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Jyothirgamaya health Jyothirgamaya Health care _ associated with childrens clinic,
Muttom, Haripad

Jyothirgamaya Health care centerAmbernath|Mumbai|Haripad|Alleppey|Keleshwaram|Trivandrum|
13/02/2023

Jyothirgamaya Health care center

Ambernath|Mumbai|
Haripad|Alleppey|
Keleshwaram|Trivandrum|

Ultrasound Therapy more efficient in Physiotherapy treatmentJHCG
13/02/2023

Ultrasound Therapy more efficient in Physiotherapy treatment
JHCG

Advance Physiotherapy & Ayurveda
15/03/2022

Advance Physiotherapy & Ayurveda

Advance Physiotherapy & Ayurveda
06/03/2022

Advance Physiotherapy & Ayurveda

21/01/2022

Jyothirgamaya Health care_Trivandrum
(Advance Physiotherapy & Ayurveda)

Advanced Pain Management Treatment service
15/12/2021

Advanced Pain Management Treatment service

Jyothirgamaya Health Care
13/10/2020

Jyothirgamaya Health Care

...we care for your PAiNProper care treatment © paiN Management ..forAnkle JointCervical vertebraeShoulder JointLumbar s...
11/07/2020

...we care for your PAiN

Proper care treatment © paiN Management ..for
Ankle Joint
Cervical vertebrae
Shoulder Joint
Lumbar spine pain management
&
Foot motor management.

__-Jyothirgamaya Health Care.

10/07/2020

Knee Osteoarthritis

🗣️Introduction

✴️Knee osteoarthritis (OA), also known as degenerative joint disease, is typically the result of wear and tear and progressive loss of articular cartilage. It is most common in elderly people and can be divided into two types, primary and secondary:

🛐Types:

1️⃣Primary osteoarthritis:

It is articular degeneration without any apparent underlying cause.

2️⃣Secondary osteoarthritis:

It is the consequence of either an abnormal concentration of force across the joint as with post-traumatic causes or abnormal articular cartilage, such as rheumatoid arthritis (RA).

♿Common clinical symptoms:

➡️Knee pain that is gradual in onset and worse with activity.
➡️Knee stiffness and swelling.
➡️Pain after prolonged sitting or resting.

⚛️Relevant Anatomy

The knee is a synovial joint, which consists of two articulations.

1️⃣Tibiofemoral joint:

It is located between the convex femoral condyles and the concave tibial condyles (the primary joint).

2️⃣Patellofemoral joint:

It is between the Femur and the Patella
OA can occur in either or both of these articulations of the knee, it is usual that the patellofemoral joint is affected first.

🏋️Etiology:

1️⃣Primary knee OA is the result of articular cartilage degeneration without any known reason. This is typically thought of as degeneration due to age as well as wear and tear.

2️⃣Secondary knee OA is the result of articular cartilage degeneration due to a known reason. Possible Causes of Secondary Knee OA:

➡️Obesity
➡️Joint hypermobility or instability
➡️Malpositioning of the joint e.g. valgus/varus posture
➡️Previous injury to the joint e.g. fracture along articular surface (tibial plateau fracture)
➡️Congenital defects
➡️Immobilisation and loss of mobility
➡️Family history
➡️Metabolic causes e.g. rickets



Osteoarthritis Knee🛐Examination:♿Subjective Assessment:Take a proper history of pain including when the pain started if ...
10/07/2020

Osteoarthritis Knee

🛐Examination:

♿Subjective Assessment:

Take a proper history of pain including when the pain started if it was gradual or sudden, if there was any previous injury to the same knee.

The common subjective symptoms of knee OA are:

1️⃣Early morning stiffness
2️⃣Dull achy pain
3️⃣Pain after sitting
4️⃣Pain after increased activity
5️⃣Reduced mobility
6️⃣Difficulty weight bearing on the affected leg
7️⃣Decrease in the abilities of daily functioning
8️⃣Sleep may be affected (screen red flags appropriately).

🗣️Objective Assessment

After a thorough subjective assessment it may be clear the diagnosis of the patient already, however, it is always necessary to perform an objective assessment to rule out differential diagnoses and provide objective outcome measures such as range of movement (ROM).

🛐Observation of the knee:

It may be enlarged, swollen or red if the OA is very reactive or irritated.
Observation in general: movement patterns at rest and when performing simulations of daily activities such as getting up from and down on a chair.

🛐Gait assessment:

Use of walking aids may be required due to pain, is there any stiffness during gait, is there significant reduced weight bearing of the affected knee.

🛐Palpation:

Swelling, temperature changes, joint line tenderness may all be present in an acutely aggravated OA knee.

🛐ROM:

Flexion and extension may be limited due to stiffness or formation of osteophytes in the joint.

🛐Strength:

Reduced strength is normal in an OA knee due to pain and deconditioning.

🛐Normal functional activities:

Such as climbing stairs may be affected
Balance: may be affected due to pain, this needs to be assessed to rule out falls risk.

S. & S. for shoulder pain / Frozen Shoulder
10/07/2020

S. & S. for shoulder pain / Frozen Shoulder

Frozen ShoulderRehabilitation:Stretching:For the purposes of this guide, stretching will really equate to static stretch...
10/07/2020

Frozen Shoulder

Rehabilitation:

Stretching:

For the purposes of this guide, stretching will really equate to static stretching. This means taking the joint to a certain point in the range of motion and holding that position for a specified amount of time. It does not mean bouncing up and down, rocking back and forth or holding the stretch for any less than 5-10 seconds.

Passive stretching is very effective in improving range of motion when done properly. Did you get that? It must be done the right way time and time again. Being too aggressive or failing to hold a steady stretch will not yield favorable results and often causes more pain.

Below I will outline the key aspects of effective static stretching.

1. Gradually ease into the stretch (never move rapidly).

2. Go to a point of mild to moderate stretch or slight discomfort (no > 2-3/10 pain).

3. Hold the stretch between 5 and 30 seconds.

4. During the stretch, attempt to stretch further if tolerated .

5. Maintain proper alignment at all times 6. Slowly return to start position after completion and repeat.

Research has been clear that holding a stretch for 20-30 seconds seems to be most effective. Any more is not necessarily better, but any less is not as productive. However, some stretching is better than none. So, if you can only hold the stretch for 5-10 seconds to start, that is okay. Gradually work to increase your time or simply do more repetitions of the same stretch.

Following are some Stretching Exercise For frozen shoulder.

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Saturday 09:00 - 18:00
Sunday 09:00 - 12:00

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