Dr. Hira Rafique, PT

20/05/2025

18/09/2024

Spencer Technique

7 stages( reducing pain, improving shoulder ROM, and decreasing functional impairment )Frozen Shoulder)

Steps of Technique

* Step 1: Shoulder extension with elbow flexion
* Step 2: Shoulder flexion with elbow extension
* Step 3: Circumduction with compression
* Step 4: Circumduction with distraction
* Step 5: Shoulder abduction and internal rotation with elbow flexion
* Step 6: Shoulder adduction and external rotation with elbow flexion
* Step 7: Stretching tissue and pumping fluids with the arm extended

08/09/2024

03/08/2024

Understanding the different types of muscle fibers can greatly enhance your training and performance. Type 1 (Slow Twitch) fibers are perfect for endurance activities like long-distance running. Type 2A (Fast Twitch Oxidative) fibers are ideal for middle-distance events, such as 400m and 800m. Type 2B (Fast Twitch Glycolytic) fibers excel in short sprints and explosive activities. Knowing your muscle fiber composition can help tailor your workouts for optimal results!

02/08/2024

Understanding Trigeminal Neuralgia: A painful condition affecting the trigeminal nerve, leading to intense facial pain. Early diagnosis and treatment can greatly improve quality of life. Stay informed and spread awareness!

29/07/2024

📚 Differential Diagnosis of Shoulder Conditions 🏥

Understanding the differential diagnosis for shoulder conditions is crucial for accurate assessment and treatment planning. This summary provides a comprehensive overview of the key differences among Rotator Cuff Degeneration, Frozen Shoulder, Atraumatic Instability, and Cervical Spondylosis.

🩺 Key Points:
- Rotator Cuff Lesions: Common in ages 30-50, characterized by pain and weakness after eccentric load.

- Frozen Shoulder:*Typically affects individuals aged 45+, with restricted ROM and shoulder hiking.

- Atraumatic Instability:Seen in ages 10-35, presents with pain and instability during activity.

- Cervical Spondylosis: Affects those aged 50+, can present with neck movement limitations and pain.

For more detailed insights, refer to the table and enhance your diagnostic skills! 📊

28/07/2024

Shoulder Impingement Syndrome

Shoulder impingement syndrome occurs when the rotator cuff tendons are trapped and compressed during shoulder movements, leading to pain and reduced mobility.

Causes:
1. Repetitive Overhead Activities: Activities such as swimming, tennis, and painting can cause repetitive stress on the shoulder.
2. Poor Posture: Slouched or forward head posture can alter shoulder blade and upper arm alignment, contributing to impingement.
3. Bone Spurs: Development of bone spurs on the acromion can increase pressure on the tendons.
4. Muscle Weakness or Imbalance : Improper movement patterns and increased tendon friction can result from weak or imbalanced shoulder muscles.

Symptoms:
1. Pain: Felt on the top and outer side of the shoulder, especially during overhead activities.
2. Weakness: Difficulty lifting or moving the arm.
3. Reduced Range of Motion: Limited shoulder movement, particularly in reaching behind the back.
4. Night Pain: Pain may worsen when lying on the affected shoulder.