Pak Physiotherapy & Rehab Clinic

29/12/2022

𝗠𝘂𝘀𝗰𝗹𝗲 𝗸𝗻𝗼𝘁𝘀:
A muscle knot is a painful or tender spot in a muscle.

muscle knots
✅ Overuse: heavy lifting or repetitive activities
✅ Muscle injury
✅ Psychological stress
✅ Poor ergonomics
✅ Bad posture
✅ Fatigue
✅ Dehydration
✅ Unhealthy eating habits
✅ Sleep disturbances
✅ Joint problems


☑️ Pain that lingers or worsens
☑️ Pain that keeps you awake
☑️ A persistent sore spot in a muscle
☑️ Deep muscle pain
☑️ General numbness or tingling
☑️ Feelings of nerve pain
☑️ A decreased range of motion

knots commonly occur include:
➡️ calf muscles
➡️ lower back
➡️ mid back
➡️ neck
➡️ shins
➡️ shoulders

𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁
therapy
🔲 Gentle stretching exercises
🔲 Ice and heat
🔲 Myofascial release therapy
🔲 Injection
🔲 Trigger point massage
🔲 Dry needling
🔲 Swimming
🔲 Deep breathing exercise
🔲 Relaxation techniques
🔲 UST
🔲 TENS
🔲 Cold laser
🔲 Therapeutic massage: trigger point pressure release, passive rhythmic, and active rhythmic massage


NSAIDs


🔳 Improve your posture
🔳 Take opportunities throughout the day to rest and incorporate exercise into your routine
🔳 Make sure your diet includes a healthy mix of calcium, potassium, and magnesium, and drink plenty of water to keep your body hydrated.
🔳 Don’t overdo it when lifting heavy objects.

⚠️ Disclaimer- this summary is for educational purposes only and should not substitute medical advice.

22/12/2022

𝗖𝗮𝗿𝗽𝗮𝗹 𝗧𝘂𝗻𝗻𝗲𝗹 𝘀𝘆𝗻𝗱𝗿𝗼𝗺𝗲
:
Carpal tunnel syndrome (CTS) is a medical condition due to compression of the median nerve as it travels through the wrist at deep flexor retinaculum.

:
• Inflammatory- RA
• Tumour.
• Trauma: Fracture and dislocation
• Endocrine-Diabetes mellitus,
• Pregnancy
• Metabolic cause- Gout
• Colles fracture
• Ganglion in the carpal region
• OA of the carpal bones.

:
1.Pain & tenderness of the hand
2.Muscle weakness & wasting
3.Sensory loss in the median nerve
4.Morning stiffness
5.Tingling.
6. Burning sensation.
7.Paraesthesia
8.Pins and needles
9.Numbness in the thumb, index finger, middle finger, and the thumb side of the ring fingers.

:
1. Diminished sensation in the thumb, index, long and radial aspect of Ring fingers.
2. A positive tinel’s sign
3. Positive phalen’s test
4. Atrophy of thenar muscles
5. X- ray views of the carpal tunnel
6. EMG

Management:

*To relief pain-UST, TENS
*Laser therapy
*Gentle relaxed passive movement
*Active assisted & active movement of the wrist & finger
*Carpal tunnel splint
*Rest and Patient Education
*Vitamin B6
*Carpal bone mobilization
*Flexor retinaculum stretching
*Nerve and tendon gliding exercise
*Upper limb and wrist endurance exercise
*Myofascial release of forearm muscles
*Neurodynamics
*Yoga

 therapy

*Wrist splinting
*Nonsteroidal anti-inflammatory drugs (NSAIDs) – NSAIDs such as ibuprofen (Advil, Motrin IB, others)
*Corticosteroids

 and home remedies

• Reduce your force and relax your grip. For prolonged hand writing, use a big pen withan over sized, soft grip adapter and free-flowing ink.
• Take frequent breaks.
• Watch your form.
• Improve your posture.
• Keep your hands warm.

SURGERY:
*Endoscopic surgery
*Open surgery

20/12/2022

Why Are Your Hamstrings so Tight?

Whenever we experience muscular dysfunction or pain in an area of the body, our first inclination is to isolate that specific area and treat the symptom.

In the case of tight hamstrings, we stretch them to try get some relief. Unfortunately, this type of methodology does not address the root cause of the problem and only provides temporary relief. In this way, a day later or two later, you may be in the same predicament as before.

Only through knowledge of functional anatomy can we can understand the true cause of our muscular skeletal problems and develop more permanent solutions.

👉🏻 Tag & share with friends that could benefit from this post ❤️

⚠️ Disclaimer- this summary is for educational purposes only and should not substitute medical advice.

18/12/2022

𝗗𝗲𝗳𝗶𝗻𝗶𝘁𝗶𝗼𝗻: Scoliosis is a lateral curvature of the spine that occurs most often during the growth spurt just before puberty. Scoliosis is also defined as Lateral curvature of the spine greater than 10 degree.

Mainly two 𝘁𝘆𝗽𝗲𝘀:
o Postural
o Structural

Other 𝘁𝘆𝗽𝗲𝘀:
i.Postural or idiopathic scoliosis
ii.Paralytic Scoliosis
iii.Congenital Scoliosis

𝗖𝗮𝘂𝘀𝗲𝘀:
Congenital abnormality
Bad posture
Aging
Tightness of spinal muscle or weakness
Bone degeneration
Osteoporosis
Spina bifida or birth defect
Muscular Dystrophy
CP
PLID Leads to sciatic Scoliosis
Traumatic spinal injury
Poliomyelitis
SC injury

𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗳𝗲𝗮𝘁𝘂𝗿𝗲𝘀:
*Dull or sharp back pain
*Deformity- rib hump when the patient is in flexion spine leg standing deformity.
*The waist appears uneven
*Shoulder from the affected side is elevated
*Pain is occasionally
*Difficulty breathing (in extreme cases)
*Common in female
*Skin pigmentation and congenital anomalies.
*Aggravated by movement of spine
*Abnormality during pregnancy

𝗗𝗶𝗮𝗴𝗻𝗼𝘀𝗶𝘀:
*Physical examination of the spine, ribs, hips and shoulder.
*Aid of a tool called an inclinometer or scoliometer can measure the degree of scoliosis.
*Imaging scans such as x-ray CT Scans and MRI can help assess the spine, direction, location and angle of the curve.

𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁:
A. Non-surgical treatment:
Observation is the primary treatment of all curves less than 200.

B. Orthotic Treatment:
This is effective in skeletally immature persons. For mild to moderate curve.
-Milwaukee brace
-Boston Brace
-Reisseri’s trun buckle cast
-Localize cast
-Thoracolumbosacral orthosis (TLSO)

C. 𝗣𝗵𝘆𝘀𝗶𝗼𝘁𝗵𝗲𝗿𝗮𝗽𝘆 𝗠𝗮𝗻𝗮𝗴𝗲𝗺𝗲𝗻𝘁 in Scoliosis:
I. Posture correction
II. 𝗘𝘅𝗲𝗿𝗰𝗶𝘀𝗲:
-Deep breathing exercise
-Balancing exercise
-Active ROM exercises to the spine.
-Strengthening exercise to the abdominal and spinal muscles.
-Pelvic Tilt supine with the knees straight.
-Spine extension in the prone position.
-Side in the prone position.
-Side stretch standing
-Rotational stretch
-Pushup with pelvic tilted

05/11/2022

💥𝐀𝐧𝐭𝐢-𝐆𝐫𝐚𝐯𝐢𝐭𝐲 𝐓𝐫𝐚𝐢𝐧𝐢𝐧𝐠💥
——
👉In the earlier stages of healing, especially for more severe injuries, some of the exercises might be too stressful for the healing tissues.
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🔎One strategy to begin building tissue capacity without stressing things too much is to implement training, which is demonstrated nicely in this video from .
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👣The Alter G anti-gravity treadmill allows the user to reduce their body weight by a specific percentage in order to make sure the appropriate level of stress is applied to healing tissues.
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Source

12/08/2022

10/08/2022

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