Arabian rehabilitation and orthopedic center

ڈوشین مسکولر ڈسٹرافی
Duchene Muscular Dystrophy

مسکولر ڈسٹرافی کے مریضوں میں یہ سب سے کامن قسم ہے۔ یہ ایک جنیٹک یا موروثی بیماری ہے۔ جو سب سے چھوٹی عمر میں ہوتی ہے وہ یہی ہے ڈوشین مسکولر ڈسٹرافی۔ یہ ہمیشہ لڑکوں کو ہوتی ہے۔ کیونکہ اس کے اندر ماں اسکی کیرئیر ہوتی ہے۔ اور بیماری جب ظاہر ہوتی ہے تو پیدا ہونے والے لڑکوں میں ظاہر ہوتی ہے۔

یہ بچہ ہمارے سکول میرے پاس تین سال پڑھتا رہا ہے۔ ایڑھیوں کے بل چلتا تھا پھر وہیل چیئر پر آیا اور اب چارپائی پر ہے۔ چار سال ہوئے سکول آنے سے قاصر ہے۔ میں اب بھی اسکے گھر جاتا رہتا ہوں۔

اب اس میں ہوتا کیا ہے؟ بچہ بلکل ٹھیک پیدا ہوتا ہے۔ تمام مائل سٹون اپنی عمر کے باقی بچوں کی طرح پورے کرتا ہے۔ چلنا باتیں کرنا سب کچھ پرفیکٹ ہوتا ہے۔ جیسے ہی عمر 5 سال ہوتی تو قاتل اندر سے جاگ کر بچے کے پاؤں کی ایڑھی زمین سے اٹھا دیتا ہے۔ اور اپنے شکار پر ہلا بولنے کی پہلی نشانی اسے پنجوں پر چلانا شروع کرتا ہے۔ چند ہی ماہ بعد بچہ اپنا چھاتی یعنی سینہ باہر نکال کر چلنا شروع ہوتا ہے۔ جیسے پہلوان سینہ تان کر چلتے ہیں۔ اندر چھپا ہوا قاتل ہی سینہ تان کر ایڑھیاں اٹھا کر للکار رہا ہوتا ہے میں آگیا ہوں آؤ اب میرے مقابلے میں۔

والدین بچے کو ڈانٹ رہے ہوتے کہ یہ تم کیسے چل رہے ہو؟ ایڑھی نیچے لگاؤ سینہ پیچھے کرو۔ مگر بچہ ایسا کرنے کے قابل نہیں ہوتا۔ اور والدین اسے بچے کی کوئی عادت سمجھ کر اگنور کر رہے ہوتے۔ اور بزدل قاتل اپنا وار بچے کے پٹھوں پر تیز سے تیز کرتا جا رہا ہوتا۔

پھر چند ماہ بعد کیا ہوتا ہے کہ بچہ پیراں بھار بیٹھا ہوا جب اٹھنے لگتا تو اس سے اٹھا ہی نہیں جاتا۔ پیچھے گر جاتا۔ یا اٹھے بھی تو گھنٹوں پر ہاتھ رکھ کر اٹھتا ہے۔ اور دن بدن ٹانگیں کمزور ہوتی جاتیں۔ بظاہر تو ٹانگیں ٹھیک ہونگی مگر اندر موجود مسلز کمزور ہو کر بڑی تیزی سے ٹوٹ رہے ہوتے۔ کیونکہ والدین کو تو پتا ہی نہیں بچے کے اندر کونسی جنگ چھڑ چکی ہے۔ اور دشمن اپنے وار معصوم پر دن رات کیے جا رہا۔

اس گھٹنوں پر ہاتھ رکھ کر اٹھنے سے بیماری کی شناخت شروع ہوتی ہے۔ اسے گاور سائن کہتے ہیں۔ والدین اب جا کے بچے کو سیریس لیتے ہیں۔ بچے کی عمر 7 سے 8 سال ہو چکی ہوتی۔ یعنی 2 سے 3 سال مسلسل قاتل اپنا کام کرتا رہا اور والدین کو خبر ہی نہ ہوئی۔ اب کسی ماہر ڈاکٹر کے پاس جائیں تو وہ پہچان لیتا.

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▶️Bunion
A bunion is a bony bump that forms on the joint at the base of your big toe. It occurs when some of the bones in the front part of your foot move out of place. This causes the tip of your big toe to get pulled toward the smaller toes and forces the joint at the base of your big toe to stick out. The skin over the bunion might be red and sore.

Wearing tight, narrow shoes might cause bunions or make them worse. Bunions can also develop as a result of the shape of your foot, a foot deformity or a medical condition, such as arthritis.

Smaller bunions (bunionettes) can develop on the joint of your little toe

🔴Anatomy
The big toe is made up of two joints. The largest of the two is the metatarsophalangeal joint (MTP), where the first long bone of the foot (metatarsal) meets the first bone of the toe (phalanx).

🔑Bunions develop at the MTP joint.

A bunion forms when the bones that make up the MTP joint move out of alignment: the long metatarsal bone shifts toward the inside of the foot, and the phalanx bones of the big toe angle toward the second toe. The MTP joint gets larger and protrudes from the inside of the forefoot.

🔑The enlarged joint is often inflamed. The word "bunion" comes from the Greek word for turnip, and the bump on the inside of the foot typically looks red and swollen like a turnip.

🔴Symptoms
The signs and symptoms of a bunion include:

➡️A bulging bump on the outside of the base of your big toe
➡️Swelling, redness or soreness around your big toe joint
➡️Corns or calluses — these often develop where the first and second toes rub against each other
➡️Ongoing pain or pain that comes and goes
➡️Limited movement of your big toe

ℹ️A visible bump on your big toe joint
ℹ️Decreased movement of your big toe or foot
ℹ️Difficulty finding shoes that fit properly because of a bunion

🔴Causes
There are many theories about how bunions develop, but the exact cause is unknown. Factors likely include:

➡️Inherited foot type
➡️Foot stress or injuries
➡️Deformities present at birth
Experts disagree on whether tight, high-heeled or too-narrow shoes cause bunions or whether footwear simply contributes to the development of bunions.

Bunions might be associated with certain types of arthritis, particularly inflammatory types, such as rheumatoid arthritis.

🔴Risk factors
These factors might increase your risk of bunions:

➡️High heels. Wearing high heels forces your toes into the front of your shoes, often crowding your toes.
➡️Ill-fitting shoes. People who wear shoes that are too tight, too narrow or too pointed are more likely to develop bunions.
➡️Rheumatoid arthritis. Having this inflammatory condition can make you more likely to develop bunions.
➡️Heredity. The tendency to develop bunions might be the result of an inherited problem with the structure or anatomy of your foot.

🔴Complications
Possible complications of bunions include:

➡️Bursitis. This painful condition occurs when the small fluid-filled pads that cushion the bones near your joints become inflamed.
➡️Hammertoe. An abnormal bend that occurs in the middle joint of a toe, usually the toe next to your big toe, can cause pain and pressure.
➡️Metatarsalgia. This condition causes pain and swelling in the ball of your foot.

🔴Prevention
To help prevent bunions, choose shoes carefully. They should have a wide toe box — no pointy toes — and there should be space between the tip of your longest toe and the end of the shoe.

Your shoes should conform to the shape of your feet without squeezing or pressing any part of your foot.
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Dr-Muhammad Manan Ulhaq saher (DPT)
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help people affected by , , or through , manual joint , soft tissue techniques education, and advice. Physiotherapists maintain physical health, allow patients to manage pain, and prevent disease for people of all ages. Physiotherapists help encourage pain relief, injury , enabling people to stay playing a , working, or performing daily living activities while assisting them to remain functionally independent.

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Home PHYSIOTHERAPY in PAKISTAN.
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Introducing Acupressure techniques to help you to rid yourself from pain. We are providing experienced and qualified Doctors of Physiotherapy at reasonable fee to help you in reducing your pain.
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Dr Manan Ulhaq Saher (DPT)
Consultant Physiotherapist

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Dr-Manan Ulhaq saher DPT.
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*Stroke*
“A stroke occurs when the blood supply to part of your brain is interrupted or reduced, preventing brain tissue from getting oxygen and nutrients. Brain cells begin to die in minutes. A stroke is a medical emergency, and prompt treatment is crucial.”
Muscle tone and strength may be weakened by a stroke, and you may find you’re unable to move your body as well as you could before. A physical therapist will work with you to regain your strength and balance, and find ways to adjust to any limitations.
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Dr-Muhammad Manan Ulhaq saher consultants
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Dr-Muhammad Zeshan Ahmad neuro-orthopedic rehabilitation specialist (MOPT)
Dr-Muhammad Manan Ulhaq saher (consultant)
Call / Whatsapp
0306 1852337
0336 2010330