Ordinanca Per Terapi Fizikale dhe Rehabilitim "FIZIOTERAPIA"

05/01/2026

C5 gives nerve to rhomboids.

Upper trunk gives nerve to subclavius.

03/01/2026

Neck Pain: Why Diagnosis Matters More Than Treatment

Not all neck pain comes from muscles.
In many cases, the source is deeper cervical joints or irritated nerves and this is where treatment often fails.

Some neck-related nerve issues don’t cause arm pain at all. Others can present as headaches, migraines, or even chest pain. Classic pain charts and imaging don’t always show the full picture, and “normal” test results do not necessarily mean the neck is healthy.

For this reason, a structured clinical assessment is essential.

At Physio Wacy, we focus on:

identifying the true source of pain
distinguishing between muscular, joint, and nerve-related symptoms
understanding why symptoms persist
building a clear, evidence based treatment plan

Whether your pain is recent or long standing, the goal is clarity not trial and error treatment.

📍 Physio Wacy – London
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Tel.07770083120

31/12/2025

Iliopsoas: Upper vs Lower Fibers – Biomechanics Matter

The iliopsoas is not just a hip flexor. Its upper and lower fibers create different mechanical effects on the spine, pelvis, and gait.

Upper fibers (lumbar-dominant)
Anterior pull on the lumbar spine
Lumbar lordosis
Shear & compression at L4–L5 / L5–S1
Common in prolonged sitting and low back pain
Lower fibers (pelvis & hip-dominant)
Anterior pelvic tilt
Lengthened / inhibited abdominals
Limited hip extension during gait
Load on the SI joint
When both dominate
Hyperlordosis + excessive anterior pelvic tilt
Lumbar compensation instead of hip extension
Inefficient movement + higher injury risk

Clinical takeaway
Hip flexor tightness is not one problem
Identify: spine-driven vs pelvis-driven dysfunction
Assess first. Treat precisely.

LowBackPain MovementScience

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30/12/2025

Jaw dysfunction, aka TMJ, is officially called TMD, temporomandibular joint dysfunction. This can lead to ringing in the ears, tinnitus, and clicking and popping of the jaw. Many people suffer from this and can't find the right therapy. The holding of anger can lead to this as well, as many people clench and grind their teeth at night.
NKT often finds dysfunction with the lateral pterygoid (LP) muscles. The LP attaches to the articular disc, which when pulled forward by the LP, causes the clicking and popping as the mandible passes over it on opening and closing of the jaw. The retrodiscal tissue of the LP attaches to the inner ear, and when dysfunctional can lead to tinnitus.
Physio Wacy often finds the LP overworking and its opposite underworking, or the LP overworking and the opposite QL underworking. This article details the role of the LP in TMD and how to treat it.
https://www.jospt.org/doi/pdf/10.2519/jospt.2004.34.9.535






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28/12/2025

Achilles tendonitis can be treated quite successfully with conservative management. Physio Wacy often finds the gastrocnemius or soleus overworking and the glute max or quads underworking. Manual release of the Achilles area followed by activation of the underworking muscle can go a long way in treating Achilles tendonitis. This article details how to treat the Achilles conservatively.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7249277/



I.T

28/12/2025

Muscles that share the same function are called synergists. In physio Wacy we frequently finds that one synergist can overwork for another. In downward rotation of the scapula (the medial superior angle of the scapula moves superiorly) the levator scapula works with the rhomboid and the pectoralis minor. We often find an over active levator paired with an under active rhomboid. Release the levator and activate the rhomboid. This will allow for an improved and more pain free range of motion. And all those painful "trigger" points in those 2 muscles? Correcting their neurological relationship may take care of all of them.
https://share.google/fW49qKe5X0rAL2P4K

26/12/2025