identify radiculopathy...
01/03/2026

Cervical Spine Special Tests (Clinical Examination Guide)

Cervical spine special tests are used to identify radiculopathy, disc herniation, nerve root compression, instability, vascular compromise, and muscular tightness.

Here is a structured clinical list useful for practice and teaching:

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🔎 1️⃣ Tests for Cervical Radiculopathy (Nerve Root Compression)

1. Spurling’s Test

Purpose: Detect cervical nerve root compression
Procedure:
• Neck extension + lateral flexion
• Apply axial compression

Positive Sign:
⚡ Radiating pain into arm (dermatomal pattern)

2. Cervical Distraction Test

Purpose: Confirm radiculopathy
Procedure:
• Gentle upward traction on head

Positive Sign:
✔ Relief of arm symptoms (nerve decompression)

3. Upper Limb Tension Test (ULTT)

Purpose: Neural tension (brachial plexus)
Similar to SLR in lumbar spine

Positive Sign:
⚡ Reproduction of arm pain or paresthesia

4. Shoulder Abduction Relief Test (Bakody’s Sign)

Purpose: C5–C6 nerve root compression

Procedure:
• Patient places hand on head

Positive Sign:
✔ Relief of radicular symptoms

🧠 2️⃣ Tests for Cervical Myelopathy (Spinal Cord Compression)

5. Hoffmann’s Sign

Procedure: Flick distal phalanx of middle finger

Positive Sign:
⚡ Thumb/index finger flexion

Indicates upper motor neuron lesion

6. Babinski Sign

Procedure: Stroke sole of foot

Positive Sign:
⚡ Upgoing plantar response

7. Clonus Test

Rapid ankle dorsiflexion

Positive Sign:
⚡ Repetitive beats (>3 beats abnormal)

💪 3️⃣ Tests for Thoracic Outlet Syndrome (TOS)

8. Adson’s Test

Procedure:
• Extend & externally rotate arm
• Patient turns head toward tested side
• Check radial pulse

Positive Sign:
❌ Decreased pulse or symptoms reproduction

9. Roos Test (EAST Test)

Hands in 90° abduction & external rotation
Open/close fists for 3 minutes

Positive Sign:
⚡ Pain, heaviness, numbness

🔄 4️⃣ Instability & Ligament Tests

10. Sharp-Purser Test

Purpose: Atlantoaxial instability

Positive Sign:
✔ Reduction of symptoms OR excessive movement

⚠ Important in Rheumatoid Arthritis patients

11. Alar Ligament Test

Checks integrity of alar ligament

Positive Sign:
Excessive rotation

🧍 5️⃣ Muscle Tightness Tests

12. Upper Trapezius Tightness Test

13. Levator Scapulae Test

14. Scalene Tightness Test

🩺 Clinical Tip (Important)

For diagnosing Cervical Radiculopathy, a cluster of:
✔ Spurling’s Test
✔ Distraction Test
✔ ULTT
✔ Cervical rotation < 60°

Increases diagnostic accuracy.

















🏃 Runner’s Syndrome (Runner’s Knee) Runner’s Syndrome commonly refers to anterior knee pain caused by irritation of stru...
28/02/2026

🏃 Runner’s Syndrome (Runner’s Knee)

Runner’s Syndrome commonly refers to anterior knee pain caused by irritation of structures around the kneecap.
The most common diagnosis behind it is:

👉 Patellofemoral pain syndrome (PFPS)

🔬 What Happens Biomechanically?

The patella (kneecap) glides in the femoral groove during knee flexion & extension.

If there is:

Muscle imbalance

Poor hip control

Tight lateral structures

Overuse from running

➡️ The patella tracks improperly
➡️ Increased pressure on patellofemoral joint
➡️ Pain during activity

🧠 Why It Happens in Runners?

Common contributing factors:

✔️ Overtraining / sudden mileage increase
✔️ Weak quadriceps (especially VMO)
✔️ Weak gluteus medius
✔️ Tight IT band
✔️ Flat feet or overpronation
✔️ Poor running biomechanics

📍 Symptoms

Dull, aching pain in front of knee

Pain while:

Running downhill

Climbing stairs

Squatting

Prolonged sitting (“Movie sign”)

Mild swelling (sometimes)

🩺 Clinical Findings

Pain on patellar compression

Lateral patellar tracking

Weak hip abductors

Tight hamstrings / calf

🏥 Rehabilitation Protocol

🔹 Phase 1: Pain Reduction

Relative rest

Ice therapy

Taping (McConnell taping)

Activity modification

🔹 Phase 2: Muscle Activation

VMO strengthening

Straight leg raises

Clamshells

Glute bridges

🔹 Phase 3: Strength & Control

Closed-chain exercises

Step-down control drills

Wall squats (pain-free range)

Hip abductor strengthening

🔹 Phase 4: Return to Running

Gradual loading

Cadence correction

Surface modification

Footwear assessment

⚠️ If Ignored, Can Lead To:

Chronic anterior knee pain

Cartilage irritation

Early degenerative changes

🎯 Prevention Tips for Runners

✔️ Increase mileage gradually (10% rule)
✔️ Strengthen hips regularly
✔️ Warm-up properly
✔️ Avoid sudden surface changes
✔️ Replace worn-out shoes



















Good Morning 🌞🌞🌞😊
28/02/2026

Good Morning 🌞🌞🌞😊

🖐️ Hand Deformities in Rheumatoid Arthritis (RA)In Rheumatoid Arthritis (RA), chronic synovial inflammation gradually da...
28/02/2026

🖐️ Hand Deformities in Rheumatoid Arthritis (RA)

In Rheumatoid Arthritis (RA), chronic synovial inflammation gradually damages ligaments, tendons, and joints — leading to characteristic hand deformities.

Let’s understand the most important ones 👇

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1️⃣ Ulnar Deviation (Ulnar Drift)

✔️ Most common deformity
✔️ Fingers deviate toward ulnar side at MCP joints

🔎 Causes:

• MCP joint synovitis
• Weak radial collateral ligaments
• Extensor tendon displacement

👉 Classic sign of advanced RA.

---

2️⃣ Swan Neck Deformity

✔️ PIP hyperextension
✔️ DIP flexion

🔎 Causes:

• Volar plate laxity
• Intrinsic muscle tightness
• Chronic inflammation

🦢 Appearance resembles a swan’s neck curve.

---

3️⃣ Boutonnière Deformity

✔️ PIP flexion
✔️ DIP hyperextension

🔎 Cause:

• Central slip rupture of extensor tendon
• Volar displacement of lateral bands

👉 Opposite of swan neck deformity.

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4️⃣ Z-Thumb Deformity

✔️ MCP flexion
✔️ IP hyperextension

Thumb forms a characteristic “Z” shape.

---

5️⃣ Radial Deviation of Wrist

✔️ Wrist deviates toward radial side
✔️ Often associated with ulnar drift of fingers

---

6️⃣ Mallet Finger (Late RA)

✔️ DIP flexion deformity
✔️ Due to extensor tendon rupture

---

🔬 Why Do These Deformities Occur?

In RA:

• Chronic synovitis
• Pannus formation
• Cartilage destruction
• Ligament laxity
• Tendon rupture

All together → Progressive joint deformity.

---

🩺 Clinical Importance

⚠️ Reduced grip strength
⚠️ Difficulty in fine motor activities
⚠️ Functional disability
⚠️ Cosmetic concerns

---

🏥 Management

Early Stage:

✔️ DMARDs (e.g., Methotrexate)
✔️ Physiotherapy
✔️ Splinting

Late Stage:

✔️ Tendon repair
✔️ Joint fusion
✔️ Joint replacement surgery

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📍 Early diagnosis and treatment can prevent permanent deformities.

If you found this helpful, share to spread awareness 💙

—
Dr. Ashutosh Srivastav
Aditya Physiotherapy Clinic

Age = 45, MaleC/C= Neck Pain 14 Days Daignosis ???
27/02/2026

Age = 45, Male
C/C= Neck Pain 14 Days

Daignosis ???

27/02/2026

Hyperuricemia is a condition characterized by high levels of uric acid in the blood, often exceeding 6-7 mg/dL, caused by overproduction or reduced excretion of

🎉 20,000 Followers – Thank You for Your Trust & Support! 🎉Today, we proudly celebrate 20,000 amazing followers on our Fa...
27/02/2026

🎉 20,000 Followers – Thank You for Your Trust & Support! 🎉

Today, we proudly celebrate 20,000 amazing followers on our page! 🙏

This milestone is not just a number — it represents your trust, support, and belief in quality physiotherapy care and health education.

Every like, share, comment, and message motivates us to continue spreading awareness about:

✔ Pain management
✔ Rehabilitation
✔ Posture correction
✔ Sports injury care
✔ Preventive physiotherapy

Your support encourages us to keep delivering reliable, evidence-based health information and the best possible patient care.

Thank you for being part of this growing healthcare community. 💙
We promise to continue serving you with dedication and professionalism.

📍 Aditya Physiotherapy Clinic
Dr. Ashutosh Srivastav
Pipiganj, Gorakhpur

Let’s grow stronger together! 💪

Thoracic Outlet Syndrome (TOS)Thoracic Outlet Syndrome (TOS) is a condition caused by compression of nerves or blood ves...
27/02/2026

Thoracic Outlet Syndrome (TOS)

Thoracic Outlet Syndrome (TOS) is a condition caused by compression of nerves or blood vessels in the space between the collarbone and the first rib (the thoracic outlet).

It commonly affects people with poor posture, repetitive overhead activities, or previous neck/shoulder injuries.

🔎 Types of Thoracic Outlet Syndrome

1️⃣ Neurogenic TOS (Most Common – 70–90%)
Compression of the brachial plexus (nerve bundle).
Symptoms:
• Arm and shoulder pain
• Numbness or tingling (especially little finger side)
• Weak grip strength
• Hand muscle wasting (in chronic cases)

2️⃣ Venous TOS
Compression of the subclavian vein.
Symptoms:
• Arm swelling
• Bluish discoloration
• Heaviness
• Prominent veins

3️⃣ Arterial TOS (Rare but Serious)
Compression of the subclavian artery.
Symptoms:
• Cold, pale hand
• Weak pulse
• Severe pain
• Delayed wound healing in fingers

📌 Common Causes

✔ Poor posture (rounded shoulders, forward head)
✔ Cervical rib
✔ Repetitive overhead activities (athletes, painters, gym users)
✔ Trauma or accident
✔ Tight neck and chest muscles

🩺 Diagnosis

• Clinical examination
• X-ray (to rule out cervical rib)
• Doppler study
• MRI (if needed)

💪 Physiotherapy Management (First Line Treatment)

Early physiotherapy can significantly improve symptoms.

✅ Postural correction
✅ Scalene & pectoralis minor stretching
✅ Shoulder stabilization exercises
✅ Nerve gliding techniques
✅ Breathing retraining
✅ Ergonomic advice

---

🚨 Seek Immediate Care If You Notice:

⚠ Severe swelling
⚠ Cold or pale hand
⚠ Sudden weakness
⚠ Persistent discoloration

---

📍 Early diagnosis and proper physiotherapy can prevent complications.

26/02/2026

Lateral Epicondylitis/ Tennis Elbow

🔥 PancreatitisPancreatitis is inflammation of the pancreas. It can be acute (sudden, severe) or chronic (long-standing w...
26/02/2026

🔥 Pancreatitis

Pancreatitis is inflammation of the pancreas. It can be acute (sudden, severe) or chronic (long-standing with permanent damage).

🧠 Types

1️⃣ Acute pancreatitis

Sudden onset

Severe upper abdominal pain

Potentially life-threatening

2️⃣ Chronic pancreatitis

Recurrent episodes

Progressive fibrosis

Leads to diabetes & malabsorption

⚠️ Common Causes (Remember: “I GET SMASHED”)

I – Idiopathic

G – Gallstones (most common)

E – Ethanol (Alcohol)

T – Trauma

S – Steroids

M – Mumps

A – Autoimmune

S – Scorpion sting

H – Hypertriglyceridemia

E – ERCP

D – Drugs

🚨 Clinical Features

🔹 Severe Epigastric Pain

Radiates to back

Relieved by leaning forward

🔹 Other Symptoms

Nausea & vomiting

Fever

Abdominal tenderness

Distension

🔹 Severe Signs

Hypotension

Tachycardia

Shock

🧪 Diagnosis

↑ Serum Amylase

↑ Serum Lipase (more specific)

USG abdomen

CT scan abdomen

⚡ Complications

Pancreatic necrosis

Pseudocyst

ARDS

Renal failure

Sepsis

💊 Management

🔹 Acute Pancreatitis

NPO (nil per oral)

IV fluids (aggressive hydration)

Pain control

Treat underlying cause (e.g., gallstones)

🔹 Chronic Pancreatitis

Alcohol cessation

Pancreatic enzyme supplements

Insulin (if diabetes develops)

Surgery (selected cases)







Address

Nepal Road
Gorakhpur

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm
Saturday 9am - 5pm
Sunday 9am - 5pm

Website

http://www.adityaphysio.com/

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