The Physio Clinic Sadiqabad

The Physio Clinic Sadiqabad Physiotherapy is a health profession concerned with helping to restore wellness to individuals follo

"Any idea why we do ?🤔The band is really there for two reasons. One of those reasons is obvious, the other will make you...
02/08/2025

"Any idea why we do ?

🤔

The band is really there for two reasons. One of those reasons is obvious, the other will make you think.

1. Obviously, the "resistance band" is providing some resistance. In this exercise, we are trying to "round" the lower back. The muscles we are using are the stomach muscle to perform an action called spinal flexion. This action is similar to a stomach crunch only we are not lying on our back here. The band is resisting spinal flexion. In other words, it is is making the stomach muscles work harder and get stronger.

2. What might not be so obvious to people is that drill is helping people to "feel" their lower back again. Our posture gets to be our unconscious position. It really is reflective our habits and injuries. The way we sit, stand and sleep really is our most comfortable position but as a result contributes not only to muscle imbalances but also to lack of motor control. In other words, our body can get stuck and it is hard for us to learn how to move. The light resistance band is great because it gives us feedback. It touches our body and the pressure that it puts against us allows to feel where we need to move. In a way it acts like a trainer or coach correcting your form as you move.

If you have a lower back that arches too much, you really should start doing this drill.

The Vagus Nerve is, without question, one of the most powerful and influential forces in our life. It affects our mood, ...
01/08/2025

The Vagus Nerve is, without question, one of the most powerful and influential forces in our life. It affects our mood, how we engage with others, our anxiety level, digestion, sleep, and how well we recover from illness, accident, stroke, and brain injury.

peripheral neuropathy, a condition where the nerves outside the brain and spinal cord (the peripheral nervous system) ar...
01/08/2025

peripheral neuropathy, a condition where the nerves outside the brain and spinal cord (the peripheral nervous system) are damaged. Normally, sensory fibers feel pain (like from a flame) and motor fibers help you move away quickly. With neuropathy, symptoms like muscle weakness or numbness can prevent proper sensation or movement, putting you at risk of injury.

🦵 PATELLAR REFLEX (L2–L4) — Why Your Knee Jumps When Tapped📚 Neurobiology Made SimpleEver wondered why your leg kicks fo...
31/07/2025

🦵 PATELLAR REFLEX (L2–L4) — Why Your Knee Jumps When Tapped

📚 Neurobiology Made Simple

Ever wondered why your leg kicks forward when a doctor taps your knee with that small hammer? That’s called the Patellar Reflex — a lightning-fast response controlled by your spinal cord.

💥 Here’s how it works:

1. The tap on your patellar ligament stretches the muscle spindle in your quadriceps.
2. This sends a message to the spinal cord via the Ia afferent neuron.
3. The spinal cord immediately sends a signal back via the alpha motor neuron, telling the quadriceps to contract.
4. The leg kicks forward — without brain involvement! 🧠❌

📍 This reflex is controlled by the L2–L4 spinal segments — and doctors test it to check your nervous system health.

Bells or stroke? When differentiating facial weakness caused by a stroke from Bell’s palsy, one of the most important cl...
31/07/2025

Bells or stroke?
When differentiating facial weakness caused by a stroke from Bell’s palsy, one of the most important clues is whether the forehead is involved.

In stroke, it’s an upper motor neuron lesion so the forehead is usually spared. They can still raise their eyebrows and wrinkle their forehead on the affected side.
That’s because the upper facial muscles receive signals from both sides of the brain, so even if one hemisphere is knocked out, the other side can still control the forehead.

Bell’s palsy is a lower motor neuron lesion of the facial nerve. In this case, the entire side of the face is flaccid. They will be unable to raise the eyebrow, wrinkle the forehead, or close the eyelid fully.
The corner of the mouth also droops, and they may struggle to smile on that side.

Looking at the onset and associated features, a stroke typically has a sudden onset and often comes with other signs—like limb weakness, slurred speech, visual changes, or gait disturbances.

Bell’s palsy usually comes on more gradually over several hours, often noticed upon waking. It tends to be isolated to the face. There are no arm or leg symptoms, and patients might report pain around the ear or a change in taste on the front of the tongue. Some also describe sounds being uncomfortably loud on the affected side due to paralysis of the stapedius muscle.

When examining the eyes, stroke patients can usually close their eye on the affected side, although the movement may be slightly weak. In Bell’s palsy, they may be unable to close the eye completely, which risks corneal drying and damage. Their eye may appear wide and unblinking.

Bell’s palsy the entire half of the face is paralysed.

To test this clinically, ask the patient to raise their eyebrows, close their eyes tightly, and smile. If the forehead moves well and the eye closes, but the smile is uneven, this suggests stroke. If the forehead doesn’t move and the eye can’t close, with a droopy mouth as well, this is consistent with Bell’s palsy.

Grades of Disc Degeneration on MRI 🧲🔹 Grade I The disc is normal, well hydrated, and very bright on T2.🔹 Grade II Mild...
30/07/2025

Grades of Disc Degeneration on MRI 🧲

🔹 Grade I
The disc is normal, well hydrated, and very bright on T2.

🔹 Grade II
Mild early changes, still bright on T2, nucleus clearly visible.

🔹 Grade III
Gray signal, moderate loss of hydration, unclear nucleus-annulus border.

🔹 Grade IV
Dark signal, significant dehydration, and reduced disc height.

🔹 Grade V
Collapsed disc, very dark signal, and severe degeneration.

🧊 Frozen Shoulder (Adhesive Capsulitis)Frozen shoulder is a condition characterized by stiffness, pain, and limited rang...
29/07/2025

🧊 Frozen Shoulder (Adhesive Capsulitis)

Frozen shoulder is a condition characterized by stiffness, pain, and limited range of motion in the shoulder joint. It usually develops slowly and progresses through three stages:

1. Freezing Stage (Painful):

Gradual onset of shoulder pain

Limited motion begins

2. Frozen Stage (Stiff):

Pain may reduce

Movement becomes more restricted

3. Thawing Stage:

Slow improvement in motion

Full recovery can take months

✅ Causes & Risk Factors:

After shoulder injury or surgery

Diabetes

Prolonged immobilization

Thyroid disorders

Age 40–60, more common in females

Exercises for Frozen Shoulder:

Note: All exercises should be done slowly and within pain limits.

1. 🌀 Pendulum Exercise

Lean forward, let the arm hang down

Swing in small circles

10 reps each direction

2. 🧍 Towel Stretch

Hold a towel behind your back with both hands

Use the good arm to pull the affected arm upward

Hold 15–30 seconds × 3 times

3. 🚪 Finger Walk (Wall Climb)

Face a wall and walk your fingers up slowly

Go as high as possible without pain

10 reps

4. 🔁 Cross-Body Stretch

Use your good arm to bring your affected arm across the chest

Hold for 15–30 seconds × 3 sets

5. 🔄 External Rotation with Stick

Hold a stick with both hands, elbows at sides bent 90°

Push gently outward with the good arm

Hold 5 seconds × 10 reps

💡 Physiotherapy Tips:

Apply moist heat before exercises
Stay consistent with exercises daily
Don’t force painful movements

⭕ Patellofemoral Pain Syndrome (PFPS) A common cause of anterior knee pain, often called "Runner’s knee."✅ Definition:PF...
29/07/2025

⭕ Patellofemoral Pain Syndrome (PFPS)
A common cause of anterior knee pain, often called "Runner’s knee."

✅ Definition:
PFPS is characterized by diffuse pain around or behind the patella, especially during activities that load the patellofemoral joint such as squatting, stair climbing, or prolonged sitting.

🔥 Causes:

📍 Overuse from repetitive knee flexion
📍 Muscle imbalances or weakness (especially quadriceps, gluteus medius)
📍 Poor patellar tracking
📍 Improper biomechanics during gait or sport
📍 Direct trauma to the kneecap

⚠️ Signs & Symptoms:

♦️ Dull, aching anterior knee pain

♦️ Pain worsens with stair use, sitting long periods (“moviegoer’s sign”), squatting

♦️ Crepitus or grinding sound

♦️ Swelling or tightness

🔎 Risk Factors:

1️⃣ Flat feet (overpronation)
2️⃣ Weak quadriceps or hip muscles
3️⃣ Poor footwear
4️⃣ Sudden increase in activity level
5️⃣ Adolescents & young adults (especially females)

🔄 Pathomechanism:
Abnormal tracking of the patella in the femoral groove leads to increased patellofemoral joint stress, cartilage irritation, and inflammation of surrounding soft tissues.

🧠 Clinical Anatomy:

✅ Muscles involved: quadriceps femoris, especially vastus medialis oblique (VMO), IT band, gluteals.

✅ Key stabilizers: patellar tendon, retinacula, and quadriceps.

🖼️ Radiological Diagnosis:

🎥 X-ray: to rule out other conditions like patellar dislocation or osteoarthritis.

🎥 MRI: useful in chronic cases to detect cartilage wear or soft tissue inflammation.

🧪 Physical Assessment:

1️⃣ Clarke’s Test (Patellar Grind)

2️⃣ Patellar Apprehension Test

3️⃣ Single leg squat test

4️⃣ Assess hip/knee alignment and foot posture

5️⃣ Muscle length tests: hamstring, ITB, gastrocnemius

🧊 Conservative Treatment:

✅ Rest from aggravating activities

✅ Ice to reduce inflammation

✅ NSAIDs (if needed under supervision)

✅ Taping or bracing

✅ Activity modification

🧑‍⚕️ Physiotherapy Management (Problem-based):

♦️ Strengthening: VMO, gluteus medius/maximus, core

♦️ Stretching: IT band, hamstring, gastrocnemius

♦️ Patellar taping (McConnell taping)

♦️ Manual therapy for soft tissue release

♦️ Gait retraining and movement correction

♦️ Closed-chain exercises like step-ups, mini squats

♦️ Biofeedback for patellar tracking

♦️ Neuromuscular control training

🏡 Home Advice:

✅ Avoid stairs, deep squats, or kneeling

✅ Ice 15-20 min post activity

✅ Continue prescribed exercises

✅ Use proper footwear

✅ Weight management if overweight

🏷️ Orthosis Support:

✅ Arch supports for pronated feet

✅ Patellar tracking knee brace or taping

✅ Heel wedges (if needed for alignment)

🏷️ Activities of Daily Living (ADL):

✅ Use chair with higher seat

✅ Avoid sitting with knees bent >90° for long

✅ Support while rising from sitting

✅ Use elevator/escalator over stairs when possible

Spinal scoliosis
28/07/2025

Spinal scoliosis

are 4 distinct spine (spondy)and each different rehabilitation 💥
28/07/2025

are 4 distinct spine (spondy)and each different rehabilitation 💥

ANKLE SPRAIN - GRADINGS OG LIGAMENT TEAR
28/07/2025

ANKLE SPRAIN - GRADINGS OG LIGAMENT TEAR

ACL TEAR INJURY OF KNEE
27/07/2025

ACL TEAR INJURY OF KNEE

Address

Amna Hospital
Sadiqabad
64200

Telephone

+923222756800

Website

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