Sialkot Rehabilitation Center

Sialkot Rehabilitation Center sialkot Rehabilitation Center is for All type of Physiotherapy services including Ortho, neuro, cardio, gyne, pediatric, MSK, geriatrics, sports.

We also provide fitness training. stroke, sciatica, frozen shoulder, polio, bells palsy, backache etc

Hip joint examination & assessment Special tests for hip joint
26/07/2025

Hip joint examination & assessment
Special tests for hip joint

Fitness test
26/07/2025

Fitness test

Physiotherapy management after femoral fracture
25/07/2025

Physiotherapy management after femoral fracture

The Hubscher Manoeuvre or Jack’s Test is a method of evaluating the flexibility of a pes cavus. It is also used to deter...
23/07/2025

The Hubscher Manoeuvre or Jack’s Test is a method of evaluating the flexibility of a pes cavus. It is also used to determine the timing and force needed to initiate Windlass.

The test is performed with the patient weight bearing while the clinician dorsiflexes the hallux and watches for the formation of an arch.

RESULTS

Positive: Arch formation or results from the flatfoot being flexible.
Negative: Lack of arch formation or results from the flatfoot being rigid.

ORTHOTIC ADJUSTMENT

If test shows;
Delayed timing: add padding under the Hallux and/or use a heel raise.
High force for flexion of the Hallux: use a 1st Ray Cut Out.

Shout out to my newest followers! Excited to have you onboard!Darsh*ta Virani, Mostafa Ahmed, Cornel Bontaş, Martina Car...
23/07/2025

Shout out to my newest followers! Excited to have you onboard!

Darsh*ta Virani, Mostafa Ahmed, Cornel Bontaş, Martina Carotenuto, Donata Indriu, Michał Kołempłynący, Polykarpos Kiorpelidis, Rey Cesar Rodriguez, Mohie Ell-Deen Ahmed, Rafidah Sawi, นันทกร เนตรพระ, Amira Saied Pt, Jagadeesh S, Marijana Devčić, Ratan Roy, Ussenge George, Elias Turkay, Tuya Batkhurel, Ravindra Kadaskar, Gendul, Sharon Huckabay, Igirigi Jeremiah, Onks Sgamah Kelapile, Erzsébet Süli, Shamim Rana, Nina Fanning, Mihai Argaseala, Siluvai Rajathi G, Truong Nhut Cuong, Shazia Bhat, Raul Reyes, Goran Jovanov, Rudy Amora, Manojit Bhattacharjya, Basant Bhardwaj, पै.नितीनभाऊ वारे, SalahadIn Mala, Physio Md Salim Hossain, May Añora Gales, Shem Morang'a, Мөнхтуяа Батаа, Elizabeth Lave, Bharath Kumar, Najibullah Najib, Bindeshwari Prasad, Kam Seng Tham, Misbah Sharif, Nabeel Chisty, Mahanoor Noor, Paula Violeta Rotaru

Quadratus Lumborum Syndrome QL syndrome refers to pain and dysfunction originating from the quadratus lumborum muscle, w...
23/07/2025

Quadratus Lumborum Syndrome
QL syndrome refers to pain and dysfunction originating from the quadratus lumborum muscle, which can mimic low back, sacroiliac, or even hip pain.

⸻

📍 Anatomy Recap (QL Muscle):
• Origin: Iliac crest and iliolumbar ligament
• Insertion: 12th rib and transverse processes of L1–L4
• Action:
• Lateral trunk flexion (unilateral)
• Trunk extension (bilateral)
• Fixation of 12th rib during respiration

⸻

🔴 Clinical Features:
• Deep aching pain in the lower back (unilateral or bilateral)
• Referred pain to:
• Iliac crest
• Sacroiliac joint
• Gluteal area
• Greater trochanter
• Pain worsens with:
• Prolonged standing/sitting
• Lateral flexion
• Walking
• Possible pelvic asymmetry
• Palpable myofascial trigger points in the QL

⸻

🧪 Assessment in PT:

Subjective:
• Dull, nagging pain around lower back or hip
• History of lifting, trauma, poor posture, or leg length discrepancy

Objective:
• Palpation: Tenderness or trigger points in QL
• Positive Trendelenburg (if glute med is also weak)
• Limited lateral flexion to opposite side
• Check pelvic alignment and leg length
• Observe gait for hip-hiking

⸻

🛠️ Physiotherapy Management:

1. Pain Relief
• Modalities:
• TENS
• Heat packs
• Ultrasound (for deep muscle relaxation)

2. Soft Tissue Techniques
• Myofascial release
• Trigger point therapy
• Dry needling (if trained and allowed in your region)

3. Stretching Exercises
• QL Stretch (side bend over to opposite side)
• Cat-cow stretch
• Child’s pose with side reach
• Supine knee-to-chest (unilateral)

4. Strengthening Exercises
• Side planks
• Bird-dog
• Pelvic tilts
• Glute bridges (with focus on core activation)

5. Postural Education
• Ergonomic advice
• Sitting posture correction
• Avoid prolonged static positions

6. Address Underlying Causes
• Leg length discrepancy → use heel lift if needed
• SI joint dysfunction → treat concurrently
• Core weakness → introduce core stabilization

⸻

🔄 Recovery Timeline:
• Acute phase: 1–2 weeks for pain control
• Subacute: 2–4 weeks for mobility and posture correction
• Chronic cases: May take 6+ weeks with ongoing postural re-education

Quadratus lamborum muscle
23/07/2025

Quadratus lamborum muscle

Physiotherapy for geriatric patients focuses on enhancing mobility, strength, balance, and over...
21/07/2025

Physiotherapy for geriatric patients focuses on enhancing mobility, strength, balance, and overall physical function in older adults.

Hand exercises
16/07/2025

Hand exercises

Sciatica is pain that radiates along the sciatic nerve, which runs from the lower back through the hips and buttocks dow...
15/07/2025

Sciatica is pain that radiates along the sciatic nerve, which runs from the lower back through the hips and buttocks down each leg. It typically affects one side of the body.

Causes of Sciatica:
• Herniated disc (most common)
• Spinal stenosis
• Degenerative disc disease
• Spondylolisthesis
• Piriformis syndrome
• Trauma or injury
• Pregnancy-related changes

Symptoms:
• Sharp or shooting pain in the lower back, buttock, and leg
• Tingling, numbness, or muscle weakness in the leg or foot
• Pain worsens with sitting, coughing, sneezing, or bending
• Burning or electric-shock-like pain

Physiotherapy Treatment for Sciatica:

1. Pain Relief Techniques:
• Hot or cold packs
• TENS therapy (Transcutaneous Electrical Nerve Stimulation)
• Ultrasound therapy

2. Stretching Exercises:
• Piriformis stretch
• Hamstring stretch
• Knee-to-chest stretch

3. Strengthening Exercises:
• Core strengthening
• Pelvic tilts
• Glute bridges

4. Postural Training:
• Correcting posture while sitting, standing, and lifting
• Ergonomic advice for work and daily activities

5. Manual Therapy:
• Soft tissue mobilization
• Joint mobilization for lumbar spine and sacroiliac joint

6. Neural Mobilization:
• Sciatic nerve glides to reduce neural tension

Hip strengthening exercises can improve stability, mobility,...
14/07/2025

Hip strengthening exercises can improve stability, mobility, and strength in the hips and surrounding muscles.

Exercises
06/07/2025

Exercises

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