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Juba Physiotherapy Clinic, Juba (2025)

07/04/2025

Anesthesia and its Types (an overview) 🌟

Definition: Anesthesia is a medical treatment that eliminates or reduces pain during surgical procedures, medical procedures, or other painful experiences.

Types:

🟢 General Anesthesia 🟢

🔹 Induces unconsciousness and immobility
🔹 Used for major surgeries, emergency procedures, and patients with certain medical conditions
🔹 Administered through inhalation or intravenous injection

🟢 Spinal Anesthesia 🟢

🔹 Injected into the spinal fluid to numb the lower half of the body
🔹 Used for surgeries below the waistline, such as cesarean sections and hip replacements
🔹 Provides effective pain relief with minimal side effects

🟢 Epidural Anesthesia 🟢

🔹 Injected into the epidural space outside the sac that contains the spinal fluid
🔹 Used for pain relief during childbirth, surgeries, and chronic pain management
🔹 Can be administered as a single injection or through a continuous infusion

🟢 Peripheral Anesthesia 🟢

🔹 Numbs a specific nerve or group of nerves to provide pain relief
🔹 Used for surgeries on the arms, legs, and face
🔹 Can be administered through injection or nerve block

🟢 Local Anesthesia 🟢

🔹 Numbs a small, specific area of the body
🔹 Used for minor procedures, such as biopsies, skin lesions, and dental work
🔹 Administered through injection or topical application
Juba Physiotherapy ClinicJuba Physiotherapy Clinic

04/04/2025

Teres Minor
Teres Major
Juba Physiotherapy Clinic

01/04/2025

Neurodynamic test

01/04/2025

Blood Vessel Disorders: Understanding Causes & Treatments

Blood vessel disorders can disrupt circulation, lead to ischemia, and cause life-threatening complications. As healthcare professionals, recognizing these conditions early and implementing appropriate treatment is crucial.

Key Blood Vessel Disorders & Management:

✔ 1. Thrombosis - A blood clot (thrombus) forms inside a vessel, obstructing blood flow.

Treatment: Anticoagulants (heparin, warfarin), thrombolytic therapy, or surgical clot removal.

✔ 2. Embolism - A traveling clot (or other material) blocks circulation in a distant vessel.

Treatment: Anticoagulants, thrombolytics, oxygen therapy, or surgical embolectomy.

✔ 3. Vasculitis Inflammation of blood vessels leads to narrowing or rupture, causing organ damage.

Treatment: Corticosteroids (prednisone), immunosuppressants, and treating underlying infections.

✔ 4. Vascular Compression Syndromes Blood vessels

are compressed by surrounding structures, reducing blood flow.

Treatment: Surgical decompression, vascular stenting, and physical therapy (e.g., for thoracic outlet syndrome).

✔ 5. Steal Syndrome - Blood is diverted from one area to another, causing ischemia.

Treatment: Surgical correction, angioplasty, or bypass surgery.
7. Atheroma (Atherosclerosis) - Fatty plaque buildup inside arteries restricts blood flow.

Treatment: Statins, antiplatelet drugs (aspirin, clopidogrel), lifestyle changes, angioplasty/stenting.

8. Vasospasm - Sudden vessel narrowing (common in coronary or cerebral arteries), reducing blood supply.

Treatment: Vasodilators, calcium channel blockers.

Clinical Relevance:

These disorders are major contributors to heart attacks, strokes, and organ damage. Early recognition and intervention can prevent severe complications.

Tip: Monitor high-risk patients closely-those with hypertension, diabetes, autoimmune diseases, or clotting disorders are particularly vulnerable.
Juba Physiotherapy Clinic

25/03/2025

Femoral Nerve ⚡
Juba Physiotherapy Clinic

23/03/2025

The brachial plexus
Juba Physiotherapy Clinic

17/03/2025

Chest physical therapy (CPT), postural drainage, and percussion are airway clearance techniques used to remove mucus and secretions from the lungs. These techniques are often used to treat patients with chronic respiratory conditions
Juba Physiotherapy Clinic

17/03/2025

Can Your Jaw Affect Your Posture?

In recent years, many researchers have investigated the various factors influencing body posture: foot proprioception, visual systems, and the inner ear.
Recent studies indicate that the jaw plays a role in body posture.

These studies suggest that tension in the jaw can contribute to impaired neural control of posture.
If the proprioceptive information of the stomatognathic system is inaccurate, then head control and body position may be affected.

Change in the mandibular position leads to changes in the proprioceptive and periodontal afferents, which affect the center of foot pressure (COP).

Conversely, changes in body posture may also affect mandibular position.
Positive correlations between different craniofacial morphologies and postural attitudes have been reported.

For example, an anteriorly displaced posture in Class Il malocclusion, and a posteriorly displaced posture in Class Ill malocclusion.

So your jaw position DOES affect your posture.
This is especially relevant to those invested in athletic pursuits.

According to this research, the correlation between malocclusion, posture, and balance can have a dramatic impact on performance.

Juba Physiotherapy Clinic

23/12/2024

Piriformis syndrome:

Piriformis syndrome is a clinical condition of sciatic nerve entrapment at the level of the ischial tuberosity. Multiple factors potentially contributing to piriformis syndrome, the clinical presentation is fairly consistent, with patients often reporting pain in the gluteal/buttock region that may "shoot," burn or ache down the back of the leg (i.e. "sciatic"-like pain). In addition, numbness in the buttocks and tingling sensations along the distribution of the sciatic nerve is not uncommon. The sciatic nerve runs just adjacent to the piriformis muscle, which functions as an external rotator of the hip. Hence, whenever the piriformis muscle is irritated or inflamed, it also affects the sciatic nerve, which then results in sciatica-like pain
Causes :
Trauma to the hip or buttock area
Piriformis muscle hypertrophy (often seen in athletes during periods of increased weightlifting requirements or pre-season conditioning)
Sitting for prolonged periods (taxi drivers, office workers, bicycle riders)
Symptoms :
6 classical symptoms of piriformis syndrome
1. A history of trauma to the sacroiliac and gluteal regions.
2. Pain in the region of the sacroiliac joint, greater sciatic notch, and piriformis muscle that usually causes difﬁculty with walking.
3. Acute exacerbation of pain caused by stooping or lifting (and moderate relief of pain by traction on the affected extremity with the patient in the supine position).
4. A palpable sausage-shaped mass, tender to palpation, over the piriformis muscle on the affected side.
5.A positive straight-leg raise.
6.Gluteal atrophy, depending on the duration of the condition.

Special Test:
FAIR Test (Flexion, Adduction, Internal Rotation):
Pain or symptoms indicate piriformis involvement.
Freiberg Test:
Pain with passive internal rotation of the extended hip.
Pace Test:
Pain or weakness during resisted abduction and external rotation of the hip.
Straight Leg Raise (SLR):

22/12/2024

Carpal Tunnel Syndrome: Let's Clear Up Some Misconceptions!
Recently, I encountered a patient with carpal tunnel syndrome(CTS)
who had a surprising lack of understanding about the condition, particularly how the symptoms present in specific fingers.
This knowledge gap stemmed from unfamiliarity with the dermatome distribution of the median nerve.
In the next few minutes, I'll be sharing a concise article to shed light on this topic.
Please react to this post and the subsequent ones after reading, and let's spark a countless engagement!
Carpal Tunnel Syndrome: Understanding Dermatome Distribution
Carpal tunnel syndrome is a common condition characterized by pain, tingling sensations, and numbness in the wrist and hand. As depicted in Image 2 above, these symptoms typically manifest in the palmar and dorsal parts of the hand, specifically in the:
- Thumb
- Index finger
- Middle finger
- Lateral half of the ring finger
The median nerve, responsible for innervating these areas (dermatome), becomes compressed within the carpal tunnel, located in the anterior part of the wrist, beneath the transverse ligament. The compact nature of the tunnel makes it susceptible to compression, particularly during repetitive wrist activities
Prolonged wrist movements can cause the tunnel to narrow, increasing the likelihood of median nerve compression. As a result, patients may experience:
- Wrist pain
- Tingling sensations
- Numbness in the affected fingers
Understanding the dermatome distribution and the underlying causes of carpal tunnel syndrome is essential for effective diagnosis and treatment.
Juba Physiotherapy Clinic

15/12/2024

Common causes of foot pain
Juba Physiotherapy Clinic

15/12/2024

Cluster Headache
Juba Physiotherapy Clinic

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