Dr-Munib urrahman Sehat physiotherapy clinic, street no 2 (2025)

05/11/2025

In a medical breakthrough, Japanese scientists at Keio University have successfully helped a paralyzed man stand again using a pioneering stem cell therapy derived from induced pluripotent stem cells (iPSCs). The clinical trial, involving four patients with severe spinal cord injuries, marks the world's first successful use of iPSC-based neural stem cells for spinal repair. One patient has regained enough strength to stand unaided and begin walking practice, showing new hope for millions affected by paralysis. While still in early stages, the research signals a major step toward restoring mobility through regenerative medicine.

31/10/2025

🧠 A Medical Miracle From Japan 🇯🇵

A man once paralyzed from a severe spinal cord injury is walking again — completely unassisted!

Scientists at Keio University in Tokyo have achieved a world-first by using stem cells derived from induced pluripotent stem cells (iPSCs) — reprogrammed cells capable of becoming any type of human tissue.

These specialized cells were injected directly into the damaged area of the spinal cord, helping rebuild lost neural pathways.

Out of four patients treated in the initial trial, one has regained enough motor function to stand and walk training has begun, while another has partially regained limb control — all without serious side effects.

This marks a groundbreaking step in regenerative medicine — offering new hope for millions living with paralysis worldwide. 🌍✨

25/10/2025

“🦴 The Powerhouse of Your Lower Back! 💪
Your lumbar spine is more than just a stack of bones — it’s a masterpiece of strength, flexibility, and protection.

✨ Vertebral Bodies – Bear your body’s weight like strong pillars.
✨ Discs – Soft cushions that absorb every step and jump.
✨ Neural Foramen – Tiny gateways for nerves to connect your brain to your body.
✨ Spinous Processes – The bony bumps you feel on your back, anchoring muscles and ligaments.
✨ Pedicles – Protective bridges guarding your spinal cord.
✨ Facet Joints – Smooth movers controlling safe bending and twisting.
✨ Sacrum – The anchor that links spine to pelvis.
✨ Coccyx – The tiny tailbone with big muscle-anchoring duties.

💡 Keeping your spine healthy means better posture, less pain, and more freedom to move!

25/10/2025

"LumbaGO pain" is likely a misspelling of lumbago, which is a medical term for low back pain. This pain is felt in the lower part of the spine and can range from a dull ache to sharp, stabbing, or tingling sensations. It's very common and is often caused by muscle strain, poor posture, or lifting heavy objects, and most cases improve on their own with rest, over-the-counter pain relievers, and gentle movement.

What lumbago is

An old term for low back pain, or pain in the lumbar spine.
Often involves the muscles, nerves, and bones between the lower ribs and the buttocks.
Can be acute (short-term) or chronic (long-term).

Common causes

Muscle or ligament strain from heavy lifting or sudden movements.
Poor posture.
Sitting for long periods.
Lack of physical activity.
Being overweight.
Weakness in back and abdominal muscles.
Spinal disc problems.

How to manage it

Pain relievers: Over-the-counter options like ibuprofen or acetaminophen can help.
Heat and ice: Apply ice packs in the first 48-72 hours, then switch to heat pads or hot water bottles to relieve pain and reduce inflammation.
Gentle movement: While resting is important initially, gentle exercise like walking can prevent muscles from tensing up.
Physical therapy: A physical therapist can provide targeted exercises to strengthen muscles and improve flexibility.
Postural correction: Be mindful of your posture to avoid further strain.

When to see a doctor

You should see a doctor if your pain is severe, doesn't improve, or is accompanied by other symptoms. Seek medical advice if you experience:
Fever
Blood in your urine
Numbness or tingling in your legs or feet
Loss of bladder or bowel control

24/10/2025

Understanding Rotator Cuff Pain: Causes You Should Know

Rotator cuff pain is a common shoulder issue that can disrupt daily life and your favorite activities. Swipe to see the top causes:

🔹 Rotator Cuff Tendinitis
Inflammation from overuse or repetitive motion can lead to pain and reduced shoulder function.

🔹 Rotator Cuff Tear
A tear in the tendons—partial or complete—can cause weakness and limit movement.

🔹 Shoulder Impingement Syndrome
Occurs when shoulder movement pinches the rotator cuff, resulting in discomfort.

🔹 Calcific Tendinitis
Calcium deposits build up in the tendons, causing pain and inflammation.

If you experience persistent shoulder pain, consult with a healthcare professional for diagnosis and treatment options

14/10/2025

✅ Bilateral lower back pain can stem from various conditions affecting the spine or surrounding structures, including spinal stenosis, sacroiliitis, spondylolysis, spondylolisthesis, facet joint syndrome, and disc issues.

✅ While often benign, it can also signal more serious conditions like Cauda Equina Syndrome (CES), especially if accompanied by leg weakness, numbness, or bowel/bladder dysfunction.

✅ You should seek immediate medical attention for sudden, severe pain, pain after a significant injury, or if you experience symptoms like fever, muscle weakness, leg numbness, or changes in bowel or bladder function.

❄️Potential Causes❄️

➡️ Spinal Stenosis: A narrowing of the spinal canal that can cause diffuse, bilateral lower back pain and radicular pain.

➡️ Sacroiliitis: Inflammation of the sacroiliac joint, causing pain in the lower back, bottom, or groin that can spread down the leg.

➡️ Spondylolysis/Spondylolisthesis: Spondylolysis is a defect in a part of the vertebra, while spondylolisthesis is when the vertebra slips forward. Both can cause bilateral lower back pain.

➡️ Lumbar Facet Joint Syndrome: Affects the facet joints in the lumbar spine, leading to pain in the lower back that can radiate to the buttocks, thigh, or groin.

➡️ Bilateral Disc Herniation: While less common, it is possible to have a herniated disc on both sides simultaneously.

14/10/2025

Occipital nerve pressure is the feeling of pressure or pain resulting from inflammation or injury to the occipital nerves, which can cause a condition called occipital neuralgia. This can be caused by neck muscle tightness, head or neck injuries, or underlying conditions like osteoarthritis. Symptoms include piercing, throbbing, or shocking pain in the back of the head, neck, and behind the ears, and the scalp may be tender to the touch.

Causes
Muscle tightness: Tightness in the neck muscles can pinch the nerves.
Injury: Head or neck trauma can injure the occipital nerves.
Underlying medical conditions: Conditions like osteoarthritis of the upper cervical spine can compress the nerves.

Other factors: Less common causes include inflammation, infections, and certain tumors. In many cases, the specific cause is unknown.

Symptoms
Sharp, piercing, throbbing, or shocking pain in the neck, back of the head, and behind the ears.
Pain that can radiate to the scalp, forehead, and behind the eyes.
A sore or tender scalp.
Sensitivity to light.
Pain that can last for seconds or minutes, with a lingering ache between more intense bouts.
Treatments and relief

Pain relief:
Applying heat to the neck or scalp.
Taking over-the-counter anti-inflammatory drugs like ibuprofen.
Using muscle relaxers or other prescription medications as advised by a doctor.

Professional treatments:
Physical therapy or massage: To help relax neck muscles.
Occipital nerve block: A procedure that uses an anesthetic to temporarily deaden the nerve, which can confirm the diagnosis and provide pain relief.

Self-care: Gentle exercise, like stretching, may help.

04/10/2025

♈Pulled Elbow or Radial Head Subluxation in Children :
🟩
It is known as a partial dislocation of the elbow joint, often resulting from a sudden pull or tug on an extended arm. This can happen when a child is lifted or swung by their arm. The basic mechanical mechanism of the dislocation involves the slipping of a ligament called the annular ligament located at the head of the radius bone, where the ligament becomes partially trapped inside the joint. It most often affects children under the age of six.

💢Symptoms:
Symptoms include the child stopping the use of their arm, which is held in a fully extended position or slightly bent, with the palm facing down. This is sometimes known as "pseudoparalysis" (false paralysis) and is accompanied by pain during movement.

♦️ Diagnosis:
Diagnosis is usually clinical, based on the presence of a history of the arm being pulled. An X-ray is performed to rule out a fracture. The dislocation is typically partial (subluxation).

🌲Treatment:
The subluxation is reduced (set back into place) after distracting the child. This is done by gently pulling the limb (extension) and then flexing (bending) the elbow (as shown in the last image). It is recommended to use a sling for a short period, and the child usually returns to using the limb quickly.

✅Prevention:
Preventing this injury involves avoiding possible causes such as pulling or swinging children by the arm, especially in children between one and four years of age.
Wishing you good health and well-being.

04/10/2025

Dermatomes and Pain Points ✅

29/09/2025

♦️♦️♦️ 💢💢💢

Core muscles are the interconnected group of back, abdominal, hip, pelvic, and diaphragm muscles that stabilize the spine and pelvis, providing support for daily activities and athletic performance. Strengthening these muscles improves balance, posture, movement efficiency, and helps prevent injuries.

♈ Key core muscles include the transverse abdominis, obliques, re**us abdominis, pelvic floor muscles, multifidus, diaphragm, and erector spinae.

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29/09/2025

Issues 👇👇👇👇👇

✅ Common Postural lssues: Forward head posture,
rounded shoulders, kyphosis (hunchback), lordosis
(swayback), and scoliosis (lateral spinal curvature).

💢Causes: Sedentary lifestyle, prolonged sitting, weak
Core muscles, tight hip flexors, p0or ergonomics, or
repetitive movements.

♈Goals: Strengthen weak muscles (e.g., core, back,
glutes), lengthen tight muscles (e.g., chest, hip
flexors), and improve body awareness.

🟩 Therapeutic exercises focus on strengthening weak
muscles and stabilizing the spine and joints.
Perform these exercises 3-5 times per week, starting
with 1-2 sets of 10-15 reps, and progress as
tolerated.

Stretching helps lengthen tight muscles that
contribute to poor posture. Hold each stretch for
30-60 seconds, breathing deeply, and perform 2-3
rounds daily.

Massage therapy can release muscle tension, improve
circulation, and enhance body awareness.

♦️Additional Tips:
Ergonomics:
Adjust your workspace: Keep your computer screen at
eye level, use a chair with lumbar support, and keep
feet flat on the ground.

Avoid slouching or crossing legs for long periods.

Movement Breaks: Stand, stretch, or walk for 1-2
minutes every 30-60 minutes of sitting.
therapy, alignment

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Dr-Munib urrahman Sehat physiotherapy clinic

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