Royal Physiotherapy Clinic-Pattaya

03/09/2025

27/08/2025

Knee joint Rehabilitation

24/08/2025

10/08/2025

Pronator Teres Syndrome

Pronator Teres Syndrome is a result of the to the position of this muscle that sits over your median nerve, the pressure on the nerve can elicit pain while hindering your forearm movement. It occurs when your pronator teres muscle becomes tight or overworked, compressing the median nerve. Hammering, repeatedly using a screwdriver, cleaning fish can lead to overuse of the pronator teres. Symptoms include pain and reduced mobility. Carpal Tunnel Syndrome symptoms are often confused with pronator teres syndrome, however in this case symptoms worsen with elbow movements. Pronator Teres Syndrome test can be used for assessment of the syndrome.

10/08/2025

Occipital Nerve Block Injection Procedure Minnesota
Occipital nerve blocks and physical therapy are both treatment options for occipital neuralgia, a condition causing pain in the back of the head and neck. Physical therapy focuses on exercises and techniques to reduce muscle tension and improve neck mobility, while nerve blocks involve injecting medication to relieve nerve pain. Combining both approaches can be an effective strategy for managing occipital neuralgia. For more information please contact us.

05/08/2025

Shoulder examination

02/08/2025

Subacromion impingement syndrome exercise

19/07/2025

𝙎𝙝𝙤𝙪𝙡𝙙𝙚𝙧 𝙄𝙢𝙥𝙞𝙣𝙜𝙚𝙢𝙚𝙣𝙩 𝙎𝙮𝙣𝙙𝙧𝙤𝙢𝙚 (SIS)

Also called Subacromial Impingement syndrome

𝘿𝙚𝙛𝙞𝙣𝙞𝙩𝙞𝙤𝙣
-Condition where rotator cuff tendons or subacromial bursa get compressed within the subacromial space.

-Leads to inflammation, pain, and dysfunction, especially during overhead activities.

𝘼𝙣𝙖𝙩𝙤𝙢𝙮 𝙄𝙣𝙫𝙤𝙡𝙫𝙚𝙙
Subacromial space lies between acromion and humeral head.
Key structures in the space:
-Supraspinatus tendon
-Subacromial bursa
-Long head of biceps tendon

•Rotator cuff muscles: Supraspinatus, Infraspinatus, Teres Minor, Subscapularis.

𝘾𝙖𝙪𝙨𝙚𝙨
•Intrinsic (Within Tendon)
-Degenerative tendon changes (age-related)
-Hypovascularity of supraspinatus tendon
-Overuse from repetitive shoulder motions

•Extrinsic (Mechanical Compression)
-Hooked or curved acromion
-Bone spurs under acromion
-Thickened coracoacromial ligament
-Acromioclavicular joint osteophytes

𝙁𝙪𝙣𝙘𝙩𝙞𝙤𝙣𝙖𝙡 𝘾𝙖𝙪𝙨𝙚𝙨
-Poor scapular control
-Forward head or rounded shoulder posture
-Muscle imbalance: weak rotator cuff, tight pectorals
-Improper lifting mechanics or technique

𝙉𝙚𝙚𝙧'𝙨 𝘾𝙡𝙖𝙨𝙨𝙞𝙛𝙞𝙘𝙖𝙩𝙞𝙤𝙣
• 𝙎𝙩𝙖𝙜𝙚 I:
-Edema and hemorrhage in tendons or bursa
-Common in 40 years
-May require surgical intervention

𝙎𝙮𝙢𝙥𝙩𝙤𝙢𝙨
-Pain over anterior or lateral shoulder
-Pain during overhead activities
-Night pain (especially lying on affected side)
-Painful arc between 60–120° of abduction
-Weakness and reduced range of motion
-Tenderness over greater tuberosity or subacromial

For more information please contact us