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

http://physiotherapy-in.blogspot.com/, http://www.adityaphysio.com/

Dr.Ashutosh Srivastav -PT, Teacher Colony, PIPIGANJ, Gorakhpur (2026)

28/04/2026

Shout out to my newest followers! Excited to have you onboard! Penny Hanson, Fernanda Silva Sosa, Martin Wong, Anjeleen Sharma, Perceval Del Valle, Rajkumar Boini, Fasil Kurikkal, Paola Lopez, Shukri Salat, Minh Thang Tran, Raul Alfredo Oyuela Martinez, Rebecca Woolever, Amelia Marie, Antony Xavier Gonzalez Ortega, Brijesh Nima, Matt Walk, Colleen Batchelor, Victor Lee, Hossen Ali, Zeshan Hameed, يوسف الزعبي, Nadia Gabriela, 葉允棋, Nueng Teerawat, Mudabbir Hussain Syed, Allyn Grace Salas Fernandez, Nirmalya Sinha, Dewan Sanower, Bartłomiej Krzemiński, Faaiza Nabee, Jayant Gadkari, Nazline Cosman, Anna Cristina Girio, Anaclet Didi Gbaguidi, Giuseppe Laganà, Andrzej Jasinski, Adham Tawfik, Ali ShaHari, Marlin Dee, Mona Mohamed Khater, Samson Anil, Saqib Lone, Jefferson Medroso Notario, Meena Singh, Das Chandra Shimul, Hamna Wajid, Solomon Tobi Moses, Oana Ostafi, Shivam Chauhan, Ahmed M. Helal

28/04/2026

LS Spine Xray AP view

28/04/2026

Lateral pelvic tilt

28/04/2026

📢👇WHY YOUR PELVIS MAY BE TILTING SIDEWAYS (AND THE MUSCLES RESPONSIBLE)

⚠️ Not all pelvic misalignments are the same.

Most people have heard about:
✔️ Anterior pelvic tilt – pelvis tipping forward
✔️ Posterior pelvic tilt – pelvis tipping backward

But there’s another common and often ignored issue:

➡️ Lateral Pelvic Tilt — when one side of your pelvis sits higher than the other.

🔍 COMMON SIGNS YOU SHOULD NOT IGNORE

🔸 Uneven hips – one side clearly higher
🔸 Shoulder imbalance – one shoulder appears lower
🔸 “Fake” leg length difference – feels uneven but isn’t structural
🔸 Altered leg alignment – inward rotation of knee and hip
🔸 Foot collapse – especially one-sided flat foot

👉 Important: In most cases, it’s NOT a true leg length issue—it’s a pelvic imbalance creating the illusion.

⚠️ WHAT CAUSES THIS PROBLEM?

🧠 1. Muscle Imbalance
The pelvis is controlled by a balance of key muscles:

• Quadratus Lumborum (QL)
• Gluteus Medius
• Adductors
• Tensor Fascia Latae (TFL)
• Obliques

👉 Tightness on one side + weakness on the other = pelvic shift

🪑 2. Daily Habits
Small habits create long-term dysfunction:

• Always standing on one leg
• Sitting unevenly (more weight on one side)
• Sleeping on the same side every night

👉 These patterns train your body into asymmetry.

🦶 3. Chain Reaction from the Foot
A collapsed arch (flat foot) can start a chain:

Foot pronation → Tibia rotates inward → Femur rotates → Hip drops → Pelvic tilt

🧠 4. Neurological Factors
Nerve supply (like the superior gluteal nerve) affects muscle control.
Any disruption can alter pelvic stability.

🛠️ HOW TO CORRECT LATERAL PELVIC TILT

✔️ Fix foot mechanics (support flat feet if present)
✔️ Release tight muscles (manual therapy, stretching)
✔️ Strengthen weak stabilizers (especially glute medius)
✔️ Correct posture habits (standing, sitting, sleeping)

👉 Real correction = addressing cause + retraining movement

🎯 FINAL TAKEAWAY

Your body works as a chain.
If one link shifts, everything above and below adapts.

Don’t just treat the symptom—identify the root cause.

---

28/04/2026

Heel Pain

26/04/2026

🔈 LOW BACK PAIN YOU’RE PROBABLY MISSING – SERRATUS POSTERIOR INFERIOR

Have you ever heard this from a patient?

👉 “Suddenly I felt a sharp spasm near my lower back… just beside the spine… near the bottom ribs. And deep breathing makes it worse.”

This isn’t always a typical lumbar strain.

In many cases, the Serratus Posterior Inferior (SPI) muscle is the hidden culprit.

💡 Why this muscle matters

The Serratus Posterior Inferior sits deep in the lower thoracic–upper lumbar region, connecting the lower ribs to the spine (T11–L2).

Despite being overlooked, it plays a key role in:

✔️ Forced expiration (active breathing out)
✔️ Trunk extension (upright posture)
✔️ Rotational control of the torso

⚠️ When does it get irritated?

This muscle is commonly strained during:

✔️ Twisting while lifting
✔️ Sudden overreaching (side or overhead)
✔️ Improper lifting mechanics (using back instead of legs)
✔️ Poor sleeping surfaces (too soft/sagging mattress)

🎯 Trigger Point Pattern

SPI trigger points don’t behave like typical back pain.

They may cause: ➡️ Deep, nagging ache in lower back
➡️ Pain spreading across ribs
➡️ Discomfort wrapping toward the chest

If pain persists even after treating common muscles — don’t forget to reassess SPI.

🧘 Simple Self-Release Stretch

Cross your forearms at chest level

Slowly raise arms upward while inhaling

Lower arms gently while exhaling

Repeat 1–2 reps per set, multiple times daily

Focus on controlled breathing — this muscle is closely linked with respiration.

⚡ Clinical Insight

Not all lower back pain originates from lumbar discs or erector spinae.

Sometimes, the answer lies just under the ribs.

📌 Save this for your clinical practice
📌 Share with someone dealing with unexplained back pain

26/04/2026

🧠 YOUR NECK MAY BE CAUSING YOUR HEADACHE — NOT YOUR BRAIN

Do you experience headaches that begin at the base of your skull and gradually move upward or toward your eyes?

Many people think headaches originate inside the brain… but a large number actually begin in the upper cervical spine (C1–C3 region).

The top part of your neck is rich in nerves that directly communicate with areas of the head. When these joints or surrounding muscles become tight, inflamed, or restricted—often due to poor posture, prolonged screen use, or stress—it can trigger what is known as cervicogenic headache.

🔍 What you might notice: • Pain starting from the back of the head
• Tightness or stiffness in the neck
• Pressure behind the eyes or forehead
• Headache that worsens with neck movement
• Relief after neck stretching or manual therapy

This pain is not coming from inside your brain—it’s referred pain from your neck structures.

⚠️ Why it happens: • Forward head posture
• Long sitting hours (mobile/laptop use)
• Muscle imbalance & tension (especially suboccipital muscles)
• Joint stiffness in upper cervical spine

✅ What helps: • Improving posture habits
• Gentle neck mobility exercises
• Strengthening deep neck flexors
• Manual therapy & physiotherapy
• Reducing screen strain

📌 Addressing the root cause—your neck—can significantly reduce the frequency and intensity of these headaches over time.

24/04/2026

🔥 HEEL PAIN ALERT: IS IT A HEEL SPUR?
📌 What is it?
A heel spur is a bony growth caused by calcium deposits on the underside of the heel bone. It develops gradually and is often confirmed via X-ray.
📌 What’s happening inside?
Repeated stress on the foot—especially the plantar fascia—leads to micro-tears and inflammation. Over time, calcium builds up, forming a spur.
⚠️ COMMON SYMPTOMS
🔸 Sharp stabbing pain in the heel (especially first step in morning)
🔸 Persistent dull ache during the day
🔸 Swelling and inflammation at heel base
🔸 Warmth or burning sensation
🔸 Tenderness while walking barefoot
🔸 Sometimes a small bony bump under the heel
🚨 WHY IT HAPPENS
🔹 Poor walking mechanics (gait issues)
🔹 Running on hard surfaces
🔹 Improper or worn-out footwear
🔹 Excess body weight
🔹 Chronic strain on heel tissues
🔹 Linked conditions like plantar fasciitis, ankylosing spondylitis, etc.
💡 EFFECTIVE MANAGEMENT
✅ Rest and activity modification
✅ Ice therapy to reduce inflammation
✅ Custom orthotics for pressure relief
✅ Anti-inflammatory medications
✅ Night splints for fascia stretching
✅ Corticosteroid injections (if needed)
✅ Surgery (rare, last option)

23/04/2026

✅MYOFASCIAL RELEASE vs 💀CRANIOSACRAL THERAPY – WHAT’S THE REAL DIFFERENCE? 🤔

What is Craniosacral Therapy?
Craniosacral Therapy (CST) is a gentle, hands-on approach used by osteopaths, chiropractors, and manual therapists. It focuses on subtle movements of the skull, spine, and sacrum to improve the functioning of the central nervous system.

This technique works by assessing the flow of cerebrospinal fluid (CSF), which may become restricted due to trauma, stress, or injury. By applying light touch to cranial sutures, spine, fascia, and diaphragms, therapists aim to release restrictions, improve neural function, and restore balance in the body.

It is often used for:
✔️ Chronic stress & anxiety
✔️ Migraine & headaches
✔️ Neck & back pain
✔️ TMJ dysfunction
✔️ Fibromyalgia & nervous system disorders

What is Myofascial Release?
Myofascial Release (MFR) is a soft tissue technique that targets the fascia — a connective tissue network surrounding muscles, nerves, and joints.

This therapy involves slow, sustained pressure and gentle stretching to release tightness, adhesions, and scar tissue within the fascia. When fascia becomes restricted, it can lead to pain, stiffness, and limited mobility.

MFR helps to:
✔️ Reduce muscle tightness
✔️ Improve mobility & flexibility
✔️ Break down adhesions
✔️ Relieve chronic pain patterns
✔️ Restore normal tissue function

Key Difference 👉
🔹 Craniosacral Therapy → Focus on nervous system & CSF flow
🔹 Myofascial Release → Focus on fascia & soft tissue restrictions

Both are effective—but the choice depends on whether the issue is more neurological or musculoskeletal.

23/04/2026

Xray of Elbow joint

23/04/2026

🔴 SHOULDER FLATTENING? CHECK YOUR AXILLARY NERVE

Ever noticed a shoulder losing its natural rounded shape after an injury? This isn’t just muscle weakness—it could point toward axillary nerve damage, a clinically significant condition often missed in early stages.

The axillary nerve (C5–C6) plays a crucial role in shoulder stability and movement. It innervates the deltoid (primary abductor of the shoulder) and teres minor (external rotator). When compromised, both muscles begin to atrophy—leading to visible and functional deficits.

📍 Common Causes: • Fracture at the surgical neck of the humerus
• Anterior shoulder (glenohumeral) dislocation
• Prolonged or incorrect crutch use causing compression

📉 What Happens Next? As the deltoid muscle wastes away, the shoulder loses its normal contour—appearing flat instead of rounded. A noticeable hollow may form just below the acromion. Functionally, patients struggle with shoulder abduction beyond the initial 15 degrees.

⚡ Sensory Clue: Loss or reduced sensation over the lateral upper arm—often described as a “badge area”—is a hallmark sign. This region is supplied by the superior lateral cutaneous branch of the axillary nerve.

🧠 Clinical Insight: Early identification is critical. Delayed diagnosis can lead to persistent weakness, instability, and long-term dysfunction. Rehabilitation focusing on neuromuscular activation and compensatory strengthening is essential for recovery.

💡 If you or your patient shows these signs post-injury—don’t ignore it. Proper assessment can prevent chronic disability.

23/04/2026

WHY YOUR LEGS LOCK UP AT NIGHT ⚡️

Do you suddenly wake up from sleep with a tight, painful calf that forces you to sit up or stretch?

Many assume it’s just dehydration or lack of minerals—but that’s not always the full picture.

In many cases, the issue is linked to increased neuromuscular excitability.

When your body is at rest, especially during deep sleep, certain muscles—like those in the calf—can become overly sensitive to nerve signals. This heightened excitability can trigger sudden, involuntary contractions.

As a result, you may experience:

• Intense cramping in the calf at night
• Sudden muscle tightening or “locking”
• Immediate but short-term relief after stretching

This explains why:

• Cramps mostly occur during sleep
• Stretching or standing helps quickly
• Episodes may repeat over time

It’s not just about hydration—it’s about how your nerves and muscles are communicating.

Addressing the root causes like muscle imbalance, proper hydration, electrolyte support, and reducing neural stress can significantly reduce these nighttime cramps.

Dr.Ashutosh Srivastav -PT

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