Hands-On Physical Therapy

24/09/2024

WHAT IS VERTIGO???

Vertigo is a false sensation that makes you or your surroundings seem to spin. While intensities vary, it is a condition that can hinder a person in their daily activities. It is a feeling that usually worsens when the person is moving their head. It is commonly described as dizziness or dizzy spells.

Primarily, there are two types of vertigo (Marks, 2021):

1⃣Peripheral vertigo: This type of vertigo is caused by problems in the inner ear area or the vestibular nerve (a connection between the inner ear to the brain). This is the most common type of vertigo.
2⃣Central vertigo: This type of vertigo happens when there is a glitch in the brain. This usually occurs in the cerebellum portion.

Causes & Triggers of Vertigo
There are various factors that can incur vertigo in persons. Possible causes and triggers are as follows:

🔹Benign paroxysmal positional vertigo (BPPV): This is the most frequent cause of vertigo. BPPV is an inner ear disorder where changes to the head’s position can cause vertigo. People with BPPV usually experience it when leaning back, turning over or sitting up.
🔹Meniere’s disease: This is a disease of the inner ear that can influence balance and hearing. Usually, it is only present in one ear. It can cause dizziness, a feeling of spinning, ringing, varied hearing loss and a feeling of fullness.
🔹Labyrinthitis: When the inner ear labyrinth is inflamed or infected, the transmission of information to the brain is muddled. Sounds, position and head motion are among the information affected. This leads to experiences of headache, ear pain, vision issues, tinnitus or hearing loss.
🔹Vestibular neuritis: While similar to labyrinthitis, this is an inflammation of the vestibular nerve. It does not affect the person’s hearing but it causes vertigo. Other side effects could be blurred vision, nausea, or a feeling of being off balance.
🔹Cholesteatoma: An abnormal, non-cancerous growth that forms behind the eardrum. This can occur after multiple instances of ear infections. Cholesteatoma can develop large enough to affect hearing and balance.

Vertigo Diagnosis
Vertigo can be diagnosed in several methods. Your signs and symptoms will indicate to your doctor on which tests to run or prioritise. Some of the tests may be as follows:

🔸Fukuda-Unterberger’s test: You’ll be allocated in a spacious room. A small piece of tape or similar will be placed on the floor in front of your toes to mark your starting position. You’ll be asked to close both eyes, hold your arms outstretched in front of you, and march in place for 30 seconds. If you tilt or lean towards one side, it could indicate inner ear problems, resulting in vertigo.
🔸Romberg’s test: For this test, you’ll be ask to stand with your two feet together (shoes removed). Arms are to be placed next to the body or crossed in front. The medical advisor will ask you to first stand with eyes open, and subsequently with eyes closed. This test is scored by counting the seconds that you are able to stand with eyes closed. If you feel unbalanced or unsteady, you may have issues with your central nervous system.

Head impulse test: This is a quick test to assess the ability to keep your eyes focused on the target even when your head is tilted by the examiner. Targets may be the examiner’s nose or a spot on the wall. Your inner ear balance system will be checked on how it works to control your eye movement when your head is moving.
Vestibular test battery: During this session, the audiologist may perform any of the following tests (this list is not exhaustive).
Videonystagmography (VNG): Provision of information on how certain parts of the inner ear system and eye reflexes are working. It is a test that requires you to wear goggles to monitor eye movement.
Rotary chair: Provision of information on how the inner ear balance system is working. You’ll be asked to answer questions with eyes opened, while the chair sways to the right and left.
Modified clinical test of sensory interaction on balance (mCTSIB): This lets your provider know how vision, sense of touch in your feet and inner ears are contributing to the dizziness. You’ll be asked to stand on a firm and foam surface. Your job is to stay as steady as possible in the given positions.
Risk of falls assessment: Evaluates factors that could foresee which people are likely to experience future falls and injuries.
Aside from these, radiographs may be requested. Examples of these would be CT (computed tomography) scans and magnetic resonance imaging (MRI).



Medication: Treating the condition that caused vertigo as a side effect can reduce its severity. This may mean having your healthcare provider to prescribe antibiotics or steroids. Other effects such as nausea or motion sickness can also be subsided by medication.
Vestibular rehabilitation: This physical therapy may assist in alleviating symptoms if vertigo is the result of an inner ear problem. It is an exercise-based program to improve balance and reduce dizziness-related issues.
Canalith repositioning procedure (CRP): As BPPV is caused by the displacement of tiny crystals of calcium carbonate (known as canalith) in the inner ear, this is a method to remove these trapped particles and reposition them into a suitable area for reattachment, dissolvent or breaking up.
Surgery: If vertigo is caused by a critical illness, surgery may be necessary to treat the overall condition.

26/07/2024

26/07/2024

⚫Abdominal Muscles

Your abdominal muscles have many important functions, from holding organs in place to supporting your body during movement. There are five main muscles: pyramidalis, re**us abdominus, external obliques, internal obliques and transversus abdominis. Ab strains and hernias are common, but several strategies can keep your abs safe and healthy.

⚫The five main muscles in your abdomen are:

🔸Rectus abdominis.
🔸Pyramidalis.
🔸External obliques.
🔸Internal obliques.
🔸Transversus abdominis.

Together with your back muscles, your abdominal muscles make up your “core” muscles. They help protect your spine and keep your body stable and balanced.

⚫Conditions and Disorders
What conditions can affect the abdominal muscles?
Several conditions can affect your abdominal wall muscles.

🔹Abdominal strains
The most common condition affecting the abdominal muscles is abdominal strains. Also called a pulled abdominal muscle, these occur with:

▪️Overstretching of your muscles.
▪️Overuse of your abs.
▪️Quick, violent twisting of your trunk.

🔹Hernia
Another health issue in the abdominal muscles is a hernia. A hernia is when an internal organ pushes through a weak spot in your muscle. For example, your small intestines may push through a weakened abdominal muscle in your groin area, causing an inguinal hernia.

🔹Prune belly syndrome

Another condition that can affect the abdominal muscles is prune belly syndrome. This is a rare condition in which your newborn has absent or weak abdominal wall muscles at birth, making their belly (abdomen) look wrinkled. Other features of the disease include undescended testicles and urinary system problems.

🔵Care
How can I keep my core safe and healthy?
Several strategies can help you prevent ab injuries:

◾️Avoid sudden, jerky movements of your trunk.
🔹Be careful when lifting heavy objects. For example, lift with your legs or ask for help.
🔹Use good form when playing sports, lifting weights and participating in other exercises.
🔹Don’t overdo physical activity.
🔹Eat nutritious foods like fruits and vegetables and drink plenty of water. This will encourage regular bowel movements and minimize constipation risk, which can help prevent a hernia.
🔹Maintain a healthy body weight for you.
🔹Talk to a healthcare provider about how you can strengthen your abdominal muscles.
🔹Rest when you feel discomfort or pain.
🔹Stretch every day, as well as before and after physical activity.
🔹Tighten your ab muscles when you cough or sneeze.
🔹Warm up before you perform physical activity, increase intensity gradually and then stretch well at the end.

02/09/2023

02/09/2023

09/08/2023

It was reported that a movie theater displayed a short film which began with a snapshot of the room ceiling. No details, no colors. Just a white ceiling.

The same scene remained displayed for 6 long minutes when the moviegoers started to get frustrated. Some complained about the film wasting their time and others started to leave.

Suddenly, the camera lens slowly started to move until it reached down towards the floor. A small child who appeared handicap was lying fixed on the bed, suffering from a spinal cord tear.

The camera then pans back up to the ceiling with the following words:

"We showed you only 8 minutes of this child's daily activity, only 8 minutes from the scene that this handicap child watches at all hours of his life, and you complained and weren't patient for even 6 minutes, you couldn't bear to watch it.."

Sometimes we need to put ourselves in others shoes in order to realize the magnitude of blessings we are given and to thank Allah for bestowing us with such blessings that we take for granted.

04/08/2023

22/03/2023

رمضان مبارک ❤️

31/01/2023

31/01/2023

🔺What is Osteoporosis ❓
Osteoporosis means “porous bone”. It is a metabolic bone disease that results from decreased bone formation, increased bone loss, or both and leads to weak and fragile bones. Frail bones break easily with no or minimal trauma, such as twisting, slipping, or even with walking. Fractures related to osteoporosis usually occur in the hip, wrist, or spine, but other bones can break too.

🔺What causes osteoporosis ❓
Our bones are constantly remodeling, that is losing and gaining bone minerals, and generally this process is balanced while we are young. However, after menopause and as we age, bone remodeling can become out of balance and loss of bone mass may occur faster than bone growth. When this occurs, bones become porous, lose strength, and are much more likely to fracture.

Osteoporosis can be the result of several hormonal and metabolic disorders such as hyperparathyroidism, hyperthyroidism, Cushing’s syndrome, diabetes, low testosterone in men, and menopause. Certain medications such as steroids, anti-seizure medications, cancer chemotherapies, and estrogen blockers or inhibitors may also lead to osteoporosis.

🔺How is Osteoporosis Diagnosed ❓

A bone density test (DEXA Scan) measures the mineral content of bone, and is used along with a risk assessment to diagnose osteoporosis. Fragility fractures, such as a broken hip from a ground level fall, also determine osteoporosis. Loss of height due to a compression fracture in the spine is another indication of osteoporosis.

🔺Osteoporosis symptoms :
If symptoms do appear, some of the earlier ones may include:

receding gums
weakened grip strength
weak and brittle nails

🔺What are the Preventative Measures for Osteoporosis?

If you are someone who may be more likely to get osteoporosis consider taking some of these highly recommended preventive measures now:

🔸Increase your calcium intake to create strong bones
🔸Increase vitamin D in your diet for higher nutrients levels
🔸Exercise regular to create stronger and healthier bones
🔸Don’t drink or smoke in excess

🔺 Exercises for osteoporosis :
Eating right isn’t the only thing you can do to support the health of your bones. Exercise is very important as well, especially weight-bearing exercises.

Weight-bearing exercises are performed with either your feet or your arms fixed to the ground or another surface. Examples include:

🔸Climbing stairs
🔸Resistance training, such as:
🔸Leg presses
🔸Squats
🔸Pushups
🔸Weight training, such as working with:
🔹Resistance bands
🔹Dumbbells
🔹Resistance exercise machines
These exercises help because they cause your muscles to push and pull against your bones. This action tells your body to form new bone tissue, which strengthens your bones.

10/01/2023

What is Rheumatoid arthritis?

Rheumatoid arthritis, or RA, is a type of inflammatory arthritis that affects the joints and surrounding tissues. Rheumatoid arthritis is more common in women than in men, affecting people of any ages.

Causes of Rheumatoid arthritis

The exact cause of rheumatoid arthritis is unknown. This is an auto immune disease which basically means that body’s immune system atttacks against own body.

Signs and Symptoms of Rheumatoid arthritis
Rheumatoid arthritis is a progressive arthritis that has the potential to cause joint destruction and functional disability in years to come.

– Pain and Inflammation on joints
– Swelling
– Stiffness: morning stiffness
– Red and warm

– Joints may be affected: hands, knees, wrists, neck, shoulders, elbows, jaw
– Usually affect same joints on both sides of the body
-- Joint deformity

Other signs:

– Fatigue
– Muscle aches
– Loss of appetite to weight loss

Effective Treatments Solution for Rheumatoid Arthritis:

–Pain Relief Therapy: Using pain relieving treatment modalites such as Ultrasound , electrical stimulation, TENS, laser, heat therapy to reduce pain, joint & tissue repair and healing

– Physiotherapy: Physiotherapist will educate you on the benefits of exercise and advice on how to further prevent joint damage. It is very important to balance rest and activity and tailor your exercise program accordingly, to avoid excessive stress on your joints.

– Medical Exercise Therapy: Specific targeted exercises to relieve muscle tightness, correct muscle imbalance. Long term progressive exercises are important to prevent joint injury. Exercises are guided by therapist to correct possible incorrect compensatory movement and ensure proper posture alignment, technique and muscle activation.

– Stretch Therapy: Using a variety of different active or passive stretching methods to improve muscle length, reduce muscle tension

– Massage Therapy: Hands-on technique such as soft tissue release, deep friction massage, myofascial release, trigger points release to ease muscle pain and muscle tightness to reduce joint pressure

–Shockwave Therapy: Advanced high energy pulses effective for chronic, persistent muscle tightness, trigger points to stimulate healing

– Spinal Decompression Therapy: Using computerized system creates an anti-gravity, negative pressure to the cervical, thoracic or lumbar spine on the spinal disc, joints, nerves and muscles.

– Dry Needling

– Manual Therapy: Passive joint mobilisation, manipulation, manual traction,

– Education: Advice to improve posture, lifestyle modifications, ergonomics workstation adjustment, joint stress reductions

06/01/2023

CARPAL TUNNEL SYNDROME

Carpal tunnel syndrome is a common condition that affects both hands and forearms. It involves the nerves, bones, and ligaments that connect the arm and the hand. This condition is caused by pressure on the median nerve. The median nerve runs the length of the arm, goes through a space in the wrist, and ends in the hand. This condition occurs when swelling puts pressure on the median nerve at the wrist.

The symptoms of carpal tunnel syndrome include pain and cramping of hands and tingling of the fingers. Often this leads to patients waking up night wanting to shake-off their hands. In more severe cases, however, it can also result in weakness of the hands. It can be to the point that people involuntarily drop objects. As carpal tunnel progresses it can also cause cramping and pain of the forearm, arms, and even the neck muscles.

Carpal Tunnel Signs & Symptoms:

Numbness
Wrist Pain
Tingling
Weak grip
A tendency to drop things
The numbness or tingling most often is felt in the thumb, index, middle and ring fingers. Symptoms usually are felt during the night but may also be noticed during daily activities such as driving or reading a newspaper. In severe cases, though, sensation and strength may be permanently lost.

Causes of the Condition:

The cause of this condition is frequently unknown since the nerves can be pressured due to a variety of conditions or trauma. Below, there are some common causes of carpal tunnel.

Repetitive wrist movements occur from recurrent activities, such as twisting, typing, and turning of the wrists
Wrist fracture
Natural thickening of the carpal ligament
Ganglion cysts in the wrist
Inflammation of the wrists from pregnancy, weight gain, etc
Metabolic disorders such as Diabetes, Mellitus, Gout, and others.

Treatment Options:
Most patients who experience mild cases can be treated non-surgically with NSAID, splinting, and physical therapy. Often lifestyle changes by reducing repetitive hand use also help. For moderate cases, patients with carpal tunnel syndrome can be treated with steroid injection. While severe cases may require carpal tunnel surgery.

15/12/2022

13/12/2022

13/12/2022

ف͟ا͟ئ͟ب͟ر͟و͟م͟ا͟ئ͟ل͟ج͟ی͟ا͟ 𝑭𝒊𝒃𝒓𝒐𝒎𝒚𝒂𝒍𝒈𝒊𝒂

فائبرومائلجیا ایک لمبے دورانیے والی بیماری ہے جس میں آپ کے پورے جسم میں درد اور ہاتھ لگانے پر دکھن محسوس ہوتی ہے, اس کے ساتھ ہی تھکاوٹ اور نیند بھی متاثر ہوتی ہے. اس بیماری کی وجہ ابھی تک نہیں پتہ چل سکی لیکن اس کا علاج ممکن ہے. جن لوگوں کو فائبرومائلجیا ہو ان میں درد کی حساسیت کافی بڑھ جاتی ہے. جسم کے جوڑوں, پٹھوں اور مہروں کے ارد گرد کھچاؤ ہوتا ہے. آرام کرنے کی کوشش سے درد کی شدت میں اضافہ ہوتا ہے اور شدت میں کمی ورزش میں مصروف رہنے سے ہوتی ہے.

ع͟ل͟ا͟م͟ا͟ت͟

1- پورے جسم میں درد اور اکڑاؤ محسوس ہونا
2- دن کے وقت تھکاوٹ
3- ڈپریشن اور پریشانی میں رہنا
4- نیند کا نہ آنا
5- سوچنے, دھیان لگانے اور یادداشت کا مسلہ ہونا
6- سر میں درد رہنا
7- جوڑوں میں درد ہونا خصوصاً صبح بیداری کے بعد
8- اسہال اور قبض
9- ہاتھ پیر کا سن ہونا
10- چڑچڑا پن

ف͟ا͟ئ͟ب͟ر͟و͟م͟ا͟ئ͟ل͟ج͟ی͟ا͟ ͟ک͟ی͟ ͟و͟ج͟و͟ہ͟ا͟ت͟
ابھی تک کی تحقیق کے مطابق اسے جینیاتی بیماری بھی کہا جا رہا ہے اور عمر کے ڈھلنے کے ساتھ ساتھ پیدا ہونے والی بیماریوں میں بھی شامل کیا جا رہا ہے, مزید یہ کہ مستقل ذہنی دباؤ یا نیند کا نہ آنا بھی فائبرومائلجیا کی طرف لے جاتا ہے لیکن اصل وجہ ابھی تک شامل تحقیق ہے.

ع͟ل͟ا͟ج͟
فائبرومائلجیا کا علاج سپیشلسٹ ڈاکٹر Physiotherapist کرتے ہیں۔ علامات زیادہ ہونے کی وجہ سے یہ آپ کی روز مرہ زندگی کو شدید متاثر کر سکتی ہے۔ اور مریض کے ڈپریشن میں جانے کے چانسز بھی بہت زیادہ بڑھ جاتے ہیں کیونکہ اس مرض میں مستقل درد رہتا ہے۔

بروقت تشخیص سے اس بیماری کا علاج ممکن ہے۔ ابتدائی علامات کی صورت میں فوراً تجربہ کارPhysiotherapist سے رابطہ کریں۔
بروقت تشخیص اور علاج نہ ہونے کی وجہ سے یہ بیماری ڈپریشن میں مبتلا کر سکتی ہے۔ اللہ تعالی ہم سب کو صحت مند زندگی عطا کرے۔

08/10/2022

جن کے آنے سے روشن زمانہ ہوا
پیارے آقاﷺکی آمد پہ لاکھوں سلام❤️