Physio-anjali

07/06/2025

♦️Physiotherapy Management in Chikungunya

Chikungunya is a viral infection transmitted by mosquitoes, often leading to polyarthritis and musculoskeletal pain especially in the small joints. Although acute symptoms subside within days, many patients develop chronic joint stiffness and pain lasting for weeks or months, similar to rheumatoid arthritis.

Common Symptoms

•Persistent joint pain and stiffness (especially wrists, ankles, knees)
• Myalgia and fatigue
• Reduced range of motion (ROM)
• Difficulty with functional mobility
• Post-viral fatigue Syndrome

🟥 Acute Phase physio management(0–2 weeks):

• Rest and joint protection
• Cold therapy (cryotherapy) for inflamed joints
• Gentle pain-free ROM exercises
• Isometric strengthening (e.g., quadriceps, gluteal sets)

🟨 Subacute Phase physio management(2–6 weeks)

• Thermotherapy (hot packs) to relieve stiffness
• Progressive active ROM exercises
• Stretching of tight muscles
• Strength training with resistance bands
• Postural correction and body mechanics education

🟩 Chronic Phase physio management(>6 weeks)

• Aerobic conditioning (e.g., walking, cycling, water therapy)
• Functional training (ADL practice, balance work) • Proprioceptive exercises
•Home exercise programs
• Hydrotherapy for joint unloading (if available)

05/06/2025

♦️What is Sciatica?

Sciatica refers to pain that radiates along the path of the sciatic nerve, which branches from the lower back through the hips and buttocks and down each leg. It is usually caused by compression or irritation of the nerve, often due to a herniated disc, spinal stenosis, or piriformis syndrome.

♦️ Signs and Symptoms

• Radiating pain: Sharp, burning, or shooting pain down the leg, usually one-sided.

• Low back pain: May or may not accompany leg pain.

• Numbness or tingling: Especially in the back of the thigh, calf, or foot.

• Muscle weakness: In the affected leg or foot.

• Pain worsens: With prolonged sitting, standing, coughing, or sneezing.

23/05/2025

Leaning to one side while standing might feel comfy, but it can lead to uneven hips and long-term imbalances. 🧍‍♀️⚖️ Aim for equal weight-bearing on both legs to protect your posture and prevent pain.

21/05/2025

As a physiotherapist offen get to see patients who gets upper back and neck pain , sometimes caused by wearing wronged size bra. Here I shared a simple method you can do it home to find your actual bra size !

How to Measure Your Bra Size at Home

Step 1: Measure Your Underbust (Band Size)

➡️ Wrap a measuring tape snugly around your ribcage, just under your bust.

➡️ Round this number to the nearest whole number.

• If the number is even, add 4
• If the number is odd, add 5

✅ This total is your Band Size

Example:
Underbust = 31” → 31 + 5 = 36 (Band size)
Underbust = 32” → 32 + 4 = 36 (Band size)

Step 2: Measure Your Bust

➡️ Measure around the fullest part of your bust (not too tight).

Step 3: Find Your Cup Size

Subtract your Band Size from your Bust Measurement
The difference determines your Cup Size
If the differences one , cup A , if two Cup B, if three cup C …

Example:
Bust = 38”
Band Size = 36”
Difference = 2” → B Cup
Your bra size = 36B

10/05/2025

04/05/2025

Numbness in the thumb and index finger is commonly linked to median nerve compression, and from a physiotherapy perspective, it’s essential to identify the cause and address both symptoms and underlying dysfunctions.

♦️ Common Causes:

1. Carpal Tunnel Syndrome (CTS) – Most frequent cause; compression of the median nerve at the wrist.

2. Pronator Teres Syndrome – Compression at the forearm near the elbow.

3. Cervical Radiculopathy (C6-C7) – Compression at the cervical spine, especially C6.

4. Anterior Interosseous Nerve Syndrome – A branch of the median nerve affected, often without sensory symptoms but may contribute.

03/05/2025

Why MRI Isn’t Always the Full Picture
While an MRI spine shows detailed structural images, it doesn’t reveal how your body actually moves or functions.

Here’s why movement analysis can be more accurate for certain cases:

♦️ Pain doesn’t always match the scan , Many people have disc bulges or degeneration with no symptoms at all!

♦️ MRI is static , It captures you lying still. But your pain often shows up only during movement.

♦️ It misses muscle imbalances, poor posture, or coordination issues , all of which are key to treatment.

Movement tells the real story.
That’s why physios combine imaging with functional assessments to treat the cause, not just the image!

Do You Really Need an MRI? 🤨

Not always. Physiotherapists often recommend an MRI only if you show red flag symptoms & signs that may point to a more serious condition.

Red flag symptoms include

• Severe or unrelenting night pain
• Unexplained weight loss
• History of cancer
• Numbness or tingling in the groin area (saddle anesthesia)
• Loss of bladder or bowel control
• Sudden weakness in arms or legs
• Fever with back pain

These may indicate serious issues like a tumor, infection, or nerve compression that need urgent care.

29/04/2025

What is Osteoarthritis?

♦️Osteoarthritis is a degenerative joint disease where the cartilage (the smooth tissue that cushions your bones) gradually wears away, leading to pain, stiffness, swelling, and reduced movement.

♦️Common Causes

•Age-related cartilage degeneration

• Previous knee injuries

• Overweight or obesity

• Muscle weakness around the knee

• Poor joint alignment (e.g., bow legs or knock knees)

♦️Physiotherapy Management

• Strengthening exercises

• Stretching and range of motion exercises

• Weight management advice if necessary

• Supportive devices (like knee braces)

20/04/2025

A simple meme posted a few days ago seemed to have disturbed some Medical Professionals .

And while discussing, it alarmed me how little *The Physiotherapists* are known for their assessment, decision-making, and clinical reasoning skills.

❌WE ARE NOT GUESSING ❌

We complete a 4-year medical-based degree, enter with a high Z-score , train in hospitals and are SLMC registered.

We assess thoroughly, identify red flags 🚩, and refer to concerned specialists when needed.

Every profession is valued, and we respect the hierarchy.
But let’s be clear , we don’t just “follow instructions.”

WE ASSESS , WE TREAT , WE REFER
when needed.

We treat based on evidence, not assumption.

Coming back to the meme…

Mechanical Back Pain isn’t a medical emergency.

The meme simply explains that over 90% of back pain is mechanical and medications or surgery aren’t the first line of treatment. These cases respond better to movement, education, and exercise-based rehab areas physiotherapists specialize.

We also emphasize the importance of lifestyle changes, ergonomic advice, posture correction, and active recovery things medication alone can’t fix.

It’s 2025.
Let’s collaborate !

03/04/2025

What is Sciatica?

Sciatica is a type of nerve pain that radiates along the path of the sciatic nerve the largest nerve in the body which runs from the lower back through the hips, buttocks, and down each leg.

Signs & Symptoms

🔸 Sharp, burning, or shooting pain.

🔸 Pain radiating to the leg

🔸 Tingling, numbness, or weakness in the affected leg

🔸 Pain worsens with sitting, bending, or coughing

Common Causes

✔️ Disc bulge - pressing on the sciatic nerve

✔️ Degenerative spine changes (like osteoarthritis)

✔️ Muscle tightness (e.g. piriformis syndrome)

If you’re experiencing symptoms of sciatica, early assessment and targeted treatment can help relieve pain and prevent recurrence.

11/02/2025

Cervicogenic Headache vs. Migraine – Know the Difference! 🤯💆‍♀️

🔹 Cervicogenic Headache (CGH)

✅ Comes from the neck (C1-C3)
✅ Triggered by poor posture & neck movements
✅ Dull, aching pain (often one-sided)
✅ Neck stiffness & muscle tightness

🔹 Migraine

✅ Neurological in origin
✅ Triggered by stress, food, hormones
✅ Throbbing pain + nausea, light & sound sensitivity
✅ Can have aura (flashes, tingling)

💡 How to Manage CGH?
✔️ Manual therapy & neck exercises
✔️ Postural correction & ergonomic fixes
✔️ Stress management & movement breaks

Got neck pain + headaches? Your neck might be the culprit! 🏋️‍♂️💆‍♂️