Sialkot Rehabilitation Center

10/06/2024

31/05/2024

How to get rid of double chin?

30/05/2024

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19/05/2024

10 Muscle-Strengthening Exercises to Perform Before a Total Knee Replacement

1. Thigh squeezes

This exercise helps build the quadriceps muscle that attaches to the knee.

Lie on your back.
Tighten the muscles in the front of your thigh by pushing the back of your knee down toward the floor or bed.
Hold for 5 seconds and then release.
Perform up to 3 sets of 5 to 20 repetitions.

2. Side-lying straight leg raises

This exercise is crucial in building your hip abductor muscles located in the side of the buttocks. These muscles stabilize your pelvis while you are standing and walking.

Lie on your side.
Lift your leg straight up toward the ceiling to a distance of about 1 1/2 to 2 feet from your other leg.
Lower your leg and repeat.
Perform up to 3 sets of 10.
Lie on your back and place your injured leg flat on the floor or bed while bending the other leg.
Raise your straightened leg up about 12 inches and hold it there for 5 seconds.
Slowly lower your leg.
Perform up to 3 sets of 5 to 20 repetitions.

3. Straight leg raises

These leg raises will help build your quadriceps and hip flexor muscles. This is especially important for regaining strength after surgery.

Lie on your back and bend your uninjured knee so your foot is flat on the floor.
Tighten your injured thigh and lift your straight leg to the height of your opposite knee.
Hold for 2 seconds at the top and slowly lower to the starting position.
Perform up to 3 sets of 5-20 repetitions.

4. Clamshells

This works the hip external rotators and part of your abductors. Both are important for early ambulation and balance.

Lie on your side with the injured knee pointed toward the ceiling.
Keeping your heels together, open and close your legs like a clamshell.
Perform up to 3 sets of 5 to 20 repetitions.

5. Knee bending

This helps maintain your range of motion prior to your surgery.

Sit in a stable chair and bend your knee back as far as possible.
Hold it for 5 seconds and then return it to the resting position.
Perform up to 3 sets of 5 to 20 repetitions.

6. Sitting kicks

This helps strengthen the quadriceps muscle through its full range of motion.

Sit in a stable chair and raise your leg until it’s straight.
Hold the position for 5 seconds.
Slowly lower your leg.
Perform up to 3 sets of 5 to 20 repetitions.
7. Chair pushup

You probably will have to use a cane or walker immediately after surgery. This exercise will strengthen your triceps, which are important muscles for using either assistive device.

Sit in a sturdy chair with arms.
Grasp the arms of the chair and push down on them while raising your body and straightening your arms and elbows.
Slowly lower yourself back onto the chair. This will help strengthen your triceps so they can hold you up when you have weakness after surgery.
8. Lying kicks

Lie on the floor or a bed and place a rolled blanket or large can under your injured knee. Straighten your leg and the knee and hold the position for 5 seconds. Slowly lower your leg down and rest. Make sure the back of your knee stays in contact with the object the entire time and the small of your back remains on the floor. This exercise also helps strengthen the quadriceps muscle.

9. Stomach kickbacks

This helps strengthen your hamstrings and the gluteal muscles. These muscles are important for getting in and out of chairs and cars.

Lie on your stomach with your legs straight and then slowly bring your injured, straight leg toward the ceiling.
Hold for 2-3 seconds.
Slowly lower your leg.
Perform 3 sets of 5-20 reps.
10. Standing on one leg with support

This exercise is crucial for maintaining balance and reducing the risk of falls. Perform this exercise as many times as you can per day.

Place yourself in front of a countertop or waist-level bar.
Hold onto the bar and stand on your affected leg for 30 seconds.
Try to hold the bar as lightly as you can to challenge your balance.
Bottom line

Spend at least 15 minutes twice a day doing these exercises.

sialkot Rehabilitation Center Sialkot Rehabilitation Center Dr Fiza Shahzadi - Physical Therapist Sialkot Home Physical Therapy Services

12/05/2024

25/04/2024

is an inherited autosomal recessive disorder of lysosomal accumulation of un-degraded glucosaminoglycan secondary to deficiency of a-L-Iduronidase enzyme. It is most severe form of Mucopolysaccharidosis with incidence of 1:100 000. It has multisystemic involvement leading to multiple deformity, disability and death within 10th years of life. Children having umbilical hernia, gross developmental delay and a progressive spinal deformity. On detailed clinical, radiological and laboratory investigation will diagnose as Hurler’s syndrome. Till date only treatment available is enzyme replacement therapy which is neither cost effective nor easily available. Multidisciplinary rehabilitation team can help these children.

20/04/2024

Knee strengthening exercises
Sialkot Rehabilitation Center Dr Fiza Shahzadi - Physical Therapist Sialkot Home Physical Therapy Services

30/03/2024

21/03/2024

Polycystic ovarian syndrome (PCOS) is the most common disorders in females due to their hormonal imbalance.

It is characterized by two or more of the following:

●Irregular menstrual periods
●Hyperandrogenism
●Polycystic ovaries

■Enlarged polycystic ovaries
■Obesity and central fat distribution
■Hirsutism - male pattern of hair growth primarily on the face, back, chest, lower abdomen, and inner thighs
■Development of male features including balding of the frontal portion of the scalp,
■Anovulation - failure of the ovaries to release an oocyte
■Amenorrhea - the absence of a menstrual period in women of childbearing age
■Oligomenorrhea - the presence of menstrual cycles greater than 35 days apart
■Dysfunctional uterine bleeding
■Acne related to hyperandrogenism
■Infertility; recurrent first trimester miscarriages
■Pronounced psychological and psychosocial problems


Pcos can be managed by healthy lifestyle, dietary habits and weight control with physiotherapy treatment plans.
Weight control can be done by physiotherapy only, work out can hinder the hormonal issue. So,physiotherapy is important part of treatment of PCOS.

13/03/2024

12/03/2024

04/03/2024

Carpal tunne syndrom







Phalen's test is a series of movements and positions that help your healthcare provider diagnose carpal tunnel syndrome. You’ll move your hands and wrists into a position that puts light pressure on the median nerve in your wrist. If you feel tingling or numbness in your hands or fingers, you probably have carpal tunnel syndrome.

01/03/2024

Knee replacement surgery replaces parts of injured or worn-out knee joints. The surgery can help ease pain and make the knee work better. During the surgery, damaged bone and cartilage are replaced with parts made of metal and plastic.

21/02/2024

Scapular stabilixation exercises

01/02/2024

Name the tendon?

29/01/2024

06/01/2024

Cervical radiculopathy (also known as “pinched nerve”) is a condition that results in neurological dysfunction caused by compression and inflammation of any of the nerve roots of your cervical spine (neck). Neurological dysfunction can include radiating pain, muscle weakness and/or numbness.

31/12/2023

What is the nerve supply of Biceps brachii?
A.Auxillary nerve
B.Musculocutaneos nerve
C.Radial nerve
D.Ulnar nerve

31/12/2023

Post-Operative Physiotherapy aims to help people to restore optimal mobility and overall functions in the body. It also helps in.

1) Building muscle strength, improving posture and balance of the body
2) Reducing pain with various manual therapy that is crucial for strengthening weakened and disused muscles

24/12/2023

24/12/2023

of the knee is the breakdown of joint cartilage that covers the joint surfaces. The rubbing of the cartilage lead to friction that hurts the knes. There are various symptoms of knee OA like:
1. Swelling of joint
2. Joint pain
3. Siffness when you haven't move your joint for a while
4. Joint crepitus (cracklung sound while movement)
5. Joints appearing knobbly (larger than usual)



Stage 1. Narrowing of less than 50% joint space;
Stage 2. Narrowing of more than 50% of joint space;
Stage 3. A total loss of joint space;
Stage 4. Total destruction of joint cartilage


1. Lifestyle measures- maintain healthy lifestyle, weight maintenance and regualr exercises
2. Medication- pain killers; joint lubricants
3. Physical therapy; to make every day's activity better


Full recovery from knee OA is not possible. However, it is possible to reduce pain swelling with medication and physiotherapy.

Sialkot Rehabilitation Center Dr Fiza Shahzadi - Physical Therapist Sialkot Home Physical Therapy Services

19/12/2023

— also called and decubitus ulcers — are injuries to skin and underlying tissue resulting from prolonged pressure on the skin. Bedsores most often develop on skin that covers bony areas of the body, such as the heels, ankles, hips and tailbone.

02/12/2023

Tennis elbow treatment exercises
Tennis elbow physiotherapy treatment
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29/11/2023

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28/11/2023

Hand exercises

04/11/2023

Plantar fasciitis is a condition that causes heel pain. It can affect people of all ages and abilities, but is more common among runners and people who spend a lot of time on their feet.

Interventions most recommended include manual therapy, stretching, taping, foot orthoses, and night splints. Manual Therapy should include soft tissue and joint mobilization. Myofascial release can be helpful in reducing pain.

29/10/2023

Babies of 3 to 5 years old age, can't write properly due to their hand development. Their bones needed time for growth so they can write with full grip.
Every parent need to understand this. Don't burdenise or pressurized your children .

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18/10/2023

Post ACL Reconstruction Physiotherapy Rehabilitation

18/10/2023