MediHealer

23/06/2025

BrainWave of the East
ANE
midCON - 2025
ASSOCIATION OF NEUROSCIENTISTS OF EASTERN INDIA
THEME
" Eastern Pulse: Advancing Neuro Care Together"
21 - 22 June, 2025
The Royal Bihar, Patna🎊🎊🥰

22/06/2025

Pre - Confrence -1 20th June 2025
Venue : Main Auditorium,AIIMS-Patna
Approach To Vertigo
Such a Wonderful Workshop 🙏🏻🥰
Tq So much Dr. Dashpreet Kaur mam Dr. Gunjan Kumar sir Dr. Reena Srivastava mam for invitation 🙏🏻🙏🏻🥰

19/06/2025

04/06/2025

हम कैसे बेवकूफ बन रहें हैं
1. पहले हम दस रुपये किलो टमाटर खरीद कर ताज़ी चटनी खाते थे । अब हम 150 रुपये किलो का दो महीने पुराना टोमैटो सॉस खाते हैं ।
2. पहले हम एक दिन पुराना पानी भी नहीं पीते थे ,आजकल हम 20 रुपये वाली तीन महीने पुरानी बोतल पीते हैं ।
3. पहले हम सुबह शाम ताज़ा दूध पीते थे । आजकल हम पांच दिन पुराना थैली वाला दूध amul ताज़ा के नाम से पीते हैं ।
4. पहले हम ताज़ा जूस पीते थे अब हम 6 महीने पुराना artifical जूस real के नाम से पीते हैं
5. पहले हम ताज़ा जलजीरा पीते थे अब हम दो महीने पुराना कोल्ड ड्रिंक 60 रुपये लीटर में पीते हैं ।
6. 500 या 700 किलो वाले काजू बादाम जो शरीर की immunity बढ़ाते हैं वह हमें महंगा लगता है लेकिन 400 वाला सड़े हुए मैदे से बना पिज़्ज़ा हमको सस्ता लगता है
7 . पहले हम सुबह का बना हुआ खाना शाम को भी नहीं खाते थे और अब हम कंपनियो की बनी बासी चीज़ें बड़े चाव से खाते हैं । जबकि हम जानते हैं कि कंपनियों द्वारा बनी हुई रेडीमेड चीजों में कई तरह के केमिकल्स preservatives के खूबसूरत नाम के तले मिलाये जाते हैं ।
क्या हमारा विकास हो रहा है या विनाश ।
क्या हम अब समझदार बन रहें हैं या बेवकूफ ।

16/05/2025

📃The Triangular Fibrocartilage Complex (TFCC) is a crucial structure in the wrist, providing stability and load-bearing support between the ulna and the carpal bones. A TFCC tear can cause significant pain and dysfunction, affecting daily activities and sports performance.

📌Mechanism of Injury

TFCC tears can result from:
➡️Trauma – A fall on an outstretched hand (FOOSH), excessive wrist twisting, or sudden forceful grip.
➡️Degeneration – Age-related wear and tear, repetitive wrist movements, or chronic overuse.

📌Symptoms

➡️Ulnar-sided wrist pain (pain on the little finger side)
➡️ Clicking, popping, or grinding sensations in the wrist
➡️Weak grip strength
➡️Pain aggravated by rotation or weight-bearing on the wrist

📌Special Tests

➡️ TFCC Load Test – Ulnar deviation with axial load and rotation
➡️ Press Test – Pain with pushing up from a chair using hands
➡️ Fovea Sign – Tenderness at the TFCC region
➡️Ulnar Grind Test – Pain with pronation and supination under load

📌Physical Therapy management

👉Modalities & Equipment:
Ice or ultrasound for pain relief
Wrist brace for immobilization in acute cases
Electrical stimulation for pain control

👉Exercise & Rehabilitation Plan:
➡️Early Phase (Pain & Inflammation Control)
• Wrist splinting for protection
• Gentle passive range of motion (ROM) exercises

➡️Intermediate Phase (Strength & Stability)
• Isometric strengthening of wrist flexors & extensors
• Proprioceptive training using a stability ball or Theraband

➡️Advanced Phase (Functional Rehab & Return to Activity)
• Weight-bearing exercises (e.g., modified push-ups)
• Grip and forearm strengthening (e.g., wrist curls, pronation/supination exercises)
• Sport or work-specific drills

16/05/2025

Hip osteoarthritis is a condition in which the Hip joints become inflamed and the cartilage that lines the bones become worse.

-
flexion,
extension,
abduction,
adduction, and hip rotation.

■hip flexion from (iliacus, psoas, pectineus, re**us femoris, and sartorius.) = 0 to 126 degrees

■hip Extension from (Gluteus Maximus, Semitendinosus, Semimembranosus, and Biceps Femoris (long head)) = 116 to 0 degrees.

■hip Adduction (Adductor Magnus, Adductor Longus, Adductor Brevis, Gracilis, Pectineus) = 0 to 45 degrees

■hip Abduction (Gluteus Medius, Tensor Fascia Latae) = 45 to 0 degrees

■hip External rotation (Gluteus Maximus, Gemellus Superior, Obturator Externus, Obturator Internus, Piriformis) = 0 to 45 degrees

■hip Internal rotation (Tensor Fascia Latae, Gluteus Minimus) = 0 to 45 degrees.

● Blood Supply femoral artery, superficial circumflex iliac artery, external pudendal artery.

of osteoarthritis of the hip

■secondary and primary
secondary to congenital or developmental deformities
■primary presuming some underlying abnormality of articular cartilage
others

》Idiopathic/unknown
》Previous trauma
》acetabular dysplasia; femoroacetabular impingement; inflammatory joint disease, e.g. septic arthritis; hemochromatosis, hemophilia; iatrogenic, e.g. multiple intra-articular steroid injections.

factors for Hip osteoarthritis

older age
gender
previous injury
obesity
certain occupations
poor posture
genetics
climbing stairs
walking
Age

of Hip osteoarthritis
tenderness
loss of flexibility
grating sensation
bone spurs
swelling

●Advanced Hip OA

osteophytes
subchondral thickening
cyst
joint space narrowing

diagnosis

Rheumatoid arthritis
Septic arthritis
Osteomyelitis
Hip dislocation
Gout
Fractured neck of femur
Referred from the lumbar spine
Referred from sacroiliac joint

of Hip osteoarthritis:

● Investigations
》patient history and physical examination.
》AP radiographs
》Joint space narrowing, marginal osteophytes, subchondral sclerosis, and bone cysts

》XRAY shows how much space between the joints.

tests

》Thomas test
》Trendelenberg sign
》FABER test
》FADER test
》Ober’s test
》Log roll test
》Stinchfield test
》Ely’s test

treatment in Hip osteoarthritis

■ Range of Motion Exercises:
Hip Extension
■ Strengthening Exercises

■ Stretching exercises
》Hamstring Stretch
》Knee-to-Chest Stretch
》Standing Iliotibial Band Stretch
》Side-Lying Hip Flexor Stretch
》Half-Kneeling Hip Flexor Stretch
》Supine Hip Flexor Stretch

■ Water exercises: Swimming
■ Electrotherapy-
》TENS (transcutaneous electrical nerve stimulation)
》Interferential Therapy (IFT)
》Short Wave Diathermy ( SWD )
》Ultrasound (US)

■ Low-impact: swimming, cycling, or walking

■ High-impact activities like running or jumping.

■ other therapies

》acupuncture
》cognitive behavioral therapy (CBT)
》application of heat pads

■Lifestyle modifications

16/05/2025

Plantar Fasciitis 🦶🔥
(One of the most common causes of heel pain)
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▪️ What Is It ?
- Plantar fasciitis is the inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of your foot , connecting your heel bone to your toes.
- It helps support the arch of the foot and absorbs shock during movement.
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▪️ Common Causes :
- Prolonged standing or walking, especially on hard surfaces.
- Poor or unsupportive footwear.
- Obesity or sudden weight gain.
- Tight calf muscles or Achilles tendon.
- High-impact sports like running or jumping.
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▪️ Symptoms🔥 :
- Sharp heel pain, especially with the first steps in the morning or after prolonged rest.
- Pain improves slightly with movement but worsens again after long periods of standing or walking.
- Possible burning or aching sensation in the arch
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▪️ Treatment Options 🛠️ :
- Rest and reduce high-impact activities.
- Stretching exercises for the calves and plantar fascia.
- Use of supportive footwear or custom orthotics.
- Ice massage on the sole of the foot to reduce inflammation.
- Physical therapy with gradual strengthening.
- In chronic cases : shockwave therapy, night splints, or corticosteroid injections.
📌 When to See a Doctor ⚠️ :
- If pain persists for more than 2 weeks, interferes with daily activities, or worsens despite home care.
📌 Pro Tip :
- Don’t ignore morning heel pain early care can prevent chronic injury.
- Start caring for your feet before pain becomes a long-term issues
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27/04/2025

Walkathon -2025