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Showing posts from May, 2022

Cervical spondylosis

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 ♦️Cervical spondylosis  Or ♦️Osteoarthritis of cervical spine  ▪️ Degenerative changes appear early in life in cervical spine, often during the third decade. ▪️ The disc space between the #5th & #6th cervical vertebrae is most frequently involved. ▪️ The earliest changes are confined to the disc, but the facet joints & uncovertebral joints may soon become involved. ▪️ There is inevitable #restriction of movements at the affected level. ▪️In many cases symptoms occur after being triggered by minor trauma. ▪️ Pain may be felt centrally in the neck and may #radiate to the occiput, giving rise to severe occipital headache which may be confused with migraine. ▪️ Pain may also radiate distally, to the region of the lower scapulae. ▪️With nerve root involvement from arthritic changes in the facet or uncovertebral joints, there may be radiation of pain into the shoulders, arms & hands, with paraesthesia. ▪️In most severe cases, there may be absent arm reflexes, mus...

Carpal tunnel syndrome

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what is Carpal tunnel syndrome???? Carpal tunnel syndrome (CTS) is a common condition that causes numbness, tingling, weakness and pain in the hand and forearm. The condition occurs when one of the major nerves to the hand — the median nerve — is squeezed or compressed as it travels through the wrist. The carpal tunnel is a narrow passageway surrounded by bones and ligaments on the palm side of the hand.  Symptoms: • Numbness/tingling/burning/pain in hand and fingers( Paresthesia) • Hand weakness (This may be due to the numbness in the hand or weakness of the thumb's pinching muscles, which are also controlled by the median nerve). • Clumsiness (Hypoesthesia) decrease in normal sensation in hand and fingers. • Dropping things (Patient may experience weakness in the hand and drop objects). Causes • Mostly Carpal tunnel syndrome is caused by pressure on the median nerve but Anything that squeezes or irritates the median nerve in the carpal tunnel space may lead to carpal tunnel syndr...

Appendicitis

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 ✨APPENDICITIS ➡️Appendicitis is an inflammation of the appendix, a finger-shaped pouch that projects from your colon on the lower right side of your abdomen. ➡️Appendicitis causes pain in your lower right abdomen. However, in most people, pain begins around the navel and then moves. As inflammation worsens, appendicitis pain typically increases and eventually becomes severe ✨Symptoms ➡️Sudden pain that begins on the right side of the lower abdomen ➡️Sudden pain that begins around your navel and often shifts to your lower right abdomen Pain that worsens if you cough, walk or make other jarring movements ➡️Nausea and vomiting ➡️Loss of appetite ➡️Low-grade fever that may worsen as the illness progresses ➡️Constipation or diarrhea ➡️Abdominal bloating ➡️Flatulence ✨Complications Appendicitis can cause serious complications, such as: ➡️A ruptured appendix.  A rupture spreads infection throughout your abdomen (peritonitis). Possibly life-threatening, this condition requires immed...

KYPHOSIS

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 KYPHOSIS  ( Rehabilitation , Functional Goals ) Rehabilitation :  • Bracing • External postural supports: Spinomed • Postural education • Stretching of tight musculature ○ Pectoralis major and minor ○ Hamstrings ○ Hip flexors • Strengthening postural musculature ○ Rhomboids ○ Middle and lower trapezius ○ Spinal extensors • Soft-tissue mobilization • Vertebral mobilizations if appropriate ○ Posteroanterior central-vertebral pressure • Address pain ○ Ice ○ Massage ○ Electrical stimulation Functional Goals of Treatment : • Patient will be able to ○ Demonstrate improved resting posture while standing as indicated by exicurve assessment kyphotic index score of < 13. ○ Increase bilateral hip-extension to 0 degrees during mid and terminal stance of gait. ○ Increase speed of gait to 1.2 m/sec to facilitate ability to safely cross the street.

CERVICAL RADICULOPATHY

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 CERVICAL RADICULOPATHY    ( Tests And measures  ,  Rehabilitation , Functional goals  ) Tests And measures : • Cervical spine AROM • Sharp–Purser: Atlantoaxial instability • Cervical passive intervertebral motion testing • Sub-cranial translation instability testing • Passive physiological intervertebral mobility testing (PPIVM) • Upper-extremity screening examination • Postural examination • Muscle length testing, including upper trapezius, levator scapulae, pectoral muscles • Upper limb nerve tension test • Neck Disability Index (NDI) • Deep neck- exor endurance test • Upper-extremity neurological screen  (dermatome, myotome, reflexes) Rehabilitation :  • Rest • Joint manipulation to the thoracic and upper-cervical spine • Cervical distraction and traction to relieve nerve compression • Cranio-cervical exion exercises • Periscapular strengthening Periscapular meaning  (  serratus anterior , levator scapula , pectoralis minor , rhomboi...

Hyperhidrosis

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 Treatment of Hyperhidrosis If an underlying medical condition is contributing to the problem, that condition will be treated first. If no clear cause can be found, treatment focuses on controlling excessive sweating. Sometimes you may need to try a combination of treatments. And even if your sweating improves after treatment, it may recur. Medications Drugs used to treat hyperhidrosis include: Prescription antiperspirant. Your doctor may prescribe an antiperspirant with aluminum chloride (Drysol, Xerac Ac). This product can cause skin and eye irritation. It's usually applied to the affected skin before you go to bed. Then you wash the product off when you get up, taking care to not get any in your eyes. If your skin becomes irritated, hydrocortisone cream might help. Prescription creams. A prescription cream that contains glycopyrrolate may help hyperhidrosis that affects the face and head. Nerve-blocking medications. Some oral medications block the chemicals that permit certain n...