Dr.Abdul Razzaq Mayo physiotherapist"

23/01/2025

23/01/2025

What is CP??
Cerebral palsy (CP) is a group of disorders that affect a person's movement, balance, and posture. There are several types of CP, including spastic, dyskinetic, ataxic, and mixed.
Types of CP
Spastic CP
The most common type of CP, characterized by increased muscle tone, stiff muscles, and awkward movements.
Dyskinetic CP
Characterized by slow, uncontrollable movements of the hands, feet, arms, or legs. It can also cause hyperactivity in the muscles of the face and tongue.
Ataxic CP
Characterized by problems with balance and coordination. People with ataxic CP may walk unsteadily and have difficulty with quick or precise movements.
Mixed CP
A combination of symptoms from more than one type of CP. For example, a child with mixed CP may have some muscles that are too tight and others that are too relaxed.
Classification
CP is classified by the severity of symptoms, the body parts affected, and the muscle tone.
Severity: CP can be classified as mild, moderate, or severe.
Topographical distribution: Describes which parts of the body are affected.
Muscle tone: Describes how muscles work together. Hypertonia is increased muscle tone, while hypotonia is decreased muscle tone.
Treatment
Treatment for CP may include physical and occupational therapy, braces, medications, or surger

22/01/2025

If you have any issues regarding physiotherapy,you can do contact
03184086313
Or you can visit National hospital and medical centre Lahore

23/02/2024

Are you suffering from osteoarthritis
No need to worry
Take you medicines on time and also contact with nearby physiotherapist for long term relief and muscle strengthning So that, you can do your daily activities with more comfort

01/11/2023

Plantar Fasciitis & Physiotherapy Treatment Protocol ( Exercises ) :............................................................................

29/10/2023

Plantar Fasciitis & Signs and symptoms ,Test, Rehabilitation .Razzaq

11/10/2023

🌻Cervical spondylosis, also known as cervical osteoarthritis, is a common condition that affects the joints and discs in the neck.

It is caused by wear and tear on the cervical spine over time, which can lead to the formation of bone spurs, herniated discs, and other degenerative changes.

🌀🌀🌀Symptoms🌀🌀🌀

Some other symptoms of cervical spondylosis include:

🔹swelling
🔹neck stiffness
🔹muscle spasms
🔹headache
🔹balance issues and trouble walking
🔹stiff movements or changes in posture
🔹a popping sensation when turning the neck
🔹Arms and legs may also become weak, and there may be a lack of dexterity.

Sometimes, these changes result in a compression of the blood vessels. This can affect the blood supply to the brain, possibly resulting in dizziness and even blackouts.

🔶🔶🔶Diagnosis🔶🔶🔶

⭕Physical examination
After discussing medical history and overall health, a doctor will perform a physical exam. They assess:

🔸touch sensation
🔸the way a person walks (gait) and posture
🔸flexibility in the neck and arms
🔸reflexes
🔸strength in the arms and hands

⭕Imaging scans

➕ X-ray: This can reveal any physical damage to the spine and the presence of bone spurs.
MRI: These scans can create images of the muscles, nerves, and spinal cord. They can help determine whether symptoms are related to soft tissue damage.

➕Myelogram: This involves injecting a colored dye into the spinal canal to show certain structures, such as nerve roots, more clearly. A healthcare professional will take a CT scan after inserting the dye.

➕CT: These scans can help assess the cervical spine’s bony structure in more detail than X-rays.

➕Electromyography and nerve conduction studies: These tests assess specific muscles, nerves, and their functionality.

➕⭕➕Pain provocation tests such as Spurling’s test can be used to differentiate between shoulder disorders and cervical spondylosis

🔸🔸🔹🔹🔸🔸🔹🔹🔸🔸🔹🔹🔸🔹🔸🔹

🍁Treatment for cervical spondylosis may include pain management with nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy to improve range of motion and strengthen neck muscles, and in some cases, surgery to relieve pressure on the nerves or spinal cord.

⬛⬛◾Physical therapy intervention◾⬛⬛

⭐Head turn

Sit in a chair with the back straight and shoulders neutral.Tilt the head to one side, as if looking over the shoulder, while keeping the chin straight.Gently tense the neck muscles.
Hold for 5–10 seconds, return to the center, and repeat on the other side.Repeat the exercise 5 times on each side.

⭐Chin to chest

Sit upright in a chair or stand with theshoulders and spine straight.Slowly tilt the head so that the chin can rest on the shoulder.Gently tense the neck muscles.Hold for 5–10 seconds, return to the center, and repeat on the other side.Repeat 2–4 times.

⭐Head tilt (side-to-side) stretches

Sit in a chair with the neck and back straight.
Slowly tilt the neck toward the shoulder,leading with the ear.Gently tense the neck muscles.
Hold for 5–10 seconds, return to the center, and repeat on the other side.
Repeat 2–4 times.

⭐Isometric neck rotation strengthening
Place your palm on the back of your head, and resist tilting your head backwards. Your head will stay fairly still. You may feel a gentle contraction of the muscles at the back of your neck. Repeat ten reps.

⭐Neck Isometric Pillow Retraction
Lie flat on your back, with your head on a pillow. Keeping your neck straight, press your head into the pillow to create some resistance. Your chin should not tilt up toward the ceiling during the movement. This is an isometric neck extension exercise. Repeat ten reps.

⭐Neck turn
Turn your head towardsone side, keeping your chinat the same height andmoving within comfortablelimits. Gently tense your neck
muscles and hold for5 seconds. Return your headto the centre and repeat onthe opposite side. Repeat5 times on each side

⭐Shoulder Rolls
Sit or stand in a comfortable position with good posture.Roll both shoulders back and down and then forwards and up in a circular motion.Start with small circles and gradually make the circles larger.Spend 30-60 seconds doing this and then repeat in the opposite direction

💢Soft tissue mobilisation was performed on the muscles of the upper quarter with the involved upper extremity positioned in abduction and external rotation to pre-load the neural structures of the upper limb.

💢Thrust manipulation of the thoracic spine could include techniques in a prone, supine, or sitting position based on therapist preference. Also cervical traction can be used as physical therapy to enlarge the neural foramen and reduce the neck stress

💢Non-thrust manipulation included posterior-anterior (PA) glides in the prone position. The cervical spine techniques could include retractions, rotations, lateral glides in the ULTT1 position, and PA glides. The techniques are chosen based on patient response and centralisation or reduction of symptoms.

💢Postural education includes the alignment of the spine during sitting and standing activities

⏹Supplements

Calcium and Vitamin D- Keeping your bones healthy is a vital step towards easing cervical pain. Consuming foods rich in calcium and vitamin D to help keep bones strong. Calcium helps to increase bone strength, whereas the consumption of Vitamin D helps to absorb calcium in the body.Vitamin B12 is necessary for this case.

💊💊Prescription medications:

These may help treat neck tightness and spasms. They may include antidepressants or muscle relaxants such as cyclobenzaprine.

💉💉Injections:

Injections, such as a corticosteroid injection or a spinal epidural, may help pain that does not respond to other interventions. Examples of steroid injections include a trigger-point injection or a facet joint injection.

Preventive measures for cervical spondylosis may include maintaining good posture, avoiding activities that strain the neck, such as excessive phone or computer use, and engaging in regular exercise to promote strength and flexibility in the neck and back muscles.

❌What are the bad postures that can worsen cervical spondylitis?
The head held forward from normal position.
The shoulders held up and forward.
The chest bent and rounded.
The pelvic area tilted backward.
The hips, knee
physiotherapy medical center lhr

29/09/2023

Physiotherapy home service available.
For stroke,cp,parkinsion,multiple sclerosis,frozen shoulder,neck pain,low back pain ,knee pain etc.......
Book your appointment
Contact:. 03184086314
Area: DHA phase 1,2,3,4,,5,6,9 ¶gon city lhr

15/09/2023

Physiotherapy services
Every Monday to Saturaday 4pm to 8pm.
For home visit do contact: 03184086313

23/05/2022

Everything you need to know about Neck Pain
Every month millions of people search in Google for the treatment of their neck pain and it is the most common problem which people experience that’s why they need to take medical advice for this problem. What is Neck Pain?
Do you know your neck is a combination of muscles, cervical vertebrae, discs and nerves? It provides support and mobility to your head. The cervical discs work like a shock absorber between the vertebral bones. Any factor that alters the functions such as pressure on discs, inflammation or injury results in neck pain or stiffness.
Usually, neck pain subsides within a few days or weeks, but if the pain lasts longer for months, it might be a signal of an underlying medical condition and it needs to be addressed by a spine specialist and physical therapist as soon as possible. Early medical or physical intervention is necessary in some cases for better results.
Neck pain is classified into three different types based on duration:
Acute Neck Pain – Pain that persists less than 4 weeks.
Sub acute Neck Pain – Pain that persists between 4 to 12 weeks.
Chronic Neck Pain – Pain that persists more than 3 months.
Symptoms of Neck Pain
If you suffer from neck pain, you may experience one or more following symptoms.
• Pain in neck area, which extends to your shoulders or arms
• Limited range of motion of head (Stiff neck)
• Sharp pain localized to one spot that feels like stabbing or stinging.
• General soreness in the region of the neck.
• Muscle spasms
• Headache
• Cervical radiculopathy
Some other symptoms include a feeling of pins and needles, leg weakness, and loss of balance while walking. If neck pain progresses, it interferes with your daily activities, such as working in front of a computer, driving and also becomes difficult to sleep.
Causes of Neck Pain
Here are some of the most common causes of neck pain.
Muscle strains and ligament sprains caused due to overuse or overextension, such as from:
• Poor posture
• Sleeping in an awkward position
• Repetitive movements
• Jerking movements
• Trauma Some other cervical conditions which can cause neck pain include:
• Cervical degenerative disc disease
• Cervical osteoarthritis( Spinal degeneration due to wear-and-tear also called cervical spondylosis)
• Cervical herniated disc
• Spondylolisthesis
• Spinal stenosis
• Fibromyalgia
• Rheumatoid arthritis
• Emotional stress
• Myofascial pain syndrome
• Spinal tumors
Treatment for Neck Pain
Most of the neck pains can be treated with the help of conservative management (non surgical methods) the guidance of a spine doctor and physical therapist. The main aim of the treatment is to treat underlying conditions that cause neck pain.
Medication – NSAIDs for pain. Take medications prescribed by your doctor only.
Physical therapy – It is performed by an experienced physical therapist. He or she helps you to maintain proper posture techniques and neck-strengthening exercises.
Heat And Cold Therapy – Ice packs or heat packs are also used to reduce inflammation.
Transcutaneous electrical nerve stimulation (TENS) – and other electrical stimulations are used to delivering small electrical impulses to relieve from pain and spasm.
Traction – the procedure uses weights or pulleys to stretch your spinal vertebrae and muscles to relieve from pain.
Neck braces or a soft collar is used to provide support to your neck which may help to relieve pressure and eases pain.
Surgery – Surgery is very rare unless it is serious such as to treat a squeezed or pinched nerve, damaged disc, stabilizing the cervical spine etc

21/05/2022

What is knee Osteoarthritis?????How we can diagnose and manage it?
Osteoarthritis is the most common form of arthritis in the knee. It is a degenerative, “wear-and-tear" type of arthritis that occurs most often in people 50 years of age and older, although it may occur in younger people, too (post traumatic).The knee is the largest and strongest and weight bearing joint of the body. It is made up of the femur (thighbone), the tibia (shinbone), and the patella (kneecap). The ends of the three bones that form the knee joint are covered with articular cartilage, a smooth, slippery substance that protects and cushions the bones as you bend and straighten your knee. In osteoarthritis, the cartilage in the knee joint gradually wears away. As the cartilage wears away, it becomes frayed and rough, and the protective space between the bones decreases. This can result in bone rubbing on bone, and produce painful bone spurs.
Sign and symptoms of knee Osteoarthritis are:
• Pain upon movement (A knee joint affected by arthritis may be painful and inflamed. Generally, the pain develops gradually over time, although sudden onset is also possible).
• Stiffness, particularly early morning stiffness
• Loss of range of movement(patients unable to move their joint in full range)
• Pain after prolonged sitting or lying especially on awaking
• Pain on touching the joint line
• The joint may become stiff and Swollen, making it difficult to bend and straighten
• Many people with arthritis note increased joint pain with changes in the weather.

Arthritis in Knee: 4 Stages of Osteoarthritis
• Stage 0 – Normal. When the knee shows no signs of osteoarthritis, it is classified as Stage 0, which is normal knee health, with no known impairment or signs of joint damage. ...
• Stage 1 – Minor.(No treatment required only healthy active lifestyle)
• Stage 2 – Mild. .this is the stage where people may first begin experiencing symptoms, such as pain stiffness tenderness after long day of walking or running. Treatment required at this stage is non pharmacological (means no need to take medicine for pain management) physical therapy, exercises, healthy life style can improve your condition.
• Stage 3 – Moderate. In this stage, the cartilage between bones shows obvious damage, and the space between the bones begins to narrow. In this stage Patient may experience frequent pain when walking, running, bending, or kneeling. They may also experience joint stiffness after sitting for long periods of time or when waking up in the morning. Treatment required at this stage are NSAIDs or acetaminophen and glucocorticoids drugs (injected into the joints) and physical therapy can improve patient’s condition.
• Stage 4 – Severe .In this stage patient experience sever pain stiffness and discomfort while walking, in sitting or in standing,
• Treatment choice at this stage is surgery(knee replacement).
• Imaging Tests
• X-rays.
• (MRI) or CT scan
• And blood tests to see type of arthritis.
Treatment
There is no cure for arthritis but there are a number of treatments that may help relieve the pain and disability it can cause.
Nonsurgical Treatment or surgical treatment depends upon the stage (0-4)of Arthritis.

20/05/2022

Are you suffering from Calf muscle (lower leg) pain?????
Calf pain can be severe enough to prevent a person from walking.
There are a variety of conditions that can affect the calf muscles, as well as the blood vessels and other structures around it. Fortunately, many of the causes of calf pain are easily treatable.
Causes of calf pain
A variety of conditions and situations can cause calf pain, including:
1. Muscle crampCalf muscle cramps are usually temporary but can cause significant pain and discomfort. Commonly seen in those who exercise frequently.
Causes of calf muscle cramps include:
• Dehydration
• Loss of electrolytes through sweating
• Lack of stretching
• Prolonged physical activity
• Weak muscles
2. Muscle strain
A calf muscle strain occurs when the muscle fibers tear either partially or completely.
The symptoms are sudden, sharp pain and tenderness at the calf muscle site.
It depends upon the severity of the strain. This condition commonly seen in Runners, athletes etc.
3. Arterial claudication
A person may experience calf pain due to narrowing or blockages in the arteries that supply blood flow to the legs. This is known as arterial claudication.
Arterial claudication may cause pain while walking, as this movement requires blood to flow to the lower legs. A person with arterial claudication will experience no discomfort at rest, but pain after a few minutes of walking.
4. Neurogenic claudication
Neurogenic claudication occurs when the nerves that go to the legs are pinched, affecting their ability to communicate with the lower legs.
Sciatica is one example of neurogenic claudication.
In addition to calf pain, neurogenic claudication symptoms include:
• pain while walking
• pain after prolonged standing
• pain that also occurs in the thighs, lower back, or buttocks
• pain that usually improves when a person leans forward at the waist
A person may also experience calf pain from Neurogenic claudication when at rest.
5. Achilles tendinitis
The Achilles tendon is a tough, fibrous band that connects the calf muscle to the heel bone.
If a person’s calf muscles are especially tight, this may put extra pressure on the Achilles tendon. As a result, a person can experience calf pain.
Other less common causes of calf muscles pain are
6. Compartment syndrome
7. Diabetic neuropathy
8. Plantar fasciitis
9. Varicose veins
10. Deep vein thrombosis

Treatment
Treatment for calf pain will depend on the underlying cause.
You can treat calf pain which results from injury or overuse by using the PRICE method. This stands for:
• Protection: Apply a cloth bandage, splint, or immobilizer to the foot, ankle, or calf to protect the injury and allow the muscles to rest.
• Rest: Avoid using the calf muscle more than necessary.
• Ice: Apply ice pack for 10 to 15 minutes at a time to help reduce inflammation.
• Compression: Wrap the calf in a stretchy, tight bandage or wear a compression stocking to reduce swelling.
• Elevation: Elevate the leg on pillows to help promote circulation and reduce swelling.
Other causes of calf pain may be treated with Physical therapy (pain management, stretching and soft tissue mobilization) and medications depending on the underlying cause.
Physical therapy includes
• Pain management by Cold packs/hot packs, Ultra sound TENS etc
• Stretching exercises.
• Soft tissue mobilization.
• Theraputic massage
To restore the normal pain free function of calf muscle, soft tissue mobilization stretching and theraputic massage is very important.
Warming up by walking at a moderate pace before engaging in more intense exercise can help to prevent muscle strain injuries.
When to see a doctor??????
A person should seek emergency medical treatment if they suspect they have DVT. A doctor will carry out a physical examination to determine whether a pulled or strained muscle is the problem or it is DVT.
Q symptoms of DVT include pain, swelling, and warmth in one leg.
Other signs a person should seek emergency treatment for calf pain include:
• fever that is greater than 100°F
• swollen leg that is pale or cool to the touch
• sudden extreme swelling in the legs