Dr. Zeeshan Ali Arbab

19/09/2024

20/02/2024

Hyderabad Updates (Official) Memon charitable hospital Your Health Consultants Doctors in Hyderabad Young Doctors Association Sindh (Official) Everyone

29/01/2024

Alhamdulillah Hyderabad Updates (Official) Doctors in Hyderabad Orthopaedic Surgeons Your Health Consultants Memon charitable hospital Young Doctors Association Sindh (Official)

19/01/2024

ھالا جي عوام جي لاء بھترين موقعو.
ڊاڪٽر ذيشان ارباب جي سربراھي ۾ ھالا جي عوام لاء ھڏن ۽ جوڙن جي فري ( آرٿوپيڊڪ ڪيئر ڪلينڪ) جو اھتمام ڪيو ويو آھي. ھڏن ۽ جوڙن جي مريضن کي اطلاع ٿو ڪجي تہ 28/01/2024 تي فري ڪيمپ مان چيڪ اپ ڪرائي بھرپور فائدو وٺي ڪري مستفيد ٿين.

ذيشان ارباب

Everyone

20/12/2023

Orthopaedic Surgeons Memon charitable hospital Your Health Consultants Hyderabad Updates (Official) Doctors in Hyderabad Young Doctors Association Sindh (Official)

15/12/2023

Orthopaedic Surgeons Young Doctors Association Sindh (Official) Memon charitable hospital Your Health Consultants Zeeshan Ali Arbab Arbab Shahzeb

22/11/2023

How Brocken Bone Heal.

30/09/2023

●FROZEN SHOULDER;
Frozen shoulder, also called adhesive capsulitis, involves stiffness and pain in the shoulder joint. Signs and symptoms typically begin slowly, then get worse. Over time, symptoms get better, usually within 1 to 3 years..Having to keep a shoulder still for a long period increases the risk of developing frozen shoulder. This might happen after having surgery or breaking an arm.

●Symptoms;
Frozen shoulder typically develops slowly in three stages.
■Freezing stage. Any movement of the shoulder causes pain, and the shoulder's ability to move becomes limited. This stage lasts from 2 to 9 months.
■Frozen stage. Pain might lessen during this stage. However, the shoulder becomes stiffer. Using it becomes more difficult. This stage lasts from 4 to 12 months.
■Thawing stage. The shoulder's ability to move begins to improve. This stage lasts from 5 to 24 months.

●Causes;
The shoulder joint is enclosed in a capsule of connective tissue. Frozen shoulder occurs when this capsule thickens and tightens around the shoulder joint, restricting its movement.

It's unclear why this happens to some people. But it's more likely to happen after keeping a shoulder still for a long period, such as after surgery or an arm fracture.

●Risk factors;
Certain factors may increase the risk of developing frozen shoulder.

>Age;
People 40 and older, particularly women, are more likely to have frozen shoulder.

Immobility or reduced mobility
People who've had to keep a shoulder somewhat still are at higher risk of developing frozen shoulder. Restricted movement can be the result of many factors, including:

>Rotator cuff injury
>Broken arm
>Stroke
>Recovery from surgery
>Systemic diseases
●People who have certain diseases appear more likely to develop frozen shoulder. Diseases that might increase risk include:

>Diabetes
>Overactive thyroid (hyperthyroidism)
>Underactive thyroid (hypothyroidism)
>Cardiovascular disease
>Parkinson's disease
●TREATMENT;
>Medications 💊;
Nonsteroidal anti-inflammatory drugs, or NSAIDs, can relieve shoulder pain by reducing inflammation in the shoulder joint. Ibuprofen and naproxen are two NSAIDs doctors commonly recommend.

●PHYSICAL THERAPY EXERCISES;
1)Towel stretch.
2)Armpit stretch.
3)Crossbody active stretch.
4)pendulum stretch.
5)Finger walk on the wall.
6)Hand behind back stretch.
7)inward rotation.
8)shoulder wheel.
9)Scapular active ROM.

30/09/2023

-Neck Flexion: The scalene muscles assist in flexing (forward bending) the neck. When these muscles contract, they help bring the head and neck forward.

-Neck Lateral Flexion: The scalene muscles also facilitate lateral flexion of the neck, which means they help tilt the head and neck to the side. This movement is important for activities like looking over your shoulder.

-Neck Rotation: These muscles aid in the rotation of the neck. When the scalene muscles on one side contract, they can help turn the head to that side.

-Respiration: The scalene muscles are accessory muscles of respiration, meaning they assist in the process of breathing. During forced or deep breathing, the scalenes help elevate the ribcage, allowing for increased lung capacity.

30/09/2023

𝗣𝗜𝗥𝗜𝗙𝗢𝗥𝗠𝗜𝗦 𝗦𝗬𝗡𝗗𝗥𝗢𝗠𝗘

is a clinical condition of sciatic nerve entrapment at the level of the ischial tuberosity. Patients often reporting pain in the gluteal/buttock region that may "shoot," burn or ache down the back of the leg. The sciatic nerve runs just adjacent to the piriformis muscle, which functions as an external rotator of the hip. Hence, whenever the piriformis muscle is irritated or inflamed, it also affects the sciatic nerve, which then results in sciatica-like pain.

𝗖𝗔𝗨𝗦𝗘
Sciatic nerve entrapment occurs anterior to the piriformis muscle or posterior to the gemelli-obturator internus complex at the level of the ischial tuberosity.
✅️Trauma to the hip or buttock area
✅️Piriformis muscle hypertrophy (often seen in athletes
✅️Sitting for prolonged periods
✅️Bipartite piriformis muscle
✅️Sciatic nerve course/branching variations with respect to the piriformis muscle

𝗘𝗣𝗜𝗗𝗘𝗠𝗜𝗢𝗟𝗢𝗚𝗬
Piriformis syndrome may be responsible for 0.3% to 6% of all cases of low back pain and/or sciatica.

𝗦𝗬𝗠𝗣𝗧𝗢𝗠𝗦
✅️Chronic pain in the buttock and hip area
✅️Pain when getting out of bed
✅️Inability to sit for a prolonged time
✅️Pain in the buttocks that is worsened by hip movements
✅️Present with symptoms of sciatica
✅️Pain may radiate into the back of the thigh, but at times it may also occur in the lower leg at dermatomes L5 or S1
✅️Palpation may reveal mild to moderate tenderness around the sciatic notch

𝗗𝗜𝗔𝗚𝗡𝗢𝗦𝗜𝗦
👨‍⚕️️𝗦𝘁𝗿𝗲𝘁𝗰𝗵 𝗠𝗮𝗻𝗲𝘂𝘃𝗲𝗿. The health care provider may be able to reproduce the patient's symptoms.
1️⃣Freiberg (forceful internal rotation of the extended thigh)
2️⃣Pace (resisted abduction and external rotation of the thigh)
3️⃣Beatty (deep buttock pain produced by the side-lying patient holding a flexed knee several inches off the table)
4️⃣FAIR (flexion, adduction, internal rotation) maneuvers
🖥𝗗𝗶𝗮𝗴𝗻𝗼𝘀𝘁𝗶𝗰 𝗺𝗼𝗱𝗮𝗹𝗶𝘁𝗶𝗲𝘀. Such as ultrasound, MRI, CT, and EMG are mostly useful in excluding other conditions, as above.
🧲𝗠𝗮𝗴𝗻𝗲𝘁𝗶𝗰 𝗿𝗲𝘀𝗼𝗻𝗮𝗻𝗰𝗲 𝗻𝗲𝘂𝗿𝗼𝗴𝗿𝗮𝗽𝗵𝘆. May show the presence of irritation of the sciatic nerve just adjacent to the sciatic notch.

𝗧𝗥𝗘𝗔𝗧𝗠𝗘𝗡𝗧/𝗠𝗔𝗡𝗔𝗚𝗘𝗠𝗘𝗡𝗧
Not more than 48 hours:
💊𝗠𝘂𝘀𝗰𝗹𝗲 𝗿𝗲𝗹𝗮𝘅𝗮𝗻𝘁𝘀 & 𝗡𝗦𝗔𝗜𝗗𝘀
💉𝗦𝘁𝗲𝗿𝗼𝗶𝗱 𝗶𝗻𝗷𝗲𝗰𝘁𝗶𝗼𝗻𝘀. Around the piriformis muscle may help decrease the inflammation and pain.
♿️𝗣𝗵𝘆𝘀𝗶𝗰𝗮𝗹 𝘁𝗵𝗲𝗿𝗮𝗽𝘆. Which entails stretching the piriformis muscle, ROM exercises, deep-tissue massages and other modalities. Evidence shows that both manual and stretching therapies are beneficial.

👩‍⚕️𝗦𝘂𝗿𝗴𝗲𝗿𝘆. Is the last consideration in patients with PS. It should only be considered in patients who have failed conservative therapy, including physical exercise. The surgery may help decompress the nerve if there is any impingement.

27/09/2023

Mond to thurs... 3.30pm to 6.30pm.

27/09/2023