OSIC physical rehabilitation center swat

17/01/2024

15/01/2024

💢 MYOFASCIAL RELEASE AND CRANIOSACRAL THERAPY

🔸️ What is Craniosacral Therapy?

Craniosacral Therapy is a method of alternative medicine used by massage therapists, neuropaths, chiropractors, and osteopaths, who manually apply a subtle movement of the spinal and cranial bones to bring the central nervous system into harmony. This Therapy involves assessing and addressing the movement of the cerebrospinal fluid ( CSF) which can be restricted by trauma ti the body, such as through falls, accidents, and general nervous tensions. By gentle working with the spine, the Skull and its cranial sutures, diaphragms, and fascia, the restrictions of nerve passages are eased, the movement of CSF through the spinal cord can be optimized, and malaligned bones can be restored to their proper position.@ This therapy is said to be particularly useful for mental stress, neck and back pain, migraines, TMJ Syndrome, and for chronic nervous conditions such as fibromyalgia.

🔸️What is Myofascial Release?

Myofascial Release is a gentle therapy that consists of a mixture of light stretching and massage work. During a session, there therapist will apply hands-on massage strokes in order to release tension from the bands of the muscles, bones, nerves and joints, by unblocking any scar tissue or adhesions due to injury in the muscles and surrounding tissues. The theory of myofascial release requires an understanding of the fascial system ( or connective tissue, which is not to be confused with the word facial). The fascia is a specialized system of the body that has an appearance similar to the spider's web or a sweater.

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16/12/2023

💢 The limbic system is the part of the brain involved in our behavioural and emotional responses, especially when it comes to behaviours we need for survival: feeding, reproduction and caring for our young, and fight or flight responses.
The primary limbic system function is to process and regulate emotion and memory while also dealing with sexual stimulation and learning.@ Behavior, motivation, long-term memory, and our sense of smell also relate to the limbic system and its sphere of influence.
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12/12/2023

💢 Upper Crossed Syndrome (UCS) is a postural imbalance that typically involves tightness in the muscles of the chest, upper trapezius, and neck, combined with weakness in the muscles of the neck, lower trapezius, and serratus anterior. Physiotherapy management for Upper Crossed Syndrome often includes:

1. **Stretching tight muscles:** Focus on stretches for the chest, upper trapezius, and neck muscles to alleviate tightness.

2. **Strengthening weak muscles:** Exercises targeting the lower trapezius, serratus anterior, and deep neck flexors can help improve muscle balance.

3. **Postural education:** Educating the individual about proper posture and ergonomics is crucial to prevent the recurrence of Upper Crossed Syndrome.

4. **Manual therapy:** Techniques such as massage and joint mobilization may be used to address muscle tightness and improve joint mobility.

5. **Core strengthening:** Strengthening the core muscles contributes to overall postural support and stability.

6. **Range of motion exercises:** Including exercises to improve flexibility and range of motion in the affected areas.

7. **Functional training:** Integrating exercises that mimic daily activities to improve overall function and reduce the risk of relapse.

28/11/2023

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💢 Scoliosis is a sideways curvature of the spine which visually shows a C- or S-shaped spine. It can affect any part of the spine, but the most common regions are at the level of the chest and the lower back. Scoliosis can appear at any age but it often presents from the age of 10 to 12 years or during the teens. Infants can sometimes have symptoms as well. While scoliosis can be caused by conditions such as cerebral palsy, muscular dystrophy, spina bifida or a birth defect, the cause of most scoliosis is idiopathic. Scoliosis ranges from 10-20 degrees (mild), 20-50 degrees (moderate), and severe (greater than 50 degrees).⁣
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Signs and symptoms of scoliosis may include uneven shoulders⁣, uneven waist⁣, one shoulder blade that appears more prominent and one hip higher than the other⁣. If a scoliosis curve gets worse, the spine will also twist or rotate in addition to curving side to side. This causes the ribs on one side of the body to stick out farther than on the other side.⁣
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To treat patients with scoliosis, physical therapy takes a comprehensive orthopaedic approach to treatment. Functional techniques are utilized to assist the patient with joint and soft tissue dysfunctions along with deficient neuromuscular strength and endurance. In addition to providing postural recommendations for sitting, standing and sleeping, self-management strategies that are
designed to facilitate the overall rehabilitation process will be provided. Exercises that exhibit safe and appropriate flexibility and strengthening exercises will also be prescribed to improve tolerance for everyday and recreational activities.

18/11/2023

💢 Temporomandibular Disorder (TMD) is a broad term that encompasses disorders of the temporomandibular joint and its associated anatomical structures.

🌐Symptoms
-Pain in the chewing muscles and/or jaw joint (most common symptom).
-Pain that spreads to the face or neck.
-Jaw stiffness.
-Limited movement or locking of the jaw.
-Painful clicking, popping, or grating in the jaw joint when opening or closing the mouth.
-Ringing in the ears, hearing loss, or dizziness.

🌐Test::-
(1)Test the mobility of your neck
Can you put 3 fingers vertically into your mouth when opening as wide as possible? When your bite is 'off' it can put a lot of stress on the muscles in your jaw and neck which will prevent you from opening and closing your mouth properly. To test your neck, stand in front of a mirror.
(2)Dental X-rays to examine your teeth and jaw.
(3)CT scan to provide detailed images of the bones involved in the joint.
(4)MRI to reveal problems with the joint's disk or surrounding soft tissue.

🌐Pharmacological treatment
There are several types of over-the-counter (OTC) and prescription medications that can ease TMJ symptoms, including:
°Pain relievers like acetaminophen.
°Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and naproxen.
°Muscle relaxers (particularly helpful for people who clench or grind their teeth).
°Antidepressants (which can change how your body interprets pain).

🌐Physical therapy Treatment
1⃣Education. Your physical therapist will discuss the cause of your TMD and educate you about:
°Proper posture and body mechanics.
°Tongue resting position.
°Eating a soft diet when appropriate.
°Exercise.
°A self-management routine.
Patient education aims to reduce your discomfort and prevent future aggravation and symptoms.
2⃣Relaxed jaw exercise
Place your tongue behind your upper front teeth on the top of your mouth. Relax your jaw muscles thus allowing your teeth to fall apart.
3⃣ Goldfish exercises (partial opening)
Place one finger in front of your ear, where your TMJ is located, and your tongue on the roof of your mouth. Place your chin on your middle or pointer finger. Lower the jaw halfway and then close it. There should be some resistance, but it should not be painful. Placing one finger on each TMJ while dropping your lower jaw halfway and closing it again is a variant of this exercise. In one sequence, repeat this exercise six times. One collection should be done six times a day.
4⃣Goldfish exercises (full opening)
Place one finger on your TMJ and another on your chin while keeping your tongue on the roof of your mouth. Return your lower jaw to its natural position. Place one finger on each TMJ as you fully drop your lower jaw and back for a variation of this exercise. To complete one set, repeat this exercise six times. One collection should be completed six times a day.
5⃣Chin tucks
Pull your head straight down, making a “double chin,” with your shoulders down and chest up. Hold for three seconds and then repeat for a total of ten times.
6⃣Resisted opening of the mouth
Underneath your chin, position your thumb. Slowly open your mouth, softly pressing against your jaw for resistance. Hold for three to six seconds before slowly closing your mouth.
7⃣Resisted closing of the mouth
Squeeze the chin with one hand’s index and thumb. Place gentle pressure on your chin when closing your mouth. This will aid in the strengthening of the muscles that aid in chewing.
8⃣Tongue up
Slowly open and close your mouth with your tongue meeting the roof of your mouth.
9⃣Side-to-side jaw movement
Place a 14-inch item between your front teeth, such as stacked tongue depressors, and slowly shift your jaw from side to side. Increase the thickness of the item between your teeth as the exercise becomes simpler by piling them one on top of the other.
🔟Forward jaw movement
In between your front teeth, place a 14-inch object. Bring your lower jaw forward, putting your bottom teeth in front of your top teeth. Increase the thickness of the item between the teeth as the exercise becomes easier.

🌐Modalities.
These may include using treatments such as °heat or ice,
°Ultrasound therapy-->This treatment uses sound waves to deliver heat deep into your tissues. It increases blood flow and promotes muscle relaxation.
°TENS--> This method uses low-level electrical currents to relax your jaw muscles
°Lazer therapy,
°Accupuncture,
°or other tools to prepare your soft-tissue for manual (hands-on) therapy

🌐Manual Therapy
The Protocols of mixed manual therapy techniques, upper cervical mobilization or manipulation, had considerable evidence for TMD symptom control and improvement in maximum mouth opening. The manual techniques included intra-oral myofascial release and massage therapy on masticatory muscles, atlanto-occipital joint thrust manipulation, and upper cervical spine mobilization.

🌐 Mouth Guard
Dental appliances like oral splints or mouth guards can place your jaw in a more favorable position or help reduce the effects of grinding and clenching. While you can buy these over the counter, it’s best to get a custom mouth guard from a dentist.

18/11/2023

17/11/2023

💢 Rheumatoid arthritis (RA) and osteoarthritis (OA) are two distinct types of arthritis with unique characteristics and rehabilitation approaches.

🦴 OA primarily affects joints' cartilage, causing wear and tear due to age or injury. RA, an autoimmune disease, targets the synovium, causing inflammation and joint damage.

💊 Treatment for RA often involves medication to control inflammation, while OA focuses on pain management and lifestyle adjustments.

🏋️‍♀️ Rehabilitation for OA emphasizes strengthening exercises and weight management to reduce stress on affected joints. Range-of-motion exercises can help maintain mobility.

💪 RA rehabilitation includes joint protection techniques, gentle exercises, and occupational therapy to manage daily activities.

👩‍⚕️ Consult a healthcare professional for personalized guidance and a tailored rehabilitation plan.

18/10/2023

💢 Rotator cuff tendinitis, also known as rotator cuff tendinopathy or shoulder tendinitis, is a condition that occurs when the tendons of the rotator cuff become inflamed or irritated.
The rotator cuff is a group of four muscles and their tendons that connect the upper arm bone to the shoulder blade, providing stability and mobility to the shoulder joint.

Rotator cuff tendinitis can occur due to repetitive overhead activities such as throwing a ball, lifting weights, painting, or playing tennis. It can also occur due to a traumatic injury or degenerative changes in the tendons associated with aging.

Symptoms of rotator cuff tendinitis include pain in the shoulder, especially when reaching overhead or behind the back, weakness in the shoulder, and stiffness or decreased range of motion.

Treatment for rotator cuff tendinitis may include rest, ice, nonsteroidal anti-inflammatory drugs (NSAIDs), physical therapy, and corticosteroid injections. In severe cases, surgery may be necessary to repair or remove damaged tissue.
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