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Monday 15:00 - 19:00 Tuesday 15:00 - 19:00 Wednesday 15:00 - 19:00 Thursday 15:00 - 19:00 Friday 15:00 - 19:00 Saturday 15:00 - 19:00

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Shawana Batool

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Shawana Batool

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15/12/2025

ڈاکٹر شعوانہ بتول (فزیوتھراپسٹ)
DPT (PESHAWAR), MS-NMPT(ISLAMABAD), CERTIFIED AESTHETTICIAN (ISLAMABAD/PARACHINAR)

ONLINE CONSULTATION AVAILABLE
ماہر امراض: فالج، لاقوہ، جوڑوں کا درد، کمر درد، سی پی چائلڈ، وغیرہ کا علاج جدید مشینوں اور مخصوص ورزشوں سے کیا جاتا ہے ۔
ناغہ: بروز اتوار
ڈیرہ اسماعیل خان
رابطہ نمبر: 📞03209075764

13/12/2025

The McKenzie exercises focus on repeated spinal movements to reduce pain and restore normal function, especially in low back and neck conditions.

Key Effects:

Pain centralization: Helps shift pain from the limbs back toward the spine, indicating disc-related improvement.

Reduction in disc pressure: Extension-based movements decrease posterior disc bulge and nerve irritation.

Improved spinal mobility: Restores normal range of motion in flexion and extension.

Postural correction: Encourages proper spinal alignment and reduces stress from prolonged sitting or poor posture.

Strengthens spinal support: Activates deep spinal stabilizers to improve endurance and control.

Prevention of recurrence: Teaches self-management strategies, reducing dependency on passive treatments.

These exercises are commonly prescribed for low back pain, disc prolapse, sciatica, and mechanical spinal disorders, under physiotherapist guidance

12/12/2025

The images show key postural muscles of the neck, mainly including the upper trapezius, levator scapulae, sternocleidomastoid (SCM), and scalenes. These muscles play a major role in keeping the head aligned, supporting shoulder position, and maintaining upright posture. When they become tight—often due to poor posture, phone use, or desk work—they can cause neck stiffness, headaches, and upper-back discomfort.
Regular stretching of these muscles helps improve mobility, reduce tension, correct forward-head posture, and restore balanced alignment of the cervical spine.

11/12/2025

The image shows targeted stretching techniques for key neck and upper-shoulder muscles including the suboccipitals, splenius capitis, subclavius, longus colli, and semispinalis. These stretches help reduce neck stiffness, improve mobility, relieve tension headaches, and correct posture-related discomfort. They are commonly used in physiotherapy to restore muscle balance, enhance cervical spine function, and support rehabilitation in patients with neck pain.

10/12/2025

The image shows essential exercises used to reduce pain, swelling, and stiffness caused by prepatellar bursitis. These exercises help improve knee flexibility, strengthen surrounding muscles, and support proper kneecap movement. Stretches like hamstring, calf, and quadriceps stretching improve mobility, while strengthening exercises such as quad sets, straight leg raises, side-lying leg lifts, and wall squats enhance knee stability. Heel slides help restore smooth knee bending without strain. Regular practice promotes healing and prevents recurrence.

09/12/2025

Advanced Special Tests for Cervical Spine – Short Summary

1. Vertebral Artery Test
Assesses vertebrobasilar insufficiency by placing the neck in extension and rotation. Positive signs may include dizziness, nystagmus, or vision changes, indicating compromised blood flow.

2. Sharp-Purser Test
Used to detect atlantoaxial instability (C1–C2). A positive test is felt as a “clunk” or sliding sensation when posterior pressure is applied, showing instability of the transverse ligament.

3. Alar Ligament Stress Test
Checks the integrity of the alar ligament. Limited or delayed movement, or a clunking sensation, indicates possible ligament damage.

4. Transverse Ligament Stress Test (Anterior Shear Test)
Evaluates the stability of the transverse ligament. Excessive forward translation of the atlas on the axis suggests ligament injury.

5. Cervical Flexion-Rotation Test (FRT)
Highly specific for C1–C2 dysfunction and cervicogenic headaches. Pain or more than 10° restriction in rotation indicates upper cervical involvement.

6. Neck Torsion Test
Helps differentiate cervicogenic dizziness from vestibular causes. Reproduction of dizziness or radicular pain suggests cervical origin or nerve root irritation.

08/12/2025

hamstring strain occurs when the muscles at the back of the thigh are overstretched or torn, usually due to sudden sprinting, kicking, or inadequate warm-up. It leads to pain, tightness, swelling, and difficulty bending or extending the leg. Early management includes rest, gentle stretching, and gradual strengthening to restore flexibility and prevent re-injury.

Exercises for Hamstring Strain – Short Note

The exercises shown focus on gentle stretching to reduce muscle tightness, improve flexibility, and promote healing.

Standing and elevated hamstring stretches help lengthen the muscle safely while maintaining good posture.

Supine hamstring stretches allow controlled movement and are ideal during early recovery.

Towel-assisted stretches give additional support and improve range without straining the muscle.

Knee-hug with hamstring stretch helps loosen both the hamstring and glutes, improving hip mobility.

Performing these stretches 30 seconds, 2–3 times a day helps reduce pain, enhance flexibility, and support gradual return to activity.

07/12/2025

Why These Exercises Are Performed

1. Pain Relief & Nerve Decompression

These exercises help reduce pressure on the spinal nerves by gently stretching tight muscles and allowing the disc to settle. This reduces radiating pain, numbness, and tingling in the legs.

2. Core Muscle Strengthening

Strengthening abdominal and back muscles improves spinal stability and prevents further disc bulging. Strong core muscles support posture and reduce strain on the lumbar discs.

3. Improving Spine Flexibility

Gentle mobility exercises increase flexibility of the lower back, hips, and hamstrings. This reduces stiffness and allows better movement without aggravating symptoms.

4. Posture Correction

Many exercises help align the pelvis and lumbar spine, decreasing abnormal pressure on the discs and promoting healthy spine mechanics.

5. Reducing Muscle Spasm

Light stretching and controlled movements relax the tight muscles around the lumbar region, reducing muscle guarding and spasms caused by disc irritation.

6. Enhancing Blood Flow & Healing

Movement increases circulation around the injured area, promoting healing and reducing inflammation over time.

06/12/2025

Nerve Root Pain Pattern (L4, L5, S1)

Nerve root compression in the lumbar spine leads to radiating pain along specific dermatome patterns. Each root presents with its own characteristic distribution of pain, numbness, and weakness.

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L4 Nerve Root Pain Pattern

Pain radiates from the lower back to the front of the thigh and down to the knee. Patients may feel weakness in knee extension and reduced knee reflex. Sensory changes are common along the inner lower leg.

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L5 Nerve Root Pain Pattern

Pain travels from the lower back to the outer thigh, down the front/side of the leg, and into the top of the foot. Weakness in ankle dorsiflexion and big-toe extension is common. Numbness may affect the foot dorsum.

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S1 Nerve Root Pain Pattern

Pain radiates from the lower back to the buttock, back of thigh, calf, and into the outer foot. Weakness may appear in ankle plantarflexion. The ankle (Achilles) reflex may be reduced.

05/12/2025

This chart shows the progressive stages of disc herniation and how symptoms worsen as the disc damage increases.

Disc Degeneration: Mild wear and tear causing back pain only.

Prolapse: Inner disc starts to bulge, leading to back pain with leg pain.

Extrusion: Disc material pushes further out, causing back pain, leg pain, and neurological symptoms.

Sequestration: Disc fragment separates and irritates nerves, resulting in severe leg pain and significant symptoms.

Address

Dera Ismail Khan

Opening Hours

Monday	15:00 - 19:00
Tuesday	15:00 - 19:00
Wednesday	15:00 - 19:00
Thursday	15:00 - 19:00
Friday	15:00 - 19:00
Saturday	15:00 - 19:00

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