Dr. Awais Habib - Physiotherapist

Dr. Awais Habib (physiotherapist)
DPT ( Sargodha Medical College). CEO World Health Zone. Certified FIFA diploma in football medicine. Contact: 0331-4225900

Get Physiotherapy Treatment for:
- Back pain
- Knee pain OA
- Shoulder pain ( STIFF SHOULDER)
- Neck pain
- Cervical pain
- Sciatica pain
- CEREBRAL PALSY (C.P)
-Muscular dystrophy
-DMD, BMD
-Down syndrome
& More CHILD deformities
Stroke/ Paralysis
joint pain, Foot pain, Spondylosis, Arthritis, Joint stiffness, Deformity Correction, muscle weakness, face paralysis, C.P children, GBS (Guleian ber

Operating as usual

23/11/2022

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19/11/2022

There are 3 key differential diagnosis of chronic lateral hip pain:
1️⃣ Gluteal tendinopathy (GTPS), characterised by pain when walking, climbing stairs, walking, running uphill, and side lying;
2️⃣ Hip osteoarthritis, with morning stiffness, groin/buttock pain and difficulty putting on shoes or socks;
3️⃣ Lumbar spine referral, including low back pain, radicular pain, pins & needles, or numbness.

💻 To learn more follow our page
Study Zone For Medical Students

Photos from Dr. Awais Habib - Physiotherapist's post 29/10/2022

World Stroke Day is an opportunity to raise awareness of the serious nature and high rates of stroke and talk about ways in which we can reduce the burden of stroke through better public awareness of the risk factors and signs of stroke.

Act FAST at the first sign of a stroke.
Here, F.A.S.T. stands for:
1. Face (drooping of the face)
2. Arms (arm weakness)
3. Speech (slurred speech)
4. Time (time to call for an ambulance)

Photos from Dr. Awais Habib - Physiotherapist's post 08/09/2022

World PT Day is on 8 September every year, and an opportunity for Physical Therapists from all over the world to raise awareness about the crucial contribution their profession makes to keeping people well, mobile and independent.
Theme of the Year: Exercising with Osteoarthritis
.

08/08/2022

We are The Home Physiotherapy Expert
Call for consultation and scheduling
Save time — Tell us about your injury and choose the time and place in just one phone call. 0302 4529060

07/08/2022

Your Happiness is Our Priority
Call Now For consultation and scheduling
Save time — Tell us about your injury and choose the time and place in just one phone call. 0302 4529060

07/08/2022

do you have pain in your knees while walking and sitting up?
is the knee pain increasing day by day?

Get rid of all kind of pain without drugs and surgery.
40% off On 1st Session

We Provide phsiotherapy at home to help with faster rehabilitaion and reduce pain using the latest technology and equipment.

Ensure the dream of good health, without surgery or medicine. Visit Our Clinic for pain free treatment.

We Provide the best Solution for all your Spinal Problem. We Ensure the best treatment of our patints without surgical procedures and drugs.

Get Physiotherapy Treatment for:
- Back pain
- Knee pain OA
- Shoulder pain ( STIFF SHOULDER)
- Neck pain
- Cervical pain
- Sciatica pain
- CEREBRAL PALSY (C.P)
-Muscular dystrophy
-DMD, BMD
-Down syndrome
& More CHILD deformities
Stroke/ Paralysis
joint pain, Foot pain, Spondylosis, Arthritis, Joint stiffness, Deformity Correction, muscle weakness, face paralysis, C.P children, GBS (Guleian berry syndrome), Parkinsonism and other old age diseases and care, Sports Injuries, Fitness counseling, RSI (Repetitive Sports Injuries), Core exercises, Antenatal & Postnatal exercises.
Get long-term relief from Pain with Physiotherapy Treatment - in the comfort of your home!

Contct Us: https://wa.me/message/ISQVI4TVW6WCA1
Call us: 0302 4529060

06/08/2022

Say Goodby to Shoulder Pain
Call for consultation and scheduling
Save time — Tell us about your injury and choose the time and place in just one phone call.
Book a Best Physiotherapist at Home: 0302 4529060

05/08/2022

Get Relief From Knee Pain With Out Medicine
Call for consultation and scheduling
Save time — Tell us about your injury and choose the time and place in just one phone call.
Book a Best Physiotherapist at Home: 0302 4529060

04/08/2022

Lower Back Pain Relief Without Medicine at Home

03/08/2022

Neck pain Relief Without Medicine at your home with physiotherapy

02/08/2022

Dr. Awais Habib (Physiotherapist) is here to help you To Release your Pain.
Contact Now: +92 302 4529060

Photos from Dr. Awais Habib - Physiotherapist's post 06/07/2022

🔈 REFERRED PAIN - CLINICAL RELEVANCE

Pain from the viscera is poorly localised. As described earlier, it is referred to areas of skin (dermatomes) which are supplied by the same sensory ganglia and spinal cord segments as the nerve fibres innervating the viscera.

Pain is referred according to the embryological origin of the organ; thus pain from foregut structures are referred to the epigastric region, midgut structures are to the umbilical region and hindgut structures to the p***c region of the abdomen.

Foregut – oesophagus, stomach, pancreas, liver, gallbladder and the duodenum (proximal to the entrance of the common bile duct).
Midgut – duodenum (distal to the entrance of the common bile duct) to the junction of the proximal two thirds of the transverse colon with the distal third.
Hindgut – distal one third of the transverse colon to the upper part of the a**l ca**l.
Pain in retroperitoneal organs (e.g. kidney, pancreas) may present as back pain.

Irritation of the diaphragm (e.g. as a result of inflammation of the liver, gallbladder or duodenum) may result in shoulder tip pain.

Referred Pain in Appendicitis

Initially, pain from the appendix (midgut structure) and its visceral peritoneum is referred to the umbilical region. As the appendix becomes increasingly inflamed, it irritates the parietal peritoneum, causing the pain to localise to the right lower quadrant.

Photos from Dr. Awais Habib - Physiotherapist's post 28/06/2022

ECG interpretation

Photos from Dr. Awais Habib - Physiotherapist's post 15/06/2022



Sciatica refers to pain that radiates along the path of the sciatic nerve, which branches from your lower back through your hips and buttocks and down each leg. Typically, sciatica affects only one side of your body.



🔘Pain that radiates from your lower (lumbar) spine to your buttock and down the back of your leg is the hallmark of sciatica.

🔘feel the discomfort almost anywhere along the nerve pathway.

🔘The pain can vary widely, from a mild ache to a sharp, burning sensation or excruciating pain.
🔘 Sometimes pain can feel like a jolt or electric shock.

🔘Pain can be worse when you cough or sneeze, and prolonged sitting can aggravate symptoms.

🔘numbness, tingling or muscle weakness in the affected leg or foot.

🔘You might have pain in one part of your leg and numbness in another part.



⚫Mild sciatica usually goes away over time.Call your doctor when symptoms are severe or becomes progressively worse. Get immediate medical care if:

🔘You have sudden, severe pain in your low back or leg and numbness or muscle weakness in your leg.

🔘The pain follows a violent injury, such as a traffic accident.

🔘You have trouble controlling your bowels or bladder.

providing advance treatment for all kinds of musculoskeletal Body pain, your physical therapist will be with you every step of the way to provide motivation and coaching to overcome your pain, so rest assured that this is not a journey you’re taking solo! If you’re tired of experiencing debilitating chronic pain, So lets get rid of all kinds of musculoskeletal Body pain permanently By one call with the help of our advance and Expert Physiotherapist @ your Home... #03247722565



🔘Sciatica occurs when the sciatic nerve becomes pinched,usually by a herniated disk in your spine or by an overgrowth of bone (bone spur) on your vertebrae.

🔘More rarely, the nerve can be compressed by a tumor or damaged by a disease such as diabetes.


for sciatica include:
➡️ Age
➡️ Obesity
➡️Occupation
➡️ Prolonged sitting
➡️ Diabetes



🔘Loss of feeling in the affected leg
🔘Weakness in the affected leg
🔘Loss of bowel or bladder function


🔘Exercise regularly
🔘Maintain proper posture when you sit
🔘Use good body mechanics



During the physical exam, your doctor may check your muscle strength and reflexes. For example, you may be asked to walk on your toes or heels, rise from a squatting position and, while lying on your back, lift your legs one at a time. Pain that results from sciatica will usually worsen during these activities.


🔘X-ray
🔘MRI
🔘CT scan
🔘Electromyography (EMG)


The types of drugs that might be prescribed for sciatica pain include:

➡️ Anti-inflammatories
➡️ Muscle relaxants
➡️ Narcotics
➡️ Tricyclic antidepressants
➡️ Anti-seizure medications



Once your acute pain improves, your doctor or a physical therapist can design a rehabilitation program to help you prevent future injuries. This typically includes exercises to correct your posture, strengthen the muscles supporting your back and improve your flexibility.

Photos from Dr. Awais Habib - Physiotherapist's post 09/06/2022

Osteoarthritis, commonly known as wear-and-tear arthritis, is a condition in which the natural cushioning between joints -- cartilage -- wears away. When this happens, the bones of the joints rub more closely against one another with less of the shock-absorbing benefits of cartilage. The rubbing results in pain, swelling, stiffness, decreased ability to move and, sometimes, the formation of bone spurs.

Who Gets Osteoarthritis of the Knee?

Osteoarthritis is the most common type of arthritis. While it can occur even in young people, the chance of developing osteoarthritis rises after age 45. According to the Arthritis Foundation, more than 27 million people in the U.S. have osteoarthritis, with the knee being one of the most commonly affected areas. Women are more likely to have osteoarthritis than men.

What Causes Knee Osteoarthritis?

The most common cause of osteoarthritis of the knee is age. Almost everyone will eventually develop some degree of osteoarthritis. However, several factors increase the risk of developing significant arthritis at an earlier age.

1-Age.
2-Weight.
3-Heredity.
4-Gender.
5-Athletics.
6-Other illnesses.

What Are the Symptoms of Knee Osteoarthritis?

Symptoms of osteoarthritis of the knee may include:

1-Pain that increases when you are active, but gets a little better with rest
2-Swelling
3-Feeling of warmth in the joint
4-Stiffness in the knee, especially in the morning or when you have been sitting for a while
5-Decrease in mobility of the knee, making it difficult to get in and out of chairs or cars, use the stairs, or walk
6-Creaking, crackly sound that is heard when the knee moves

How Is Osteoarthritis of the Knee Treated?

The primary goals of treating osteoarthritis of the knee are to relieve the pain and return mobility. The treatment plan will typically include a combination of the following:

1-Weight loss.
Losing even a small amount of weight, if needed, can significantly decrease knee pain from osteoarthritis.
2-Exercise.
Strengthening the muscles around the knee makes the joint more stable and decreases pain. Stretching exercises help keep the knee joint mobile and flexible.
3-Pain relievers and anti-inflammatory drugs.
This includes over-the-counter choices such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen sodium (Aleve). If over-the-counter medications don't provide relief, your doctor may give you a prescription anti-inflammatory drug or other medication to help ease the pain.
4-Injections of corticosteroids or hyaluronic acid into the knee.
Steroids are powerful anti-inflammatory drugs. Hyaluronic acid is normally present in joints as a type of lubricating fluid.
5-Alternative therapies.
Some alternative therapies that may be effective include topical creams with capsaicin, acupuncture, or supplements, including glucosamine and chondroitin or SAMe.
6-Physical and occupational therapy.
If you are having trouble with daily activities, physical or occupational therapy can help. Physical therapists teach you ways to strengthen muscles and increase flexibility in your joint. Occupational therapists teach you ways to perform regular, daily activities, such as housework, with less pain.
7-Surgery.
When other treatments don't work, surgery is a good option.

09/06/2022

🔈 ROTATOR CUFF SYNDROME
What Does A Torn Rotator Cuff Feel Like?

Rotator cuff injury is one of the common causes of shoulder pain in individuals. To ensure that your shoulder pain is only because of torn rotator cuff, it is important to study the causes of pain, symptoms and also the reason of such condition. It is important to know what it feels like to have a torn rotator cuff and how long does rotator cuff injury take to heal. This information can give you an insight into understanding the possibility of rotator cuff in your case and prompt you to seek timely medical opinion.

Torn rotator cuff can be defined as a tear in one or more of the tendons of the four rotator cuff muscles of the shoulder. This rotator cuff tear can be chronic or acute due to pathological reason or traumatic injury.

What Does A Torn Rotator Cuff Feel Like?
When you wonder what it feels like to have a torn rotator cuff, you need to know the signs and symptoms of torn rotator cuff. Some of the commonest signs of what rotator cuff looks like include:

Pain
The pain occurring from rotator cuff injury occurs at the outer side of shoulder and the upper arm. Such pain also occurs while performing overhead activities or usually happens in the night. If in case the torn rotator cuff is serious, then the pain might awaken the patients from sleep and make them feel stressed.

Decreased Strength
Strength of each rotator cuff tendons can be tested separately by the doctor. They can isolate each tendon and work to find out the extent of tear on each one of them. If in case, significant tears have occurred, the patient will find it difficult to raise their arms over head. Individuals might also find it difficult to hold arm directly out from the body and this is one of the prominent signs of rotator cuff tear.

Inability To Do Normal Tasks
Individuals suffering from rotator cuff tear find it difficult to perform their day to day activities, which include combing their hair, sleeping on the affected shoulder, hooking or unhooking their bra buttons etc. While approaching the doctor patient should ensure to specify activities which have got limited due to shoulder pain.

On average, with appropriate treatment for a torn rotator cuff, it may take around four to six months to heal. However, it depends on the severity of the injury, type of treatment and the rehabilitation.

EXERCISE TO PREVENT SHOULDER PAIN

Pendulum exercise
Stand with your good hand resting on a chair. Let your other
arm hang down and try to swing it gently backwards and forwards and in a circular motion.
Repeat about 5 times. Try this 2–3 times a day.

Shoulder stretch
Stand and raise your shoulders. Hold for 5 seconds. Squeeze your shoulder blades back and together and hold for 5 seconds. Pull your shoulder blades downward and hold
for 5 seconds. Relax and repeat 10 times.

Door lean
Stand in a doorway with both arms on the wall slightly above your head. Slowly lean forward until you feel a stretch in the
front of your shoulders. Hold for 15–30 seconds.
Repeat 3 times. This exercise isn’t suitable if you have a shoulder impingement.

02/06/2022

Transcutaneous Electrical Nerve Stimulation (TENS).....

Introduction.

TENS is a method of electrical stimulation which primarily aims to provide a degree of symptomatic pain relief by exciting sensory nerves and thereby stimulating either the pain gate mechanism and/or the opioid system. The different methods of applying TENS relate to these different physiological mechanisms. The effectiveness of TENS varies with the clinical pain being treated, but research would suggest that when used ‘well’ it provides significantly greater pain relief than a placebo intervention. There is an extensive research base for TENS in both the clinical and laboratory settings and whilst this summary does not provide a full review of the literature, the key papers are referenced. It is worth noting that the term TENS could represent the use of ANY electrical stimulation using skin surface electrodes which has the intention of stimulating nerves. In the clinical context, it is most commonly assumed to refer to the use of electrical stimulation with the specific intention of providing symptomatic pain relief. If you do a literature search on the term TENS, do not be surprised if you come across a whole lot of ‘other’ types of stimulation which technically fall into this grouping.

The illustrations shows a 2 channel TENS unit as it has 4 lead wires (Each channel has two lead wires) with electrode pads attached.

Mechanism of Action
The type of stimulation delivered by the TENS unit aims to excite (stimulate) the sensory nerves, and by so doing, activate specific natural pain relief mechanisms. For convenience, if one considers that there are two primary pain relief mechanisms which can be activated : the Pain Gate Mechanism and the Endogenous Opioid System, the variation in stimulation parameters used to activate these two systems will be briefly considered.

Pain relief by means of the pain gate mechanism involves activation (excitation) of the A beta (Aβ) sensory fibres, and by doing so, reduces the transmission of the noxious stimulus from the ‘c’ fibres, through the spinal cord and hence on to the higher centres. The Aβ fibres appear to appreciate being stimulated at a relatively high frequency HF (in the order of 90 - 130 Hz or pps). It is difficult to find support for the concept that there is a single frequency that works best for every patient, but this range appears to cover the majority of individuals. Clinically it is important to enable the patient to find their optimal treatment frequency – which will almost certainly vary between individuals. Setting the machine and telling the patient that this is the ‘right’ setting is almost certainly not going to be the maximally effective treatment, though of course, some pain relief may well be achieved.

An alternative approach is to stimulate the A delta (Aδ) fibres which respond preferentially to a much low frequency LF (in the order of 2 - 5 Hz), which will activate the opioid mechanisms, and provide pain relief by causing the release of an endogenous op**te (encephalin) in the spinal cord which will reduce the activation of the noxious sensory pathways. In a similar way to the pain gate physiology, it is unlikely that there is a single (magic) frequency in this range that works best for everybody – patients should be encouraged to explore the options where possible.[1]

A third possibility is to stimulate both nerve types at the same time by employing a burst mode stimulation. In this instance, the higher frequency stimulation output (typically at about 100Hz) is interrupted (or burst) at the rate of about 2 - 3 bursts per second. When the machine is ‘on’, it will deliver pulses at the 100Hz rate, thereby activating the Aβ fibres and the pain gate mechanism, but by virtue of the rate of the burst, each burst will produce excitation in the Aδ fibres, therefore stimulating the opioid mechanisms. For some patients this is by far the most effective approach to pain relief, though as a sensation, numerous patients find it less acceptable than some other forms of TENS as there is more of a ‘grabbing’, ‘clawing’ type sensation and usually more by way of muscle twitching than with the high or low frequency modes.

TENS as a treatment technique is non invasive and has few side effects when compared with drug therapy. The most common complaint is an allergic type skin reaction (about 2-3% of patients) and this is almost always due to the material of the electrodes, the conductive gel or the tape employed to hold the electrodes in place. Most TENS applications are now made using self adhesive, pre gelled electrodes which have several advantages including reduced cross infection risk, ease of application, lower allergy incidence rates and lower overall cost. Digital TENS machines are becoming more widely available and extra features (like automated frequency sweeps and more complex stimulation patterns) are emerging, though there remains little clinical evidence for enhanced efficacy at the present time. Some of these devices do offer pre-programmed and/or automated treatment settings.

Impedence of Current Flow
The quantity of current that flow in the tissues depend on impedance of that pathway.The impedance include oh-mic resistance and inductive resistance. The inductive resistance negligible in the tissues . Generally,watery tissue as blood,muscle and nerve has low ohmic resistance :bone and fat has higher and epidermis has the highest of all.

Types of TENS
Conventtional TENS(High) Acupuncture-like TENS(Low) Brief Intense TENS
Physiological Intervention To activate large diameter non-notious afferent to elicit segmental a**lgesia. To produce muscle twitch to activate small diameter motor affrent to elicit extra segmental a**lgesia. To activate small diameter noxious affrents to elicit peripheral nerve blockade and extrasegmental a**lgesia.
Clinical Teqnique Low intensity \High Frequency at site of pain to produce strong but comfrtable sensation. High intensity\Low frequency over muscle or Acupuncture points to produce strong but comfortable contraction. High intensity \High frequency to produce maximum parathesia
Duration of stimulation 30 min No more than 20 min no more than 5 min.

Electrode Placement Technique
this is determined by the target muscle or muscle group either single or in relation to other muscles

Unilateral : Unilateral placement causes inflammation of one limb or half of muscle pair.
Bilateral : It allow the stimulation of both limbs or both halves of a muscle Pair
Uni-polar : Only one of two essential leads and the electrode connected to it are placed over the target area affected by the stimulation This electrode is called treatment electrode.
Quadripolar : Involve the use of two sets of electrode each originating from its own channel. It may be considered the concurrent application of two bipolar circuit. This technique could be used with stimulation of agonist and antagonist. Also could be used in crossed pattern or for large flat area as back.

Contraindications..........

Patients who do not comprehend the physiotherapist’s instructions or who are unable to co-operate
It has been widely cited that application of the electrodes over the trunk, abdomen or pelvis during pregnancy is contraindicated BUT a recent review suggests that although not an ideal (first line) treatment option, application of TENS around the trunk during pregnancy can be safely applied, and no detrimental effects have been reported in the literature (see www.electrotherapy,org for publication details).TENS during labour for pain relief is both safe and effective.
Patients with a Pacemaker should not be routinely treated with TENS though under carefully controlled conditions it can be safely applied. It is suggested that routine application of TENS for a patient with a pacemaker or any other implanted electronic device should be considered a contraindication.
Patients who have an allergic response to the electrodes, gel or tape
Electrode placement over dermatological lesions e.g. dermatitis, eczema
Application over the anterior aspect of the neck or carotid sinus[4]

Precautions.........

If there is abnormal skin sensation, the electrodes should preferably be positioned elsewhere to ensure effective stimulation
Electrodes should not be placed over the eyes
Patients who have epilepsy should be treated at the discretion of the therapist in consultation with the appropriate medical practitioner as there have been anecdotal reports of adverse outcomes, most especially (but not exclusively) associated with treatments to the neck and upper thoracic areas
Avoid active epiphyseal regions in children (though there is no direct evidence of adverse effect)
The use of abdominal electrodes during labour may interfere with foetal monitoring equipment and is therefore best avoided.

The Evidence for TENS for Pain Control
A 2020 review suggests that the use of TENS has positive outcomes in treatment of Primary Dysmenorrhea[5].

A 2014 study set out to provide a critical review of the latest basic science and clinical evidence for TENS. Key findings were:

Application of TENS at inadequate intensities is one of the primary factors attributed to conflicting reports of TENS efficacy. Using the strongest intensity that remains comfortable produces hypoalgesia in healthy subjects is imperative; lower intensities are ineffective. In addition to activation of greater numbers of sensory afferents, higher pulse amplitudes are proposed to activate deeper tissue afferents allowing for greater a**lgesia. High intensity TENS decreases post-operative opioid requirements and negative opioid-side effects.
Both High Frequency(HF) and Low Frequency(LF) TENS been shown to provide a**lgesia specifically when applied at a strong, non-painful intensity. HF TENS may be more effective for people taking opioids.
Effective a**lgesia for chronic pain conditions may be limited by the development of tolerance to TENS if repeated application of either HF or LF TENS at the same frequency, intensity and pulse duration is used daily.
Application of TENS electrodes at acupoint sites may increases a**lgesia and targeting the use of TENS during movement or required activity may provide the most benefit.
Systematic reviews suggest that TENS, when applied at adequate intensities, is effective for postoperative pain, osteoarthritis, painful diabetic neuropathy and some acute pain conditions.
Emerging evidence suggests TENs may be helpful for peoples with fibromyalgia and spinal cord injury.
TENS may be effective in restoration of central pain modulation, a measure of central inhibition.[1].

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Ph-1، 163-B Khayaban-e-Jinnah, Phase I Iqbal Avenue Housing Society
Lahore
05499

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