Lumbosacral strain, often referred to as lower back strain, is a condition characterized by injury or overexertion of the muscles, tendons, or ligaments in the lower back region, specifically around the lumbar spine and sacrum. It commonly occurs due to activities involving repetitive motions, improper lifting techniques, sudden movements, or prolonged periods of poor posture.
Individuals with lumbosacral strain typically experience symptoms such as dull, achy pain in the lower back, stiffness, muscle spasms, and limited range of motion. In some cases, the pain may radiate into the buttocks or legs, a condition known as sciatica. Diagnosis often involves a thorough medical history, physical examination, and may include imaging tests such as X-rays, MRI, or CT scans to assess the extent of the injury.
Treatment options for lumbosacral strain include rest, ice or heat therapy, pain medications, muscle relaxants, physical therapy, chiropractic adjustments, and in severe cases, corticosteroid injections or surgery. Prevention strategies focus on maintaining proper posture, strengthening core muscles, practicing safe lifting techniques, and maintaining a healthy weight.
By understanding the causes, symptoms, and treatment options for lumbosacral strain, individuals can take proactive steps to prevent and manage lower back pain effectively, improving their overall quality of life.
Osteoarthritis of the Knee Joint is a quite common condition found in Indian Population. This presentation is made to understand how this condition affects patients and what are the different Physiotherapy measures to make the patient functionally independent.
Physiotherapy plays a vital role in managing acute bleeds in patients with hemophilia by following the PRICE principles: protection of the injured area, replacement of clotting factor, immobilization with splinting, application of ice, compression with bandaging, and elevation. The goals of physiotherapy are to treat muscle imbalances, reduce pain and improve function through stretching, strengthening, and correcting movement patterns to prevent further joint damage. The rehabilitation process begins with static exercises and progresses to range of motion, strength, proprioception, and weight bearing exercises as pain subsides and swelling decreases. Physiotherapy aims to educate patients, advise on joint protection and pain management, regularly assess joint status, and work as
Non surgical conditions of knee joint and its rehabilitationAditibuliya4
This document provides information about non-surgical knee conditions and their rehabilitation. It discusses the anatomy of the knee joint, including ligaments, muscles, and menisci. Common knee conditions like osteoarthritis, knee effusion, ACL injuries, patellar tendonitis, and meniscal tears are described. The symptoms, causes, diagnosis, and treatment options for these conditions are summarized. Physical therapy plays an important role in the rehabilitation of knee issues through exercises, modalities, bracing, and education to reduce pain, improve function and mobility, and prevent further injury.
The document summarizes low back pain, including its causes, types, symptoms, diagnosis, and treatment. Mechanical stress or abnormal positioning can strain muscles and ligaments, causing acute pain. Sub-acute and chronic pain can arise from muscle tears, weakness, or deconditioning. Diagnosis involves assessing pain factors, range of motion, and ruling out other issues. Treatment depends on the pain stage and may include medications, physical therapy, exercises, spinal manipulation, massage, and injections to reduce inflammation and pain.
1. The document discusses the anatomy and function of the knee joint, including the bones, muscles, meniscus, ligaments, and bursae that make up the knee.
2. Common knee injuries are described such as torn cartilage (meniscus), ligament tears, arthritis, bursitis, and bone tumors.
3. Rehabilitation programs for meniscus tears and ACL reconstruction are outlined, focusing on reducing pain, restoring range of motion and strength through exercises.
Low back pain is very common, affecting 80% of adults at some point. The back is made up of vertebrae, discs, and nerves. Low back pain originates in the lumbar region and can range from dull to sharp. Common causes include muscle strains, disc issues, age-related degeneration, and injuries. Risk factors include age, lack of exercise, excess weight, pregnancy, and psychological conditions. Symptoms may include pain that worsens with activity and improves with rest, pain radiating to the legs, and muscle aches. Treatment involves medications, physical therapy, nerve blocks, injections, and sometimes surgery. Prevention focuses on proper lifting, exercise, maintaining a healthy weight, and ergonomic seating and
This document discusses common shoulder pathologies seen in industrial athletes. It begins with shoulder anatomy including bones and muscles. It then discusses common injuries like impingement and rotator cuff tears. Impingement is caused by encroachment in the subacromial space and can be primary from bone spurs or congenital issues, or secondary from muscle imbalances or poor posture. Rotator cuff tears can be partial or full thickness and result from repetitive stress or acute trauma. Treatment involves rehabilitation exercises and potentially surgery. Trigger points are also discussed as a potential cause of shoulder pain presenting in specific patterns that can be treated with massage or spray techniques. Overall the document provides an overview of shoulder issues in industrial settings and potential
Clinical presentation in musculoskeletal physiotherapyThenukaAvinash
1. The patient is a 32-year-old software engineer complaining of pain in the medial side of the right elbow that worsens with weight lifting, computer use, and poor posture at work.
2. On examination, the physician found swelling and tenderness over the medial epicondyle, reduced strength and range of motion in the right elbow and wrist, and a positive result for the golfer's elbow test.
3. The physician diagnosed medial epicondylitis and prescribed a treatment plan including rest, ice, ultrasound, stretching, strengthening exercises, and posture advice to reduce pain and swelling and improve strength and function over several weeks.
Osteoarthritis of the Knee Joint is a quite common condition found in Indian Population. This presentation is made to understand how this condition affects patients and what are the different Physiotherapy measures to make the patient functionally independent.
Physiotherapy plays a vital role in managing acute bleeds in patients with hemophilia by following the PRICE principles: protection of the injured area, replacement of clotting factor, immobilization with splinting, application of ice, compression with bandaging, and elevation. The goals of physiotherapy are to treat muscle imbalances, reduce pain and improve function through stretching, strengthening, and correcting movement patterns to prevent further joint damage. The rehabilitation process begins with static exercises and progresses to range of motion, strength, proprioception, and weight bearing exercises as pain subsides and swelling decreases. Physiotherapy aims to educate patients, advise on joint protection and pain management, regularly assess joint status, and work as
Non surgical conditions of knee joint and its rehabilitationAditibuliya4
This document provides information about non-surgical knee conditions and their rehabilitation. It discusses the anatomy of the knee joint, including ligaments, muscles, and menisci. Common knee conditions like osteoarthritis, knee effusion, ACL injuries, patellar tendonitis, and meniscal tears are described. The symptoms, causes, diagnosis, and treatment options for these conditions are summarized. Physical therapy plays an important role in the rehabilitation of knee issues through exercises, modalities, bracing, and education to reduce pain, improve function and mobility, and prevent further injury.
The document summarizes low back pain, including its causes, types, symptoms, diagnosis, and treatment. Mechanical stress or abnormal positioning can strain muscles and ligaments, causing acute pain. Sub-acute and chronic pain can arise from muscle tears, weakness, or deconditioning. Diagnosis involves assessing pain factors, range of motion, and ruling out other issues. Treatment depends on the pain stage and may include medications, physical therapy, exercises, spinal manipulation, massage, and injections to reduce inflammation and pain.
1. The document discusses the anatomy and function of the knee joint, including the bones, muscles, meniscus, ligaments, and bursae that make up the knee.
2. Common knee injuries are described such as torn cartilage (meniscus), ligament tears, arthritis, bursitis, and bone tumors.
3. Rehabilitation programs for meniscus tears and ACL reconstruction are outlined, focusing on reducing pain, restoring range of motion and strength through exercises.
Low back pain is very common, affecting 80% of adults at some point. The back is made up of vertebrae, discs, and nerves. Low back pain originates in the lumbar region and can range from dull to sharp. Common causes include muscle strains, disc issues, age-related degeneration, and injuries. Risk factors include age, lack of exercise, excess weight, pregnancy, and psychological conditions. Symptoms may include pain that worsens with activity and improves with rest, pain radiating to the legs, and muscle aches. Treatment involves medications, physical therapy, nerve blocks, injections, and sometimes surgery. Prevention focuses on proper lifting, exercise, maintaining a healthy weight, and ergonomic seating and
This document discusses common shoulder pathologies seen in industrial athletes. It begins with shoulder anatomy including bones and muscles. It then discusses common injuries like impingement and rotator cuff tears. Impingement is caused by encroachment in the subacromial space and can be primary from bone spurs or congenital issues, or secondary from muscle imbalances or poor posture. Rotator cuff tears can be partial or full thickness and result from repetitive stress or acute trauma. Treatment involves rehabilitation exercises and potentially surgery. Trigger points are also discussed as a potential cause of shoulder pain presenting in specific patterns that can be treated with massage or spray techniques. Overall the document provides an overview of shoulder issues in industrial settings and potential
Clinical presentation in musculoskeletal physiotherapyThenukaAvinash
1. The patient is a 32-year-old software engineer complaining of pain in the medial side of the right elbow that worsens with weight lifting, computer use, and poor posture at work.
2. On examination, the physician found swelling and tenderness over the medial epicondyle, reduced strength and range of motion in the right elbow and wrist, and a positive result for the golfer's elbow test.
3. The physician diagnosed medial epicondylitis and prescribed a treatment plan including rest, ice, ultrasound, stretching, strengthening exercises, and posture advice to reduce pain and swelling and improve strength and function over several weeks.
Dr. Robin McKenzie developed the McKenzie Method for treating back pain mechanically without surgery or medication. The method involves assessing a patient's pain response to various spinal movements to determine the underlying problem. Treatment focuses on specific exercises that centralize the pain by improving spinal mechanics. Exercises may involve extension, flexion, or lateral movements. The goal is to reduce pain and improve range of motion over several weeks with a home exercise program. Precautions are taken for certain conditions like spinal stenosis or recent trauma. The McKenzie Method provides an alternative to medication for many back pain issues.
PNF (proprioceptive neuromuscular facilitation) is a technique that uses stimulation of proprioceptors to facilitate muscle response and increase range of motion. The hold-relax technique is a key part of PNF. It involves isometric contraction of the hypertonic muscle or its antagonist, holding for 15 seconds then relaxing. This lengthens the hypertonic muscle and increases range of motion.
To treat right torticollis, the therapist stands behind the patient in sitting and cups one hand under the chin while the other applies resistance to side flexion and rotation to the right.
Poor posture is caused by insufficient and unnecessary muscle effort. To re-educate posture, relaxation, mobility,
Sports and Physical Therapy Associates share a informational slideshow documenting prevention of back pain, causes, and treatment.
Most adults will experience back pain, find out how to prevent it and how to treat it.
The McKenzie Method is a system of diagnosing and treating spinal disorders developed by Robin McKenzie. It involves assessing a patient's history and symptoms, focusing on centralization of pain. Treatment involves specific extension, flexion, and lateral bending exercises tailored to the patient's symptoms with a goal of reducing pain and achieving full recovery. Exercises are done regularly and form is important to avoid aggravating symptoms. The McKenzie Method aims to correct dysfunctional spinal mechanics through targeted therapeutic exercises.
Homeopathy Treatment for frozen ShoulderMahavratPatel
At cosmic homeo healing centre, under the guidance of senior homeopath Dr. Mahavrat Patel, our team of experts have helped thousands of cases of frozen shoulder with homeopathic medicine for permanent and long lasting relief.
Intervertebral Differential Dynamics (IDD) therapy provides a non-invasive treatment for back pain using spinal decompression. It works by applying precisely angled pulling forces to distract targeted spinal segments, improving disc health, re-educating soft tissues, and realigning spinal structures. IDD therapy protocols involve 25-minute treatments that apply intermittent distraction forces with an oscillating waveform. This bridges the treatment gap between conventional manual therapy which does not fully resolve pain, and invasive treatments like injections and surgery. Case studies demonstrate IDD therapy effectively treating herniated discs, facet joint inflammation, and sciatica.
Lumbar spinal stenosis, laminectomy, prolapsed intervertebral discYangtze university
Lumbar spinal stenosis is a narrowing of the spinal canal in the lower back that puts pressure on the spinal cord and nerves. It commonly occurs in people over 50 due to age-related wear and tear causing bone spurs or thickened ligaments. The best test for diagnosis is an MRI of the lumbar spine, which will show if there is compression of the spinal cord or nerves. Conservative treatment includes medications like NSAIDs, muscle relaxants, and epidural steroid injections, as well as physical therapy. Surgery such as laminectomy or discectomy may be considered if conservative measures fail to provide relief from pain and symptoms.
1. Common musculoskeletal injuries include strains, sprains, fractures, tendinitis, and injuries to muscles, ligaments, bones, cartilage and nerves.
2. The role of fitness professionals is to modify exercise programs for injured clients and help rebuild strength and cardiovascular capacity post-injury, but not diagnose or treat injuries.
3. Specific injuries discussed include muscle strains, ligament sprains, tendinitis, rotator cuff injuries, low back pain, shin splints, and the appropriate exercises and precautions for recovery from each. Record keeping of client medical history is also important.
The document discusses the rotator cuff, which is made up of four muscles and tendons that hold the humerus in the shoulder joint. Rotator cuff tears are a common cause of shoulder pain and disability. Tears can be classified based on timing (acute or chronic) and depth (partial or complete). Treatment for acute tears is usually surgical repair, while chronic tears may be treated with rest, physical therapy, and surgery if conservative treatment fails. Rehabilitation after repair focuses on protecting the repair while regaining range of motion and strength over 3 phases lasting 3-6 months.
The document provides information on PID (Prolapsed Intervertebral Disc) and sciatica, including their definitions, anatomy, causes, signs and symptoms, investigations, treatments, and management. PID is caused by a herniated disc compressing nerves or spinal cord, often causing back and leg pain. Sciatica involves pain along the sciatic nerve distribution. Common causes are age-related disc degeneration or trauma. Conservative treatments include medications, physical therapy, and injections. Surgery may be needed for persistent cases.
PHYSIOTHERAPY MANAGEMENT OF ROTATOR CUFF TENDINOPATHYismailabinji
MANAGEMENT OF ROTATOR CUFF TENDINOPATHY
INTRODUCTION.
The rotator cuff are group of muscles and tendons that surround the shoulder joint, keeping the humerus bone firmly within the shallow socket of the scapular. A rotator cuff tendinopathy can cause a dull ache pain in the shoulder that worsens at night.
Physiotherapists has a fundamental role in the management of rotator cuff pathology, whether the choice is conservative or surgical treatment, inform of exercises and use of therapeutic modalities.
Exercise therapy program is tailored to each patient's capabilities at a given session the physiotherapist adjust exercise intensity as determined by the patient's ability.
Osteoarthritis by Dr. K. A Rana -2.pptxkhushirana69
Osteoarthritis is a degenerative joint disease characterized by destruction of articular cartilage and formation of new bone at joint surfaces. There are two types: primary osteoarthritis, which is more common and has no known cause, usually affecting older adults; and secondary osteoarthritis, which has a known underlying cause like obesity or previous joint injury. Treatment focuses on decreasing symptoms and slowing progression through physical therapy, bracing/splinting, medications, and potentially total knee replacement surgery for severe cases.
This presentation is meant for educating people about Low Back Pain, its symptoms & causes, home remedy tips and physiotherapy management of low back pain.
Upper back pain can occur due to age, lack of physical activity, obesity, psychological stress, underlying medical conditions like arthritis, or smoking. Some common symptoms include radiating pain, burning sensation, tenderness, stiffness, and tightness. Diagnosis may involve blood tests, imaging like x-rays or MRI, or nerve tests. Treatment options recommended by doctors include painkillers, physical therapy, or surgery. Maintaining good posture, taking breaks, and light exercise can help prevent upper back pain.
Back Pain Tutorial.pptx approach to back painq5hjdgw9jc
Abdulmajeed, a 27-year-old male, presented with lower back pain after tripping during a football game. On examination, he had tenderness but no restriction of motion or positive straight leg raise. The most likely diagnosis is muscle strain or sprain, which are common causes of low back pain from sudden injury or overuse. Differential diagnoses include lumbar spine disorders like herniated disc or compression fracture. Conservative treatment includes rest, ice/heat, over-the-counter pain medication, and physical therapy exercises.
Ankle injuries fall into categories including sprains, strains and fractures. Lateral ankle sprains are the most common, caused by plantar flexion and inversion of the foot. The ankle has ligaments, tendons and muscles that provide stability and guide motion. Proper examination and early treatment including RICE, range of motion exercises and rehabilitation are important for recovery from ankle injuries.
"Sciatica Solutions: 6 Essential Exercises to Relieve Back Pain"earnwithaffliate4758
"Sciatica Solutions: 6 Essential Exercises to Relieve Back Pain" offers a comprehensive guide to managing and alleviating the discomfort associated with sciatica-related back pain. Sciatica, characterized by radiating pain that originates from the lower back and travels down one or both legs, can significantly impact one's quality of life. This detailed resource provides a carefully curated selection of exercises designed to target and strengthen the muscles surrounding the sciatic nerve, offering relief and promoting healing.
From gentle stretches to targeted strength-building movements, each exercise is explained in detail, accompanied by clear instructions and illustrations to ensure proper form and technique. Whether you're experiencing acute sciatic pain or looking to prevent future flare-ups, these exercises can be incorporated into your daily routine to promote flexibility, improve posture, and reduce inflammation.
With a focus on holistic wellness, "Sciatica Solutions" emphasizes the importance of consistency and patience in the journey toward recovery. By adopting a proactive approach to managing sciatica-related back pain through regular exercise and mindful self-care practices, individuals can reclaim their mobility and regain control over their daily activities.
Whether you're seeking relief from persistent discomfort or simply aiming to enhance your overall well-being, "Sciatica Solutions: 6 Essential Exercises to Relieve Back Pain" serves as a valuable resource, empowering you to take proactive steps toward a healthier, pain-free lifestyle.
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.
The document discusses the three most common sources of chronic pain: Pronation Distortion Syndrome, Lower Crossed Syndrome, and Upper Crossed Syndrome. Each syndrome is caused by muscle imbalances from inactivity and sitting. Pronation Distortion Syndrome involves tight calf muscles and weak glutes leading to foot, knee, and back pain. Lower Crossed Syndrome results from tight hip flexors causing lower back pain. Upper Crossed Syndrome is due to tight upper back muscles and weak neck muscles, causing neck, shoulder, and arm pain. The document provides exercises to stretch tight muscles and strengthen weak muscles to correct the imbalances and prevent chronic pain long-term.
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
Dr. Robin McKenzie developed the McKenzie Method for treating back pain mechanically without surgery or medication. The method involves assessing a patient's pain response to various spinal movements to determine the underlying problem. Treatment focuses on specific exercises that centralize the pain by improving spinal mechanics. Exercises may involve extension, flexion, or lateral movements. The goal is to reduce pain and improve range of motion over several weeks with a home exercise program. Precautions are taken for certain conditions like spinal stenosis or recent trauma. The McKenzie Method provides an alternative to medication for many back pain issues.
PNF (proprioceptive neuromuscular facilitation) is a technique that uses stimulation of proprioceptors to facilitate muscle response and increase range of motion. The hold-relax technique is a key part of PNF. It involves isometric contraction of the hypertonic muscle or its antagonist, holding for 15 seconds then relaxing. This lengthens the hypertonic muscle and increases range of motion.
To treat right torticollis, the therapist stands behind the patient in sitting and cups one hand under the chin while the other applies resistance to side flexion and rotation to the right.
Poor posture is caused by insufficient and unnecessary muscle effort. To re-educate posture, relaxation, mobility,
Sports and Physical Therapy Associates share a informational slideshow documenting prevention of back pain, causes, and treatment.
Most adults will experience back pain, find out how to prevent it and how to treat it.
The McKenzie Method is a system of diagnosing and treating spinal disorders developed by Robin McKenzie. It involves assessing a patient's history and symptoms, focusing on centralization of pain. Treatment involves specific extension, flexion, and lateral bending exercises tailored to the patient's symptoms with a goal of reducing pain and achieving full recovery. Exercises are done regularly and form is important to avoid aggravating symptoms. The McKenzie Method aims to correct dysfunctional spinal mechanics through targeted therapeutic exercises.
Homeopathy Treatment for frozen ShoulderMahavratPatel
At cosmic homeo healing centre, under the guidance of senior homeopath Dr. Mahavrat Patel, our team of experts have helped thousands of cases of frozen shoulder with homeopathic medicine for permanent and long lasting relief.
Intervertebral Differential Dynamics (IDD) therapy provides a non-invasive treatment for back pain using spinal decompression. It works by applying precisely angled pulling forces to distract targeted spinal segments, improving disc health, re-educating soft tissues, and realigning spinal structures. IDD therapy protocols involve 25-minute treatments that apply intermittent distraction forces with an oscillating waveform. This bridges the treatment gap between conventional manual therapy which does not fully resolve pain, and invasive treatments like injections and surgery. Case studies demonstrate IDD therapy effectively treating herniated discs, facet joint inflammation, and sciatica.
Lumbar spinal stenosis, laminectomy, prolapsed intervertebral discYangtze university
Lumbar spinal stenosis is a narrowing of the spinal canal in the lower back that puts pressure on the spinal cord and nerves. It commonly occurs in people over 50 due to age-related wear and tear causing bone spurs or thickened ligaments. The best test for diagnosis is an MRI of the lumbar spine, which will show if there is compression of the spinal cord or nerves. Conservative treatment includes medications like NSAIDs, muscle relaxants, and epidural steroid injections, as well as physical therapy. Surgery such as laminectomy or discectomy may be considered if conservative measures fail to provide relief from pain and symptoms.
1. Common musculoskeletal injuries include strains, sprains, fractures, tendinitis, and injuries to muscles, ligaments, bones, cartilage and nerves.
2. The role of fitness professionals is to modify exercise programs for injured clients and help rebuild strength and cardiovascular capacity post-injury, but not diagnose or treat injuries.
3. Specific injuries discussed include muscle strains, ligament sprains, tendinitis, rotator cuff injuries, low back pain, shin splints, and the appropriate exercises and precautions for recovery from each. Record keeping of client medical history is also important.
The document discusses the rotator cuff, which is made up of four muscles and tendons that hold the humerus in the shoulder joint. Rotator cuff tears are a common cause of shoulder pain and disability. Tears can be classified based on timing (acute or chronic) and depth (partial or complete). Treatment for acute tears is usually surgical repair, while chronic tears may be treated with rest, physical therapy, and surgery if conservative treatment fails. Rehabilitation after repair focuses on protecting the repair while regaining range of motion and strength over 3 phases lasting 3-6 months.
The document provides information on PID (Prolapsed Intervertebral Disc) and sciatica, including their definitions, anatomy, causes, signs and symptoms, investigations, treatments, and management. PID is caused by a herniated disc compressing nerves or spinal cord, often causing back and leg pain. Sciatica involves pain along the sciatic nerve distribution. Common causes are age-related disc degeneration or trauma. Conservative treatments include medications, physical therapy, and injections. Surgery may be needed for persistent cases.
PHYSIOTHERAPY MANAGEMENT OF ROTATOR CUFF TENDINOPATHYismailabinji
MANAGEMENT OF ROTATOR CUFF TENDINOPATHY
INTRODUCTION.
The rotator cuff are group of muscles and tendons that surround the shoulder joint, keeping the humerus bone firmly within the shallow socket of the scapular. A rotator cuff tendinopathy can cause a dull ache pain in the shoulder that worsens at night.
Physiotherapists has a fundamental role in the management of rotator cuff pathology, whether the choice is conservative or surgical treatment, inform of exercises and use of therapeutic modalities.
Exercise therapy program is tailored to each patient's capabilities at a given session the physiotherapist adjust exercise intensity as determined by the patient's ability.
Osteoarthritis by Dr. K. A Rana -2.pptxkhushirana69
Osteoarthritis is a degenerative joint disease characterized by destruction of articular cartilage and formation of new bone at joint surfaces. There are two types: primary osteoarthritis, which is more common and has no known cause, usually affecting older adults; and secondary osteoarthritis, which has a known underlying cause like obesity or previous joint injury. Treatment focuses on decreasing symptoms and slowing progression through physical therapy, bracing/splinting, medications, and potentially total knee replacement surgery for severe cases.
This presentation is meant for educating people about Low Back Pain, its symptoms & causes, home remedy tips and physiotherapy management of low back pain.
Upper back pain can occur due to age, lack of physical activity, obesity, psychological stress, underlying medical conditions like arthritis, or smoking. Some common symptoms include radiating pain, burning sensation, tenderness, stiffness, and tightness. Diagnosis may involve blood tests, imaging like x-rays or MRI, or nerve tests. Treatment options recommended by doctors include painkillers, physical therapy, or surgery. Maintaining good posture, taking breaks, and light exercise can help prevent upper back pain.
Back Pain Tutorial.pptx approach to back painq5hjdgw9jc
Abdulmajeed, a 27-year-old male, presented with lower back pain after tripping during a football game. On examination, he had tenderness but no restriction of motion or positive straight leg raise. The most likely diagnosis is muscle strain or sprain, which are common causes of low back pain from sudden injury or overuse. Differential diagnoses include lumbar spine disorders like herniated disc or compression fracture. Conservative treatment includes rest, ice/heat, over-the-counter pain medication, and physical therapy exercises.
Ankle injuries fall into categories including sprains, strains and fractures. Lateral ankle sprains are the most common, caused by plantar flexion and inversion of the foot. The ankle has ligaments, tendons and muscles that provide stability and guide motion. Proper examination and early treatment including RICE, range of motion exercises and rehabilitation are important for recovery from ankle injuries.
"Sciatica Solutions: 6 Essential Exercises to Relieve Back Pain"earnwithaffliate4758
"Sciatica Solutions: 6 Essential Exercises to Relieve Back Pain" offers a comprehensive guide to managing and alleviating the discomfort associated with sciatica-related back pain. Sciatica, characterized by radiating pain that originates from the lower back and travels down one or both legs, can significantly impact one's quality of life. This detailed resource provides a carefully curated selection of exercises designed to target and strengthen the muscles surrounding the sciatic nerve, offering relief and promoting healing.
From gentle stretches to targeted strength-building movements, each exercise is explained in detail, accompanied by clear instructions and illustrations to ensure proper form and technique. Whether you're experiencing acute sciatic pain or looking to prevent future flare-ups, these exercises can be incorporated into your daily routine to promote flexibility, improve posture, and reduce inflammation.
With a focus on holistic wellness, "Sciatica Solutions" emphasizes the importance of consistency and patience in the journey toward recovery. By adopting a proactive approach to managing sciatica-related back pain through regular exercise and mindful self-care practices, individuals can reclaim their mobility and regain control over their daily activities.
Whether you're seeking relief from persistent discomfort or simply aiming to enhance your overall well-being, "Sciatica Solutions: 6 Essential Exercises to Relieve Back Pain" serves as a valuable resource, empowering you to take proactive steps toward a healthier, pain-free lifestyle.
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.
The document discusses the three most common sources of chronic pain: Pronation Distortion Syndrome, Lower Crossed Syndrome, and Upper Crossed Syndrome. Each syndrome is caused by muscle imbalances from inactivity and sitting. Pronation Distortion Syndrome involves tight calf muscles and weak glutes leading to foot, knee, and back pain. Lower Crossed Syndrome results from tight hip flexors causing lower back pain. Upper Crossed Syndrome is due to tight upper back muscles and weak neck muscles, causing neck, shoulder, and arm pain. The document provides exercises to stretch tight muscles and strengthen weak muscles to correct the imbalances and prevent chronic pain long-term.
Similar to Physiotherapist POV : LumboSacral Strain (20)
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
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
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
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Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
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Our backs are like superheroes, holding us up and helping us move around. But sometimes, even superheroes can get hurt. That’s where slip discs come in.
2. 10cm
Introduction
• Lumbosacral strain is a medical term for an injury that
causes low back pain.
• It accounts for 70% of mechanical low back pain.
• It is defined as over stretch injury or tear of para-spinal
muscles and tendons in the low back.
• Non-radiating LBP with a mechanical stress or creating an
abnormal position that puts the muscle beyond it limits.
2
3. 10cm
CLINICAL RELEVANT
ANATOMY
01
CAUSE & RISK
FACTORS
02
Physical Stress and many
more
ETIOLOGY &
EPIDEMIOLOGY
03
CLINICAL
FEATURES
04
Characteristics of the
condition
ASSESMENT
05
MANAGEMENT
06
Table of contents
3
Relevant Anatomy &
Mechanics
Onset, Origin &
Prevalence
Medical & PT assessment Medical & PT
management
5. 10cm
1. Lumbosacral Complex is an important functional unit of the body. It
consists of 5 lumbar movable vertebrae numbered L1-L5 and the
sacrum.
2. The complex anatomy of the lumbar spine is a remarkable combination
of these strong vertebrae, multiple bony elements linked by joint
capsules, and flexible ligaments/tendons, large muscles, and highly
sensitive nerves. It also has a complicated innervation and vascular
supply.
3. It is designed to be incredibly strong, protecting the highly sensitive
spinal cord and spinal nerve roots. At the same time, it is highly
flexible, providing for mobility in many different planes including
flexion, extension, side bending, and rotation.
4. The strain can originate in the following muscles M. erector spinae (M.
iliocostales, M longissimus, M. spinalis) M semispinales, Mm multifidi,
Mm rotatores M. quadratus lumborum M. serratus posterior.
5
6. 10cm
CAUSE OF STRAIN
Muscle Fibre
Tearing
Indirect trauma, such as
excessive stretch or
tension.
Decreased
Muscle Mass
Para-spinal muscle becomes
deconditioned after injury.
Spasm
Persistent muscle
contractions.
6
02
7. 10cm
A picture always reinforces
the concept
Lumbosacral strain may be caused by a sudden
blow forcing the junction into positions beyond the
normal limits of its mobility, by an effort to prevent
some heavy article falling, or by a sudden
movement of the body in attempting to regain lost
balance; the spinal muscles are caught off their
guard & the ligaments sustain the full force of the
injury. The ligaments & the surrounding muscles
are stretched/torn.
7
While lifting heavy weight with the body in a slightly bent
position, the stoop stressing the sacral obliquity &
increasing the shearing stress at lumbosacral junction.
8. 10cm
THE RISK FACTOR
8
Poor Body
Mechanics
Repetitive/ Heavy
Lifting
Tight/Weak Hip
Girdle Musculature
Prolonged
Abnormal Position
of the Trunk
Core Weakness
10. 10cm 10
ETIOLOGY
Strains are defined as tears (partial or complete) of the muscle-
tendon unit.
• Muscle strains and tears most frequently result from a violent
muscular contraction during an excessively forceful muscular
stretch from lifting heavy objects or sudden twisting motions.
• Any posterior spinal muscle and its associated tendon can be
involved, although the most susceptible muscles are those that
span several joints.
• Acute and chronic lumbosacral strain pain presentation:
a) Acute pain is most intense 24 to 48 hours after injury.
b) Chronic strains are characterized by continued pain attributable to
muscle injury.
11. 10cm 11
EPIDEMIOLOGY
• Greater than 80% of people will suffer from LBA during their lifetime.
• The global point prevalence of LBA is 12-33%.
• There is a higher prevalence among women and people ages 40-80
years old.
• Prevalence of LBA in India is also alarming with nearly 60% of the
people in India have suffered from LBA at some time during their
lifespan.
• Exact numbers regarding the international frequency of low back
injuries are not known.
12. 10cm 12
Pain in the lumbar
muscles or nonspecific
pain.
Pain exacerbates during
standing and twisting
motions
Active contractions and
passive stretching of the
involved muscle increases
the pain.
Tenderness
Muscle spasm
Possible swelling in
and around the
involved musculature
A possible lateral
deviation in the spine
with severe spasm
Decreased range of motion
CLINICAL FEATURES
04
Non-Radiating Pain
13. 10cm
CLINICAL STAGES
ACUTE
• Pain usually most
severe at the time of
injury,
• Onset to 4 weeks.
SUB-ACUTE
• 4 weeks to 12
weeks.
• Improvement in pain
& function within 1
month.
CHRONIC
• Longer than 12
weeks.
• Persistent back pain
of at least 1 year.
13
15. 10cm
● Degenerative Disk - localized & diffused muscle pain
● Herniated Disk -due to herniation
● Osteoarthritis -weak reflexes & decrease in extension
● Ankylosing Spondylosis - decreases back ROM &
Sacro-iliac joint tenderness
● Spondylolysthesis - tight hamstrings
15
DIFFERENTIAL DIAGNOSIS
HISTORY
● History of pain, numbness, tingling or weakness are
usually present.
● Pain is usually worse with movement and better with
rest.
● Psychosocial factors and emotional distress should
also be assessed.
16. 10cm
Medical Assessment
16
In the absence of the Red Flags, no laboratory or Radiographic Imaging are
necessary to diagnose or manage mechanical back strains in the acute
setting.
1. Inflammatory biomarkers, e.g. erythrocyte sedimentation rate (ESR) and
C-reactive protein (CRP), are useful for risk stratification of patients
with risk factors for infectious spinal pathology or malignancy but have
no neurologic deficits on examination.
2. Plain radiographs and computed tomography are useful when
suspecting fractures.
3. Routine imaging for mechanical back strains is not recommended, as
many may have incidental abnormal findings that are unrelated to their
pain.
17. 10cm
PHYSICAL ASSESMENT
17
• In standing – postural shift (+).
• ROM – limited & painful.
• Tenderness over the lumbosacral complex para-spinal
muscles with absence of spinous process tenderness.
• Hip examination & special test, including FABER’s
(FlexionAbductionExt. rotation) and Gaenslen’s maneuver
can help rule out other sources of pain.
FUNCTIONAL ASSESMENT
• Lumbo-pelvic strength core through observation of trunk and hip
control.
• Mobility and function- can be impaired.
• The Oswestry Low Back Pain Disability Index (OLBPDI) is a
questionnaire that assesses the impact on low back pain on ten
aspects of daily life (such as lifting, walking, self-care, and work).
• A Functional Capacity Evaluation persons Capacity to return to
work.
19. 10cm 19
PHARMACOLOGICAL
THERAPY
● Acupuncture
● Exercise therapy
● Yoga
● Spinal Manipulation
● NSAIDs - Low Back Pain.
● Opioid analgesics – for severe chronic low
back pain.
● Tramadol may also be effective as a second-
line analgesic option.
NON-PHARMACOLOGICAL
THERAPY
ACUTE SUB-ACUTE CHRONIC
Pain reduction Physical therapy
treatment :
Comprehensive
treatment:
Control of
inflammation and
spasm
A. To improve
muscular stability
A .
Pharmacological
Prevent
Deconditioning
B. To improve
strength
B. Non-
pharmacological
20. 10cm
Physical Therapy Management
20
1. Cold Therapy: In the acute phase of a lumbosacral strain cold therapy should be applied (for a short
period up to 48 h)to the affected area to limit the localized tissue inflammation and edema.
2. TENS and Ultrasound: are often used to help control pain and decrease muscle spasm
3. Spinal manipulation applies hand pressure to areas of the low back to relax irritated muscle and
lessen the intensity of pain.
4. Traction, using pulleys and weights to lengthen and stretch the spine can result in temporary relief.
5. Acupuncture fine needles are inserted into various points around the body, naturally occurring
chemicals such as endorphins, serotonin, and acetylcholine are released to relieve pain.
21. 10cm
Stretching: Mild stretching exercises along with limited activity. Stretching Exercises below
• Single and double knee to chest Lie down on your back with your knees bent and your heels on the floor.
Pull your knee or knees as close as you can to your chest, and hold the pose for 10 sec. Repeat this 3-5
times.
• Back stretch Lie on your back, hands above your head. Bend your knees and , keeping your feet on the
floor, roll your knees to one side, slowly. Stay at one side for 10 sec repeat 3-5 times.
• Press up Begin by laying flat on the ground (face down). When doing this exercise it is important to keep
the hips and legs relaxed and in contact with the floor. Keep your hands in line with your shoulders.
Inhale, then exhale and press up using the hands keeping the lower half of your body relaxed. Hold until
you need to inhale, then move down, lay flat on the ground to rest, and repeat ten times.
• Kneeling lunge(stretching iliopsoas)
• Stretching piriformis
• Stretching quadratus lumborum
21
22. 10cm
Soft Tissue Manipulation: Soft tissue manipulation was found to decrease
pain and improve ROM.
1. Massage
2. Strengthening Exercises: Progression of strengthening exercises should
begin once the pain and spasm are under control. The muscles requiring
the most emphasis are the abdominals, especially the oblique's, the trunk
extensors and the gluteal. Placing all of the emphasis in the rehabilitation
specifically on the injured muscle is not beneficial. Training the core
stability is an important part in the treatment of a lumbar strain and for the
further prevention of low back pain.
3. As with all spinal injuries, posture and body mechanics should be
assessed and corrected as needed.
22
23. 10cm
Prevention
23
Education : Interventions that may aid in injury prevention
● Stretching exercises at the workplace, appropriate rest
breaks, and ergonomic modifications.
● Ergonomic modifications refer to adaptations in the
work environment to reduce the physical stress of the
employees.
● Educating patients regarding the importance of
maintaining proper posture and correct lifting
techniques may aid in prevention. Regular physical
activity.
● Smoking cessation.
● Weight loss for obese patient.
● Resuming normal physical activity (recent studies have
found that continuing ordinary activities within the
limits permitted by the pain leads to more rapid
recovery than bedrest).