Consultancy by Dr Shifa Yousaf

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Consultancy by Dr Shifa Yousaf

Physiotherapy offers a wide range of benefits.It helps reduce pain, improve mobility and enhance overall physical function.

15/09/2025

test of Elbow , Hand and Wrist joint

23/08/2025

test for shoulder joint.

12/08/2025

of skeletal system.

10/06/2025

Free Physiotherapy service in kotaddu every Friday for women and children in kotaddu Al Shifa physiotherapy clinic community plaza railway road kotaddu
DR.SHIFA YOUSAF

19/05/2025

test for Elbow

24/11/2024

💢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.

🔳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.

14/07/2024

💢 Headache :-
A painful sensation in any part of the head, ranging from sharp to dull, that may occur with other symptoms.
♦️ Symptoms :-
1. Pain or discomfort in the head or neck
2. Sensitivity to light (photophobia) or sound (phonophobia)
3. Nausea or vomiting
4. Dizziness or lightheadedness
5. Blurred vision
6. Sensitivity to smells or tastes
7. Tingling or numbness in the face or extremities
8. Weakness or fatigue
9. Confusion or disorientation
10. Fever
11. Chills
12. Sweating
13. Facial pressure or tightness
14. Neck stiffness or pain
15. Difficulty concentrating or focusing

Depending on the type of headache, symptoms can vary in severity and duration. Some headaches may be mild and brief, while others can be severe and debilitating.
♦️ Causes / Risk factors
1.Stress
2.Sleep deprivation
3.Alcohol
4.Hormones
5.Pharmaceutical drug
6.Caffeine
7.Caffeine withdrawal
8.Medication overuse headache
9.Post-dural-puncture headache
10.Head injury
11.Skipping meals
12.Weather changes
13.Infection
14.Menstruation or changes in hormone levels
15.Narrowed blood vessels surrounding the brain
16.Poor posture

06/06/2024

💢Sinding-Larsen-Johansson Syndrome

(Distal patella apophysitis) is irritation and inflammation of the growth plate (apophysis) at the bottom of the patella (kneecap), where the patella tendon inserts. In a child, the bones grow from areas called growth plates.
♦️Symptoms:-
▪️Swelling and tenderness around the kneecap.
▪️Pain that increases with exercise or activities like running, climbing stairs, or jumping.
▪️Pain that gets more severe when kneeling
▪️A swollen or bony bump at the bottom of the kneecap.
♦️Causes:-
The causes and risk factors of Sinding-Larsen-Johansson syndrome include
▪️Overuse of the knee, especially from repetitive running and jumping
▪️Tight quadriceps muscles, which is common during a growth spurt
▪️Playing sports that involve a lot of running and jumping, such as track, soccer, gymnastics, basketball, lacrosse, and field hockey
▪️Age, as it usually happens to teens who are in their growth spurt (usually around 9–14 years old)
▪️Having cerebral palsy
▪️Being physically active

♦️Physical therapy management for Sinding-Larsen-Johansson syndrome typically includes:-

1. Pain management: Modalities like heat, cold, electrical stimulation, and ultrasound to reduce pain and inflammation.

2. Stretching and foam rolling: To improve quadriceps and hamstring flexibility.

3. Strengthening exercises: Focused on the quadriceps, hamstrings, and core muscles.

4. Patellar mobilization: Gentle mobilization techniques to improve kneecap tracking.

5. Functional activities: Gradual progression to jumping, hopping, and agility drills.

6. Gait training: Analysis and correction of running or walking techniques.

7. Education: Proper warm-up, cool-down, and training techniques.

8. Modalities: Phonophoresis iontophoresis, or shockwave therapy to enhance healing.
9. Return-to-sport protocol: Guided progression back to full sports participation.
more details feel free to inbox me

21/05/2024

tendinopathy

&risk factors

therapy

1.Palpation:Ur Dr will apply pressure to the quadriceps tendon to identify areas of tenderness and pain.

2.Quadriceps Tendon Reflex Test:Ur doctor will tap the quadriceps tendon with a tendon hammer to assess reflexes and pain response.

3.Straight Leg Raise Test:The patient is asked to straighten their leg while lying down, which can reproduce pain in the quadriceps tendon.

4. Wall Squat Test: The patient is asked to perform a wall squat, which can reproduce pain in the quadriceps tendon.

5.Single-Leg Decline Squat Test: The patient is asked to perform a single-leg decline squat, which can reproduce pain in the quadriceps tendon.

6. Thomas Test: The patient is asked to lie on their back and bring one knee towards their chest, which can reproduce pain in the quadriceps tendon.

7. Imaging Tests: X-rays, Ultrasound, or MRI scans may be ordered to confirm the diagnosis and rule out other conditions.

8. Victorian Institute of Sports Assessment (VISA) questionnaire: This is a questionnaire that assesses the severity of quadriceps tendinopathy symptoms and monitors progress over time

16/05/2024

osteoarthritis

& symptoms
(Rest,Ice, Compression, Elevation, Arthroscopic surgery, Osteotomy, Partial &Total knee replacement surgery)

06/05/2024

tracking disorder

therapy
For more details feel free to inbox me.

01/05/2024

Condromalacia patella.

Address

Railway Road Near City Mall
Kot Addu
34050

Website

http://google.com/

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