rotator cuff injuries.pptx
•Download as PPTX, PDF•
9 likes•1,363 views
rotator cuff injuries, its causes, types,symptoms, special test and its pt management special test for every injury types which includes rotator cuff tear, tendonitis, impingement syndrome,painfull arc syndrome, frozen shoulder.....special test includes neer's impingent, empty cane, full cane, speed test
Report
Share
Report
Share
Recommended
Golfer elbow.pptx
Golfer elbow, also known as medial epicondylitis, is an overuse injury caused by repetitive motions that place stress on the tendons where the forearm muscles attach to the inner bump of the elbow. The condition causes pain on the inner elbow and difficulty with wrist movement. It commonly affects people over 30 years old who participate in sports like golf or tennis that involve swinging motions, or those with occupations requiring strong gripping. Conservative treatment includes rest, anti-inflammatory medications, physiotherapy, and bracing to decrease stress on the tendons.
chondromalacia patellae
Chondromalacia patellae, also known as runner's knee, is a softening and roughening of the cartilage under the kneecap caused by mechanical overload of the patellofemoral joint. Symptoms include pain in front of or beneath the kneecap that is aggravated by activity like climbing stairs. Examination may reveal tenderness under the kneecap edge or crepitus with knee movement. Conservative treatments include rest, ice, strengthening exercises, and anti-inflammatory medication. Surgery to realign or elevate the patella may be considered if conservative treatments fail after 6 months.
Shoulder impingement syndrome
This document discusses shoulder impingement syndrome, including its anatomy, causes, symptoms, diagnosis, stages, and treatment approaches. It provides details on the rotator cuff muscles, signs and symptoms of impingement, external and internal factors that can lead to impingement, stages of the syndrome, common tests used for diagnosis, goals of treatment, and manual therapy, therapeutic exercise, and preventative measures used in treatment.
PRINCIPLES OF TENDON TRANSFERS
This document discusses principles of tendon transfers for restoring lost movement. It outlines key principles such as having supple joints before transfer, using a donor tendon with adequate excursion and strength, adhering to principles of synergy and straight line of pull. The timing of transfers depends on the likelihood of nerve recovery but can be done early to aid recovery. Contraindications include a lack of suitable donor muscles or transfers for joints with stiffness. Classification systems like Sunderland and Seddon are used to describe nerve injuries requiring tendon transfers.
SI JOINT DYSFUNCTION.pptx
SI joint dysfunction, causes,risk factors,muscles, ligaments affected the most, differentional diagnosis, x-findings, special test, muscles strengthening, ligament strengthening, daily physiotherapy protocal, electrotherapy treatment, strengthening and stretching protcol, precautions, postural correction
Different girth measurement of human body
The document discusses different girth measurements of the human body that are important for making garments. It describes how to measure the girth of various body parts including the head, neck, chest, bust, waist, hips, thighs, calves, ankles, and wrists. The key girth measurements outlined are the head, neck, chest, bust, waist, hips, and thighs. Taking accurate girth measurements is important for tailoring clothing to fit the body properly.
Rotator cuff injuries
Pratigya Deuja-
Rotator cuff injuries- Definition, etiology, pathology, clinical features, clinical management, physiotherapy management
Adhesive capsulitis
Adhesive capsulitis is a condition characterized by a painful and progressive loss of shoulder range of motion. It typically progresses through painful, freezing, and thawing phases over 1-2 years. Treatment involves medications to manage pain, physical therapy to restore range of motion, and in refractory cases, procedures like corticosteroid injections or surgery. While pain is usually transient, some patients may develop permanent loss of range of motion.
Recommended
Golfer elbow.pptx
Golfer elbow, also known as medial epicondylitis, is an overuse injury caused by repetitive motions that place stress on the tendons where the forearm muscles attach to the inner bump of the elbow. The condition causes pain on the inner elbow and difficulty with wrist movement. It commonly affects people over 30 years old who participate in sports like golf or tennis that involve swinging motions, or those with occupations requiring strong gripping. Conservative treatment includes rest, anti-inflammatory medications, physiotherapy, and bracing to decrease stress on the tendons.
chondromalacia patellae
Chondromalacia patellae, also known as runner's knee, is a softening and roughening of the cartilage under the kneecap caused by mechanical overload of the patellofemoral joint. Symptoms include pain in front of or beneath the kneecap that is aggravated by activity like climbing stairs. Examination may reveal tenderness under the kneecap edge or crepitus with knee movement. Conservative treatments include rest, ice, strengthening exercises, and anti-inflammatory medication. Surgery to realign or elevate the patella may be considered if conservative treatments fail after 6 months.
Shoulder impingement syndrome
This document discusses shoulder impingement syndrome, including its anatomy, causes, symptoms, diagnosis, stages, and treatment approaches. It provides details on the rotator cuff muscles, signs and symptoms of impingement, external and internal factors that can lead to impingement, stages of the syndrome, common tests used for diagnosis, goals of treatment, and manual therapy, therapeutic exercise, and preventative measures used in treatment.
PRINCIPLES OF TENDON TRANSFERS
This document discusses principles of tendon transfers for restoring lost movement. It outlines key principles such as having supple joints before transfer, using a donor tendon with adequate excursion and strength, adhering to principles of synergy and straight line of pull. The timing of transfers depends on the likelihood of nerve recovery but can be done early to aid recovery. Contraindications include a lack of suitable donor muscles or transfers for joints with stiffness. Classification systems like Sunderland and Seddon are used to describe nerve injuries requiring tendon transfers.
SI JOINT DYSFUNCTION.pptx
SI joint dysfunction, causes,risk factors,muscles, ligaments affected the most, differentional diagnosis, x-findings, special test, muscles strengthening, ligament strengthening, daily physiotherapy protocal, electrotherapy treatment, strengthening and stretching protcol, precautions, postural correction
Different girth measurement of human body
The document discusses different girth measurements of the human body that are important for making garments. It describes how to measure the girth of various body parts including the head, neck, chest, bust, waist, hips, thighs, calves, ankles, and wrists. The key girth measurements outlined are the head, neck, chest, bust, waist, hips, and thighs. Taking accurate girth measurements is important for tailoring clothing to fit the body properly.
Rotator cuff injuries
Pratigya Deuja-
Rotator cuff injuries- Definition, etiology, pathology, clinical features, clinical management, physiotherapy management
Adhesive capsulitis
Adhesive capsulitis is a condition characterized by a painful and progressive loss of shoulder range of motion. It typically progresses through painful, freezing, and thawing phases over 1-2 years. Treatment involves medications to manage pain, physical therapy to restore range of motion, and in refractory cases, procedures like corticosteroid injections or surgery. While pain is usually transient, some patients may develop permanent loss of range of motion.
Pathological gait
This document discusses various types of pathological gaits, which refer to abnormal walking patterns caused by medical conditions. It describes gaits due to pain, muscular issues, deformities, and neurological problems. Specific gaits mentioned include antalgic, psoatic, gluteus maximus, quadriceps, genu recurvatum, hemiplegic, scissoring, dragging, sensory ataxic, foot drop, equinus, and knock knee gaits. Each gait type is characterized by distinct features in terms of leg, hip, knee, and trunk positioning and movement during walking. The document provides details on the anatomical causes and compensations that result in these pathological walking patterns.
Extensor mechanism of knee
The extensor mechanism of the knee involves four quadriceps muscles that connect the femur to the tibia via the patella. The quadriceps muscles include the rectus femoris, vastus lateralis, vastus intermedius, and vastus medialis. They originate on the femur and connect to the patella. The patella then connects to the tibia via the patellar tendon. This mechanism improves the efficiency of knee extension by increasing the lever arm of the quadriceps muscles. It functions via a "screw home mechanism" where the tibia rotates internally at the end of knee extension, maximally stabilizing the knee joint.
Mallet finger
Mallet finger, or drop finger, is a deformity of the finger caused by damage to the extensor tendon below the DIP joint, preventing straightening of the fingertip. It most commonly occurs in the long, ring, or small finger of the dominant hand in young males after the fingertip is forcibly bent backwards. Treatment depends on the severity of the injury but generally involves splinting the finger to keep the DIP joint straight as the tendon heals, usually for 6-8 weeks. Surgery may be needed for open injuries, large bone fragments, or if non-surgical treatment is unsuccessful. Complications can include an extensor lag deformity or swan neck deformity if not properly
ACL rehabilitation
- The ACL originates on the lateral femoral condyle and inserts on the tibia, providing primary stability to prevent anterior tibial translation.
- Most ACL tears are non-contact injuries involving sudden deceleration, change of direction, or landing from a jump with the knee near full extension.
- Physical exam includes Lachman, anterior drawer, and pivot shift tests to assess knee stability. MRI is used to confirm ACL tear.
- Treatment options include conservative rehab for partial or low-grade tears or ACL reconstruction surgery using grafts like patellar tendon or hamstring tendons fixed with interference screws. Post-op rehab emphasizes early range of motion and weight bearing.
Physiotherapy for CONGENITAL TALIPES EQUINOVARUS
The document discusses congenital club foot (CCF), also known as congenital talipes equinovarus (CTEV). CCF is a deformity occurring in the ankle, subtaloid, and mid-tarsal joints. There are several theories for its causes, and its severity depends on the degree of displacement, while resistance to treatment depends on soft tissue rigidity. The deformity can be categorized into four components: cavus, adductus, varus, and equinus (CAVE). Treatment aims to fully correct the deformity early on through non-operative methods like serial casting or the Ponseti method, which involves weekly manipulation and casting. Education of parents on care and follow-up is
Frozen Shoulder Physiotherapy Management
Adhesive capsulitis is characterized by painful restriction of shoulder movement. Management includes corticosteroid injections to reduce inflammation, NSAIDs for pain, and manipulation under anesthesia or mobilization to improve range of motion. Physiotherapy goals are to reduce pain through ultrasound, mobilization, and stretching, improve range of motion through passive, active assisted, and active exercises, and strengthen muscles with isometrics, rotator cuff exercises, and scapular exercises. A home program including pendular exercises and aquatic therapy is also recommended.
Genu Varum
Genu varum, also known as bow legs, is a physical deformity where the legs curve outward from the thighs. It can occur in children due to normal development or due to conditions like Blount's disease or rickets that affect bone growth. In children, genu varum is often monitored and may resolve on its own, while more severe cases or those caused by underlying diseases may require bracing or surgery to correct alignment and prevent long-term issues. Surgical options aim to stop abnormal bone growth or reshape the shinbone to straighten the legs.
Assessment and special tests of Hip joint
This document provides an overview of the assessment and special tests used to evaluate the hip joint. It discusses collecting demographic data, medical history, and performing an examination including observation, palpation, range of motion testing, and special tests like the Patrick test and hip scour test. The goal of the assessment is to evaluate the hip for conditions like arthritis, fractures, muscle injuries, and neurological disorders.
GOLFERS ELBOW AND PHYSIOTHERAPY MANAGEMENT
Golfer's elbow, also known as medial epicondylitis, is an overuse injury causing pain on the inner side of the elbow where forearm muscles attach. It results from repetitive motions like swinging a golf club or racket. Physiotherapy treatments include ultrasound, laser therapy, stretching and strengthening exercises to reduce pain and inflammation, improve range of motion and muscle strength, and prevent reinjury. Conservative treatments are usually tried first before considering corticosteroid injections or surgery. Proper form, rest, stretching, strengthening, and equipment choices can help prevent golfer's elbow.
Supraspinatus tendinitis 30may2013
Supraspinatus tendinitis is an inflammation of the supraspinatus tendon, which is one of the most commonly affected structures in the rotator cuff. It often results from repeated overhead arm motions or other activities that cause impingement beneath the coracoacromial arch. Symptoms include pain in the shoulder region that is worsened by motions like lifting the arm overhead. Treatment involves rest, exercises to strengthen the rotator cuff muscles, modalities like ultrasound to reduce inflammation, and manual therapy such as transverse friction massage to the tendon.
MAT ACTIVITIES
This document describes various mat activities (MAT) used in physical therapy. It discusses 9 principles of MAT including concentration, control, fluidity, etc. It then describes different MAT positions and exercises including rolling, prone on elbows, prone on hands, supine on elbows, pull ups, lifting, quadruped position, kneeling, and sitting. The goals of MAT are to facilitate balance, promote stability, mobilize and strengthen the trunk and limbs, and train for functional activities. Details are provided on how to perform several example MAT exercises and positions.
Rotator cuff injuries
This document discusses the anatomy, biomechanics, causes, symptoms, diagnosis, and treatment of rotator cuff tears. It begins by introducing the rotator cuff muscles and their function in stabilizing the shoulder joint. Common causes of tears include impingement, trauma, aging, and ischemia. Symptoms include shoulder pain that is worsened with overhead activities. Diagnosis involves physical exam maneuvers like the Neer's and Hawkins tests as well as imaging like x-rays, ultrasound, CT, or MRI. Treatment ranges from rest, physical therapy, and injections for mild cases to surgical repair for larger or chronic tears if conservative measures fail.
Modified ashworth scale application
The Modified Ashworth Scale is a clinical measure of muscle spasticity in patients with neurological conditions. It is a 6-point scale ranging from 0-4 where lower scores represent normal muscle tone and higher scores represent increased spasticity or resistance to passive movement. The document provides detailed instructions on administering the Modified Ashworth Scale for assessing spasticity in the ankle plantar flexors, knee flexors, elbow flexors, and wrist flexors by standardizing limb positioning, stabilization, and movement during testing.
Limb length discrepency
This document discusses limb length discrepancy (LLD), including its definition, causes, effects, evaluation, and management. LLD is when one lower limb is noticeably longer than the other. It is classified as structural or functional. LLD of 2.5 cm or more can cause back/hip/knee pain and gait abnormalities. Evaluation involves history, exam including block testing, and imaging like scansograms. LLD can be managed non-surgically with shoe lifts for small discrepancies or surgically with epiphysiodesis or bone lengthening depending on the severity.
lateral & medial epicondylitis
Tennis elbow and golfer's elbow are forms of elbow tendinitis caused by overuse and repetitive strain on the tendons in the forearm. Tennis elbow involves the tendons on the outside of the elbow and is more common, while golfer's elbow affects the inner tendons. Both result from repetitive motions like swinging, gripping, or flexing and can be treated with rest, anti-inflammatories, bracing, and physical therapy.
Tennis elbow
Tennis elbow, also known as lateral epicondylitis, is a tendinopathy of the extensor tendons of the forearm caused by repetitive strain from activities like tennis or manual labor. It presents as lateral elbow pain that is exacerbated by wrist extension movements. While the name suggests it is caused by tennis, 95% of cases occur in non-tennis players engaged in repetitive arm motions. Treatment begins conservatively with rest, ice, braces, and physical therapy, while corticosteroid injections provide temporary pain relief. Surgery is considered if conservative measures fail after 6-12 months.
Coxa vara
This document discusses coxa vara, which is a hip deformity characterized by an abnormal decrease in the femoral neck-shaft angle. It classifies coxa vara as congenital, developmental, or acquired. Developmental coxa vara is the most common type and is caused by a primary cartilage defect in the femoral neck. Clinical features include limping and pain. Treatment involves corrective valgus osteotomies to restore the neck-shaft angle and relieve stress on the femoral physis. The document describes several techniques for valgus osteotomy including Pauwel's, Borden's, and subtrochanteric osteotomy. The goal of surgery is to stimulate healing of the femoral neck defect and restore normal
Trigger finger,causes,symptom,management
Trigger finger is a condition where the finger or thumb gets stuck when bent, caused by inflammation of the tendons. Symptoms include a tender lump, catching, and pain when bending the finger. It is often caused by repetitive motions and can be treated with rest, splinting, corticosteroid injections, or surgery to release the tendon sheath if other treatments don't help. Recovery from surgery usually takes a few weeks but may be up to 6 months to fully resolve swelling and stiffness.
Cyriax Approach
This document outlines five principles of treatment for orthopedic problems: techniques, passive movements, active movements, injection and infiltration, and deep transverse friction massage. It describes the indications, contraindications, and techniques for deep transverse friction massage. This type of connective tissue massage was developed by Cyriax to treat soft tissue injuries from trauma or overuse. While the exact mechanism is unknown, it is believed to provide pain relief and better alignment of connective tissue fibers. When applied correctly, deep transverse friction massage is usually not painful and can help resolve soft tissue issues without steroid injections.
Shoulder & Elbow Asssessment.pptxof shoul
1. The document describes various conditions affecting the shoulder joint complex including impingement syndrome, rotator cuff tears, rotator cuff arthropathy, calcifying tendonitis, and shoulder instabilities.
2. It also discusses examination of the shoulder joint including inspection, palpation, range of motion testing, and special tests. Common elbow conditions such as cubitus varus/valgus, instability, and overuse syndromes are also summarized.
3. Examination of the elbow joint involves inspection, palpation, and assessing range of motion.
Shoulder
This document provides information about the shoulder joint and shoulder dislocations. It discusses the anatomy of the shoulder joint, including the bones, ligaments, muscles and types of movements. It describes the most common type of shoulder dislocation as being anterior, where the head of the humerus is displaced in front of the glenoid cavity. Posterior and inferior dislocations are also discussed. Complications of shoulder dislocations include nerve damage, tendon injuries, ligament tears and rotator cuff injuries. Symptoms include severe pain, deformity, swelling and inability to move the arm. Causes typically involve falls or force applied to the outstretched arm.
More Related Content
What's hot
Pathological gait
This document discusses various types of pathological gaits, which refer to abnormal walking patterns caused by medical conditions. It describes gaits due to pain, muscular issues, deformities, and neurological problems. Specific gaits mentioned include antalgic, psoatic, gluteus maximus, quadriceps, genu recurvatum, hemiplegic, scissoring, dragging, sensory ataxic, foot drop, equinus, and knock knee gaits. Each gait type is characterized by distinct features in terms of leg, hip, knee, and trunk positioning and movement during walking. The document provides details on the anatomical causes and compensations that result in these pathological walking patterns.
Extensor mechanism of knee
The extensor mechanism of the knee involves four quadriceps muscles that connect the femur to the tibia via the patella. The quadriceps muscles include the rectus femoris, vastus lateralis, vastus intermedius, and vastus medialis. They originate on the femur and connect to the patella. The patella then connects to the tibia via the patellar tendon. This mechanism improves the efficiency of knee extension by increasing the lever arm of the quadriceps muscles. It functions via a "screw home mechanism" where the tibia rotates internally at the end of knee extension, maximally stabilizing the knee joint.
Mallet finger
Mallet finger, or drop finger, is a deformity of the finger caused by damage to the extensor tendon below the DIP joint, preventing straightening of the fingertip. It most commonly occurs in the long, ring, or small finger of the dominant hand in young males after the fingertip is forcibly bent backwards. Treatment depends on the severity of the injury but generally involves splinting the finger to keep the DIP joint straight as the tendon heals, usually for 6-8 weeks. Surgery may be needed for open injuries, large bone fragments, or if non-surgical treatment is unsuccessful. Complications can include an extensor lag deformity or swan neck deformity if not properly
ACL rehabilitation
- The ACL originates on the lateral femoral condyle and inserts on the tibia, providing primary stability to prevent anterior tibial translation.
- Most ACL tears are non-contact injuries involving sudden deceleration, change of direction, or landing from a jump with the knee near full extension.
- Physical exam includes Lachman, anterior drawer, and pivot shift tests to assess knee stability. MRI is used to confirm ACL tear.
- Treatment options include conservative rehab for partial or low-grade tears or ACL reconstruction surgery using grafts like patellar tendon or hamstring tendons fixed with interference screws. Post-op rehab emphasizes early range of motion and weight bearing.
Physiotherapy for CONGENITAL TALIPES EQUINOVARUS
The document discusses congenital club foot (CCF), also known as congenital talipes equinovarus (CTEV). CCF is a deformity occurring in the ankle, subtaloid, and mid-tarsal joints. There are several theories for its causes, and its severity depends on the degree of displacement, while resistance to treatment depends on soft tissue rigidity. The deformity can be categorized into four components: cavus, adductus, varus, and equinus (CAVE). Treatment aims to fully correct the deformity early on through non-operative methods like serial casting or the Ponseti method, which involves weekly manipulation and casting. Education of parents on care and follow-up is
Frozen Shoulder Physiotherapy Management
Adhesive capsulitis is characterized by painful restriction of shoulder movement. Management includes corticosteroid injections to reduce inflammation, NSAIDs for pain, and manipulation under anesthesia or mobilization to improve range of motion. Physiotherapy goals are to reduce pain through ultrasound, mobilization, and stretching, improve range of motion through passive, active assisted, and active exercises, and strengthen muscles with isometrics, rotator cuff exercises, and scapular exercises. A home program including pendular exercises and aquatic therapy is also recommended.
Genu Varum
Genu varum, also known as bow legs, is a physical deformity where the legs curve outward from the thighs. It can occur in children due to normal development or due to conditions like Blount's disease or rickets that affect bone growth. In children, genu varum is often monitored and may resolve on its own, while more severe cases or those caused by underlying diseases may require bracing or surgery to correct alignment and prevent long-term issues. Surgical options aim to stop abnormal bone growth or reshape the shinbone to straighten the legs.
Assessment and special tests of Hip joint
This document provides an overview of the assessment and special tests used to evaluate the hip joint. It discusses collecting demographic data, medical history, and performing an examination including observation, palpation, range of motion testing, and special tests like the Patrick test and hip scour test. The goal of the assessment is to evaluate the hip for conditions like arthritis, fractures, muscle injuries, and neurological disorders.
GOLFERS ELBOW AND PHYSIOTHERAPY MANAGEMENT
Golfer's elbow, also known as medial epicondylitis, is an overuse injury causing pain on the inner side of the elbow where forearm muscles attach. It results from repetitive motions like swinging a golf club or racket. Physiotherapy treatments include ultrasound, laser therapy, stretching and strengthening exercises to reduce pain and inflammation, improve range of motion and muscle strength, and prevent reinjury. Conservative treatments are usually tried first before considering corticosteroid injections or surgery. Proper form, rest, stretching, strengthening, and equipment choices can help prevent golfer's elbow.
Supraspinatus tendinitis 30may2013
Supraspinatus tendinitis is an inflammation of the supraspinatus tendon, which is one of the most commonly affected structures in the rotator cuff. It often results from repeated overhead arm motions or other activities that cause impingement beneath the coracoacromial arch. Symptoms include pain in the shoulder region that is worsened by motions like lifting the arm overhead. Treatment involves rest, exercises to strengthen the rotator cuff muscles, modalities like ultrasound to reduce inflammation, and manual therapy such as transverse friction massage to the tendon.
MAT ACTIVITIES
This document describes various mat activities (MAT) used in physical therapy. It discusses 9 principles of MAT including concentration, control, fluidity, etc. It then describes different MAT positions and exercises including rolling, prone on elbows, prone on hands, supine on elbows, pull ups, lifting, quadruped position, kneeling, and sitting. The goals of MAT are to facilitate balance, promote stability, mobilize and strengthen the trunk and limbs, and train for functional activities. Details are provided on how to perform several example MAT exercises and positions.
Rotator cuff injuries
This document discusses the anatomy, biomechanics, causes, symptoms, diagnosis, and treatment of rotator cuff tears. It begins by introducing the rotator cuff muscles and their function in stabilizing the shoulder joint. Common causes of tears include impingement, trauma, aging, and ischemia. Symptoms include shoulder pain that is worsened with overhead activities. Diagnosis involves physical exam maneuvers like the Neer's and Hawkins tests as well as imaging like x-rays, ultrasound, CT, or MRI. Treatment ranges from rest, physical therapy, and injections for mild cases to surgical repair for larger or chronic tears if conservative measures fail.
Modified ashworth scale application
The Modified Ashworth Scale is a clinical measure of muscle spasticity in patients with neurological conditions. It is a 6-point scale ranging from 0-4 where lower scores represent normal muscle tone and higher scores represent increased spasticity or resistance to passive movement. The document provides detailed instructions on administering the Modified Ashworth Scale for assessing spasticity in the ankle plantar flexors, knee flexors, elbow flexors, and wrist flexors by standardizing limb positioning, stabilization, and movement during testing.
Limb length discrepency
This document discusses limb length discrepancy (LLD), including its definition, causes, effects, evaluation, and management. LLD is when one lower limb is noticeably longer than the other. It is classified as structural or functional. LLD of 2.5 cm or more can cause back/hip/knee pain and gait abnormalities. Evaluation involves history, exam including block testing, and imaging like scansograms. LLD can be managed non-surgically with shoe lifts for small discrepancies or surgically with epiphysiodesis or bone lengthening depending on the severity.
lateral & medial epicondylitis
Tennis elbow and golfer's elbow are forms of elbow tendinitis caused by overuse and repetitive strain on the tendons in the forearm. Tennis elbow involves the tendons on the outside of the elbow and is more common, while golfer's elbow affects the inner tendons. Both result from repetitive motions like swinging, gripping, or flexing and can be treated with rest, anti-inflammatories, bracing, and physical therapy.
Tennis elbow
Tennis elbow, also known as lateral epicondylitis, is a tendinopathy of the extensor tendons of the forearm caused by repetitive strain from activities like tennis or manual labor. It presents as lateral elbow pain that is exacerbated by wrist extension movements. While the name suggests it is caused by tennis, 95% of cases occur in non-tennis players engaged in repetitive arm motions. Treatment begins conservatively with rest, ice, braces, and physical therapy, while corticosteroid injections provide temporary pain relief. Surgery is considered if conservative measures fail after 6-12 months.
Coxa vara
This document discusses coxa vara, which is a hip deformity characterized by an abnormal decrease in the femoral neck-shaft angle. It classifies coxa vara as congenital, developmental, or acquired. Developmental coxa vara is the most common type and is caused by a primary cartilage defect in the femoral neck. Clinical features include limping and pain. Treatment involves corrective valgus osteotomies to restore the neck-shaft angle and relieve stress on the femoral physis. The document describes several techniques for valgus osteotomy including Pauwel's, Borden's, and subtrochanteric osteotomy. The goal of surgery is to stimulate healing of the femoral neck defect and restore normal
Trigger finger,causes,symptom,management
Trigger finger is a condition where the finger or thumb gets stuck when bent, caused by inflammation of the tendons. Symptoms include a tender lump, catching, and pain when bending the finger. It is often caused by repetitive motions and can be treated with rest, splinting, corticosteroid injections, or surgery to release the tendon sheath if other treatments don't help. Recovery from surgery usually takes a few weeks but may be up to 6 months to fully resolve swelling and stiffness.
Cyriax Approach
This document outlines five principles of treatment for orthopedic problems: techniques, passive movements, active movements, injection and infiltration, and deep transverse friction massage. It describes the indications, contraindications, and techniques for deep transverse friction massage. This type of connective tissue massage was developed by Cyriax to treat soft tissue injuries from trauma or overuse. While the exact mechanism is unknown, it is believed to provide pain relief and better alignment of connective tissue fibers. When applied correctly, deep transverse friction massage is usually not painful and can help resolve soft tissue issues without steroid injections.
What's hot (20)
Similar to rotator cuff injuries.pptx
Shoulder & Elbow Asssessment.pptxof shoul
1. The document describes various conditions affecting the shoulder joint complex including impingement syndrome, rotator cuff tears, rotator cuff arthropathy, calcifying tendonitis, and shoulder instabilities.
2. It also discusses examination of the shoulder joint including inspection, palpation, range of motion testing, and special tests. Common elbow conditions such as cubitus varus/valgus, instability, and overuse syndromes are also summarized.
3. Examination of the elbow joint involves inspection, palpation, and assessing range of motion.
Shoulder
This document provides information about the shoulder joint and shoulder dislocations. It discusses the anatomy of the shoulder joint, including the bones, ligaments, muscles and types of movements. It describes the most common type of shoulder dislocation as being anterior, where the head of the humerus is displaced in front of the glenoid cavity. Posterior and inferior dislocations are also discussed. Complications of shoulder dislocations include nerve damage, tendon injuries, ligament tears and rotator cuff injuries. Symptoms include severe pain, deformity, swelling and inability to move the arm. Causes typically involve falls or force applied to the outstretched arm.
Trauma_lecture_7.pdf
The document discusses various types of upper limb injuries including brachial plexus lesions, shoulder dislocations, and impingement syndromes. Brachial plexus lesions can occur from trauma or difficult births and may cause Erb's palsy (C5/6 paralysis) or Klumpke's palsy (C7-T1 paralysis). Shoulder dislocations are most commonly anterior and can damage the axillary nerve. Impingement syndromes involve entrapment of soft tissues in the subacromial space and cause shoulder pain, especially with overhead motions.
regonal pain (1) (1).pptx..............
1. The document provides information on examining the shoulder, elbow, wrist, and hand, including anatomy, inspection, palpation, range of motion tests, and special tests.
2. Common causes of pain in these areas are described, including rotator cuff injuries, arthritis, tendinitis, bursitis, and neurological issues.
3. Examination techniques for each area include inspection for deformities, swelling, atrophy; palpation for temperature, tenderness, crepitus; and range of motion and special tests like impingement signs and drop arm test for shoulders.
applied anatomy of shoulder joint
The document summarizes common shoulder injuries and disorders. It describes:
1) The anatomy and biomechanics of the shoulder complex and how movement relies on dynamic stabilization between the humerus and scapula.
2) Common injuries include fractures of the clavicle or humerus, sprains of the AC joint from direct impact, and anterior dislocations from forced arm positions.
3) Rotator cuff tears are also common and can cause pain in the arc of motion under the acromion. Frozen shoulder causes severe pain and stiffness from capsular inflammation.
Painful Arc Syndrome.pptx
Painful arc syndrome, also known as shoulder impingement syndrome, occurs when one of the rotator cuff tendons becomes pinched between the humeral head and acromion as the arm is raised, causing inflammation. Repeated overhead motions can lead to swelling and excess fluid in the joint. Conservative treatment focuses on rest, physiotherapy, and NSAIDs to relieve pain and maintain range of motion, while surgery may be required to remove impinging structures and repair damaged tendons if conservative measures fail after 6-12 months.
anatomy and deformities of Elbow Joint.pptx
This document provides an overview of common elbow joint disorders, including lateral epicondylitis (tennis elbow), medial epicondylitis (golfer's elbow), tricep tendonitis, medial collateral ligament injuries, medial epicondylar apophysitis, avulsion fractures, capsular tightness, rheumatoid arthritis, osteoarthritis, myositis ossificans, olecranon bursitis, and nerve entrapments around the elbow such as cubital tunnel syndrome. Treatment options discussed include PRICE, cryotherapy, stretching, strengthening, bracing, surgery, and medication depending on the specific disorder. The document is intended to help students understand elbow anatomy and common elbow conditions.
Trauma to cervical spine & thoracolumbar spine - Anatomy, Mechanism, Patholog...
This document discusses spinal injuries, focusing on injuries to the cervical and thoracolumbar spine. It begins by classifying spinal injuries based on the Denis classification system and mechanisms of injury such as flexion, flexion-rotation, and vertical compression. For each injury type, the document describes examples, anatomical structures involved, and stability. It also covers clinical features, evaluation, investigations including x-rays and MRI, treatment in three phases, and emergency care to immobilize the spine.
shoulder joint
The shoulder is a ball and joint connection of three bones - the clavicle, scapula, and humerus. It allows a wide range of motion but is stabilized by muscles like the rotator cuff. Common shoulder issues include rotator cuff tears, which can occur from age or overuse and cause pain and weakness, impingement syndrome from narrowing of spaces around tendons, and calcific tendinitis where calcium deposits form in tendons. Treatment ranges from rest, physiotherapy, and injections to surgery for severe or persistent cases.
Shoulder orthopedic disorders (dr.farouk)
This document provides an overview of common orthopedic disorders of the shoulder. It begins with learning objectives related to shoulder anatomy, symptoms, causes of shoulder pain, and specific disorders. Key points include definitions of rotator cuff syndrome, impingement syndrome, calcific tendinitis, and frozen shoulder. Causes, clinical features, imaging, and treatment approaches are described for each condition. The focus is on non-surgical management, but surgical options are also outlined.
Clinical-Anatomy-of-the-Upper-Limb.pdf
This document provides an overview of the clinical anatomy of the upper limb, including bones, joints, muscles, nerves, and special tests. It describes the key bones and joints of the shoulder, arm, forearm, wrist and hand. It then discusses several important upper limb joints like the glenohumeral joint and common conditions that affect them, such as shoulder dislocations, frozen shoulder, and shoulder separations. It also reviews the muscles of the upper limb and covers the main nerves that innervate them, including injuries to nerves like the radial and ulnar nerves. Finally, it outlines several special tests used to clinically assess the upper limb, such as the Yergason, drop arm, and apprehension tests.
Hip dislocation class
Hip dislocations are caused by high-energy trauma and can damage the vascular supply to the femoral head. Closed reduction techniques like the Allis or Stimson maneuvers aim to reduce the dislocation in an emergency setting to restore blood flow. Associated injuries like fractures require imaging and may necessitate open reduction. Nonoperative treatment with traction and restricted motion
Clinical Examination of shoulder joint
This document provides an overview of the anatomy, articulations, ligaments, muscles, blood supply, and examination of the shoulder joint. It discusses the key bones (clavicle, scapula, humerus), joints (glenohumeral, acromioclavicular), ligaments (glenohumeral, coracohumeral), muscles (rotator cuff, deltoid), and nerves (brachial plexus, axillary, suprascapular) involved. It outlines the process for examining a patient with shoulder pain, including inspection, palpation, active and passive range of motion testing, and special tests (e.g. impingement tests, apprehen
SHOULDER 2222.pptx
The document provides information on examining the shoulder joint, including:
1) It describes the anatomy of the shoulder joint which involves three bones and three joints.
2) Common shoulder injuries include rotator cuff problems, impingement syndrome, and athletic injuries.
3) The physical exam involves inspection for atrophy or deformity, palpation of bony landmarks and soft tissues, and assessment of range of motion and strength.
4) Special tests examine for issues like instability, impingement, rotator cuff tears, biceps problems, and AC joint pathology.
Elbow Pain
This document summarizes common conditions that affect the elbow joint. It describes the anatomy of the elbow joint and its major muscles, ligaments and nerves. It then discusses specific conditions like olecranon bursitis, tennis elbow, golfer's elbow, cubital tunnel syndrome, and elbow dislocations. For each condition, it provides details on symptoms, examinations, and treatment options both conservative and surgical.
DD of posterior elbow joint
This document discusses various conditions that can cause posterior elbow pain, including olecranon bursitis, posterior elbow impingement, olecranon fracture, triceps tendinosis, compartment syndrome, triceps muscle wasting, osteochondritis dessicans of the capitellum, and ulnar collateral ligament sprain. It provides details on the signs and symptoms of each condition. The elbow joint allows flexion and extension of the forearm relative to the upper arm as well as rotation. Posterior elbow pain can be acute or chronic and may occur following an acute injury that was not properly treated.
د. عمار الياسري shoulder and pectoral girdle-5 (Muhadharaty).pptx
The document discusses various disorders of the shoulder and pectoral girdle, including:
- Rotator cuff disorders like impingement syndrome and tears, which can cause pain and weakness. Conservative treatments include physiotherapy, while surgery may be needed for tears.
- Shoulder instability, which can be traumatic from injury, atraumatic from overuse, or muscular in nature. Treatments range from physiotherapy to surgical repairs or plications.
- Other conditions discussed include adhesive capsulitis (frozen shoulder), biceps tendon disorders, calcific tendinitis of the shoulder, and tuberculosis of the glenohumeral joint. A variety of imaging tools and both nonsurgical and surgical treatment approaches
7. Rotator Cuff Injury Musculoskeletal.pptx
The document discusses rotator cuff tears, including anatomy, function, classification, symptoms, tests, imaging, and treatment options. Key points include:
- The rotator cuff is made up of 4 muscles (SITS mnemonic) that stabilize the shoulder joint. A tear can be partial or full thickness.
- Symptoms include pain exacerbated by overhead activities, weakness, and loss of range of motion. Special tests like Neer's and Hawkins help diagnose.
- MRI is the best imaging method to evaluate size, shape and degree of retraction of a tear. Arthrogram may be used if MRI is contraindicated.
- Treatment depends on factors like age, mechanism
Clinical Examination Of Shoulder
This document provides information on evaluating shoulder pain and injuries. It discusses:
1. The most common causes of adult shoulder pain including impingement syndrome, rotator cuff problems, and athletic injuries.
2. Anatomy of the shoulder including bones, joints, muscles, and common injuries like rotator cuff tears, labral tears, and instability.
3. Physical examination techniques for the shoulder including range of motion, strength, and special tests to identify injuries. Common tests discussed are Neer's sign, Hawkins test, and relocation test.
4. Likely diagnoses suggested by specific physical examination findings. Tables summarize key examination maneuvers and what pathology a positive test may indicate
Similar to rotator cuff injuries.pptx (20)
Trauma to cervical spine & thoracolumbar spine - Anatomy, Mechanism, Patholog...
Trauma to cervical spine & thoracolumbar spine - Anatomy, Mechanism, Patholog...
د. عمار الياسري shoulder and pectoral girdle-5 (Muhadharaty).pptx
د. عمار الياسري shoulder and pectoral girdle-5 (Muhadharaty).pptx
د. عمار الياسري shoulder and pectoral girdle-5 (Muhadharaty).pptx
د. عمار الياسري shoulder and pectoral girdle-5 (Muhadharaty).pptx
More from kajal sansoya
Sports injuries and Physiotherapy management.pptx
Sport injuries refer to kind of injury that occur to a player during sports or exercise.
In other words, the situation which occurs accidently during physical activity or when the player does not remain in the position of participating in the game or his physical ability decreases is also referred to sports injuries.
Direct injury is caused by an external blow or force.
Indirect injury caused by an internal force as over stretching a ligament in sudden change direction.
Overuse injury any repetitive activity can lead to overuse injury, can occur over a period of time, usually due to excessive and repetitive leading of the tissue, with symptoms presenting gradually
Muscle pull
Tennis elbow/ golfer’s elbow
Rotator cuff injury
Frozen shoulder
Tendonitis
Bursitis
Runner’s knee
Achilles tendonitis
Foot arch sprain
Pulled hamstrings
Plantar fascitis
Iliotibial band syndrome
Carpel tunnel syndrome
Lower back pain A contusion is another way to say bruise and is the bleeding in the brain due to localized trauma.
A concussion refers to more widespread brain trauma from a blow to the head or swift shaking
Laceration is the tearing of skin with a sharp object or by impact injury from a blunt object or force that results in an irregular wounds.Warm up and cool down
Stretching before and after activity
Cross –train activity
Dress right
Use proper technique
Improve posture
Avoiding DOMS( delayed onset muscle soreness)
Early-stage rehabilitation is gentle exercise allowing for the damaged tissue to heal. This stage is often rushed and will result in poor quality healing and will be prone to re-injury.
Mid-stage rehabilitation involves progressively loading the muscles/tendons/bones or ligaments to develop tensile strength producing a healed tissue that will be able to withstand the stresses and strains of everyday life and exercise.
Late – the final stage (late) of rehabilitation is where the tissue adapts and is stressed using functional exercises and drills to ensure the body is ready to return to play.
Pilates is a system of repetitive exercises performed on a yoga mat or other equipment to promote strength, stability, and flexibility. Pilates exercises develop the body through muscular effort that stems from the core. The technique cultivates awareness of the body to support everyday movements that are efficient and graceful.Centering
Concentration
Control
Precision
Breath
Flow
Taping is a form of strapping. It is the procedure that uses tape, attached to the skin, to physically keep in place muscle or bone at a certain position to reduce pain and aids recovery.
It is a form of partial immobilization of joint. which allow for a certain level of functional mobility.There are a number of different types of stretching exercises which can be done to improve flexibility. The most appropriate technique will depend on your specific aims and include:
Static stretching
Dynamic stretching
PNF
Ballistic stretching
Neural stretching
Dry needling
Cupping
Gait
Physiotherapy approach for gym injuries.pptx
physiotherapy approach in gym injuriesGym injuries are the injuries which occurs while you are doing exercise in the gym.
An workout injures can happen to anyone not matter what your experience or fitness level.
Can occur due to overweight, incorrect posture , improper technique, lack of knowledge, etc.
Overuse
Overweight
Incorrect posture
Incorrect technique
Low quality of equipments
Lack of physiotherapist guidance
Overuse
Trauma injures
Sprains/strains
Fractures and dislocations
Injuries which occur when any body part gets hit by an impactful blunt force like a kick, fall or blow. Impact of the trauma damages the soft tissue leading to contusions, bruises and concussions.
In this type of injuries discolouration , swelling and pain is noticed. Sprain is a stretch or tear in a ligament. “ligaments are flexible bands of fibrous tissues connecting bones to bones, bones to joints and bones to cartilage. When these get torn or stretched, it results in a sprain, most likely in ankles, knees and wrists.”
Muscle pull or tearing of muscle occurs when you overstress your muscle again and again causes damage to muscle fibers .
The tearing may be major or minor
Hamstring muscle pull is most common in gym injuries.
Muscle strain occurs when a particular muscle gets injured due to a pull or twist. This type of injury can happen when people don’t warm up or properly stretch their bodies enough before working out.
You can also get a strain while jogging or doing weight training.
Some common types of strains you may come across while gymming:
Golfer’s elbow
Tennis elbow
Lumbar strain
Jumper’s knee
Runner’s kneewhen the ends of two connected bones separate from each other, it is known as dislocation. This happens when the ligament is hit by some extreme force or blow.
Knee dislocation and wrist dislocation is common type of dislocation.
Neck pain
Low back pain
Shoulder pain
Knee pain
To gain and maintain strength
To do correct exercise
To reduce the risk of injuries
To maintain correct posture
To improve exercise technique
To understand muscle power biomachanics Stretching
There are a number of different types of stretching exercises which can be done to improve flexibility. The most appropriate technique will depend on your specific aims and include:
Static stretching
Dynamic stretching
PNF
Ballistic stretching
Neural stretching
Stretching
There are a number of different types of stretching exercises which can be done to improve flexibility. The most appropriate technique will depend on your specific aims and include:
Static stretching
Dynamic stretching
PNF
Ballistic stretching
Neural stretching
Taping is a form of strapping. It is the procedure that uses tape, attached to the skin, to physically keep in place muscle or bone at a certain position to reduce pain and aids recovery.
It is a form of partial immobilization of joint. which allow for a certain level of functional mobility
PRE is exercise technique which helps you to built muscle strength
Ergonomics and physiotherapy
This document discusses ergonomics in the workplace, specifically for teachers. It defines ergonomics as fitting jobs and workplaces to workers' needs. Ergonomics helps reduce musculoskeletal disorders by modifying workstations to correct posture during prolonged work. The objectives of ergonomics are to improve quality of life, understand how the body works, increase efficiency and productivity, reduce stress and fatigue, lessen physical workload, and promote safety and comfort. Statistics show high rates of neck, shoulder, knee, and hip pain among teachers, with most experiencing pain at least once a week. Issues include improper desk/board heights and prolonged standing or sitting. The document recommends being aware of one's work environment, adjusting furniture, taking breaks, stretching
rheumatoid arthritis.
rheumatoid arthritis is chronic inflammatory disease having symmetrical pattern , can affect the small and large joints. cause is unknown but there is + RH factor and there is pannus formation including the cartilage and joint destruction, reduction in synovial fluid,clinical feature includes morning stiffness fatigue, fever. pharmacology treatment and physiotherapy management.
Posterior cruciate liagment.pptx
posterior curciate liagment injury, machanisum of injury, type of injury, special test, associated injuries ti PCL injury, physiotherapy treatment
posteior sag test, posterior drawer test, abduction stress test, adduction stress test, day wie trsetment
Pre & post operative physiotherapy in abdominal surgeries
This document discusses pre-operative and post-operative physiotherapy for abdominal surgeries. Pre-operative physiotherapy includes patient education to reduce anxiety and prepare for recovery, as well as exercises to strengthen the core and lower limbs. Post-operative care involves monitoring vitals, respiratory care, mobilization, and exercises to strengthen muscles at risk from incisions. A rehabilitation program progresses from isometric exercises to strengthening, cardio, and sports-specific exercises over 3-4 weeks. Respiratory physiotherapy techniques help clear secretions and improve breathing.
Sprengel’s shoulder
Sprengel's shoulder is a rare congenital condition where the scapula is abnormally high or elevated due to incomplete descent during development. It can cause limited shoulder movement and function. The scapular muscles are often underdeveloped or replaced by fibrous bands. Diagnosis involves physical exam and imaging like x-rays. Treatment may involve surgical procedures like Putti's procedure to detach and lower the scapula, followed by physical therapy focusing on shoulder mobility and scapular muscle strengthening. The goal is to improve function and posture while preventing complications like brachial plexus injury.
Ankylosing spondylitis
Ankylosing spondylitis (AS) is a chronic inflammatory disease that causes stiffness of the joints, especially in the spine and sacroiliac joints. It most commonly affects young males. The cause is unknown but there is a strong genetic link to the HLA-B27 gene. It leads to inflammation and new bone formation between joints that fuses them together. Patients experience pain and stiffness in the lower back and hips that is worse in the morning and after periods of rest. Over time the spine can become hunched over as the joints fuse. Diagnosis involves x-rays showing changes to the sacroiliac joints and spine. Treatment focuses on NSAIDs, physiotherapy and exercises to improve mobility and posture.
Pneumonias
Pneumonia is an inflammatory condition of the lungs where the air spaces in the lungs become filled with fluid or pus. It can be classified by site (such as lobar or bronchopneumonia), etiology (primary caused by pathogens versus secondary/aspiration), or mode (community-acquired versus hospital-acquired). Symptoms include fever, cough, difficulty breathing, and chest pain. Diagnosis involves blood tests, sputum culture, and chest imaging. Treatment depends on severity and may include antibiotics for bacterial pneumonia.
Joint muscles their actions & common injuries
This document summarizes the major muscles, actions, and common injuries of the shoulder, elbow, wrist, hand, hip, knee, ankle, and toes. For each joint, it lists the flexors, extensors, rotators, and other key muscle actions. It then outlines some common overuse and acute sports injuries that occur at each joint, such as rotator cuff tears in the shoulder, tennis elbow and golfer's elbow in the elbow, and ankle sprains in basketball and football players. The purpose is to provide an overview of the musculoskeletal system and injuries associated with different sports activities.
Mentrual cycle and disorders
The menstrual cycle occurs monthly in women from puberty to menopause. It involves changes in the ovaries, uterus, and other organs. The cycle is controlled by hormones and typically involves two phases - the follicular phase where an egg is produced and the luteal phase where the uterus prepares for potential pregnancy. Menstruation occurs if pregnancy does not occur, shedding the uterine lining. Abnormalities can occur in bleeding patterns, known as disorders like amenorrhea, dysmenorrhea, and metrorrhagia. The menstrual cycle and any disorders are regulated by the hypothalamic-pituitary-ovarian axis.
Rheumatic heart disease
Rheumatic fever is an inflammatory disease that can occur weeks after a streptococcal throat infection. It primarily involves the heart, joints, brain, skin, and tissues under the skin. The main symptoms include inflammation of the heart (carditis), joint pain and swelling (arthritis), involuntary movements (chorea), and red rashes on the skin (erythema marginatum). Long term, repeated bouts of rheumatic fever can lead to permanent heart valve damage known as rheumatic heart disease. Treatment focuses on antibiotics to treat strep infections, pain medications, corticosteroids, and supportive care for any heart, brain or joint complications.
Reflex sympathetic dystrophy and causalgia
Reflex Sympathetic Dystrophy (RSD), also known as Complex Regional Pain Syndrome (CRPS), is a chronic condition that causes persistent burning pain, swelling, and abnormal nerve activity in an affected limb, usually following an injury. It has two types: RSD (type I) occurs without major nerve damage and Causalgia (type II) occurs due to nerve injury. Symptoms include allodynia, hyperalgesia, changes in skin temperature and color. Diagnosis involves assessing sensory, vasomotor, sudomotor and motor symptoms. Treatment includes medications, surgery such as sympathectomy, and physiotherapy involving exercises, massage, and splinting to relieve pain and edema.
Congenital heart defects
This document provides information on various congenital heart defects including patent ductus arteriosus (PDA), atrial septal defect (ASD), ventricular septal defect (VSD), and tetralogy of Fallot. It describes the anatomy and physiology of each condition, their signs and symptoms, diagnostic testing, potential complications, and treatment options. The key points are: PDA, ASD, and VSD can cause left-to-right or right-to-left blood shunts depending on pulmonary pressures. Tetralogy of Fallot is characterized by four defects that cause deoxygenated blood to mix with oxygenated blood, leading to cyanosis. Surgical closure of defects or transcatheter
Heart failure
This document provides an overview of heart failure, including its definition, incidence, pathology, types, risk factors, etiology, diagnosis, management, and complications. Some key points:
- Heart failure is defined as the heart's inability to pump sufficiently to maintain blood flow to meet the body's needs. It can be acute or chronic and is a common cause of hospitalization.
- Pathologically, it involves increases in preload and afterload along with decreased contractility. The main types are based on output (low or high), the ventricles affected (left, right, or both), and systolic or diastolic dysfunction.
- Risk factors include hypertension, diabetes, and coronary artery disease
Myocardial infarction
Myocardial infarction, also known as a heart attack, occurs when blood supply to the heart is blocked, causing damage to heart muscle. It is usually caused by a blood clot forming at the site of a ruptured atherosclerotic plaque in one of the coronary arteries. This blockage damages heart tissue and reduces the heart's ability to contract. Symptoms include severe, prolonged chest pain, as well as other signs such as shortness of breath, sweating, and nausea. Diagnosis involves electrocardiograms, blood tests of cardiac enzymes, and imaging tests like echocardiograms. Treatment focuses on restoring blood flow, preventing further clots, and managing complications.
Positional release technique
The document discusses Positional Release Technique (PRT), a therapeutic technique that uses tender points and positions of comfort to resolve muscle dysfunction. Tender points are hyperirritable areas in taut muscle bands, while positions of comfort are positions where tender points are most palpable. PRT works by placing tender points into positions of comfort to relax tissues and decrease tenderness. It aims to relax muscle spindles and decrease neural activity to break sustained muscle contractions and resolve restrictions and tender points. Common tender point areas and guidelines for documenting severity, prioritizing treatment, and performing PRT are provided.
Pulmonary surgeries
Pulmonary surgeries are performed to remove part or all of the lung, repair lung tissues, or drain fluid from the chest cavity. Common reasons for lung surgery include suspected abnormal growths, infections, trauma, lung replacement, and conditions such as cancer, blebs, or collapsed lungs. The main types of pulmonary surgeries are pneumonectomy (removal of an entire lung), lobectomy (removal of one or more lung lobes), wedge resection, segmentectomy, and sleeve resection. Surgeries are performed by cardiothoracic surgeons through various incisions and can treat conditions like bronchiectasis, tuberculosis, and emphysema. Complications may include nerve damage or deformity.
Thoracotomy
Thoracotomy is a surgical procedure that involves making an incision into the chest wall to access the thoracic organs like the heart, lungs, esophagus, or thoracic aorta. There are three main types of incisions: posterolateral, anterolateral, and axillary. The posterolateral incision is the gold standard as it provides optimal access to the lungs and pulmonary hilum. It involves cutting between the scapula and mid-spinal line. The anterolateral incision runs from the sternum to the mid-axillary line and divides the pectoralis major and serratus anterior muscles. The axillary incision is muscle-sparing and made under
More from kajal sansoya (19)
Pre & post operative physiotherapy in abdominal surgeries
Pre & post operative physiotherapy in abdominal surgeries
Recently uploaded
Top Travel Vaccinations in Manchester
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Hiranandani Hospital Powai News [Read Now].pdf
Hiranandani Hospital in Powai, Mumbai, is a premier healthcare institution that has been serving the community with exceptional medical care since its establishment. As a part of the renowned Hiranandani Group, the hospital is committed to delivering world-class healthcare services across a wide range of specialties, including kidney transplantation. With its state-of-the-art facilities, advanced medical technology, and a team of highly skilled healthcare professionals, Hiranandani Hospital has earned a reputation as a trusted name in the healthcare industry. The hospital's patient-centric approach, coupled with its focus on innovation and excellence, ensures that patients receive the highest standard of care in a compassionate and supportive environment.
Adhd Medication Shortage Uk - trinexpharmacy.com
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
The Electrocardiogram - Physiologic Principles
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Do you have abnormal smell after periods? It may be vaginitis. Do not worry, herbal medicine Fuyan Pill can help you get a cure.
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
pathology MCQS introduction to pathology general pathology
pathology MCQS introduction to pathology general pathology
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Role of Mukta Pishti in the Management of Hyperthyroidism
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Cell Therapy Expansion and Challenges in Autoimmune Disease
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Recently uploaded (20)
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
pathology MCQS introduction to pathology general pathology
pathology MCQS introduction to pathology general pathology
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
Role of Mukta Pishti in the Management of Hyperthyroidism
Role of Mukta Pishti in the Management of Hyperthyroidism
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
rotator cuff injuries.pptx
- 1. Rotator cuff injuries By- kajal sansoya
- 2. What is rotator cuff ? • Rotator cuff includes both rotator cuff tear and impingement syndrome. • Rotator cuff is made up of muscles, tendons & bones. • Fine adjustments of the humeral head within the glenoid is achieved by coordinated activity of 4 intra-related muscles, arising from the scapula and is called rotator cuff.
- 3. Normal Joint Motions and Bony Positions Around the Shoulder Joint SCAPULA Rotation through arc of 65 degrees with shoulder abduction Translation on thorax up to 15 cm GLENOHUMERAL JOINT Abduction 140 degrees Internal/external rotation 90 degrees/90 degrees Translation Anterior–posterior 5-10mm Inferior–superior 4–5 mm Total rotations Baseball 185 degrees Tennis 165 degrees
- 4. Bones of rotator cuff- • Scapula • Humerus • Clavicle Muscles of rotator cuff- • Supraspiantus • Infraspinatus • Teres minor • subscapularis
- 6. Types of rotator cuff injuries • General wear & tear • Tendinitis • Bursitis • Tendon strain or tear • Shoulder impingement
- 8. Impingement syndrome • Problem associated with supraspinatus tendon occurs when rotator cuff rubs or catches on the bones in the shoulder. • Impingement syndrome causes persistent pain as the tendons are injured and swell.
- 10. Causes • Complete or partial rupture of rotator cuff • Supraspinatus tendonitis • Subacromical bursitis • Periarthritis • Bicipital tendosynovitis • # of grater trochanter • Subdeltoid bursitis
- 11. Special test • Hawkins –kennedy • Neer impingement • Empty cane • Drop-arm test • Codman’s test
- 12. Supraspinatus tendonitis • Common cause of impingement syndrome. Impingement occurs beneath the coraco-acromial arch. • Structures involved are acromion, head of humerus, greater tuberosity, supraspinatus tendon, long head of biceps. • Major site of compression is anterior to the angle of the acromion. • This is called anterior impingement syndrome, painful arc syndrome.
- 14. Neer’s stages of impingement stages • Edema stage • Tendinitis and fibrosis • Rotator cuff tear and rupture of biceps tendon • Bone chnages.
- 15. Types of impingement syndrome Primary- impingement occurs beneath the coraco-acromial arch and is due to sub-acromial overloading. Secondary- due to relative decraese in subacromial acrh and to micro-instability of the glenohumeral joint or scapulo-thoracic instability. Posterior- seen in overhead atheletes like swimmers, tennis players. Supraspinatus and infraspinatus tendons are pinched between the posterior and superior aspects of glenoid when the arm is in elevated and externally rotated.
- 17. Painful arc syndrome • It is a clinical syndrome which occurs when the tendons of rotator cuff muscles becomes irritated and inflamed as they pass through the sub- acromial space, the passage beneath the acromion. • Painful arc occurs on resisted abduction between 60-120 when the inflamed tendon press against the acromion. • Outside the range of 60-120 abduction is pain free.
- 19. Special test • Neer impingement • Posterior internal impingement • Reverse impingement sign • Supine impingement
- 20. Tendon strain and tear • A partial or full tear occurs the in the tendon connecting muscles to the bone during on abrupt or as a result of repeat motion. • A torn rotator cuff causes pain, weakness and instability to move the arm freely in full range of motion • Pain is overhead activities and when you try to lift.
- 24. Diagnosis and evaluation • X-rays • MRI • Special test • Goniometer • MMT