Doctor of physical therapy

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Common locations of knee pain Doctor of physical therapy
28/11/2023

Common locations of knee pain
Doctor of physical therapy

💢 Developmental dysplasia of the hip (DDH) is a condition where the "ball and socket" joint of the hip does not properly...
27/11/2023

💢 Developmental dysplasia of the hip (DDH) is a condition where the "ball and socket" joint of the hip does not properly form in babies and young children.
It's sometimes called congenital dislocation of the hip, or hip dysplasia.

The hip joint attaches the thigh bone (femur) to the pelvis. The top of the femur (femoral head) is rounded, like a ball, and sits inside the cup-shaped hip socket.

In DDH, the socket of the hip is too shallow and the femoral head is not held tightly in place, so the hip joint is loose. In severe cases, the femur can come out of the socket (dislocate).

DDH may affect 1 or both hips, but it's more common in the left hip. It's also more common in:
🔸️girls
🔸️firstborn children
🔸️families where there have been childhood hip problems (parents, brothers or sisters)
🔸️babies born in the breech position (feet or bottom downwards) after 28 weeks of pregnancy

Without early treatment, DDH may lead to:
🔸️problems moving around, for example a limp
pain
🔸️osteoarthritis of the hip and back

With early diagnosis and treatment, children are less likely to need surgery, and more likely to develop normally.
Doctor of physical therapy

Popliteus tendinitis is characterized by inflammation andpain at the knee joint on the back part of the outer side of th...
25/11/2023

Popliteus tendinitis is characterized by inflammation andpain at the knee joint on the back part of the outer side of theknee and the outer side just above the knee at the popliteus
tendon.

☀☀Common Signs and Symptoms☀☀
• Pain and tenderness over the popliteus tendon at the outerknee or back of the knee on the outer side

• Pain that is worse when standing on the leg with the kneebent slightly or when walking or running, just as the foot ofthe affected leg lifts off the ground

• Pain that is worse when rotating the leg

• Pain that starts or recurs after running a particular distance

• Crepitation (a crackling sound) when the tendon is movedor touched (uncommon, except when tested just after exercising)
↔↔↔↔↔↔↔↔↔↔↔↔↔↔↔↔↔↔↔↔

🌀🌀•••>•Causes

Upper Crossed Syndrome (UCS) is a postural imbalance that typically involves tightness in the muscles of the chest, uppe...
25/11/2023

Upper Crossed Syndrome (UCS) is a postural imbalance that typically involves tightness in the muscles of the chest, upper trapezius, and neck, combined with weakness in the muscles of the neck, lower trapezius, and serratus anterior. Physiotherapy management for Upper Crossed Syndrome often includes:

1. **Stretching tight muscles:** Focus on stretches for the chest, upper trapezius, and neck muscles to alleviate tightness.

2. **Strengthening weak muscles:** Exercises targeting the lower trapezius, serratus anterior, and deep neck flexors can help improve muscle balance.

3. **Postural education:** Educating the individual about proper posture and ergonomics is crucial to prevent the recurrence of Upper Crossed Syndrome.

4. **Manual therapy:** Techniques such as massage and joint mobilization may be used to address muscle tightness and improve joint mobility.

5. **Core strengthening:** Strengthening the core muscles contributes to overall postural support and stability.

6. **Range of motion exercises:** Including exercises to improve flexibility and range of motion in the affected areas.

7. **Functional training:** Integrating exercises that mimic daily activities to improve overall function and reduce the risk of relapse.
Doctor of physical therapy

Text neck syndrome also known as "tech neck," is a condition that occurs due to the prolonged forward bending of the nec...
19/11/2023

Text neck syndrome

also known as "tech neck," is a condition that occurs due to the prolonged forward bending of the neck and upper spine while using electronic devices, such as smartphones and tablets.

This posture places extra stress on the cervical spine and can lead to various symptoms, including neck pain, stiffness, headaches, and even potential long-term damage.

Physiotherapy can be a valuable part of the management and treatment of text neck syndrome. Here's how physiotherapy can help:

1. Posture Correction: Physiotherapists can assess your posture and provide guidance on how to maintain proper neck and spine alignment while using electronic devices. They may recommend ergonomic adjustments and exercises to improve posture.

2. Strengthening Exercises: Physiotherapists can design a tailored exercise program to strengthen the neck, shoulder, and upper back muscles. Strengthening these muscles can help support the spine and reduce strain on the neck.

3. Stretching: Specific stretching exercises can help alleviate muscle tension and improve flexibility in the neck and upper back. This can help reduce pain and discomfort associated with text neck.

4. Pain Management: Physiotherapists can use various techniques such as manual therapy, soft tissue massage, and modalities like heat or ice to manage pain and inflammation in the affected area.

5. Ergonomic Education: Physiotherapists can educate you on proper ergonomics and suggest modifications in your workspace or daily routines to reduce the risk of text neck.

6. Postural Awareness: They can teach you how to be more mindful of your posture when using electronic devices and offer strategies to break the habit of looking down for extended periods.

7. Lifestyle Modifications: Physiotherapists may advise you on lifestyle changes to reduce the overall time spent on electronic devices and encourage breaks and physical activity to maintain spinal health.

8. Patient Education: Physiotherapists play a crucial role in educating patients about the importance of maintaining good posture and how to prevent text neck in the future.@
Doctor of physical therapy

Blood flow pathwayDoctor of physical therapy
10/11/2023

Blood flow pathway
Doctor of physical therapy

Kegel exercisesDoctor of physical therapy
02/11/2023

Kegel exercises
Doctor of physical therapy

Arteries of lower limbDoctor of physical therapy
02/11/2023

Arteries of lower limb
Doctor of physical therapy

Pain cycle Doctor of physical therapy
28/10/2023

Pain cycle

Doctor of physical therapy

💢 Radial tunnel syndrome (RTS) is a condition that occurs when the radial nerve in the forearm becomes compressed or res...
26/10/2023

💢 Radial tunnel syndrome (RTS) is a condition that occurs when the radial nerve in the forearm becomes compressed or restricted, causing pain and discomfort. The radial nerve travels from the neck, down the arm, and into the hand, providing sensory and motor function to the forearm and hand.

RTS is often caused by repetitive motion, such as typing or using tools, or by direct trauma to the arm. Symptoms of RTS can include pain or aching in the forearm, wrist, or hand, weakness or numbness in the hand or fingers, and difficulty gripping objects or performing fine motor tasks.

Treatment for RTS usually involves conservative measures such as rest, anti-inflammatory medication, and physical therapy. In severe cases, surgery may be necessary to release pressure on the radial nerve.

22/10/2023
💢 Rotator cuff tendinitis, also known as rotator cuff tendinopathy or shoulder tendinitis, is a condition that occurs wh...
17/10/2023

💢 Rotator cuff tendinitis, also known as rotator cuff tendinopathy or shoulder tendinitis, is a condition that occurs when the tendons of the rotator cuff become inflamed or irritated.
The rotator cuff is a group of four muscles and their tendons that connect the upper arm bone to the shoulder blade, providing stability and mobility to the shoulder joint.

Rotator cuff tendinitis can occur due to repetitive overhead activities such as throwing a ball, lifting weights, painting, or playing tennis. It can also occur due to a traumatic injury or degenerative changes in the tendons associated with aging.

Symptoms of rotator cuff tendinitis include pain in the shoulder, especially when reaching overhead or behind the back, weakness in the shoulder, and stiffness or decreased range of motion.

Treatment for rotator cuff tendinitis may include rest, ice, nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, and corticosteroid injections. In severe cases, surgery may be necessary to repair or remove damaged tissue.
Doctor of physical therapy

06/10/2023

𝗦𝗛𝗔𝗞𝗘𝗡 𝗕𝗔𝗕𝗬 𝗦𝗬𝗡𝗗𝗥𝗢𝗠𝗘

is a type of brain injury that happens when a baby or young child is shaken violently. When this happens, the brain can bounce back and forth against the skull which can cause bleeding, bruising, and swelling.

𝗖𝗔𝗨𝗦𝗘
It takes infants a while to hold their heads up. That’s because their neck muscles start out weak and get stronger as they grow. The same goes for their brains, which still need time to develop. When a baby is shaken, its brain can bounce between the front and back of its skull. This causes it to bleed, bruise, and swell. It only takes a few seconds of aggressive shaking for this to happen.

𝗦𝗬𝗠𝗣𝗧𝗢𝗠𝗦
✅️Bleeding, bruising, or swelling in the brain
✅️Bleeding in the retina (a part of the eye)
✅️Unconsciousness
✅️Seizures
✅️Breathing difficulties
✅️Extreme irritability
✅️Vomiting
✅️Pale or blue-colored skin
✅️A large head or forehead.
✅️A bulging soft spot on the top of their head.
✅️Inability to lift their head.
✅️Widened (dilated) pupils.
✅️Inability to focus or follow movement with their eyes.
✅️Tremors.
Coma.

Babies and young children who have been shaken violently may develop serious health problems, including:
✅️𝗦𝘂𝗯𝗱𝘂𝗿𝗮𝗹 𝗵𝗲𝗺𝗮𝘁𝗼𝗺𝗮: A collection of blood between the surface of your child’s brain and their dura (the tough outer membrane surrounding their brain). This can happen when the veins that bridge your child’s brain to their dura are stretched too far, causing tears and bleeding.
✅️𝗦𝘂𝗯𝗮𝗿𝗮𝗰𝗵𝗻𝗼𝗶𝗱 𝗵𝗲𝗺𝗼𝗿𝗿𝗵𝗮𝗴𝗲: Bleeding between your child’s brain and arachnoid (the web-like membrane surrounding your child’s brain).
✅️𝗕𝗿𝗮𝗶𝗻 𝗱𝗮𝗺𝗮𝗴𝗲 𝘁𝗿𝗮𝘂𝗺𝗮: Brain damage can result from a lack of oxygen if your child stops breathing during shaking.
✅️𝗕𝗿𝗮𝗶𝗻 𝗰𝗲𝗹𝗹 𝗱𝗮𝗺𝗮𝗴𝗲: This can occur when injured nerve cells release chemicals that add to the oxygen deprivation to your child’s brain.
✅️𝗥𝗲𝘁𝗶𝗻𝗮𝗹 𝗵𝗲𝗺𝗼𝗿𝗿𝗵𝗮𝗴𝗲𝘀: Bleeding in the back of your child’s retinas.
Neck and spinal cord damage: Injuries to your child’s cervical spinal nerves.
✅️𝗙𝗿𝗮𝗰𝘁𝘂𝗿𝗲𝘀: This may include skull fractures as well as fractures to your baby’s ribs, collarbone, arms and legs.

𝗗𝗜𝗔𝗚𝗡𝗢𝗦𝗜𝗦
🖥𝗜𝗺𝗮𝗴𝗶𝗻𝗴. Doctors can use imaging tests like magnetic resonance imaging (MRI), x-ray and computed tomography (CT) to diagnose the disorder.
👁𝗘𝘆𝗲 𝗲𝘅𝗮𝗺. To check for eye injuries and bleeding.
🩸𝗕𝗹𝗼𝗼𝗱 𝘁𝗲𝘀𝘁𝘀. Some disorders can mimic the symptoms of shaken baby syndrome. To rule those out, doctors may order blood tests.

𝗧𝗥𝗘𝗔𝗧𝗠𝗘𝗡𝗧
Treatment for shaken baby syndrome depends on the injury. For milder cases, your baby may need medicine and observation at the hospital.
👩‍⚕️Surgery may be needed in an emergency. 👨‍👦Some children will need care for the rest of their lives
Doctor of physical therapy

باتھ روم میں عام طور پر  #سٹروک زیادہ کیوں ہوتے ہیں؟باتھ روم میں فالج کا حملہ عام طور پر زیادہ ہوتا ہے کیونکہ جب ہم باتھ...
02/10/2023

باتھ روم میں عام طور پر #سٹروک زیادہ کیوں ہوتے ہیں؟

باتھ روم میں فالج کا حملہ عام طور پر زیادہ ہوتا ہے کیونکہ جب ہم باتھ روم میں داخل ہوتے ہیں تو سب سے پہلے اپنے سر اور بالوں کو بھگو دیتے ہیں جو کہ نہیں ہونا چاہیے۔ یہ ایک غلط طریقہ ہے۔

اس طرح اگر آپ پہلے سر میں پانی پلائیں تو خون تیزی سے سر کی طرف اٹھتا ہے اور شریانیں ایک ساتھ پھٹ سکتی ہیں۔ نتیجے کے طور پر، فالج ہوتا ہے اور پھر زمین پر گر جاتا ہے.

دنیا بھر میں متعدد مطالعات کے مطابق نہانے کے دوران فالج کے باعث موت یا فالج کے کیسز میں روز بروز اضافہ ہو رہا ہے۔ ڈاکٹروں کے مطابق غسل کرتے وقت کچھ اصولوں پر عمل کرتے ہوئے نہانا چاہیے۔

اگر آپ صحیح اصولوں کے مطابق غسل نہیں کرتے ہیں تو آپ کی موت بھی ہوسکتی ہے۔ نہاتے وقت سر اور بالوں کو پہلے نہ بھگویں۔ کیونکہ انسانی جسم میں خون کی گردش ایک خاص درجہ حرارت پر ہوتی ہے۔ جسم کا درجہ حرارت باہر کے درجہ حرارت کے مطابق ہونے میں کچھ وقت لگتا ہے۔ ڈاکٹروں کے مطابق سر پر پانی سب سے پہلے خون کی گردش کی رفتار بڑھاتا ہے۔ اس وقت فالج کا خطرہ بھی بڑھ سکتا ہے۔

ضرورت سے زیادہ بلڈ پریشر دماغ کی شریانوں کو پھاڑ سکتا ہے۔
#غسل کا صحیح حکم:-

پہلے پاؤں بھگونے ہوں گے۔ پھر آہستہ آہستہ کندھے کو اوپر کی طرف بھگو دیں۔ تو منہ میں پانی آجائے گا۔ سب کے آخر میں اپنے سر پر پانی ڈالنا چاہیے۔

یہ طریقہ ہائی بلڈ پریشر، ہائی کولیسٹرول اور درد شقیقہ کے شکار افراد کو ضرور اپنانا چاہیے۔

Doctor of physical therapy
Dr abbas

🩺 Haglund's Deformity: A Painful Bump on the Heel 🦶Haglund's Deformity, often called "pump bump," is a bony enlargement ...
24/09/2023

🩺 Haglund's Deformity: A Painful Bump on the Heel 🦶

Haglund's Deformity, often called "pump bump," is a bony enlargement at the back of the heel. It's marked by pain, redness, and swelling, resembling a painful bump on your heel's Achilles tendon.

🤕 **Symptoms**: Patients may experience discomfort in shoes, especially those with rigid backs, and notice inflammation around the area.

👨‍⚕️ **Treatment**:
1. **Footwear Modification**: Switching to open-back shoes or those with cushioned heel counters.
2. **Orthotics**: Custom shoe inserts to relieve pressure.
3. **Physical Therapy**: Stretching exercises.
4. **Medication**: Anti-inflammatories for pain and swelling.
5. **Surgery**: In severe cases, removal of the bony growth.

Doctor of physical therapy

💢 Biceps tendinopathy is a condition that affects the tendons of the biceps muscle, which is located in the upper arm.It...
20/09/2023

💢 Biceps tendinopathy is a condition that affects the tendons of the biceps muscle, which is located in the upper arm.

It is characterized by pain, weakness, and inflammation in the region where the tendon attaches to the bone.

The tendinopathy can be caused by repetitive overhead activities, such as throwing or lifting heavy objects, or by the natural aging process that leads to degeneration of the tendon.

The symptoms of biceps tendinopathy typically include pain in the front of the shoulder or upper arm, which may worsen with overhead movements or when lifting heavy objects.

There may also be tenderness and swelling around the affected tendon. In some cases, a popping or clicking sensation may be felt during certain movements of the arm.

The diagnosis of biceps tendinopathy is usually made based on a thorough physical examination, including an assessment of the range of motion and strength of the affected arm.

Imaging tests, such as an X-ray or MRI, may be ordered to rule out other possible causes of the symptoms and to evaluate the extent of tendon damage.

Treatment for biceps tendinopathy often begins with conservative measures, such as rest, ice, and nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation.

Physical therapy exercises focusing on strengthening the shoulder and arm muscles, as well as improving flexibility, may also be recommended.

In some cases, a corticosteroid injection may be administered to provide temporary relief from pain and inflammation.

If conservative treatment fails to improve symptoms, or if the tendon is significantly damaged, surgical intervention may be considered.

The surgical options for biceps tendinopathy include tenotomy, where the damaged portion of the tendon is removed, or tenodesis, where the tendon is reattached to another location on the bone.

Doctor of physical therapy

🔵🔹➖Rotator cuff tendinitis occurs when the tendons of the rotator cuff become irritated and inflamed. As the tendon is c...
17/09/2023

🔵🔹➖Rotator cuff tendinitis occurs when the tendons of the rotator cuff become irritated and inflamed. As the tendon is continually irritated, it can begin to break down, causing shoulder pain and swelling. Tendinitis can be caused by repetitive arm movements and overhead shoulder motions. Those that engage in occupations and sports that require significant overhead movement are at a higher risk of developing this condition, such as hairstylists, painters, baseball players, and swimmers.

💠Symptoms
Common symptoms of rotator cuff injuries include:

••Pain and swelling in the front of the shoulder and down the outside of the arm

••Pain when raising or lowering the arm

••Popping or clicking sound when the arm is moved

••A feeling of heaviness and weakness in the arm

••Inability to lift the arm or move it due to limited range of motion

✨✨✨Special test for RCT::-✨✨✨

🔶 The first is called the “Empty Can test”. The patient stands up with his shoulders in 90°abduction, 30° horizontal adduction and in complete end range rotation. The therapist fixates his hands on the upper arm of the patient and provides a downward pressure while the patient tries to maintain his position.

🔶In the “Hawkin’s Test”, the patient stands with the shoulders abducted to 90° and internally rotates the forearm. The presence of pain with movement is an indicator of a possible pathology.

🔶With the modified Belly Press Test the patient stands or sits with the affected hand flat on the abdomen and elbow close to the body. The patient needs to bring the elbow forward and straighten the wrist. The final belly-press angle of the wrist needs to be measured with a goniometer. A belly-press angle difference of 10° between affected and unaffected side indicates a tendinopathy

♦♥♦Physiotherapy Treatment♦♥♦

➖◾Pendulum
· Lean forward and place one hand on a counter or table for support. Let your other arm hang freely at your side.Gently swing your arm forward and back. Repeat the exercise moving your arm side-to-side, and repeat again in a circular motion.Repeat the entire sequence with the other arm.Do not round your back or lock your knees.

➖◾Crossover Arm Stretch

· Relax your shoulders and gently pull one arm across your chest as far as possible, holding at your upper arm.Hold the stretch for 30 seconds and then relax for 30 seconds.Repeat with the other arm.Do not pull or put pressure on your elbow.

➖◾Passive Internal Rotation

· Hold a stick behind your back with one hand, and lightly grasp the other end of the stick with your other hand. Pull the stick horizontally as shown so that your shoulder is passively stretched to the point of feeling a pull without pain. Hold for 30 seconds and then relax for 30 seconds.Repeat on the other side.
Do not lean over or twist to side while pulling the stick.Made and composed by Dr Hashim Raees khan

➖◾Passive External Rotation

· Grasp the stick with one hand and cup the other end of the stick with the other hand.
Keep the elbow of the shoulder you are stretching against the side of your body and push the stick horizontally as shown to the point of feeling a pull without pain.Hold for 30 seconds and then relax for 30 seconds.
Repeat on the other side.
Keep your hips facing forward and do not twist.

➖◾Sleeper Stretch

· Lie on your side on a firm, flat surface with the affected shoulder under you and your arm bent, as shown. You can place your head on a pillow for comfort, if needed.Use your unaffected arm to push your other arm down. Stop pressing down when you feel a stretch in the back of your affected shoulder.
Hold this position for 30 seconds, then relax your arm for 30 seconds.Do not bend your wrist or press down on your wrist.

➖◾Standing Row

· Make a 3-foot-long loop with the elastic band and tie the ends together. Attach the loop to a doorknob or other stable object.Stand holding the band with your elbow bent and at your side, as shown in the start position.Keep your arm close to your side and slowly pull your elbow straight back.Slowly return to the start position and repeat.Squeeze your shoulder blades together as you pull.

➖◾External Rotation With Arm Abducted 90°

· Make a 3-foot-long loop with the elastic band and tie the ends together. Attach the loop to a doorknob or other stable object.Stand holding the band with your elbow bent 90° and raised to shoulder-height, as shown in the start position.Keeping your shoulder and elbow level, slowly raise your hand until it is in line with your head.Slowly return to the start position and repeat.Make sure your elbow stays in line with your shoulder.

➖◾Internal Rotation

· Make a 3-foot-long loop with the elastic band and tie the ends together. Attach the loop to a doorknob or other stable object.Stand holding the band with your elbow bent and at your side, as shown in the start position.Keep your elbow close to your side and bring your arm across your body.Slowly return to the start position and repeat.
Keep your elbow pressed into your side

➖◾External Rotation

· Make a 3-foot-long loop with the elastic band and tie the ends together.
Attach the loop to a doorknob or other stable object.Stand holding the band with your elbow bent and at your side, as shown in the start position.Keeping your elbow close to your side, slowly rotate your arm outward.
Slowly return to the start position and repeat.: Squeeze your shoulder blades together when you pull your elbow back.

➖◾Elbow Flexion

· Stand tall with your weight evenly distributed over both feet.
Keep your elbow close to your side and slowly bring the weight up toward your shoulder as shown.Hold for 2 seconds.
Slowly return to the starting position and repeat.Do not do the exercise too quickly or swing your arm. raeesphysiotherapy

➖◾Elbow Extension

· Stand tall with your weight evenly distributed over both feet.Raise your arm and bend your elbow with the weight behind your head.Support your arm by placing your opposite hand on your upper arm.
Slowly straighten your elbow and bring the weight overhead.Hold for 2 seconds. Slowly lower your arm back down behind your head and repeat. Keep your abdominal muscles tight and do not arch your back.


➖◾Trapezius Strengthening

· Place your knee on a bench or chair and lean forward so that your hand reaches the bench and helps support your weight. Your other hand is at your side, palm facing your body.

· Slowly raise your arm, rotating your hand to the thumbs-up position and stopping when your hand is shoulder height, with your arm parallel to the floor. Slowly lower your arm to the original position to a count of 5.: Use a weight that makes the last few repetitions difficult, but pain-free.

➖◾Scapula Setting

· Lie on your stomach with your arms by your sides. Place a pillow under your forehead for comfort, if required.Gently draw your shoulder blades together and down your back as far as possible.
Ease about halfway off from this position and hold for 10 seconds.
Relax and repeat 10 times.Do not tense up in your neck.


➖◾Scapular Retraction/Protraction

· Lie on your stomach on a table or bed with your injured arm hanging over the side.Keep your elbow straight and lift the weight slowly by squeezing your shoulder blade toward the opposite side as far as possible.
Return slowly to the starting position and repeat.Do not shrug your shoulder toward your ear.

➖◾Bent-Over Horizontal Abduction

· Lie on your stomach on a table or bed with your injured arm hanging over the side.
Keep your arm straight and slowly raise it up to eye level.Slowly lower it back to the starting position and repeat.Control the movement as you lower the weight.

➖◾External Rotation

· Lie on your side on a firm, flat surface with your unaffected arm under you, cradling your head.Hold your injured arm against your side as shown, with your elbow bent at a 90° angle.
Keep your elbow against your side and slowly rotate your arm at the shoulder, raising the weight to a vertical position.
Slowly lower the weight to the starting position to a count of 5.Do not let your body roll back as you raise the weight.

➖◾ Trapezius stretch

Place your knee on a bench or chair and lean forward so that your hand reaches the bench and helps support your weight. Your other hand is at your side, palm facing your body.
Slowly raise your arm, rotating your hand to the thumbs-up position and stopping when your hand is shoulder height, with your arm parallel to the floor.Slowly lower your arm to the original position to a count of 5.
Use a weight that makes the last few repetitions difficult, but pain-free.

➖◾Soft tissue Massage

📍⚙⚙📍Electrotherapy

1-) TENS
2-) Ultrasound therapy
3-) Infrared radiation
4-) Heating pad

💊💉 NSAID and Steroids

Doctor of physical therapy

✂ Surgery

Address

G 9 Islamabad
Islamabad

Telephone

+923047299911

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