Dr Messum Raza Alvi

10/04/2024

https://drzoid.com/3-surprising-ways-food-changes-your-pee/

10/04/2024

Eid Mubarak Everyone Stay Healthy and Fit.

10/04/2024

27/01/2024

Estimated Healing Times 👇

12/01/2024

FABELLA BONE, AN EVOLUTIONARY ENIGMA 🪷

The fabella is a small sesamoid bone found in some mammals embedded in the tendon of the lateral head of the gastrocnemius muscle behind the lateral condyle of the femur. It is an accessory bone, an anatomical variation present in 39% of humans. Rarely, there are two or three of these bones (fabella bi- or tripartita). It can be mistaken for a loose body or osteophyte. The word fabella is a Latin diminutive of faba 'bean'.

In humans, it is more common in men than women, older individuals compared to younger, and there is high regional variation, with fabellae being most common in people living in Asia and Oceania and least common in people living in North America and Africa. Bilateral cases (one per knee) are more common than unilateral ones (one per individual), and within individual cases, fabellae are equally likely to be present in right or left knees. Taken together, these data suggest the ability to form a fabella may be genetically controlled, but fabella ossification may be environmentally controlled.

Although the fabella seems to have disappeared with the evolution of Hominidae, it reappeared in humans sometime after they diverged from chimpanzees. It is unknown whether it reappeared soon after this divergence, 5–7 million years ago, or more recently in human evolution.

"The fabella can lead to posterolateral knee pain either due to cartilage softening (chondromalacia fabellae) or other osteoarthritic changes on its articular surface."

🟣 Some interesting facts about the fabella

🔖 Little Bone, Big Impact: The fabella is a small, sesamoid bone located behind the knee, embedded within the tendon of the lateral head of the gastrocnemius muscle.

🔖 Not Everyone Has It: While not everyone has a fabella, its presence varies widely among individuals. Some people have one in each knee, some have them in both, and others may not have them at all.

🔖 Evolutionary Enigma: The fabella is considered a vestigial structure, meaning it has lost its original function through evolution. Its purpose in the human body is not entirely clear, but it's believed to be related to the function of the knee joint and surrounding muscles.

🔖 Varied Prevalence: The occurrence of the fabella has been reported to be more common in certain populations or age groups. Studies suggest that its prevalence has increased over the years.

🔖 Historical Presence: The fabella has been found in ancient human remains, indicating that it's not a recent development in human anatomy. However, its prevalence and significance have changed over time.

🔖 Role in Knee Issues: In some cases, the presence of a fabella has been associated with knee pain or complications. It can contribute to conditions like fabella syndrome, where irritation or impingement of the fabella causes discomfort.

🔖 Imaging Challenges: Detecting the fabella can be challenging through standard X-rays, and more advanced imaging techniques like MRI or CT scans are often needed for accurate identification.

🔖 Orthopedic Considerations: Surgeons may encounter the fabella during knee surgeries, and its presence can influence the approach taken in certain procedures.

🔖 Individual Anatomical Variation: The size and shape of the fabella can vary significantly among individuals, adding to the complexity of its study and understanding.

🔖 Ongoing Research: Despite being known for centuries, the fabella continues to be a subject of ongoing research, with scientists and anatomists delving deeper into its evolutionary history and potential roles in musculoskeletal health.

Dr Messum Raza Alvi
...

27/12/2023

وائرس کیا ہیں؟
وائرس بہت چھوٹے جراثیم ہیں۔ وہ پروٹین کوٹنگ کے اندر جینیاتی مواد (یا تو ڈی این اے یا آر این اے) سے بنے ہوتے ہیں۔ زمین پر وائرس کی ایک بڑی تعداد ہے۔ ان میں سے صرف ایک چھوٹی سی تعداد ہی انسانوں کو متاثر کر سکتی ہے۔ وہ وائرس ہمارے خلیات کو متاثر کر سکتے ہیں، جو بیماری کا سبب بن سکتے ہیں۔ کچھ بیماریاں جو وائرس کا سبب بن سکتی ہیں ان میں عام زکام، فلو، COVID-19 اور HIV شامل ہیں۔

وائرس کیسے پھیلتے ہیں؟
وائرس مختلف طریقوں سے پھیل سکتے ہیں:

بوندوں اور ذرات کے ذریعے جو انفیکشن میں مبتلا شخص کے ذریعے سانس لینے سے پھیل سکتا ہے۔ آپ بوندوں یا ذرات میں سانس لے سکتے ہیں، یا وہ آپ کے منہ، ناک یا آنکھوں پر اتر سکتے ہیں۔
ان سطحوں یا اشیاء کو چھونے سے جن پر وائرس ہے اور پھر اپنے منہ، ناک یا آنکھوں کو چھونے سے۔
حمل کے دوران حاملہ والدین سے لے کر بچے تک۔
آلودہ خوراک یا پانی کے ذریعے۔
کسی متاثرہ کیڑے یا جانور کے کاٹنے سے۔
کسی ایسے شخص کے ساتھ جنسی رابطہ کے ذریعے جسے انفیکشن ہے
What are viruses?
Viruses are very tiny germs. They are made of genetic material (either DNA or RNA) inside of a protein coating. There are a huge number of viruses on earth. Only a small number of them can infect humans. Those viruses can infect our cells, which may cause disease. Some of the diseases that viruses can cause include the common cold, the flu, COVID-19, and HIV.

How are viruses spread?
Viruses can be spread in different ways:

Through droplets and particles that are breathed out by someone who has the infection. You might breathe in the droplets or particles, or they could land on your mouth, nose, or eyes.
By touching surfaces or objects that have the virus on them and then touching your mouth, nose, or eyes.
From the pregnant parent to the baby during pregnancy.
Through contaminated food or water.
By being bitten by an infected insect or animal.
Through sexual contact with someone who has the infection.
Post Credits:

27/12/2023

Muscle rupture due to excessive weight lifting with associated inferior shoulder dislocation (luxatio erecta)!!😮

This pathology seen here is an uncommon event and happens almost exclusively in young, athletic males. In the majority of reported cases, patients were performing weightlifting activities, specifically the bench press.

The pectoralis major is a powerful shoulder adductor that also functions to assist with internal rotation and forward flexion of the shoulder. In order to perform all of these functions adequately, it spans a large portion of the anterior chest wall and has several laminae (heads), including one that inserts into the humerus.

Patients with a ruptured pectoralis major typically present in the acute stages of the injury, with pain, extensive swelling, and ecchymosis of the anterior chest wall, axilla, and medial aspect of the affected arm. If the swelling is excessive, it may mask the loss of the anterior axillary fold that is characteristic of this condition.

However, the ecchymotic patterns are definitive and typical of this injury. In the absence of ecchymosis, determining the correct diagnosis may be difficult, especially in the presence of persistent chest wall swelling.

Surgical repair should be complemented with a well-supervised rehabilitation program, which in most cases brings the postoperative strength back to normal or near normal capabilities.
.

26/12/2023

Interesting toe deformity including the corresponding x-ray!

This is an example of preaxial polydactyly, thus the development of additional toes or fingers.

Polydactyly occurs when the body follows a different set of directions than usual while forming the hands or feet during development. Researchers are still learning about all the genes that cause extra digits.

The trait may be passed down in families as an isolated, benign condition, like having a hitchhiker's thumb or being double jointed. This is considered a non-syndromic anomaly. Alternatively, the trait may exist as part of a syndrome, which is a group of several recognizable clinical features that often occur together.

Some syndromes that might present with polydactyly include Greig Cephalopolysyndactyly Syndrome (GCPS) or Bardet-Biedl Syndrome (BBS).

A prominent example of a person with polydactyly is Liam Gallagher, lead singer of former English rock band Oasis :)

Found on http://bit.ly/1MjTKLd

26/12/2023

"Physical Inactivity Pandemic in Pakistan"

Hello Pakistan 🇵🇰

As a practicing Physical Therapist in our diverse nation, I'm witnessing a concerning trend, A "Physical Inactivity Pandemic" affecting our Nation. Even the youngest among us, like my 34 year-old patient, are grappling with knee osteoarthritis. Radiographs are revealing old age related degenerative changes in the youth, and the prevalence of obesity and stress-related issues is on the rise.

Our lifestyles have become increasingly sedentary, and it's taking a toll on our health. The good news is that we can change this trajectory 🙂

It's Time to Prioritize Exercise and Lifestyle Changes!

As physical therapists, our primary responsibility is to create awareness about the importance of a healthy lifestyle and regular exercise. However, the responsibility extends to each one of us. Let's collectively shift our focus to incorporate exercises and workouts into our daily routines.

Start Small, Aim Big!

Whether it's a brisk walk in your local park, a home workout routine, or joining a gym or other sports activity, every step counts. Small changes in lifestyle can make a significant impact on our overall well-being.

Spread the Word!

Share your fitness journey, inspire others with your success stories, and encourage your friends and family to join in. Together, we can combat the Physical Inactivity Pandemic and foster a healthier, more active Pakistan.

Let's make fitness a priority, not just for ourselves but for the well-being of our entire nation. Are you ready to take the first step towards a healthier and more active lifestyle?

Remember that physical therapy has been helping individuals in Pakistan move independently since 1957.


Post Credits: Dr Naqeeb Khan PT

23/12/2023

The triangular fibrocartilage complex (TFCC) is a ligamentous and cartilaginous structure located on the ulnar aspect of the wrist which separates the radiocarpal from the distal radioulnar joint.

The TFCC is responsible for keeping the radius and ulna stable as the hand grasps an object or the forearm rotates. If this cartilage tears, you can experience chronic wrist pain.

ANATOMY:

Origin: Medial border of distal radius
Insertion: Base of ulnar styloid
Vascular Supply: The central disc is avascular, peripheral blood vessels pe*****te TFCC margins
The triangular fibrocartilage complex (TFCC) is a ligamentous and cartilaginous structure located on the ulnar aspect of the wrist that separates the radiocarpal from the distal radioulnar joint.

CAUSES:

1) falling on your hand or wrist can tear your TFCC
2)TFCC injury often occurs when a load is compressed on the TFCC while the wrist is in ulnar deviation. Common causes of forced ulnar deviation include swinging a racket or a bat.
3) Degeneration

1) Sufination lift test: cushion between the end of the ulna and the small bones (lunate and triquetrum) of the wrist.In patients whose ulna is longer than the radius at the wrist, the TFCC is usually thinner and more likely to tear.

There are two types of TFCC tears.

Type 1 — Type 1 tears occur when a person falls on an extended hand, or when they over-rotate their wrist.
Type 2 — Type 2 occurs gradually over time. Typically, type 2 tears result from an underlying condition such as gout or rheumatoid arthritis

CLINICAL PRESENTATION:

1) Sounds, like clicks or pops, when you rotate your wrist or forearm.
2) Difficulty rotating your wrist.
3) Pain on the ulnar side of your wrist
4)Reduced ability to grip objects tightly.

SPECIAL TEST:

1) Supination lift test:
The patient places his/her palms on the undersurface of a table and attempts to lift. The onset of pain upon stabilizing body weight indicates a positive Supination Lift Test

2) TFCC compression test:
forearm in the neutral position with ulnar deviation reproduces symptoms

3) Press test:
Patient lifts themselves out of a chair using their wrists in an extended position. Pain indicates a positive test.

CONSERVATIVE TREATMENT:
1) Rest
2) NSAIDs
3) Bracing
4) Physiotherapy

Surgical options should be a consideration if conservative treatment fails.

23/12/2023

KNEE OSTEOARTHRITIS (OA)

Knee osteoarthritis, also known as degenerative joint disease in which the cartilage in the knee joint breaks down, enabling the bones to rub together. The friction makes the knees to become painful, stiff and swollen.

ETIOPATHOGENESIS

1. Primary OA - is articular degeneration without any apparent underlying cause ; typically the result of wear and tear.

2. Secondary osteoarthritis - is the result of articular cartilage degeneration due to a known reason. Possible causes of secondary knee OA:
• Genetic
• Obesity
• Malpositioning of the joint ( valgus/varus posture)
• Previous injury to the joint
• Joint Hypermobility / Instability / Immobilization

CLINICAL PRESENTATION

-> Knee pain; gradual in onset and worsens with activity
-> Crepitus with joint movement
-> Pain and locking(often) after prolonged sitting or resting
-> Knee stiffness, particularly early morning
-> Swelling & Pain on joint line palpation
-> Difficulty weight bearing on the affected leg

DIAGNOSIS

The diagnosis can be established by clinical examination, and it can be confirmed by X-rays. Radiographic findings of OA :
• Joint space narrowing - Early stages of OA shows a minimal unequal joint space narrowing. In severe OA the joint line may disappear completely.
• Osteophyte formation
• Subchondral cysts

MANAGEMENT

-> Patient education, physical exercise, and weight maintenance constitute the first-line knee osteoarthritis treatment approach.

• Patient education about the disease and training on self management techniques including weight control, pain management and fatigue .
• Exercise therapy - Strengthening and stabilization exercises to improve joint stability , reduce abnormal joint forces and improve physical function in individuals with OA.
• Advice on weight loss with a body mass index greater than 25.

-> Adjunct therapies

• Manual therapy
• Thermal modalities
• Laser therapy / Therapeutic Ultrasound / Electrical stimulation / Acupuncture ( pain management )
• Hydrotherapy - decrease the stress on the knee joint while allowing range of motion and strengthening exercises
• Taping to alter mechanical forces on the patellofemoral joint if it is involved so that strengthening may be undertaken.

-> Assistive devices - use of knee braces and walking aids to relieve pressure off the joint and provide stability.

-> Activity modifications

-> Surgery is typically a last resort for the management of knee osteoarthritis.

A multi-disciplinary team approach should be taken to promote a healthy lifestyle and control pain i.e. physiotherapist, dietitian, and pharmacist.

11/12/2023

NOBODY IS YOUR ENEMY

*ANYONE THAT ANNOYS YOU* --is teaching you patience and calmness.

*ANYONE THAT ABANDONS YOU* --is teaching you how to stand up on your own feet.

*ANYBODY THAT OFFENDS YOU* --is teaching you forgiveness and compassion.

*ANYTHING THAT YOU HATE* --is teaching you, unconditional love.

*ANYTHING THAT YOU FEAR* --is teaching you the courage to overcome your fears.

*ANYTHING YOU CAN'T CONTROL* --is teaching you to let go.

*ANY "NO" YOU GET FROM HUMAN* --is teaching you to be independent.

*ANY PROBLEM YOU'RE FACING* --is teaching you how to get a solution to problems.

*ANY ATTACK YOU GET FROM PEOPLE* --is teaching you the best form of defence.

*ANYONE WHO LOOKS DOWN ON YOU* --is teaching you to look up to CREATOR ( *GOD* ).

Always look out for the lesson in every situation you face in every phase of life.
Be polite, calm, gentle and thankful to God because He will be with you to the end.
Life had taught me lessons. I do not see people at my cross road, because humans are not reliable. I only see God as the author and finisher of my faith.

*R E F L E C T I O N S*
*When you live your life without anyone betraying, hurting, disappointing, disgracing or offending you, then it means you never did anything worthy.*

*The beauty of life, is that it comes with disappointments and betrayals, from people you least expect.*

*Unfortunately, some of us spend so much time crying over these betrayals and disappointments, and end up becoming victims of all circumstances.*

*Remember One Thing:* *Holding unto anger is like knocking your head on the wall and expecting the other person to feel the pain. You are only hurting yourself.*

*The fact is that the world is full of annoying, naughty, stupid and ungrateful people, and you will always come across them at one point or another in life. But the best thing to do, is to deal with them with wisdom and maturity.*

*You can’t get everyone to love you, think like you or behave like you... never.*

*We must learn to tolerate and overlook certain things, we must try to bury the faults of others and move on with life.*

*Anger, Hatred and Intolerance have caused most of the world's problems and solved none.*

*Life is short, you don't know how much time you have left*

*I beseech you to take the pain and forgive that special person you hold grudges against, and iron out your grievances.*

*Muster the courage and apologise to that person you have offended.*

*Life is not measured by the amount of money, houses or companies you have, but by the positive impact you have made in the lives of others.*

22/11/2023

What are the Risk Factors for Stroke!
There are two types of risk factors: the kind not within your control (uncontrollable) and the kind you can control, treat and improve (controllable). By having regular medical check-ups and knowing your risk, you can focus on what you can change and lower your risk of stroke.

What risk factors can I control, change or treat?
🧠 High blood pressure: A leading risk factor and a leading cause of stroke. Know your blood pressure and have it regularly checked every year. Normal blood pressure is below 120/80.
🧠 Smoking and va**ng: These can lead to damages within the blood vessels, causing a stroke. Don’t smoke or v**e and avoid second-hand smoke.
🧠 Diabetes: By impacting your body’s ability to make or use insulin correctly, diabetes can cause glucose (sugar) to build up in your blood. High glucose levels can damage the body’s blood vessels, more than doubling your risk of stroke.
🧠 High cholesterol: High cholesterol increases the risk of blocked arteries. If an artery leading to the brain becomes blocked, it can result in a stroke.
🧠 Obesity: Being inactive, obese or both can increase your risk of heart disease and stroke. Aim to reach and maintain a healthy weight and stay physically active.
🧠 Carotid or other artery disease: A stroke can occur when a carotid artery, which leads to the brain, becomes damaged or blocked by a fatty build-up of plaque inside the artery wall, limiting or stopping blood flow.
🧠 Transient ischemic attacks (TIAs): Recognizing and treating TIAs can reduce the risk of a major stroke. TIAs produce stroke-like symptoms, but most have no lasting effects. Recent studies confirm that most TIAs are actually a stroke. Know the warning signs of a TIA and seek emergency medical treatment immediately.
🧠 Atrial fibrillation (AFib) or other heart disease: In AFib, the heart’s upper chambers quiver rather than beat in an organized, rhythmic way. This can cause the blood to pool and clot, increasing the risk of stroke. AFib increases the risk of a stroke by five times. People with other types of heart disease also have a higher risk of stroke.
🧠 Certain blood disorders: A high red blood cell count makes clots more likely, raising the risk of stroke. Sickle cell anemia increases stroke risk because the “sickled” cells stick to blood vessel walls and may block arteries.
🧠 Sleep apnea: Sleep disordered breathing contributes to the risk of stroke. Sleep apnea increases your risk of having a stroke. Likewise, sleep apnea is more prevalent after a stroke.

30/10/2023

Myelopathy is an injury to the spinal cord caused by
severe compression that may be a result of Spinal Stenosis, Disc Degeneration, Disc Herniation, Autoimmune Disorders or other Trauma.

It is most commonly localized in the cervical spine but it can also occur in the Thoracic and Lumbar Spine.

CLINICAL FEATURES:
• Muscle weakness
• Altered muscle tonus
• Sensory loss (in trunk and legs) and spasticity
• Impaired coordination
• Walking problems
• Backache
• Urinary disturbances

CLINICAL EXAMINATION:
• Gait deviation
• +ve Hoffmann's test
• Inverted supinator sign
• Spurling's test
• Distraction test
• +ve Clonus/Babinski

DIAGNOSIS:
1) MRI
2) CT scan
3) Myelogram
4) Radiographs

DIFFERENTIAL DIAGNOSIS:
• Spinal stenosis
• Walking problems
• Backache
• Urinary disturbances

CLINICAL EXAMINATION:
• Gait deviation
• +ve Hoffmann's test
• Inverted supinator sign
• Spurling's test
• Distraction test
• +ve Clonus/Babinski

DIAGNOSIS:
1) MRI
2) CT scan
3) Myelogram
4) Radiographs

DIFFERENTIAL DIAGNOSIS:
1) Spinal stenosis
2) Spondylolisthesis
3) Disc bulge

TREATMENT:

Nonsurgical treatments may include:

• Physical therapy and exercise
• Non-Steroidal Anti-Inflammatory Drugs(NSAIDs)
• Epidural injections in the lumbar and cervical spine
• Activity modification

Surgical treatment for myelopathy includes:

• Spinal Decompression Surgery
• Discectomy
• Laminectomy
• Spinal Fusion
• Foraminotomy
• Disc replacement surgery.

30/10/2023

Spinal Nerve Chart
Showing the effects of Verterbral Subluxations & Pinched
Nerves.
Your nervous system is an extensive network that
channels nerve impulses from your brain to virtually
every cell that makes up your body.

Dr. Messum Rqza Alvi PT
Physical Therapist
Ex- Clinical Physiotherapist and Lecturer at Islam Medical College and Teaching Hospital Sialkot.

29/10/2023

OSTEOARTHRITIS VS RHEUMATOID ARTHRITIS

29/10/2023

Text Neck Syndrome & Physiotherapy

ٹیکسٹ نیک سینڈروم کیا ہے ______ ؟

سوشل میڈیا یا کسی اور مقصد کیلیۓ موباٸل فون, کمپیوٹر ، لیپ ٹاپ، اور ٹیبلیٹ جیسی الیکٹرانک ڈیوائسز کا بےدریغ استعمال کرتے وقت آپ کے گردن اور کندھوں میں زیادہ جھکاؤ کی وجہ سے درد اور کیچھاٶ کے احساس کو ٹیکسٹ نیٹ سینڈروم کہتے ہے۔

ٹیکسٹ نیک سینڈروم کا میکانیزم : _______

یہ ایک خطرناک مسئلہ ہے جو آپ کے بےدریغ کمپیوٹر کے استعمال، ویڈیو گیمز، سوشل میڈیا اور دیگر ڈیجیٹل سرگرمیوں کی وجہ سے پیدا ہوتا ہے
انسانی سر (Human head) کا وزن ٹیکسٹ نیٹ سینڈروم کا ایک اصل جز ہے۔ انسانی گردن کے پٹھے اور لیگامنٹس میں تقیریبا 10 سے 12 پاونڈ وزن سہنے کی صلاحیت ہے جوکہ نیچرل پوزیشن میں انسانی سر کا وزن ہوسکتا ہے لیکن موباٸل یا کمپیوٹر کے زیادہ استعمال سے سر کا جھکاٶ بغیر حرکت کے قدرتی طور پر اگے کی طرف چلا جاتا ہے جس سے سر کا وزن 50 سے 60 پاونڈ پر چلا جاتا ہے اور گردن کے پٹھوں اور لیگامنٹس کیلیےء اتنا زیادہ وزن کنٹرول کرنا ناقابل برداشت ہوجاتا ہے جس کے نتیجے میں گردن اور کندھوں کے پٹھوں میں درد/ کیچھاٶ اور جلن احساس شروع ہوجاتا ہے۔
ان مساٸل کو اگر بروقت ٹھیک نہ کیا جاۓ تو سیریس پوسچرل مساٸل شروع ہوجاتے ہیں۔

ٹیکسٹ نیٹ سینڈروم سے کیسے نمٹا جاۓ ______ ؟

درجہ زیل ہدایات پر عمل کرکے اپ Text Neck Syndrome کے مساٸل کو کم یا مکمل کنٹرول کرسکتے ہیں ۔

1 _ موباٸل یا کمپیوٹر کا کم استعمال

2 _ کمپیوٹر یا موباٸل استعمال کرتے وقت ہر 20 منٹ بعد توڑا وقفہ دیں۔

3 _ موباٸل سکرین نیچے رکھ کر دیکھنے سے بہتر ہے انکھوں کے لیول پر ہو تاکہ اپ سیدھا دیکھ کر کام کریں۔

4 _ موباٸل کو شولڈر اور کان کے درمیان رکھ کر استعمال کرنے کی عادت ترک کریں۔

5_ موباٸل یا کمپیوٹر استعمال کرتے ہوۓ ہر 20 سے 30 منٹ کے بعد گردن کے پٹھوں کے ارام کیلیےء فزوتھراپی ایکسپرٹ کی ہدایات کے مطابق سٹریچنگ ایکسرساٸیز اور گردن کے پٹھوں کی مضبوطی کیلیےء بھی چند ورزشیں ضرور کریں۔

یاد رکھے ! ان ہدایات پر عمل کرنے کے باوجود بھی اگر اپ کو درد اور کچھاٶ سے افاقہ نہیں ہورہا تو مذید رہنماٸ کیلیےء اپنے قریبی فزیوتھراپسٹ سے رابطہ ضرور کریں_____ شکریہ

ڈاکٹر میثم رضا علوی
فزیوتھراپسٹ
سابقہ کلینیکل فزیوتھراپسٹ , لیکچرار اسلام میڈیکل اینڈ ڈینٹل کالج سیالکوٹ

28/10/2023

کینیڈا کے دو طبی سائنسدان جن کے نام سر فریڈرک بینٹنگ اور دوسرے کا نام چارلس بیسٹ تھا۔ یہ 28 جولائی سن 1922 کی بات ہے جب وہ دونوں سائنسدان اپنی نئی ایجاد کردہ pancreatic hormone انسولین لے کر ٹورنٹو کے ہسپتال جان میکلوئیڈ کے بچگانہ ذیابیطس وارڈ میں پہنچے۔ ہسپتال میں داخل ان بچوں میں سے بیشتر کوما کی حالت میں تھے اور ذیابیطس کیٹو تیزابیت سے مرنے کے قریب تھے اور "یہ لمحات دنیائے طب کے انتہائی ناقابل یقین لمحوں کے طور پر جانے جاتے ہیں"۔ ذرا تصور کریں کہ بھرے کمرے میں اپنے بچوں کے سرہانے بیٹھے والدین انکی ناگزیر موت کا انتظار کر رہے ہیں۔

یہ سائنسدان باری باری ہر بستر تک گئے اور تمام بچوں کو نئے انسولین کے ٹیکے لگائے۔ جب وہ کوما میں موجود آخری بچے کو ٹیکہ لگا رہے تھے تو انجکشن لگایا ہوا پہلا بچہ بیدار ہونا شروع ہو گیا۔۔۔پھر ایک ایک کر کے تمام بچے اپنے ذیابیطس کوما سے جاگ گئے۔۔۔ موت اور اداسی سے بھرا وہ کمرہ یکایک مسرت اور امید کا مقام بن گیا۔۔۔
جنھوں نے دنیا میں کچھ نیا دیا علم کی صورت میں، دوا کی صورت میں یا ایجاد کی صورت میں تاریخ ان کی مشکور ہے.

28/10/2023

This is what the spine affected by scoliosis looks like.

Scoliosis is a medical condition in which a person's spine is curved from side to side.

Although it is a complex three-dimensional deformity, on an X-ray, viewed from the rear, the spine of an individual with scoliosis can resemble an "S" or a "C", rather than a straight line.

The deformity may begin in the intervertebral discs, producing distortions in the epiphyseal cartilage which may influence the end of growth and therefore the deformity of the vertebrae, resulting in wedging and rotation of the vertebrae.

People having reached skeletal maturity are less likely to have a worsening case. Some severe cases of scoliosis can lead to diminishing lung capacity, putting pressure on the heart, and restricting physical activities.

An estimated 65% of scoliosis cases are idiopathic (cause unknown, sub-classified as infantile, juvenile, adolescent, or adult, according to when onset occurred), about 15% are congenital (caused by vertebral anomalies present at birth) and about 10% are secondary to a neuromuscular disease (e.g., spina bifida, cerebral palsy, spinal muscular atrophy, or physical trauma) or syndromes such as Chiari malformation.

27/10/2023

What really happens to our muscles as we age if we are chronically active? These are MRI cross sections of leg muscles.
Thats why, Exercise with healthy and balanced diet is essential for every age group in life.

اگر ہم دائمی طور پر متحرک رہتے ہیں تو ہماری عمر بڑھنے کے ساتھ ساتھ ہمارے پٹھوں کا کیا ہوتا ہے؟ یہ ٹانگوں کے پٹھوں کے ایم آر آئی کراس سیکشنز ہیں۔ اسی لیے صحت مند اور متوازن غذا کے ساتھ ورزش زندگی میں ہر عمر کے گروپ کے لیے ضروری ہے۔

27/10/2023

𝐏𝐡𝐲𝐬𝐢𝐨𝐭𝐡𝐞𝐫𝐚𝐩𝐢𝐬𝐭
فزیوتھراپسٹ کسے کہتے ہیں؟

فزیوتھراپسٹ ایسے اسپیشلسٹ ہیلتھ پروفیشنلز ہوتے ہیں جو ہر عمر کے لوگوں کی صحت کو برقرار رکھنے, مزید بہتر کرنے، درد سے آرام، بیماری کو روکنے، معذور افراد کی بحالی، اسپیشل بچوں کی بحالی، آپریشن کے بعد کی بحالی اور مختلف مریضوں کے معیار زندگی کو بہتر کرنے کا علاج کچھ ٹراپیکل میڈیسن، اسپیشل ٹیکنیک، ورزشوں اور جدید مشینوں کے ذریعے کرتے ہیں۔

فزیوتھراپسٹ کن بیماریوں کا علاج کرتے ہیں؟

فیزیوتھراپسٹ وسیع پیمانے پر بیماریوں کی تشخیص، علاج اور انتظام کرتے ہیں ان میں چند ایک بیماریوں کی تفصیل یہاں ہم آپ کو بتاتے ہیں۔

𝐒𝐩𝐢𝐧𝐞 𝐏𝐚𝐢𝐧
گردن، کمر کے اوپر والے یا نیچے والے حصے میں درد، پٹھوں کا کھچاؤ اور اکڑاؤ

𝐃𝐢𝐬𝐜 𝐒𝐥𝐢𝐩
مہروں میں موجود ڈسک کا اپنی جگہ سے ہٹ جانا

𝐒𝐜𝐢𝐚𝐭𝐢𝐜𝐚
مہروں میں موجود ڈسک کا اپنی جگہ سے ہلنے کے بعد قریبی اعصاب پر دباؤ ڈالنا جس کی وجہ سے درد کمر سے ہوتی ہوئی کولہے اور ٹانگ میں جاتی ہے

𝐀𝐧𝐤𝐲𝐥𝐨𝐬𝐢𝐧𝐠 𝐒𝐩𝐨𝐧𝐝𝐲𝐥𝐢𝐭𝐢𝐬
ریڑھ کی ہڈی کا گنٹھیا: گردن، کمر کا درد اور اکڑاؤ، کمر کی لچک کا کم ہو جانا

𝐊𝐲𝐩𝐡𝐨𝐬𝐢𝐬 / 𝐒𝐜𝐨𝐥𝐢𝐨𝐬𝐢𝐬
ریڑھ کی ہڈی کا ٹیڑھا پن، جس کی وجہ سے کمر میں درد اور پٹھوں میں کھچاؤ رہتا ہے

𝐅𝐫𝐨𝐳𝐞𝐧 𝐒𝐡𝐨𝐮𝐥𝐝𝐞𝐫
کندھے کی حرکت کا جام ہو جانا

𝐅𝐢𝐛𝐫𝐨𝐦𝐲𝐚𝐥𝐠𝐢𝐚
پورے جسم کے پٹھوں کا کھچاؤ, سوئیاں چبھنا, سن ہونا اور مختلف پوائنٹ میں درد ہونا

𝐒𝐭𝐫𝐨𝐤𝐞
فالج

𝐅𝐚𝐜𝐢𝐚𝐥 𝐏𝐚𝐥𝐬𝐲
لقوہ

𝐏𝐨𝐬𝐭 𝐒𝐮𝐫𝐠𝐢𝐜𝐚𝐥 𝐑𝐞𝐡𝐚𝐛𝐢𝐥𝐢𝐭𝐚𝐭𝐢𝐨𝐧
کولہے یا گھٹنے کے جوڑ کی تبدیلی، فریکچر کے آپریشن کے بعد حرکت میں دشواری اور نارمل زندگی کی بحالی کے لیے فزیو تھراپسٹ مخصوص پلان مہیا کرتا ہے تاکہ مریض اپنی نارمل زندگی کی طرف لوٹ سکے

𝐂𝐏 𝐂𝐡𝐢𝐥𝐝
اسپیشل اور معذور بچوں کی بحالی

𝐏𝐨𝐥𝐢𝐨𝐦𝐲𝐞𝐥𝐢𝐭𝐢𝐬
بچپن میں پولیو وائرس کی وجہ سے جسم کے دوسرے اعصاب کے پٹھوں میں کمزوری اور حرکت میں کمی

𝐏𝐚𝐫𝐤𝐢𝐧𝐬𝐨𝐧 رعشہ
ایسی بیماری جو اعصابی نظام کو متاثر کرتی ہے

𝐃𝐢𝐬𝐚𝐛𝐥𝐞𝐝 𝐩𝐞𝐫𝐬𝐨𝐧
معذور افراد کی بحالی

𝐎𝐬𝐭𝐞𝐨𝐚𝐫𝐭𝐡𝐫𝐢𝐭𝐢𝐬
مریضوں کے گھٹنوں کی گھساوٹ کی مطابق اسپیشل انسول (𝐈𝐧𝐬𝐨𝐥𝐞𝐬) تیار کئے جاتے ہیں۔

بروقت تشخیص سے ان بیماریوں کا بہت بہتر علاج ممکن ہے_ بروقت تشخیص اور علاج نہ ہونے کی وجہ سے ان میں سے کچھ بیماریاں مستقل معذوری میں مبتلا کر سکتی ہیں۔

اگر آپ یا آپ کا کوئی عزیز ان بیماریوں کی ابتدائی علامات میں مبتلا ہے تو فوری طور پر اپنے فزیشن/نیوروسرجن/ارتھوپیڈک سرجن یا کسی بھی کنسلٹنٹ کی وساطت سے یا پھر ڈاٸریکٹ قریبی تجربہ کار فزیو تھراپسٹ سے رابطہ کریں ____ شکریہ
اللہ تعالی ہم سب کو صحت مند زندگی عطا کرے___ امین

ڈاکٹر میثم رضا علوی
فزیوتھراپسٹ
سابقہ کلینیکل فزیوتھراپسٹ , لیکچرار اسلام میڈیکل اینڈ ڈینٹل کالج سیالکوٹ