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Monday 10:00 - 14:00 Tuesday 10:00 - 14:00 Wednesday 10:00 - 14:00 Thursday 10:00 - 14:00 Friday 10:00 - 14:00 Saturday 10:00 - 14:00

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Physiorehab, mian medical center main Boulevard Gulshan/e-ravi, Lahore (2025)

Q: What is the address?

Mian Medical Center Main Boulevard Gulshan/e-ravi

08/09/2024

As I write this, my heart beats with pride and passion. Today, I celebrate being a physiotherapist a profession that allows me to touch lives, ease pain, and empower movement. I've seen the tears of joy when a patient takes their first steps, the smile when they regain strength, and the gratitude when they thrive again. It's not just a job; it's my calling. I'm humbled to be part of this journey, to make a difference, and to be a physiotherapist. Happy World Physiotherapy Day to my fellow physios and to the incredible patients who inspire us every day!

18/08/2024

*Muscular Dystrophy:

*What is Muscular Dystrophy?*

Muscular dystrophy is a group of genetic disorders characterized by progressive muscle weakness and degeneration. It affects the muscles responsible for movement, leading to a decline in muscle strength and function over time.

*Types of Muscular Dystrophy*

- 1.*Duchenne Muscular Dystrophy (DMD)*: Most common and severe form, affecting boys

-2. *Becker Muscular Dystrophy (BMD)*: Similar to DMD, but less severe

- 3. *Myotonic Muscular Dystrophy (MMD)*: Affects adults, causing muscle stiffness and wasting

- 4. *Facioscapulohumeral Muscular Dystrophy (FSHD)*: Affects facial, shoulder, and upper arm muscles

-5. *Limb-Girdle Muscular Dystrophy (LGMD)*: Affects muscles around the hips and shoulders

-6. *Congenital Muscular Dystrophy (CMD)*: Present at birth, causing muscle weakness and developmental delays

*Causes and Risk Factors*

- *Genetic mutations*: Inherited from parents or spontaneous mutations
- *Family history*: Increased risk if a family member is affected
- *Age*: Some forms affect children, while others affect adults

*Symptoms*

- *Progressive muscle weakness*
- *Muscle wasting and degeneration*
- *Difficulty walking, standing, or moving*
- *Respiratory problems*
- *Cardiac issues*
- *Contractures and scoliosis*

*Diagnosis*

- *Genetic testing*
- *Muscle biopsy*
- *Electromyography (EMG)*
- *Imaging tests (MRI, CT scans)*

*Treatment and Management*

- *Physical therapy*
- *Occupational therapy*
- *Speech therapy*
- *Medications (steroids, pain management)*
- *Surgery (orthopedic, respiratory)*
- *Assistive devices (wheelchairs, walkers)*

*Complications and Prognosis*

- *Respiratory failure*
- *Cardiac complications*
- *Loss of mobility and independence*
- *Reduced life expectancy*

*Current Research and Future Directions*

- *Gene therapy*
- *Stem cell therapy*
- *New medications and treatments*
- *Improved assistive technologies*

_Role of Physiotherapy in Muscular Dystrophy_

Physiotherapy plays a crucial role in managing muscular dystrophy, focusing on:

1. _Maintaining muscle strength and function_
2. _Improving mobility and range of motion_
3. _Enhancing respiratory function_
4. _Preventing contractures and deformities_
5. _Promoting independence and quality of life_

Physiotherapy interventions:

1. _Exercise programs_: Tailored to individual needs, focusing on strengthening, stretching, and aerobic exercises.
2. _Mobility aids and assistive devices_: Training on using wheelchairs, walkers, and orthotics to enhance mobility.
3. _Respiratory physiotherapy_: Techniques to improve lung function, such as chest physiotherapy and cough assistance.
4. _Pain management_: Strategies to manage pain, including manual therapy, heat/cold therapy, and electrical stimulation.
5. _Posture and positioning_: Education on proper posture and positioning to prevent deformities.
6. _Functional activities training_: Training on daily activities, such as transfers, dressing, and grooming.
7. _Electrical stimulation_: Using electrical impulses to stimulate muscle contractions.

Benefits of physiotherapy:

1. _Slows disease progression_
2. _Improves muscle strength and function_
3. _Enhances mobility and independence_
4. _Reduces pain and discomfort_
5. _Promotes respiratory health_
6. _Improves overall quality of life_

15/01/2024

1. Introduction: Spondylosis is a condition that affects the spine, specifically the vertebrae. It's basically wear and tear on the spine that occurs naturally as we age. This can lead to various issues and discomfort.

2. Causes: Spondylosis can be caused by a few factors. One of the main causes is the natural aging process, as the discs between the vertebrae start to degenerate over time. Other causes can include injuries, such as fractures or sprains, and repetitive stress on the spine from certain activities or occupations.

3. Symptoms: The symptoms of spondylosis can vary from person to person. Common symptoms include neck or back pain, stiffness in the affected area, and limited range of motion. Some people may also experience numbness or tingling sensations in their arms or legs, as well as muscle weakness.

4. Diagnosis: To diagnose spondylosis, doctors usually start with a physical examination to assess your range of motion and check for any signs of nerve compression. They may also order imaging tests, like X-rays or MRI scans, to get a closer look at the spine and identify any abnormalities.

5. Treatment options: Treatment for spondylosis aims to relieve pain and manage symptoms. This can include medications to reduce inflammation and pain, physical therapy to improve strength and flexibility, and exercises to improve posture and relieve pressure on the spine. In some cases, surgery may be necessary if conservative treatments don't provide relief.

6. Prevention: While it may not be possible to completely prevent spondylosis, there are steps you can take to reduce your risk and manage the condition. Maintaining good posture, practicing regular exercise to keep your spine strong and flexible, and avoiding activities that put excessive strain on your spine can all help.

7. Complications: If left untreated or if the condition becomes severe, spondylosis can lead to complications. These can include nerve compression, which can cause pain, weakness, or numbness in the affected area. In rare cases, severe spondylosis can lead to spinal cord compression, which may require immediate medical attention.

8. Management strategies: Managing spondylosis involves adopting certain lifestyle changes and self-care practices. Using supportive pillows or cushions to maintain proper posture, practicing relaxation techniques like yoga or meditation, and seeking regular medical check-ups to monitor your condition are all important strategies.

14/01/2024

I. Introduction
Spondylolisthesis is a condition where one vertebra slips forward over the vertebra below it. It commonly occurs in the lower back and can lead to various symptoms and discomfort.

II. Causes and Risk Factors:
Spondylolisthesis can be caused by multiple factors, including:
- Genetics: Some people may have a genetic predisposition to developing this condition.
- Degenerative Changes: Age-related wear and tear on the spinal structures can contribute to spondylolisthesis.
- Trauma: Injuries, such as fractures or accidents, can cause vertebrae to shift.
Risk factors for spondylolisthesis include age, gender (more common in females), and participation in activities that put stress on the spine, like gymnastics or weightlifting.

III. Classification and Grading
Spondylolisthesis can be classified into different types:
- Isthmic: This is the most common type and is often caused by a stress fracture in the pars interarticularis, a small bony segment of the vertebra.
- Degenerative: Caused by age-related changes in the spine, such as disc degeneration and facet joint arthritis.
- Traumatic: Resulting from an acute injury or fracture to the spine.
- Pathological: Caused by underlying conditions like tumors or infections.
Grading is used to assess the severity of spondylolisthesis, ranging from grade 1 (mild) to grade 5 (severe).

IV. Symptoms and Diagnosis
Symptoms of spondylolisthesis may include:
- Lower back pain, which can radiate to the buttocks and thighs.
- Stiffness and reduced flexibility in the spine.
- Nerve-related symptoms like numbness, tingling, or weakness in the legs.
Diagnosis involves a physical examination, medical history review, and imaging tests such as X-rays, MRI, or CT scans. In some cases, nerve studies may be conducted.

V. Treatment Options
Treatment for spondylolisthesis depends on the severity of the condition. Options include:
- Conservative approaches: Physical therapy to strengthen core and back muscles, pain medication, and activity modification.
- Bracing: In some cases, a brace or orthotic device may be recommended to provide support to the spine.
- Surgery: Reserved for

12/01/2024

Physiotherapy plays a crucial role in managing Bamboo Spine or ankylosing spondylitis:

1. Pain Management: Physiotherapy can help reduce pain associated with Bamboo Spine. Therapists may use techniques such as manual therapy, heat or cold therapy, and electrical stimulation to alleviate pain and improve comfort.

2. Posture Correction: Ankylosing spondylitis can lead to poor posture and spinal stiffness. Physiotherapists can teach you exercises and techniques to improve posture and maintain a more upright position. This can help prevent further spinal fusion and improve overall spinal health.

3. Flexibility and Mobility: Physiotherapy focuses on improving joint flexibility and mobility. Therapists can design specific stretching and range of motion exercises to target the affected areas of the spine and other joints. These exercises can help reduce stiffness and increase overall mobility.

4. Strengthening Exercises: Strengthening the muscles around the spine is crucial for maintaining stability and preventing further complications. Physiotherapists can guide you through exercises that target the core, back, and other supporting muscles. These exercises can improve posture, reduce pain, and enhance overall spinal function.

5. Breathing Exercises: Ankylosing spondylitis can affect the chest and lung function. Physiotherapists can teach you breathing exercises to improve lung capacity and respiratory function. These exercises can help manage any breathing difficulties associated with the condition.

6. Education and Self-Management: Physiotherapists can provide education on the condition, its progression, and self-management strategies. They can teach you techniques for pain management, posture correction, and home exercises. This empowers you to take an active role in managing your Bamboo Spine and improving your quality of life.

Remember, it's important to consult with a qualified physiotherapist who specializes in treating ankylosing spondylitis to receive personalized advice and guidance.

08/11/2023

Title:
Treating L4-L5 Disc Slip with Physiotherapy:

I. Introduction:

A. An L4-L5 disc slip occurs when the disc between the fourth and fifth lumbar vertebrae bulges or herniates, causing pain and discomfort.
B. Common causes include age-related degeneration, improper lifting techniques, and repetitive stress on the lower back.

II. Understanding the Role of Physiotherapy:

A. Physiotherapy is a non-invasive treatment approach that focuses on restoring movement, reducing pain, and improving function through exercises and manual therapy.
B. Physiotherapy can help alleviate symptoms, improve mobility, and prevent further injury.

III. Assessment and Diagnosis:

A. A physiotherapist will conduct a thorough evaluation, including a medical history review and physical examination.
B. Diagnostic tests such as X-rays, MRI, or CT scans may be used to confirm the disc slip and assess its severity.

IV. Treatment Approaches:

A. Exercise Therapy
1. Strengthening exercises for the core and back muscles, such as pelvic tilts, bridges, and planks, help support the spine and reduce strain on the disc.
2. Flexibility exercises, including gentle stretches and range of motion exercises, can improve flexibility and relieve stiffness.

B. Manual Therapy:

1. Joint mobilization and manipulation techniques performed by a physiotherapist can help realign the spine, reduce pain, and improve joint function.
2. Soft tissue massage and stretching techniques can help release muscle tension and improve flexibility.

C. Pain Management Techniques:

1. Heat therapy, such as applying warm packs or using heat pads, can help relax muscles and alleviate pain.
2. Electrical stimulation, like TENS (Transcutaneous Electrical Nerve Stimulation), can block pain signals and promote healing.

D. Education and Lifestyle Modifications
1. Physiotherapists provide guidance on proper body mechanics, posture, and ergonomics to prevent further strain on the lower back.
2. Lifestyle modifications, such as avoiding heavy lifting, maintaining a healthy weight, and incorporating regular exercise, can support the healing process.

V. Progression and Maintenance:

A. Physiotherapy treatment plans are tailored to the individual's needs and progress over time.

https://youtu.be/WG3tkklNmzI?si=0boNymVxPkivqJPL

07/11/2023

"Degenerative Changes in the Cervical Spine"

Introduction:

- Degenerative changes refer to the natural wear and tear that occurs in the cervical spine.
- The cervical spine, located in the neck, plays a crucial role in supporting the head and facilitating movement.

Anatomy of the Cervical Spine:

- The cervical spine consists of seven vertebrae (C1-C7) and intervertebral discs between them.
- These discs act as shock absorbers and allow for flexibility in the neck.

Causes of Degenerative Changes:

- Degenerative changes are primarily caused by aging and the natural degeneration of tissues.
- Factors such as repetitive stress, poor posture, and lack of exercise can accelerate degeneration.

Common Degenerative Conditions:

-1. Cervical Spondylosis: The breakdown of discs and the development of bone spurs in the cervical spine.

- 2. Herniated Discs: When the inner gel-like material of a disc protrudes and puts pressure on nerves.

- 3. Spinal Stenosis: Narrowing of the spinal canal, which can compress the spinal cord and nerves.

Symptoms and Effects:

- Neck pain and stiffness, often worsened by movement.
- Radiating pain, numbness, or tingling sensation in the arms or hands.
- Reduced range of motion in the neck.
- Weakness in the arms or hands.
- Impact on daily activities, such as difficulty in gripping objects or performing fine motor tasks.

Diagnosis and Treatment Options:

- Physical examination and medical history assessment by a healthcare professional.
- Imaging tests like X-rays, MRI, or CT scans to visualize the cervical spine.

- Non-surgical treatments:

Physical therapy, pain management techniques, medication.
- Surgical interventions: Discectomy (removal of a herniated disc), fusion (joining vertebrae together).

Prevention and Management:

- Maintaining good posture, especially while sitting and using electronic devices.
- Regular exercise to strengthen neck and back muscles.
- Ergonomic adjustments in the workplace, such as using an adjustable chair and monitor height.
- Lifestyle modifications like maintaining a healthy weight and avoiding smoking.

Conclusion:

- Degenerative changes are common in the cervical spine due to aging and other factors.
- Early detection and appropriate treatment can help manage symptoms and improve quality of life.

Physiorehab

08/09/2024

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07/11/2023

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Monday	10:00 - 14:00
Tuesday	10:00 - 14:00
Wednesday	10:00 - 14:00
Thursday	10:00 - 14:00
Friday	10:00 - 14:00
Saturday	10:00 - 14:00