Rao Physiotherapy Clinic

Rao Physiotherapy Clinic Dr Sumbul Ali Rao
Physiotherapist (PT)
Isra University Hyderabad

Only for Female and Children

تمام اہلِ اسلام کو عبد الاضحی مبارک ❤️
17/06/2024

تمام اہلِ اسلام کو عبد الاضحی مبارک ❤️

Are you searching for professional and effective physiotherapy services in Hyderabad?😃 Look no further! Dr Sumbul Ali Ra...
03/06/2024

Are you searching for professional and effective physiotherapy services in Hyderabad?😃 Look no further!
Dr Sumbul Ali Rao Physiotherapy Clinic is here to help you regain your strength, mobility, and overall well-being. Our dedicated team of experienced physiotherapists is committed to providing top-notch care tailored to your unique needs.
Call us on 0317 3017139⁩ to book your appointment.

"Transforming lives, one treatment at a time." feel free to consult Dr Sumbul Ali RaoOur location: kali mori near chohan...
30/05/2024

"Transforming lives, one treatment at a time."
feel free to consult Dr Sumbul Ali Rao

Our location: kali mori near chohan kanta hyderabad
Contact number # 0317-3017139

Why Does Heat Stroke Cause Death and How to Prevent It?**Body Temperature Regulation** - Normal body temperature: 37°C ...
23/05/2024

Why Does Heat Stroke Cause Death and How to Prevent It?

**Body Temperature Regulation**
- Normal body temperature: 37°C
- Proper functioning of organs at this temperature

**Sweating and Hydration**
- Body maintains temperature by sweating
- Continuous water intake is crucial

**Heat and Water Shortage**
- Lack of water stops sweating
- External temperature > 45°C overwhelms the cooling system
- Body temperature rises above 37°C

**Critical Temperatures**
- At 42°C, blood heats up, proteins cook
- Muscles, including those for breathing, stiffen
- Thickened blood, low blood pressure, interrupted blood supply to organs

**Consequences**
- Coma and gradual organ failure leading to death

**Preventive Measures**
- Continuous hydration to maintain 37°C body temperature
- Anticipated Equinox effects on Pakistan's weather
- Stay indoors (12 PM - 3 PM), temperature around 40°C

**Health Tips**
- Drink at least 3 liters of water daily (6-8 liters for kidney patients)
- Monitor blood pressure
- Take cold showers
- Reduce meat consumption; eat more fruits and vegetables
- Place an unused candle outside; melting indicates severe heat
- Maintain room humidity with open containers of water
- Keep lips and eyes moist

Please be safe. 🙏🏻

"Transforming lives, one treatment at a time."Satisfied Patients Review, feel free to consult Dr Sumbul Ali Rao .
04/05/2024

"Transforming lives, one treatment at a time."
Satisfied Patients Review, feel free to consult Dr Sumbul Ali Rao .

السلام علیکم ورحمةاللہ وبرکاتہ عید مبارک ان گنت دعاؤں نيک تمناؤں اور پرخلوص جذبوں کے ساتھ آپکو اور آپکی فیملی کو عیدالف...
10/04/2024

السلام علیکم ورحمةاللہ وبرکاتہ
عید مبارک
ان گنت دعاؤں نيک تمناؤں اور پرخلوص جذبوں کے ساتھ آپکو اور آپکی فیملی کو عیدالفطر مبارک ھو, اللہ پاک آپکو اہلخانہ سمیت اپنے حفظ وامان میں رکھے. اللہ کریم آپ کی تمام فرض و نفلی عبادات کو مقبول و منظور فرمائے اور آپ کو صحت و تندرستی کے ساتھ ایمان والی عمراورخوشیاں نصیب فرمائے
آمین یا رب العٰلمین 🤲🏻

رمضان کریم ❤️
11/03/2024

رمضان کریم ❤️

flat feet exercises
02/11/2023

flat feet exercises

Techniques I recommend
31/10/2023

Techniques I recommend

🕳Coccydynia, coccalgia, coccygeal neuralgia or tailbone pain, is the term used to describe the symptoms of pain that occ...
26/10/2023

🕳Coccydynia, coccalgia, coccygeal neuralgia or tailbone pain, is the term used to describe the symptoms of pain that occur in the region of the coccyx.The pain is most commonly triggered in a sitting position, but may also occur when the individual changes from a sitting to standing position.

✨Ergonomic Adjustments✨
The initial goal of treatment should be focused on providing postural education.Individuals should be taught to correct their sitting posture by sitting more erectly on a firm chair.A proper sitting posture ensures weight is taken off the coccyx and is instead loaded onto the ischial tuberosities and the thighs.Patients should be advised to avoid any positions or movements that might exacerbate their symptoms.

"Physiotherapists may also recommend the use of cushions. Modified wedge-shaped cushions (coccygeal cushions), which can be purchased over the counter, help to relieve the pressure placed on the coccyx during sitting. Donut shaped or circular cushions may also be used"

⚽Manual Therapy:-
The manual therapy techniques suggested in the literature range from massage, stretching, mobilization and manipulation, and may either involve internal or external contact with the coccyx.

📌Internal adjustment:-
Internal techniques may include massage of the levator ani muscle or the coccygeus muscle,joint mobilization while the coccyx is hyperextended to stretch the levator ani, or repeated mobilizations while the coccyx is rotated.
📌External adjustment:-
External techniques may include manipulations of either the coccyx or sacroiliac joint, mobilizations of the sacrococcygeal or intercoccygeal joints, posterior mobilizations to the thoracic spine, and stretching of the piriformis or iliopsoas.

♦Mobilization techniques may be the preferred technique when the goal of treatment is to increase coccygeal mobility.Pelvic floor rehabilitation can be helpful for coccydynia that is associated with pelvic floor muscle spasms

🔹TENS
During TENS, your device delivers a light electrical current that disrupts pain signals from the coccyx to the brain. This solution is ideal for pain management, but tends to wear off several hours after treatment
🔹Ultrasound therapy
(5days per week for about 4week )

◾Exercise to avoid:-
Exercises that put pressure on it - Spin class, Pilates roll ups/rolling like a ball/balancing with your legs lifted, Barre class where you are instructed to tuck. Tightness in the hip rotators and pelvic floor muscles. Kegels - with a coccyx injury you have to be very careful with pelvic floor muscle strengthening.

💉Injection for tail bone:-
Coccygeal injection consisting of direct administration of steroid and local anaesthetic. Ganglion impar injection treats coccyx pain by blocking the pain signals to the brain, and these injections can be both diagnostic and therapeutic

📀Knee to Chest Stretch:-
Raise the knees toward the ceiling, keeping the feet flat on the floor. Bend the left leg closer into the body and rest the left ankle across the right knee. Loop the hands around the right thigh and gently pull it toward the chest for 30 seconds.

🔳Surgical options include:

Partial coccygectomy (removal of part of the coccyx — extremely rare).
Total coccygectomy (removal of the entire coccyx — extremely rare)

🛑Coccydynia in Pregnancy:-
because the growing fetus is putting pressure on the bone. Physical therapists recommend you lie on your side when you sleep and sit on a coccyx cushion. Both will help relieve some of the pain by taking pressure off of your coccyx.




💢 Foot drop 💢 Foot drop is the inability to lift the forefoot due to the weakness of dorsiflexors of the foot.➡The Dors...
25/10/2023

💢 Foot drop 💢
Foot drop is the inability to lift the forefoot due to the weakness of dorsiflexors of the foot.
➡The Dorsiflexors Muscles are the tibialis anterior, extensor digitorum longus, and extensor hallucis longus, help clear the foot during the swing phase of walking and control plantar flexion of the foot on heel strike.
➡Weakness in the ankle and foot dorsiflexors results in an equinovarus deformity. ➡Sometimes referred to as steppage gait, which is a tendency of a person walking with an exaggerated flexion of the hip and knee to prevent the toes from catching on the ground during swing phase.

♦♦♦♦♦Etiology♦♦♦♦♦

1. Compression disorders: Entrapment syndromes of the fibular nerve at various locations along its anatomical pathway can lead to compressive neuropathy.
Sciatic nerve compression between the two heads of the piriformis muscle leading to foot drop has been reported.

Another common cause of foot drop is Lumbar radiculopathy. L5 radiculopathy is the most common lumbar radiculopathy and results from lumbar disc herniation or spondylitis in the spine.

2.Traumatic Injuries: They often occur associated with orthopedic injuries such as TKA , Fracture to tibial plateau . Patellar dislocations (33% chance of nerve damage) Ankle inversion injury. Sciatic neuropathy commonly resulting from either a traumatic injury of the hip or secondary to surgery is the second most common mononeuropathy of the lower extremity and typically presents with foot drop. Lumbosacral plexopathies, resulting from traumatic injury, a complication of abdominal or pelvic surgery, or a complication of neoplasm or radiation therapy is less common cause of foot drop.

3.Neurologic Disorders:

Charcot–Marie Tooth (CMT) is one of the most commonly inherited congenital demyelinating peripheral neuropathy. It affects both motor and sensory nerves. One of the main symptoms is foot drop and wasting of the lower leg muscles, giving a typical “stork leg” appearance.

💎💎Clinical Presentation💎💎

1)Pain
Neurogenic pain can be experienced from damage to the common peroneal nerve.
This pain can be present over the lateral aspect of the knee as well as the dorsal part of the foot.
2) Sensory changes can also be experienced indicating nerve damage to the therapist.

🔻🔻Diagnostic Procedures🔻🔻

Subjective History:
Assessment of ankle dorsiflexion
Neurological exam
Gait assessment
Electromyography (EMG) / Nerve conduction studies

🌟🌟Orthosis🌟🌟

One way to improve function while the foot drop resolves is the use of splinting.
A solid ankle-foot orthoses (AFO) or foot-up splint can be used to keep the foot in plantar-grade.

☀☀Exercise☀☀
Physiotherapy interventions normally are focused on graded exercises to encourage active dorsiflexion and muscle recruitment. These exercises have been shown to prevent atrophy and speed up recovery but more research is needed.

1:- Towel Stretch

Sit on the floor with both legs out in front of you. You may also do this exercise while sitting in a chair.Loop a towel around the ball of your affected foot and grasp the ends of the towel in your hands.Keep your affected leg straight and pull the towel toward you.Hold for 30 seconds, then relax for 30 seconds. Repeat.

2:- Ankle Dorsiflexion & Planterflexion

Sit on the floor with your legs straight out in front of you. You may also complete this exercise while sitting in a chair.
For dorsiflexion, anchor the elastic band on a chair or table leg, then wrap it around your foot. Pull your toes toward you and slowly return to the start position. Repeat.
For plantar flexion, wrap the elastic band around your foot and hold the ends in your hand. Gently point your toes and slowly return to the start position. Repeat.

3:- Marble pickup

Sit with both feet flat and place 20 marbles on the floor in front of you.Use your toes to pick up one marble at a time and place into a bowl.Repeat until you have picked up all the marbles.

4:- Ball roll
Sit on a stable chair with both feet planted on the floor.Roll a golf ball under the arch of your affected foot for 2 minutes.

5:-Calf raise
Stand with your weight evenly distributed over both feet. Hold onto the back of a chair or a wall for balance.Lift your unaffected foot off of the floor so that all of your weight is placed on your affected foot.Raise the heel of your affected foot as high as you can, then lower.
Repeat.
6:- Balance exercises

Balance exercises are also used to treat the condition. The main goal of physical therapy for foot drop is to improve functional mobility related to walking. This can ensure that you are able to get around safely and may lower your risk of falling

7:- K.tapping
Take a piece of kinesio tape, and start on the outside of the ankle, about 4 to 6 inches above the ankle. Create a stirrup-like effect as you take the piece of tape over the heel, pulling the tape to the opposite side, over the inner aspect of the ankle, and stopping at the same level as the first piece of tape.
Put another piece of tape on the back of the foot, centering it with your Achilles (heel) tendon. Wrap the tape around the ankle to circle it around the foot. The tape should be tight enough so the foot bends, yet still feels supported.

In neurologically impaired patients such as Charcot‐Marie‐Tooth disease improved with strengthening exercises to tibialis anterior, however, other neurological diseases like muscular dystrophy strength training was not found to be effective at reducing the foot drop.

Preventing contractures and stiffness is also an important maintenance goal of physiotherapy as this is likely in neurological disease patients more so than after trauma to the knee.

➡Electro-stimulation of the affected muscle groups has also been shown to improve recovery times.stimulation of the peripheral nerves that supply the paralysed muscles using electrodes placed on the surface of the skin. In the case of foot drop the peroneal nerve is stimulated resulting in dorsiflexion and eversion of the ankle.

⚔Surgery
Direct repair of the common peroneal nerve is possible for surgical intervention however, this has been shown to have poor outcomes with residual foot drop leading to further surgery.

In extreme cases tibialis posterior can be transposed to regain active dorsiflexion by using the tendon not innervated by the common peroneal nerve, this surgery has been shown to be more successful than nerve repair.




🌐Temporomandibular Disorder (TMD) is a broad term that encompasses disorders of the temporomandibular joint and its asso...
13/10/2023

🌐Temporomandibular Disorder (TMD) is a broad term that encompasses disorders of the temporomandibular joint and its associated anatomical structures.

🌐Symptoms
-Pain in the chewing muscles and/or jaw joint (most common symptom).
-Pain that spreads to the face or neck.
-Jaw stiffness.
-Limited movement or locking of the jaw.
-Painful clicking, popping, or grating in the jaw joint when opening or closing the mouth.
-Ringing in the ears, hearing loss, or dizziness.

🌐Test::-
Test the mobility of your neck

Can you put 3 fingers vertically into your mouth when opening as wide as possible? When your bite is 'off' it can put a lot of stress on the muscles in your jaw and neck which will prevent you from opening and closing your mouth properly. To test your neck, stand in front of a mirror.

(2)Dental X-rays to examine your teeth and jaw.

(3)CT scan to provide detailed images of the bones involved in the joint.

(4)MRI to reveal problems with the joint's disk or surrounding soft tissue.

🌐Pharmacological treatment

There are several types of over-the-counter (OTC) and prescription medications that can ease TMJ symptoms, including:

°Pain relievers like acetaminophen.
°Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and naproxen.
°Muscle relaxers (particularly helpful for people who clench or grind their teeth).
°Antidepressants (which can change how your body interprets pain).

🌐Physical therapy Treatment

1⃣Education. Your physical therapist will discuss the cause of your TMD and educate you about:
°Proper posture and body mechanics.
°Tongue resting position.
°Eating a soft diet when appropriate.
°Exercise.
°A self-management routine.
Patient education aims to reduce your discomfort and prevent future aggravation and symptoms.

2⃣Relaxed jaw exercise
Place your tongue behind your upper front teeth on the top of your mouth. Relax your jaw muscles thus allowing your teeth to fall apart.

3⃣ Goldfish exercises (partial opening)
Place one finger in front of your ear, where your TMJ is located, and your tongue on the roof of your mouth. Place your chin on your middle or pointer finger. Lower the jaw halfway and then close it. There should be some resistance, but it should not be painful. Placing one finger on each TMJ while dropping your lower jaw halfway and closing it again is a variant of this exercise. In one sequence, repeat this exercise six times. One collection should be done six times a day.

4⃣Goldfish exercises (full opening)
Place one finger on your TMJ and another on your chin while keeping your tongue on the roof of your mouth. Return your lower jaw to its natural position. Place one finger on each TMJ as you fully drop your lower jaw and back for a variation of this exercise. To complete one set, repeat this exercise six times. One collection should be completed six times a day.

5⃣Chin tucks
Pull your head straight down, making a “double chin,” with your shoulders down and chest up. Hold for three seconds and then repeat for a total of ten times.

6⃣Resisted opening of the mouth
Underneath your chin, position your thumb. Slowly open your mouth, softly pressing against your jaw for resistance. Hold for three to six seconds before slowly closing your mouth.

7⃣Resisted closing of the mouth
Squeeze the chin with one hand’s index and thumb. Place gentle pressure on your chin when closing your mouth. This will aid in the strengthening of the muscles that aid in chewing.

8⃣Tongue up
Slowly open and close your mouth with your tongue meeting the roof of your mouth.

9⃣Side-to-side jaw movement
Place a 14-inch item between your front teeth, such as stacked tongue depressors, and slowly shift your jaw from side to side. Increase the thickness of the item between your teeth as the exercise becomes simpler by piling them one on top of the other.

🔟Forward jaw movement
In between your front teeth, place a 14-inch object. Bring your lower jaw forward, putting your bottom teeth in front of your top teeth. Increase the thickness of the item between the teeth as the exercise becomes easier.

🌐Modalities.
These may include using treatments such as °heat or ice,
°Ultrasound therapy-->This treatment uses sound waves to deliver heat deep into your tissues. It increases blood flow and promotes muscle relaxation.
°TENS--> This method uses low-level electrical currents to relax your jaw muscles
°Lazer therapy,
°Accupuncture,
°or other tools to prepare your soft-tissue for manual (hands-on) therapy

🌐Manual Therapy

The Protocols of mixed manual therapy techniques, upper cervical mobilization or manipulation, had considerable evidence for TMD symptom control and improvement in maximum mouth opening. The manual techniques included intra-oral myofascial release and massage therapy on masticatory muscles, atlanto-occipital joint thrust manipulation, and upper cervical spine mobilization.

🌐 Mouth Guard
Dental appliances like oral splints or mouth guards can place your jaw in a more favorable position or help reduce the effects of grinding and clenching. While you can buy these over the counter, it’s best to get a custom mouth guard from a dentist.

🌐Surgery
TMJ arthroscopy
Open-joint surgery
Arthrocentesis



Address

Hyderabad

Opening Hours

Monday 18:00 - 22:00
Tuesday 18:00 - 22:00
Wednesday 18:00 - 22:00
Thursday 18:00 - 22:00
Friday 18:00 - 22:00
Saturday 18:00 - 22:00

Telephone

+923173017139

Website

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