Physiotherapist Dr Jayanta Nath

21/06/2025

Mainly 7type of headache.
1. Tension Headaches:
Description: The most prevalent type, characterized by a band-like pressure or tightness around the head.
Symptoms: Dull, aching pain, often described as a "tight band" around the head, neck, and shoulders.
Causes: Stress, muscle tension, poor posture, and sleep disturbances.
2. Migraine Headaches:
Description:
Intense, throbbing pain, usually on one side of the head, often accompanied by nausea and sensitivity to light and sound.
Symptoms:
Throbbing pain, nausea, vomiting, light and sound sensitivity, and sometimes visual disturbances (aura).
Causes:
Genetic factors, hormonal changes, certain foods, stress, and sleep disturbances.
3. Cluster Headaches:
Description: Extremely intense, stabbing pain behind one eye, often accompanied by a red, watery eye and a runny nose.
Symptoms: Severe, sharp pain behind one eye, redness and watering of the eye, nasal congestion, and drooping eyelid.
Causes: Unknown, but may be related to the hypothalamus.
4. Sinus Headaches:
Description: Pain in the face and forehead, often associated with nasal congestion and facial pressure.
Symptoms: Dull, persistent ache in the cheekbones, forehead, or bridge of the nose, accompanied by nasal discharge, fever, and facial swelling.
Causes: Sinus infection or inflammation, allergies, and dry weather.
5. Exercise Headaches:
Description:
Occur during or after strenuous exercise, often with a sharp, throbbing pain.
Symptoms:
Pain that intensifies during exercise, often accompanied by nausea and vomiting.
Causes:
Increased blood flow to the head and neck during exercise, and dehydration.
6. Hormone Headaches:
Description: Linked to hormonal changes, often occurring during menstruation, pregnancy, or menopause.
Symptoms: Similar to migraine headaches, including throbbing pain and nausea.
Causes: Fluctuations in estrogen and progesterone levels.
7. Caffeine Withdrawal Headaches:
Description: Occur when a person reduces their caffeine intake or stops consuming it.
Symptoms: Dull, aching pain, often in the forehead and temples.
Causes: The body's dependence on caffeine, and the withdrawal of its effects.
I am Dr JAYANTA NATH(Pt)..My goal is return smart life.

21/06/2025

Did you know that in our legs we have a “second heart”?
No, it's not a legend: it's the nickname given to calf muscles, and the reason is really fascinating!
When we walk, climb the stairs or simply stand up, these muscles contract and act like a real natural pump, pushing blood upwards against the force of gravity, in the direction of the heart.

This mechanism is essential for:
✔️ Promote venous circulation
✔️ Prevent blood clots in the legs
✔️ Reduce swelling, feeling of heaviness and varicose veins
✔️ Reduce the risk of deep venous thrombosis

All of this thanks to the synergistic work of muscles and venous valves, which prevent the blood from going back.

Here’s why sitting or standing for too long can be harmful, while regular movement — even with a simple walk — helps the circulatory system function better.

In practice: every step you take is a gift to your heart.
Walking, moving, stretching... These are simple gestures, but fundamental to health.

Don’t forget: taking care of your legs means taking care of your heart.

21/06/2025

আন্তর্জাতিক যোগ দিবস উপলক্ষে RegAine এর পক্ষ থেকে সকল কে জানাই প্রীতি শুভেচ্ছা ও আন্তরিক অভিনন্দন।

20/06/2025

19/06/2025

What is Overpronation ?
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▪️ Overpronation occurs when the foot rolls too far inward during walking or running.
▪️ This often happens in people with flat feet or collapsed arches, and it can affect the alignment of the entire body.
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▪️ What Happens When You Overpronate ?
- The arch of the foot flattens excessively.
- The ankle rolls inward.
- The knee and hip also rotate inward.
- This creates stress on joints and muscles, leading to pain or injury over time.
# Common Issues Linked to Overpronation :
- Plantar fasciitis
- Shin splints
- Knee pain
- Hip and lower back discomfort
▪️ What Can You Do ?
- Strengthen foot and hip stabilizers.
- Use supportive shoes or custom orthotics.
- Focus on mobility and posture correction.
👨‍💼 About Me :
- I’m Dr JAYANTA NATH.Consultant Physiotherapist & Osteopathy.special trainedChiropract .Dryneedling.Cupping.Tapping and many more.24 year experience.
- My goal is to help you return smart life not just harder! 🚀💪
📩 Want a personalized treatment plan? Message me today ..9733070839.
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17/06/2025

𝘾𝙚𝙧𝙚𝙗𝙧𝙤𝙫𝙖𝙨𝙘𝙪𝙡𝙖𝙧 𝘼𝙘𝙘𝙞𝙙𝙚𝙣𝙩 (CVA)

A Cerebrovascular Accident (CVA) or stroke is a sudden loss of brain function due to a disturbance in the blood supply to the brain. This can be caused by ischemia (lack of blood flow) due to a blockage or by hemorrhage (bleeding). The resulting lack of oxygen and nutrients can lead to the death of brain cells.

𝙏𝙮𝙥𝙚𝙨 𝙤𝙛 𝙎𝙩𝙧𝙤𝙠𝙚

1. Ischemic Stroke (≈ 85% of cases)

Caused by an obstruction in a blood vessel supplying blood to the brain.

Subtypes:

-Thrombotic stroke: Caused by a blood clot (thrombus) forming in an artery in the brain.

-Embolic stroke: Caused by a clot or debris that forms elsewhere in the body (commonly the heart) and travels to the brain.

2. Hemorrhagic Stroke (≈ 15% of cases)

Caused by the rupture of a blood vessel in the brain.

Subtypes:

-Intracerebral hemorrhage: Bleeding within the brain tissue itself.

-Subarachnoid hemorrhage: Bleeding into the subarachnoid space (often from a ruptured aneurysm).

3. Transient Ischemic Attack (TIA)

Often called a "mini-stroke."

Temporary blockage of blood flow to the brain.

Symptoms resolve within 24 hours without permanent damage.

A major warning sign for future strokes.

𝙀𝙩𝙞𝙤𝙡𝙤𝙜𝙮 / 𝙍𝙞𝙨𝙠 𝙁𝙖𝙘𝙩𝙤𝙧𝙨

•Modifiable:

-Hypertension (most significant risk factor)

-Diabetes mellitus

-Smoking

-Hyperlipidemia

-Obesity

-Sedentary lifestyle

-Atrial fibrillation and other cardiac diseases

-Excessive alcohol intake

•Non-modifiable:

-Age (risk increases with age)

-Gender (males > females)

-Family history

-Previous stroke or TIA

𝙋𝙖𝙩𝙝𝙤𝙥𝙝𝙮𝙨𝙞𝙤𝙡𝙤𝙜𝙮

•In ischemic stroke, a blockage (thrombus or embolus) leads to decreased cerebral blood flow. This causes an ischemic cascade leading to:

-Energy failure

-Loss of ionic gradients

-Excitotoxicity (glutamate release)

-Calcium influx

-Cell death

•In hemorrhagic stroke, vessel rupture causes bleeding into brain tissue, increasing intracranial pressure and damaging nearby cells.

𝘾𝙡𝙞𝙣𝙞𝙘𝙖𝙡 𝙁𝙚𝙖𝙩𝙪𝙧𝙚𝙨

Symptoms depend on the area of the brain affected but may include:

Sudden onset of:

-Weakness or numbness of face, arm, or leg (especially on one side)

-Difficulty speaking or understanding speech (aphasia)

-Visual disturbances (e.g., blurred vision, loss of vision)

-Loss of coordination or balance

-Severe headache (especially in hemorrhagic stroke)

-Altered level of consciousness or confusion

𝙁𝘼𝙎𝙏 Mnemonic for Recognition:

>Face drooping
>Arm weakness
>Speech difficulty
>Time to call emergency services

𝘿𝙞𝙖𝙜𝙣𝙤𝙨𝙞𝙨

1. Clinical evaluation

History and neurological examination

2. Imaging

-CT scan (non-contrast): First line to differentiate ischemic vs. hemorrhagic stroke

-MRI brain: More sensitive, especially in early ischemia

3. Other investigations:

-ECG (to check for atrial fibrillation)

-Echocardiography (to look for cardiac emboli)

-Carotid Doppler

-Blood tests (glucose, CBC, lipid profile, clotting profile)

𝙈𝙖𝙣𝙖𝙜𝙚𝙢𝙚𝙣𝙩

Acute Management:

1. Ischemic Stroke:

-Thrombolysis: IV alteplase (tPA) within 4.5 hours of symptom onset if no contraindications

-Mechanical thrombectomy: For large vessel occlusions within 6–24 hours

-Antiplatelet therapy: Aspirin after 24 hours (if tPA not given or after thrombolysis)

2. Hemorrhagic Stroke:

-Control of blood pressure

-Reversal of anticoagulation if applicable

-Surgical intervention (e.g., hematoma evacuation, aneurysm clipping/coiling)

-Management of increased intracranial pressure

𝙎𝙪𝙥𝙥𝙤𝙧𝙩𝙞𝙫𝙚 𝘾𝙖𝙧𝙚:

-Airway management
-Monitoring vital signs
-Control of glucose and temperature
-Prevention of complications (DVT, infections, pressure sores)

𝙍𝙚𝙝𝙖𝙗𝙞𝙡𝙞𝙩𝙖𝙩𝙞𝙤!

Begins as early as possible and includes:

•Physical therapy: Strengthening, mobility, and coordination

•Occupational therapy: Activities of daily living (ADLs)

•Speech therapy: For aphasia or dysphagia

•Psychological support: For depression or cognitive deficits

𝘾𝙤𝙢𝙥𝙡𝙞𝙘𝙖𝙩𝙞𝙤𝙣𝙨

-Increased intracranial pressure

-Seizures

-Pneumonia (aspiration)

-Deep vein thrombosis (DVT)

-Long-term disability

-Cognitive impairment or dementia

-Depression

𝙋𝙧𝙤𝙜𝙣𝙤𝙨𝙞𝙨

Depends on:

-Type, size, and location of the stroke

-Time to treatment

-Patient's age and overall health

-Early intervention and rehabilitation significantly improve outcomes

𝙋𝙧𝙚𝙫𝙚𝙣𝙩𝙞𝙤𝙣

-Control of risk factors (blood pressure, diabetes, cholesterol)

-Lifestyle changes (diet, exercise, no smoking or excessive alcohol)

-Antiplatelet or anticoagulant therapy in high-risk patients

-Carotid endarterectomy or stenting in select cases

13/06/2025

Subho sandha...

08/06/2025

Shoulder pain?....no problem....

08/06/2025

Good evening...

22/04/2025

Subho sandha

20/04/2025

বিনা অপারেশনে মুক্তি....

20/04/2025

Suprabhat