Naseem Rehab Clinic

12/10/2023

📢 Save the Date! Join us on October 14th, 2023, from 10:00am to 2:00pm at Naseem Rehab Clinic for our Physiotherapy Camp! Enjoy complimentary consultations and an incredible 50% off on treatments. Your path to wellness begins here! 💪🏥

06/10/2023

24/09/2023

💢 Forward head posture, also known as anterior head carriage, is a condition characterized by an excessive forward positioning of the head in relation to the shoulders and spine.

It is commonly associated with prolonged periods of sitting, hunching over electronic devices, or poor posture habits.

When the head is in a neutral position, the earlobe should be in line with the midpoint of the shoulder.

However, in forward head posture, the head moves forward, causing the earlobe to be in front of the shoulder joint.

This misalignment can lead to several musculoskeletal issues and discomfort.

Common causes include prolonged sitting, incorrect ergonomics, and excessive device use.

Treating forward head posture involves a combination of corrective measures, lifestyle changes, and exercises to improve posture and strengthen the relevant muscles.

Ergonomic adjustments are important, such as ensuring your work environment is set up properly and using supportive furniture.

Posture awareness is key, reminding yourself to maintain a neutral spine and avoid slouching.

Regular stretching and strengthening exercises for the neck, upper back, and shoulder muscles can help improve posture and alleviate muscle imbalances.

Additionally, taking breaks from prolonged sitting, practicing good neck and shoulder alignment during activities like reading or using electronic devices, and incorporating regular physical activity into your routine can all contribute to better posture and overall well-being.

Consulting with a healthcare professional, such as a physical therapist, can provide personalized guidance and additional treatment options.

It is important to address forward head posture to prevent long-term complications and improve overall posture and well-being.

17/09/2023

🔵🔹➖Rotator cuff tendinitis occurs when the tendons of the rotator cuff become irritated and inflamed. As the tendon is continually irritated, it can begin to break down, causing shoulder pain and swelling. Tendinitis can be caused by repetitive arm movements and overhead shoulder motions. Those that engage in occupations and sports that require significant overhead movement are at a higher risk of developing this condition, such as hairstylists, painters, baseball players, and swimmers.

💠Symptoms
Common symptoms of rotator cuff injuries include:

••Pain and swelling in the front of the shoulder and down the outside of the arm

••Pain when raising or lowering the arm

••Popping or clicking sound when the arm is moved

••A feeling of heaviness and weakness in the arm

••Inability to lift the arm or move it due to limited range of motion

✨✨✨Special test for RCT::-✨✨✨

🔶 The first is called the “Empty Can test”. The patient stands up with his shoulders in 90°abduction, 30° horizontal adduction and in complete end range rotation. The therapist fixates his hands on the upper arm of the patient and provides a downward pressure while the patient tries to maintain his position.

🔶In the “Hawkin’s Test”, the patient stands with the shoulders abducted to 90° and internally rotates the forearm. The presence of pain with movement is an indicator of a possible pathology.

🔶With the modified Belly Press Test the patient stands or sits with the affected hand flat on the abdomen and elbow close to the body. The patient needs to bring the elbow forward and straighten the wrist. The final belly-press angle of the wrist needs to be measured with a goniometer. A belly-press angle difference of 10° between affected and unaffected side indicates a tendinopathy

♦♥♦Physiotherapy Treatment♦♥♦

➖◾Pendulum
· Lean forward and place one hand on a counter or table for support. Let your other arm hang freely at your side.Gently swing your arm forward and back. Repeat the exercise moving your arm side-to-side, and repeat again in a circular motion.Repeat the entire sequence with the other arm.Do not round your back or lock your knees.

➖◾Crossover Arm Stretch

· Relax your shoulders and gently pull one arm across your chest as far as possible, holding at your upper arm.Hold the stretch for 30 seconds and then relax for 30 seconds.Repeat with the other arm.Do not pull or put pressure on your elbow.

➖◾Passive Internal Rotation

· Hold a stick behind your back with one hand, and lightly grasp the other end of the stick with your other hand. Pull the stick horizontally as shown so that your shoulder is passively stretched to the point of feeling a pull without pain. Hold for 30 seconds and then relax for 30 seconds.Repeat on the other side.
Do not lean over or twist to side while pulling the stick.Made and composed by Dr Hashim Raees khan

➖◾Passive External Rotation

· Grasp the stick with one hand and cup the other end of the stick with the other hand.
Keep the elbow of the shoulder you are stretching against the side of your body and push the stick horizontally as shown to the point of feeling a pull without pain.Hold for 30 seconds and then relax for 30 seconds.
Repeat on the other side.
Keep your hips facing forward and do not twist.

➖◾Sleeper Stretch

· Lie on your side on a firm, flat surface with the affected shoulder under you and your arm bent, as shown. You can place your head on a pillow for comfort, if needed.Use your unaffected arm to push your other arm down. Stop pressing down when you feel a stretch in the back of your affected shoulder.
Hold this position for 30 seconds, then relax your arm for 30 seconds.Do not bend your wrist or press down on your wrist.

➖◾Standing Row

· Make a 3-foot-long loop with the elastic band and tie the ends together. Attach the loop to a doorknob or other stable object.Stand holding the band with your elbow bent and at your side, as shown in the start position.Keep your arm close to your side and slowly pull your elbow straight back.Slowly return to the start position and repeat.Squeeze your shoulder blades together as you pull.

➖◾External Rotation With Arm Abducted 90°

· Make a 3-foot-long loop with the elastic band and tie the ends together. Attach the loop to a doorknob or other stable object.Stand holding the band with your elbow bent 90° and raised to shoulder-height, as shown in the start position.Keeping your shoulder and elbow level, slowly raise your hand until it is in line with your head.Slowly return to the start position and repeat.Make sure your elbow stays in line with your shoulder.

➖◾Internal Rotation

· Make a 3-foot-long loop with the elastic band and tie the ends together. Attach the loop to a doorknob or other stable object.Stand holding the band with your elbow bent and at your side, as shown in the start position.Keep your elbow close to your side and bring your arm across your body.Slowly return to the start position and repeat.
Keep your elbow pressed into your side

➖◾External Rotation

· Make a 3-foot-long loop with the elastic band and tie the ends together.
Attach the loop to a doorknob or other stable object.Stand holding the band with your elbow bent and at your side, as shown in the start position.Keeping your elbow close to your side, slowly rotate your arm outward.
Slowly return to the start position and repeat.: Squeeze your shoulder blades together when you pull your elbow back.

➖◾Elbow Flexion

· Stand tall with your weight evenly distributed over both feet.
Keep your elbow close to your side and slowly bring the weight up toward your shoulder as shown.Hold for 2 seconds.
Slowly return to the starting position and repeat.Do not do the exercise too quickly or swing your arm. raeesphysiotherapy

➖◾Elbow Extension

· Stand tall with your weight evenly distributed over both feet.Raise your arm and bend your elbow with the weight behind your head.Support your arm by placing your opposite hand on your upper arm.
Slowly straighten your elbow and bring the weight overhead.Hold for 2 seconds. Slowly lower your arm back down behind your head and repeat. Keep your abdominal muscles tight and do not arch your back.


➖◾Trapezius Strengthening

· Place your knee on a bench or chair and lean forward so that your hand reaches the bench and helps support your weight. Your other hand is at your side, palm facing your body.

· Slowly raise your arm, rotating your hand to the thumbs-up position and stopping when your hand is shoulder height, with your arm parallel to the floor. Slowly lower your arm to the original position to a count of 5.: Use a weight that makes the last few repetitions difficult, but pain-free.

➖◾Scapula Setting

· Lie on your stomach with your arms by your sides. Place a pillow under your forehead for comfort, if required.Gently draw your shoulder blades together and down your back as far as possible.
Ease about halfway off from this position and hold for 10 seconds.
Relax and repeat 10 times.Do not tense up in your neck.


➖◾Scapular Retraction/Protraction

· Lie on your stomach on a table or bed with your injured arm hanging over the side.Keep your elbow straight and lift the weight slowly by squeezing your shoulder blade toward the opposite side as far as possible.
Return slowly to the starting position and repeat.Do not shrug your shoulder toward your ear.

➖◾Bent-Over Horizontal Abduction

· Lie on your stomach on a table or bed with your injured arm hanging over the side.
Keep your arm straight and slowly raise it up to eye level.Slowly lower it back to the starting position and repeat.Control the movement as you lower the weight.

➖◾External Rotation

· Lie on your side on a firm, flat surface with your unaffected arm under you, cradling your head.Hold your injured arm against your side as shown, with your elbow bent at a 90° angle.
Keep your elbow against your side and slowly rotate your arm at the shoulder, raising the weight to a vertical position.
Slowly lower the weight to the starting position to a count of 5.Do not let your body roll back as you raise the weight.

➖◾ Trapezius stretch

Place your knee on a bench or chair and lean forward so that your hand reaches the bench and helps support your weight. Your other hand is at your side, palm facing your body.
Slowly raise your arm, rotating your hand to the thumbs-up position and stopping when your hand is shoulder height, with your arm parallel to the floor.Slowly lower your arm to the original position to a count of 5.
Use a weight that makes the last few repetitions difficult, but pain-free.

➖◾Soft tissue Massage

📍⚙⚙📍Electrotherapy

1-) TENS
2-) Ultrasound therapy
3-) Infrared radiation
4-) Heating pad

💊💉 NSAID and Steroids

✂ Surgery

16/09/2023

💢 Shoulder dislocation is a condition in which the upper arm bone (humerus) comes out of its socket in the shoulder blade (scapula).

It is often caused by trauma or injury to the shoulder joint, such as a fall or a forceful impact. Shoulder dislocation can result in severe pain, swelling, and limited mobility of the affected arm.

It may also cause visible deformity or protrusion of the shoulder joint.

Treatment for shoulder dislocation typically involves reducing the dislocation by manipulating the bones back into place, followed by immobilization and rehabilitation exercises to restore strength and range of motion.

In some cases, surgery may be necessary to repair damaged tissues or stabilize the shoulder joint.

It is important to seek medical attention if you suspect a shoulder dislocation to ensure proper diagnosis and appropriate treatment.
Achieve Physical Therapy & Performance ✍️✍️

11/09/2023

GOUTY ARTHRITIS:-

This is a form of arthritis characterized by severe pain, redness and tenderness in a joint.

Pain and inflammation occurs when too much chemical called Uric acids crystalizes and deposits in joints. The most affected joint is the joint of the big toe.

This uric acid is known to be the result of the breakdown of chemical called Purine, which is sourced from certain foods and drinks.

Gouty arthritis, commonly called Gout can affect people of all ages. Symptoms can be very discomfort and can wake you up from your sleep more often.

CAUSES

Gout is believed to to occur when urate crystals accumulate in your joint, causing the inflammation and intense pain of a gout attack. Urate crystals can form when you have high levels of uric acid in your blood. Your body produces uric acid when it breaks down purines, substances that are found naturally in your body.

Purines are also found in certain foods, including red meat and organ meats, such as liver. Purine-rich seafood includes anchovies, sardines, mussels, scallops, trout and tuna. Alcoholic beverages, especially beer, and drinks sweetened with fruit sugar (fructose) promote higher levels of uric acid.

Normally, uric acid dissolves in your blood and passes through your kidneys into your urine. But sometimes either your body produces too much uric acid or your kidneys excrete too little uric acid. When this happens, uric acid can build up, forming sharp, needlelike urate crystals in a joint or surrounding tissue that cause pain, inflammation and swelling.

RISK FACTORS

You're more likely to develop gout if you have high levels of uric acid in your body. Factors that increase the uric acid level in your body include:

1. DIET
Eating a diet rich in red meat and shellfish and drinking beverages sweetened with fruit sugar (fructose) increase levels of uric acid, which increase your risk of gout. Alcohol consumption, especially of beer, also increases the risk of gout.
Weight. If you're overweight, your body produces more uric acid and your kidneys have a more difficult time eliminating uric acid.

2. MEDICAL CONDITIONS:
Certain diseases and conditions increase your risk of gout. These include untreated high blood pressure and chronic conditions such as diabetes, obesity, metabolic syndrome, and heart and kidney diseases.
Certain medications. Low-dose aspirin and some medications used to control hypertension including thiazide diuretics, angiotensin-converting enzyme (ACE) inhibitors and beta blockers also can increase uric acid levels. So can the use of anti-rejection drugs prescribed for people who have undergone an organ transplant.

3. FAMILY HISTORY OF GOUT:
If other members of your family have had gout, you're more likely to develop the disease.

4. AGE AND GENDER:
Gout occurs more often in men, primarily because women tend to have lower uric acid levels. After menopause, however, women's uric acid levels approach those of men. Men are also more likely to develop gout earlier usually between the ages of 30 and 50, whereas women generally develop signs and symptoms after menopause.

5. RECENT SURGERY OR TRAUMA:
Experiencing recent surgery or trauma can sometimes trigger a gout attack. In some people, receiving a vaccination can trigger a gout flare.

•SYMPTOMS
The signs and symptoms of gout almost always occur suddenly, and often at night. They include:

🟢Intense joint pain. Gout usually affects the big toe, but it can occur in any joint. Other commonly affected joints include the ankles, knees, elbows, wrists and fingers. The pain is likely to be most severe within the first four to 12 hours after it begins.

🟢Lingering discomfort. After the most severe pain subsides, some joint discomfort may last from a few days to a few weeks. Later attacks are likely to last longer and affect more joints.

🟢Inflammation and redness. The affected joint or joints become swollen, tender, warm and red.
Limited range of motion. As gout progresses, you may not be able to move your joints normally.

🔸What tests will be done to diagnose gout?
Your healthcare provider might use a few imaging tests to take pictures of your affected joints. These tests can also show if gout has caused any changes in your joints. You might need:

🔹X-rays.
🔹Ultrasound.
🔹Magnetic resonance imaging (MRI).
🔹A CT (computed tomography) scan — specifically a dual-energy CT scan.

Other common tests to diagnose gout include:

🔹Blood tests to measure the uric acid in your blood.
🔹Joint aspiration — using a needle to remove a sample of fluid from inside a joint

🔵What physiotherapy will be used for gout?

There are a variety of physiotherapy options used to treat gout depending on your main symptoms and the stage of your condition.Physiotherapy include:
🔹Pain control
🔹Electrotherapy including megapulse and TENS
🔹Strengthening and range of movement exercises
🔹Cardiovascular activity
🔹Hydrotherapy
🔹Wax therapy
🔹Cryotherapy (cold therapy)
🔹Mobilisation techniques
🔹Home exercise programme.

10/09/2023

💢 Osteogenesis imperfecta (OI), commonly known as brittle bone disease, is a genetic disorder that primarily affects the bones.

It is caused by mutations in genes responsible for producing collagen, a protein crucial for the strength and structure of bones. As a result, individuals with OI have bones that are weaker and more prone to fractures.

The severity of OI can vary widely, ranging from mild cases where fractures occur infrequently and with minimal trauma, to severe cases where fractures may occur before birth or even during the birthing process.

Other symptoms of OI can include bone deformities, short stature, weak muscles, joint laxity, and dental problems.

OI is typically diagnosed through a combination of clinical evaluation, medical history, and imaging tests such as X-rays.

Genetic testing may also be conducted to identify the specific gene mutations responsible for the condition.

Currently, there is no cure for OI. However, treatment focuses on managing symptoms and preventing complications.

This can involve a multidisciplinary approach, including orthopedic care, physical therapy, assistive devices such as braces or wheelchairs, and pain management.

Medications such as bisphosphonates may be prescribed to increase bone density and reduce the risk of fractures.

Living with OI can present challenges, but many individuals with the condition lead fulfilling lives with appropriate care and support.

Ongoing medical care, regular monitoring, and a supportive network can help individuals with OI manage their condition effectively and maintain an optimal quality of life.

08/09/2023

World Physiotherapy Day was established by the World Confederation for Physical Therapy (WCPT), an international organization representing physical therapists worldwide. It was first celebrated on September 8th, 1996. Since then, it has become an annual event dedicated to promoting the profession of physiotherapy and highlighting the valuable contributions that physiotherapists make to global health. The date, September 8th, was chosen to commemorate the founding of the WCPT in 1951.

🎉 Happy World Physiotherapy Day! 🌍 Sending a shoutout to all my incredible physio friends and colleagues around the world! Your dedication to enhancing lives through movement and rehabilitation is truly inspiring. Keep up the amazing work! 💪🌟

07/09/2023

🤕 Erb's Palsy is a nerve injury during birth affecting the arm's mobility. It's heartbreaking, but there's hope! 🌟 Rehabilitation plays a crucial role in improving the condition. 💪

🏋‍♂ Physical therapy focuses on strengthening the affected muscles and increasing range of motion. 🔄
👐 Occupational therapy aids in daily activities like dressing and eating. 🍽
🤲 Massage and stretching can alleviate muscle tightness. 🧘‍♀

👨‍⚕ Consult a specialist for tailored treatment. Surgery may be necessary in severe cases. ⚒

👶 Early intervention is key. With dedication and support, many Erb's Palsy patients regain function and lead fulfilling lives.

07/09/2023

- Hip dysplasia is a condition where the hip joint doesn't develop properly.
- It can lead to instability, pain, and degeneration of the hip joint.

*Physiotherapy Management:*
- Early diagnosis is crucial for effective management.
- Treatment goals include pain relief, improving function, and preventing further joint damage.
- Physiotherapy plays a significant role in managing hip dysplasia.

*Physiotherapy Interventions:*
- Range of motion exercises to improve joint flexibility.
- Strengthening exercises for the hip and surrounding muscles.
- Manual therapy techniques like joint mobilization.
- Gait training to improve walking patterns.
- Posture correction to reduce strain on the hip joint.
- Pain management strategies such as modalities (e.g., heat or ice).

*Patient Education:*
- Educate patients on proper body mechanics to avoid aggravating the condition.
- Teach home exercises and self-management techniques.
- Emphasize the importance of adherence to treatment plans.