Gorakhpur Physiotherapy

Gorakhpur Physiotherapy we are a health care profession that remediates impairments and promotes mobility, function, and quality of life.

23/01/2022
18/01/2022
05/05/2021

The entire country is battling with the second wave of coronavirus pandemic. Around 4 lakh cases are being reported every day in the country...

19/02/2021
17/09/2020

💡PERIPHERAL NERVOUS SYSTEM

The peripheral nervous system (PNS) consists of nerve fibers and cell bodies outside the CNS that conduct impulses to or away from the CNS. The PNS is organized into nerves that connect the CNS with peripheral structures.

A nerve fiber consists of an axon, its neurolemma (G. neuron, nerve + G. lemma, husk), and surrounding endoneurial connective tissue. The neurolemma consists of the cell membranes of Schwann cells that immediately surround the axon, separating it from other axons.

In the PNS, the neurolemma may take two forms, creating two classes of nerve fibers:

1. The neurolemma of myelinated nerve fibers consists of Schwann cells specific to an individual axon, organized into a continuous series of enwrapping cells that form myelin.

2. The neurolemma of unmyelinated nerve fibers is composed of Schwann cells that do not make up such an apparent series; multiple axons are separately embedded within the cytoplasm of each cell. These Schwann cells do not produce myelin. Most fibers in cutaneous nerves (nerves supplying sensation to the skin) are unmyelinated.

A nerve consists of the following components:
• A bundle of nerve fibers outside the CNS (or a “bundle of bundled fibers,” or fascicles, in the case of a larger nerve).
• The connective tissue coverings that surround and bind the nerve fibers and fascicles together.
• The blood vessels (vasa nervorum) that nourish the nerve fibers and their coverings.

Nerves are fairly strong and resilient because the nerve fibers are supported and protected by three connective tissue coverings:

1. Endoneurium, delicate connective tissue immediately surrounding the neurilemma cells and axons.

2. Perineurium, a layer of dense connective tissue that encloses a fascicle of nerve fibers, providing an effective barrier against pe*******on of the nerve fibers by foreign substances.

3. Epineurium, a thick connective tissue sheath that surrounds and encloses a bundle of fascicles, forming the outermost covering of the nerve; it includes fatty tissue, blood vessels, and lymphatics.

Nerves are organized much like a telephone cable: The axons are like individual wires insulated by the neurolemma and endoneurium; the insulated wires are bundled by the perineurium, and the bundles are surrounded by the epineurium forming the cable’s outer wrapping. It is important to distinguish between nerve fibers and nerves, which are sometimes depicted diagrammatically as being one and the same.
A collection of neuron cell bodies outside the CNS constitutes a ganglion. There are both motor (autonomic) and sensory ganglia.

08/08/2020

TIBIALIS ANTERIOR TENDONITIS

The tibialis anterior is a muscle which lies at the front of the shin and attaches to several bones in the foot via the tibialis anterior tendon. The tibialis anterior is primarily responsible for moving the foot and ankle towards the head (dorsiflexion – figure 1), and, controlling the foot as it lowers to the ground during walking or running.

Whenever the tibialis anterior muscle contracts or is stretched, tension is placed through the tibialis anterior tendon. If this tension is excessive due to too much repetition or high force, damage to the tendon can occur. Tibialis anterior tendonitis is a condition whereby there is damage to the tibialis anterior tendon with subsequent inflammation and degeneration.

👉SIGNS AND SYMPTOMS OF TIBIALIS ANTERIOR TENDONITIS

Patients with tibialis anterior tendonitis usually experience pain at the front of the shin, ankle or foot during activities which place large amounts of stress on the tibialis anterior tendon (or after these activities with rest, especially upon waking in the morning). These activities may include walking or running excessively (especially up or down hills or on hard or uneven surfaces), kicking an object with toes pointed (e.g. a football), wearing excessively tight shoes or kneeling. The pain associated with this condition tends to be of gradual onset which progressively worsens over weeks or months with continuation of aggravating activities. Patients with this condition may also experience pain on firmly touching the tibialis anterior tendon.

👉 CAUSES OF TIBIALIS ANTERIOR TENDONITIS

Tibialis anterior tendonitis typically occurs due to activities placing large amounts of stress through the tibialis anterior muscle. These activities may include fast walking or running (especially up or downhill or on hard or uneven surfaces) or sporting activity (such as running or kicking sports). Patients may also develop this condition following direct rubbing on the tibialis anterior tendon. This may occur due to excessive tightness of strapping or shoelaces over the tendon.

👉TREATMENT OPTIONS

Treatment for patients with tibialis anterior tendonitis is vital to hasten the healing process, ensure an optimal outcome and reduce the likelihood of injury recurrence. Treatment may comprise:

- Physiotherapy
- electrotherapy (e.g. ultrasound)
- anti-inflammatory advice
- stretches
- joint mobilization
- dry needling
- ankle taping
- bracing
- the use of crutches
- ice or heat treatment
- exercises to improve strength, flexibility and balance
- education
- activity modification advice
- biomechanical correction
- footwear advice
- a gradual return to activity program

Address

Betiyahata
Gorakhpur
273100

Opening Hours

Monday 10am - 8pm
Tuesday 10am - 8pm
Wednesday 10am - 8pm
Thursday 10am - 8pm
Friday 10am - 8pm
Saturday 10am - 8pm

Telephone

9919354123

Website

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