Physiotherapy and rehabilitation center maidan

21/07/2023

بغیر سرجری اور میڈیسن علاج بذریعہ فزیوتھراپی

کمر درد, گردن میں درد, پٹھوں کا کھنچاؤ اور کمزوری۔ نیچے جھکنے میں مسائل, ڈسک کے مسائل.نماز پڑھنے میں مشکل۔ جوڑوں اور مہروں کے مسائل۔ کندھے کا جام ہونا, انگلیوں کا سن ہو جانا۔ بچوں کی معذوری۔ فالج۔ آپریشن کے بعد چلنے کے مسائل۔ کام کی وجہ سے جسم میں درد, تھکاوٹ۔ ذہنی ڈیپریشن ہونا۔ پوسچر کا خراب ہونا۔ ان سب مسائل کا علاج اب آپ کے گھر پر.

For contact: 03419781931

03/02/2023

گردن سے بازو میں دردجانا(Cervical Rediculopathy ):

اکثر ایک ہی پوزیشن (Slump sitting)میں مسلسل بیٹھنے سے اپ کے گردن کے مہروں پر دباو بڑجاتا ہے جس کی وجہ سے مہروں کی بیچھ ڈیسک پیچھے سلیپ ہو جاتی ہے یا گس جاتی ہے ، جو مہروں کے ایک یا دونو اطراف نسے (Nerves)دبنے کا سبب بن تی ہیں اور آپ کو گردن اور بازو یا صرف بازو میں شدید درد محسوس ہوتا ہے اور اکثر بازو سن بھی ہو جاتا ہے۔
اسکا فوری طریقہ اعلاج فزیو تھراپی ہے

※ سلپ ڈسک کو ورزش(Machenzia extensions with traction ) اور گردن کی پوزیشن کے ذریعہ اپنی جگہ لایا جاتا ہے۔
※ ڈیسک اور مہرے گھسنے کی صورت میں دبے ہوئے نس سے پریشر ہٹایا جاتا (Neural canal opening exercises)
Contacts 03052369034

27/08/2022

کمر درد اور جوڑوں کی تکلیف مختلف وجوہات کی بناء پر پیش آ سکتی ہے. کمر درد کسی بھی عمر کے لوگوں کو متاثر کر سکتا ہے۔ یہ تکلیف کسی انجری، حادثے، خراب پوسچر، آرتھرائٹس، آسٹیوپوروسس اور سکولیوسس کی وجہ سے بھی پیش آسکتی ہے.
ڈاکٹر جدید ٹیکنالوجی کے ساتھ ریڑھ کی ہڈی کی دیکھ بھال اور تحقیق میں عالمی رہنما ہے. ہمارا کلینکس پاکستان بھر میں جدید ترین سپائنل ٹریٹمنٹ فراہم کرتے ہیں.Dr. Samiulhaq y میں کمر درد، جوڑوں کی تکلیف اور ریڑھ کی ہڈی سے منسلک امراض میں مبتلا مریضوں کا علاج، بغیر سرجری صوتی لہروں کی جدید ترین ٹیکنالوجی کے ساتھ فراہم کیا جاتا ہے.
📍Maidan lalqilla

☎️ For Appointment:03052369034
۔
۔

14/08/2022

🔷Types of Kyphosis & Excerises 🔷️

1. Postural Kyphosis
Postural kyphosis, the common type of kyphosis, usually becomes noticeable during adolescence. It is noticed clinically as poor posture or slouching but is not associated with severe structural abnormalities of the spine.
The curve caused by postural kyphosis is typically round and smooth and can often be corrected by the patient when they are asked to stand up straight.
Postural kyphosis is more common in girls than boys. It is rarely painful, and, because the curve does not progress, it does not usually lead to problems in adult life.

2. Scheuermann's Kyphosis
Scheuermann's kyphosis is named after Danish radiologist who first described the condition.
Like postural kyphosis, Scheuermann's kyphosis often becomes apparent during the teen years. However, Scheuermann's kyphosis can result in a more severe deformity than postural kyphosis.
Scheuermann's kyphosis is caused by a structural abnormality in the spine. In a patient with Scheuermann's kyphosis, an X-ray from the side will show that, rather than the normal rectangular shape, three or more consecutive vertebrae have a more triangular shape. This irregular shape causes the vertebrae to wedge together toward the front of the spine, decreasing the normal disk space and creating an exaggerated forward curvature in the upper back.

The curve caused by Scheuermann's kyphosis is usually sharp and angular. It is also stiff and rigid. Unlike a patient with postural kyphosis, a patient with Scheuermann's kyphosis is not able to correct the curve simply by standing up straight.
Scheuermann's kyphosis usually affects the thoracic spine but occasionally develops in the lumbar spine. The condition is more common in boys than girls.

3. Congenital Kyphosis

Congenital kyphosis is present at birth. It occurs when the spinal column fails to develop normally while the baby is in the womb. The bones may not form as they should, or several vertebrae may be fused together.

04/08/2022

دماغی فالج Cerebral palsy (سی پی) عوارض کا ایک گروپ ہے جو کسی شخص کی حرکت کرنے اور توازن کو برقرار رکھنے کی صلاحیت کو متاثر کرتا ہے۔ بچپن میں سب سے عام موٹر معذوری CP ہے۔
علاج:
دماغی فالج کا کوئی علاج نہیں ہے۔ تاہم علاج کے بہت سے اختیارات ہیں جو آپ کے بچے کے روزمرہ کے کام کاج کو بہتر بنانے میں مدد کر سکتے ہیں۔ دیکھ بھال کا انتخاب اس کی مخصوص علامات اور ضرورت پر منحصر ہوگا، اور ضرورتیں وقت کے ساتھ بدل سکتی ہیں۔
ابتدائی مداخلت نتائج کو بہتر بنا سکتی ہے۔
جسمانی تھراپی :
دماغی فالج کے علاج میں جسمانی تھراپی اہم کردار ادا کرتی ہے:
پٹھوں کی تربیت اور مشقیں آپ کے بچے کی طاقت، لچک، توازن، موٹر کی نشوونما اور نقل و حرکت میں مدد کر سکتی ہیں۔ پیدائش کے بعد پہلے 1 سے 2 سال تک، جسمانی اور پیشہ ورانہ معالج دونوں ہی سر اور ٹرنک کنٹرول، رولنگ اور گراسپنگ جیسے مسائل پر کام کرتے ہیں۔
آپ کے بچے کو کام کرنے میں مدد کرنے کے لیے منحنی خطوط وحدانی، سپلنٹ یا دیگر معاون آلات تجویز کیے جا سکتے ہیں، جیسے بہتر چلنے پھرنے اور سخت پٹھوں کو کھینچنا۔
کیا دماغی فالج کا شکار شخص چل سکتا ہے؟
نصف سے زیادہ (تقریباً 50% سے 60%) بچے آزادانہ چل سکتے .

03/08/2022

گرمی اور برف کے متبادل علاج سے sciatic اعصاب کے درد میں فوری ریلیف مل سکتا ہے۔ برف سوزش کو کم کرنے میں مدد کر سکتی ہے، جبکہ گرمی (گرمائش ) دردناک جگہ میں خون کے بہاؤ کی حوصلہ افزائی کرتی ہے (جو شفا یابی کو تیز کرتی ہے)۔ گرمی اور برف دردناک پٹھوں کی کھچاؤ کو کم کرنے میں بھی مدد کر سکتی ہے جو اکثر شیاٹیکا کے ساتھ ہوتے ہیں

04/07/2022

🔈WHAT IS T4 SYNDROME?

T4 syndrome, also known as Upper Thoracic Syndrome refers to the pain in the upper back and is a much under-recognized or diagnosed condition. The spinal cord is divided into 5 segments: Cervical, thoracic, lumbar, sacral and coccyx. The cervical segment has 7 segments (C1-C7), the thoracic has 12 segments (T1-T12), the lumbar has 5 segments (L1-L5), the sacral also has 5 segments which are fused (S1-S5), the coccyx has only 1 segment.

T4 syndrome typically indicates pain in the 4th vertebrae of the thoracic segment of the spine. T4 syndrome is 3-4 times more common in females than in males.

💡 The Typical Symptoms of T4 Syndrome or Upper Thoracic Syndrome Include:

➡️ Diffused pain in arms
➡️ Paraesthesia in whole arm or the fore-arm
➡️ Extreme hot or cold temperatures of hand
➡️ Heavy feeling in the upper extremities
➡️ Non-dermatomal pains or aches in the forearm or arm
➡️ A crushing or tight band like pain
➡️ Recurrent complain of discontinuous pain in and around the scapular region or posterior thoracic pain
➡️ Sensations like tingling of pins or needles or numbness of the arm.

💡 What Can Cause T4 Syndrome or Upper Thoracic Syndrome?

The reason for the development of T4 syndrome depends on injury to the T4 segment of the spinal cord due to repeated bending, arching, lifting or twisting type of movement thus causing injury to the facet joints in that area. It can also be caused due to poor posture like protruding the head forward while sitting or standing, and slouching. It is common in people with cervical lordosis or cervico-thoracic kyphosis.

Women are more prone to develop the syndrome due to their structural differences from men. As the breasts develop, there is an increase in the amount of weight in the frontal part and to maintain that many would bend a little forward. The heavier the breast, the chances are more to develop T4 syndrome in women.

Treatment for T4 Syndrome or Upper Thoracic Syndrome
The treatment of T4 Syndrome solely depends on physiotherapy. An experienced physiotherapist will provide manual therapy with an impairment based approach. The sessions would start with manual therapy and slowly would progress to home exercise. The sessions would include some or combinations of the following techniques:

➡️ Joint manipulation and mobilization of the thoracic and cervical spine
➡️ Soft tissue massage
➡️ Taping or bracing
➡️ Electrotherapy viz., ultrasound or laser
➡️ Dry needling
➡️ Training in Pilates
➡️ Postural correction
➡️ Stretching
➡️ Exercises for flexibility and stabilization of the core

29/05/2022

⚠️ Difference Between Spondylolisthesis, Spondylitis and Spondylosis

These three conditions affect the spine and may be confusing. What is the difference between, spondylolisthesis, spondylitis, and spondylosis?

ℹ️Spondylosis
Spondylosis can affect any region of the spine. It is most common in the neck and lower back.

It involves a defect in the pars interarticularis–a piece of bone attaching the facet joints at the back of the spine.

This condition is a form of spinal degeneration occurring due to the natural effects of aging. As we grow older, normal wear and tear, as well as cellular changes, affect the structure of the spine. As a result, the soft tissues supporting the spine–discs, muscles, tendons, etc.–slowly begin to deteriorate.

For example, the discs protecting the spine tend to dry out and lose shape as we age. This condition, known as degenerative disc disease, puts pressure on the discs and may cause a bulging or herniated disc.
When the soft gel-like layer of the inner disc breaks through the thick fibrous tissue of the outer disc, it often affects spinal joints and can compress nerves. In addition, cartilage can wear away from the joints leading to facet joint osteoarthritis.

Spondylosis, however, doesn’t only affect older people. In fact, adolescents may develop the condition.

Those participating in sports requiring repeated hyperextension of the lower back are at risk.

♻️This includes gymnastics, rowing, wrestling, and track & field sports. Younger people may not have many symptoms, so the condition may not get diagnosed. It spondylosis isn’t identified and managed correctly, however, it can result in more serious problems.

ℹ️Spondylolisthesis
When spondylosis is left untreated, it may lead to spondylolisthesis. Spondylosis involves the separation of the pars interarticularis. In contrast, spondylolisthesis is defined by a slipped vertebra. When one bone of the spine slips forward over another, it causes damage to the spinal structure.

In some cases, a stress fracture may be to blame. Other times, damage to the intervertebral discs may cause this instability of the spine.

Family history and even congenital defects can contribute to this condition. It is often the result of certain sports and physical occupations. The lower back is responsible for carrying a lot of the body’s weight.

♻️Some activities make the spine more prone to developing spondylolisthesis. For example, gymnasts, football players, and weightlifters of all ages can develop this condition.

Those that work in warehouses or delivering packages are also susceptible since they may bear a lot of weight on one side of the body and do a lot of bending. In addition, age-related degeneration of the spinal structures plays a role.

♻️Types of Spondylolisthesis:

ℹ️Congenital
ℹ️Isthmic - Most common: usually occurs due to pars defect (L5 - common)
ℹ️Degenerative - Occurs as a result of facet arthritis; Females older than 50 yrs.; African Americans; Usually affects the L4-L5 level;
Typically the slip is not bad and rarely exceeds 30%; Commonly associated with instability and lumbar stenosis. May need flexion extension X-ray views to check for instability.

Other Rare Types:
➡️Traumatic
➡️Pathologic
➡️Post-Surgical

⚠️Grades of Spondylolisthesis:
Type I (less than 35%)
Type II (25-50%)
Type III (50-75%)
Type IV (75-100%)
Type V (spondyloptosis)

ℹ️Spondylitis
Spinal conditions can also be due to arthritis. This condition, sometimes known as spondyloarthropathy, is a type of inflammatory rheumatic arthritis. Unlike other forms of arthritis, it affects areas where the ligaments and tendons attach to the bones.

♻️Though the exact cause is unknown, many people with the gene HLA B27 tend to develop the condition. In addition, some research suggests an infection can trigger this condition.

Spondylitis usually occurs in young adults between 17 and 35 years old.

Symptoms include chronic pain and lower back stiffness that gets worse after resting for a long time. Many feel stiffness after waking in the morning or late at night.

Over time, symptoms may reach other parts of the body. Stiffness and pain can extend to the upper spine and even the rib cage. In addition, inflammation can occur in the skin, eyes, and gastrointestinal tract.

🔑There are many different types of arthritis that can affect the spine. For example, psoriatic arthritis is common with those who suffer from skin psoriasis. Also, reactive arthritis, occurs as a reaction to certain bacteria like Chlamydia. Another inflammatory condition, ankylosing spondylitis, may cause the vertebrae to fuse together.

03/05/2022

🔈 TIBIALIS ANTERIOR TENDONITIS - SYMPTOMS, CAUSES, TREATMENT OPTIONS

▶️ WHAT IS TIBIALIS ANTERIOR TENDONITIS?

The tibialis anterior is a muscle which lies at the front of the shin and attaches to several bones in the foot via the tibialis anterior tendon. The tibialis anterior is primarily responsible for moving the foot and ankle towards the head (dorsiflexion – figure 1), and, controlling the foot as it lowers to the ground during walking or running.

Whenever the tibialis anterior muscle contracts or is stretched, tension is placed through the tibialis anterior tendon. If this tension is excessive due to too much repetition or high force, damage to the tendon can occur. Tibialis anterior tendonitis is a condition whereby there is damage to the tibialis anterior tendon with subsequent inflammation and degeneration.

▶️ SIGNS AND SYMPTOMS OF TIBIALIS ANTERIOR TENDONITIS

Patients with tibialis anterior tendonitis usually experience pain at the front of the shin, ankle or foot during activities which place large amounts of stress on the tibialis anterior tendon (or after these activities with rest, especially upon waking in the morning). These activities may include walking or running excessively (especially up or down hills or on hard or uneven surfaces), kicking an object with toes pointed (e.g. a football), wearing excessively tight shoes or kneeling. The pain associated with this condition tends to be of gradual onset which progressively worsens over weeks or months with continuation of aggravating activities. Patients with this condition may also experience pain on firmly touching the tibialis anterior tendon.

▶️ CAUSES OF TIBIALIS ANTERIOR TENDONITIS

Tibialis anterior tendonitis typically occurs due to activities placing large amounts of stress through the tibialis anterior muscle. These activities may include fast walking or running (especially up or downhill or on hard or uneven surfaces) or sporting activity (such as running or kicking sports). Patients may also develop this condition following direct rubbing on the tibialis anterior tendon. This may occur due to excessive tightness of strapping or shoelaces over the tendon.

▶️ TREATMENT OPTIONS

Treatment for patients with tibialis anterior tendonitis is vital to hasten the healing process, ensure an optimal outcome and reduce the likelihood of injury recurrence. Treatment may comprise:

- soft tissue massage
- electrotherapy (e.g. ultrasound)
- anti-inflammatory advice
- stretches
- joint mobilization
- dry needling
- ankle taping
- bracing
- the use of crutches
- ice or heat treatment
- exercises to improve strength, flexibility and balance
- education
- activity modification advice
- biomechanical correction
- footwear advice
- a gradual return to activity program

▶️ EXERCISES

The following exercises are commonly prescribed to patients with this condition. You should discuss the suitability of these exercises with your physiotherapist prior to beginning them. Generally, they should be performed 3 times daily and only provided they do not cause or increase symptoms.

Your physiotherapist can advise when it is appropriate to begin the initial exercises and eventually progress to the advanced and self massage exercises. As a general rule, addition of exercises or progression to more advanced exercises should take place provided there is no increase in symptoms.

🔑 Foot and Ankle Up and Down

Move your foot and ankle up and down as far as possible and comfortable without pain (figure 2). Repeat 10 – 20 times provided there is no increase in symptoms.

🔑 Foot and Ankle In and Out

Move your foot and ankle in and out as far as possible and comfortable without pain (figure 3). Repeat 10 -20 times provided there is no increase in symptoms.

Reference: Physio Advisor

28/04/2022

26/04/2022

🔈 HAWKINS – KENNEDY IMPINGEMENT TEST

🔑 Purpose

The primary purpose of the test is to identify subacromial or internal impingement.

🔑 Technique

Patient position
Sitting or standing with the arm relaxed in the anatomical position.

Clinician position
Standing adjacent to the patient on the affected side, one hand is placed under the elbow, the other holds just above the wrist. The elbow is flexed to 90 degrees and the shoulder taken passively into 90 degrees of forward flexion.

🔑 Action

The shoulder is passively taken into internal rotation thereby rotating the greater tuberosity under the coracoacromial arch.

🔎 Positive test

Pain is reproduced increasingly toward the end of the rotation movement and indicates rotator cuff pathology involving the cuff itself, the adjacent bursa or the long head of biceps. The glenoid labrum is also vulnerable in this test.

✅ Clinical context

MRI analysis show that the test brings the rotator cuff insertions against the acromion, so the subarcomial bursa, overlying the tendons, must also be compressed in this position. A cadaveric study also showed that the bursal side of the cuff is very likely to contact the acromion or coraco-acromial ligament. In two of four specimens the bursal side of the cuff contacted the acromion; in all four the bursal side of the cuff or the long head of biceps contacted the coraco-acromial ligament and in one of the four, subscapularis was distorted by the coracoid.

The test may also have a role in identifying internal impingement, as it has shown to cause pinching of the internal aspect of the damaged rotator cuff against the glenoid labrum.

25/04/2022

💥Physical therapy for Bell's palsy💥

The therapist should educate the patient about dry eye management if this has not been done by other medical personnel. If the eye is looking red or the patient reports frequent episodes of redness, an urgent referral to opthalmology is required. Alternatively they should be advised to attend an eye hospital emergency department.

Other physiotherapy treatments include:

📌Neuromuscular retraining

📌Electromyography (EMG) and mirror biofeedback or mirror therapy

📌Electrical stimulation

📌Proprioceptive neuro muscular facilitation (PNF) techniques

📌Mime therapy: Includes treatments such as:
1. Self-massage
2. Breathing and relaxation exercises
3. Exercises to enhance coordination between both sides of the face and to reduce synkinesis
4. Exercises to help with eye and lip closure
5. Letter, word and facial expression exercises