Biceps Femoris Tendinitis ;- Its a Painful condition at the posterior aspects of the knee joint ,mainly sports persons are affected but bicep femoris tendinitis injury can be happen to any one above the age of 50 yrs
Bicipital tendonitis is inflammation of long head of the biceps tendon under the bicipital groove.
In early stage, tendon becomes red and swollen, as tendonitis develops the tendon sheath can thicken.
In late stage, often become dark red in color due to inflammation.
Baastrup syndrome or kissing spine disease is an importent cause of mid back pain.
In this presentation we will discuss the role of imaging in its diagnosis
Bicipital tendonitis is inflammation of long head of the biceps tendon under the bicipital groove.
In early stage, tendon becomes red and swollen, as tendonitis develops the tendon sheath can thicken.
In late stage, often become dark red in color due to inflammation.
Baastrup syndrome or kissing spine disease is an importent cause of mid back pain.
In this presentation we will discuss the role of imaging in its diagnosis
There are evidence in History of treatment by Passive stretching techniques.
Over past 30-40 years many therapists have worked to identify and learn the techniques which are are more suitable and effective for the patient’s problem.
Joint mobilisations and manipulations techniques are used to safely stretch or snap structures to restore normal joint mechanics with less trauma.
Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
content from
(proprioceptive neuromuscular fascilitation article of Marymount University Fall 2009),
DPT AMIR MEMON (pnf presentation)
DPT AARTI SAREEM (pnf presentation)
There are evidence in History of treatment by Passive stretching techniques.
Over past 30-40 years many therapists have worked to identify and learn the techniques which are are more suitable and effective for the patient’s problem.
Joint mobilisations and manipulations techniques are used to safely stretch or snap structures to restore normal joint mechanics with less trauma.
Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
content from
(proprioceptive neuromuscular fascilitation article of Marymount University Fall 2009),
DPT AMIR MEMON (pnf presentation)
DPT AARTI SAREEM (pnf presentation)
The sciatic nerves branches from your lower back through your hips and buttocks and down each leg. Sciatica refers to pain that travels along the path of the sciatic nerve
Nerve roots: L4-S3.
Motor functions:
Innervates the muscles of the posterior thigh (biceps femoris, semimembranosus and semitendinosus) and the hamstring portion of the adductor magnus (remaining portion of which is supplied by the obturator nerve).
Indirectly innervates (via its terminal branches) all the muscles of the leg and foot.
Sensory functions: No direct sensory functions. Indirectly innervates (via its terminal branches) the skin of the lateral leg, heel, and both the dorsal and plantar surfaces of the foot.
knee joint
Functionally, the knee joint is a condylar & modified hinge joint.
Transverse axis of movement is not fixed, & moves forward during extension & translates backward in flexion;
Along with extension & flexion, there is a conjunct rotation of femur on tibia(or vice versa) around a more or less vertical axis.
1. Capsular ligament
2. Synovial membrane
3. Ligamentum patellae
4. Tibial collateral ligament
5. Fibular collateral ligament
6. Oblique popliteal ligament
Arcuate popliteal ligament
Medial & lateral menisci
TIBIAL COLLATERAL LIGAMENT
The ligament consist of superficial & deep part . Both part are attached above to the medial epicondyle of femur. The superficial part extends downward & forward as a flattened band & is attached to the medial condyle & upper part of medial border of shaft of tibia along a rough strip of bone.
This present power point presentation on soft tissue conditions, is an orthopedic topic useful for a quick glance of the conditions mostly of UL and LL. Physiotherapists and other health professionals will be benefited.
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
This is a presentation by Dada Robert in a Your Skill Boost masterclass organised by the Excellence Foundation for South Sudan (EFSS) on Saturday, the 25th and Sunday, the 26th of May 2024.
He discussed the concept of quality improvement, emphasizing its applicability to various aspects of life, including personal, project, and program improvements. He defined quality as doing the right thing at the right time in the right way to achieve the best possible results and discussed the concept of the "gap" between what we know and what we do, and how this gap represents the areas we need to improve. He explained the scientific approach to quality improvement, which involves systematic performance analysis, testing and learning, and implementing change ideas. He also highlighted the importance of client focus and a team approach to quality improvement.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
2. Biceps femoris tendinitis
• Biceps femoris tendinopathy is an overuse injury to
the biceps femoris tendon (main hamstring muscle)
along the back of the thigh. As the biceps femoris
has two heads, and one insertional point, pain can
occur at one of two places: just under the buttock,
or the back and outside of the knee joint. These
locations are where the muscle is connected to
your pelvis and your shin bone (fibula). Repeated
injuries that involve the muscle can cause a chronic
inflammation of the tendons and their
sheath. Tendinopathy is often associated with
inflammation of the tendon and repeated micro
tearing of the surrounding sheath.
3. Biceps femoris tendinitis
Bicep femoris tendinitis :- it is a inflammation of biceps
muscles tendon of the femur bone .The muscles of the
biceps femoris are hamstring muscles .it has two muscle
ie semi membranous & semitendinosus'. Hamstring
tendinitis is inflammation of one of the hamstring
tendons at the point where it attaches to the back of
the knee. Most commonly it is the biceps femoris
tendon on the outside. Here we explain the
symptoms, causes and treatment of hamstring
tendonitis & tendinopathy. The majority of distal
biceps ruptures are associated with a combined
hyperextension and external rotation injury mechanism.
The LCL and PLC complex usually share loading during
combined hyperextension external rotation forces
4. Biceps femoris tendinopathy
• When the load on the muscles tendon increases than there is a micro
tear in the tendons
5. Anatomy of the bicep femoris tendons
• There are two heads of origin in the joint. One, which is
the long head, arises out of the inner and lower
impressions along the back part of the leg. The other, the
short head, arises out of the lateral lip of the leg and
extends up to the buttocks. Fibers of the long head form
the fusion belly, which passes downward and laterally
across the sciatic nerve ending in aponeurosis and covering
the posterior of the muscle. Fibers received from the short
head become contracted with the tendon, which is inserted
with the lateral side of the fibula head (the top of the
fibula bone) and a small slip of the tibia (shin bone).
7. Bicepe femoris tendon
Normal tendon Disorganized collagen
A tendon or sinew is a tough band of fibrous connective tissue that
connects muscle to bone and is capable of withstanding
tension. Tendons are similar to ligaments; both are made of
collagen.
8. Symptoms of biceps femoris tendinopathy
• Tenderness and swelling where the tendon inserts into your tibia
bone at the outside back of the knee.
• Pain is likely to have come on gradually. You may have had a
‘niggle’, or restriction that you have put up with for some time.
• You may feel stiffness at the back of the knee, which is often
worse in the mornings, or after sitting for long periods.
• Often, when your tendon warms up pain eases off, only to return
later.
9. Assessment tests
Physiotherapist will do a number of assessment tests
and take a full case history to understand your injury.
In particular, ‘resisted knee flexion’ (trying to bend
your knee against resistance) may reproduce
symptoms at the back of your knee. You may also
show signs of tight hamstring muscles.
10. Causes & Anatomy
The hamstring muscles
The hamstring muscles group consists of the
biceps femoris, semitendinosus and
semimembranosus muscles. These muscles are
used to strongly bend the knee, and extend the
hip backward. A great deal of force is put through
the hamstring muscles at speed when sprinting
and jumping. In particular at the point just before
your foot touches down when sprinting. This is
because the muscles work eccentrically
(contracting whilst also lengthening) to slow the
forward movement of your lower leg.
11. Mechanism of injury
• Sports person who play fast games like football, lawn tennis, cricket,
Hockey etc. The predominant hamstring injury mechanism in football
occurs during high-speed running or acceleration efforts.
• Biomechanical and kinematic studies have demonstrated that the BF is
subject to the highest levels of muscle–tendon unit stretch throughout the
crucial terminal swing phase in (high speed) running.
12. Mechanism of injury
• Both the semitendinosus (ST) and the BF engage in maximal
eccentric activation throughout the swing phase of running
(middle swing to initial stance phase). These synergists work
alternatingly in complex neuromuscular coordination patterns,
where the BF is predominantly activated during the middle (to
late) swing phase and the ST is the leading player in the terminal
swing phase. This stresses the importance of sufficient
neuromuscular and intramuscular coordination between those two
muscle bellies. Altered muscle activation patterns have been
associated with prior hamstring injuries and an increased risk of
re-injury.
13. Clinical feature
• Acute pain on tendon part .
• Patients unable to flex the knee joint.
• Tenderness at the biceps femoris long head tendon
• Difficulty in walking.
• Limping gait.
• Swelling at the hamstring muscles.
15. MRI Imagine of Biceps Femoris Tendinitis
Coronal magnetic resonance imaging scan showing
rupture of the left leg’s distal biceps femoris tendon
from the fibular head with retraction.
16. Treatment
• Conservative
• Drug therapy
• Physiotherapy
• Surgical
• Conservative management.
• Drug therapy :- analgesic Tab combiflam,muscles relaxant
Neucoxia MR ,Mobizox. 1B.D
• Antacid :- Tab zintac 150 Mg ,Tab acilock 150 mg, Tab digene 1 B.D
• Analgesic spray/analgesic gel application on the hamstring
muscles.
17. Physiotherapy treatment
• PRICE
• PROTECT USE OF BRACE ,SPLINT (IMMOBILZE,SPLINT , CREEPE
BANDAGES) WITH FLEXED KNEE FOR 4-6 WEEKS
• REST
• ICE PACKS
• ELEVATION
• TENS
• IFT
• QUADRICEEPS EXERISE
• Avoid squat
18. Physiotherapy treatment
• Ultrasound therapy with 1Mhz for5-7 minutes for 7-10 days
• Shock wave Therapy at tender spot
• Laser therapy class 3B laser with intensity 904 , 2-3 joule of
energy for 5 minute at tender spot.
• Massage with analgesic oil (Bestogesic oil)
• Weight training exercise with weight cuff of 2.5-5 pound :-10-15
repetition.
19. Exercise for strengthening of hamstring
muscles (biceps femoris tendinitis)
• Basic hamstringing exercise
20. Exercise for strengthening the biceps femoris
tendinitis
• Exercise with medicine ball
Advance hip flexion
exercise with weight in
hand
21. Different type of strengthening exercise for
bicep femoris tendinitis.
Thyraband exercise
Gait training with
Sqaut
Forward bend and than
hip flex