BPTH 3rd year (MUHS)

Definition: Painful arc syndrome is shoulder pain that occurs during active abduction, usually between 60° and 120°, because the structures in the subacromial space become Pathomechanics:- 1)Narrowing the subacromial space This increases pressure on the soft tissues. 2)Compression (Impingement) During shoulder abduction, the following structures may get compressed: #Supraspinatus tendon #Subacromial bursa #Long head of the biceps tendon 3)Abnormal movement of the humeral head Weakness of the rotator cuff (especially supraspinatus and infraspinatus) or overactivity of the deltoid allows the humeral head to migrate upward. 4)Upward migration further reduces the subacromial space. 5)Scapular dyskinesis Reduced upward rotation, posterior tilt, or external rotation of the scapula prevents normal clearance beneath the acromion. This increases impingement during arm elevation. Inflammation and tendon degeneration Repeated impingement causes inflammation of the bursa and tendons. # Chronic cases may progress to tendinopathy or partial/full-thickness rotator cuff tears. Painful Arc 0–60°: Usually little or no pain. 60–120°: Painful arc due to maximum impingement. 120–180°: Pain often decreases because the greater tuberosity passes beneath the acromion and the compressed tissues are relieved.Exercise Progression Criteria Progress only when: Pain ≤2/10 Full ROM No painful arc Scapular dyskinesis corrected External rotation strength ≥80% of opposite side Avoid ❌ Empty Can in early painful stage ❌ Heavy overhead press ❌ Behind-the-neck press ❌ Upright row above shoulder height ❌ Repetitive painful abduction #physiotherapy#physiotherapy_world https://www.instagram.com/reel/Db1j1WmT3Oa/?igsh=MWswN25ndjJuZHRoMA==

https://www.instagram.com/stories/physio_._com/3945788473412403502?utm_source=ig_story_item_share&igsh=MWgzemY2czhpcDNycA==

The one who needs observership Dm me on instagram

De Quervain Tenosynovitis – Description Definition De Quervain tenosynovitis is an inflammatory condition affecting the tendons of the first dorsal compartment of the wrist: Abductor Pollicis Longus (APL) Extensor Pollicis Brevis (EPB) These tendons pass through a fibro-osseous tunnel near the radial styloid process. Repetitive thumb and wrist movements cause friction, thickening of the tendon sheath, pain, and restricted motion. Biomechanics (Reference: Cynthia Norkin & Kisner) Normal Biomechanics The thumb performs: Abduction Extension Opposition Gripping and pinching activities APL and EPB stabilize and move the thumb during: Grasp Lifting Twisting Ulnar deviation of wrist Pathomechanics Repeated: Thumb abduction Thumb extension Wrist ulnar deviation increase tendon friction inside the first dorsal compartment, leading to: Synovial sheath irritation Tendon swelling Pain during movement Reduced grip strength Common in: Repetitive hand workers Mobile overuse New mothers lifting babies Typing and household activities Clinical Features Pain over radial side of wrist Tenderness near radial styloid Swelling Pain during thumb movement Weak grip strength Difficulty holding objects Positive Finkelstein test Physiotherapy Treatment Protocol Acute Phase (0–2 weeks) Goals Reduce pain and inflammation Protect tendons Maintain ROM Treatment Thumb spica splint Cryotherapy Activity modification Gentle pain-free ROM Electrotherapy if needed Exercises Thumb AROM Wrist ROM Tendon gliding Isometric thumb exercises Subacute Phase (2–4 weeks) Goals Improve mobility Begin strengthening Treatment Soft tissue mobilization Stretching Light strengthening Exercises Towel twisting Radial/ulnar deviation Putty squeezing Ball squeezing Pinch strengthening Rehabilitation Phase (4–6 weeks) Goals Restore strength and function Improve endurance Exercises Theraband wrist strengthening Thumb extension strengthening Functional grasp training Weight-bearing exercises Advanced Phase (>6 weeks) Goals Return to work/sport Prevent recurrence Exercises Advanced resistance training Functional task simulation Ergonomic correction Work-specific hand activities Important Exercises Included in Poste https://www.instagram.com/reel/DY3raRisv6U/?igsh=NGFzdWNsejZtOXV6

“SICK Scapula” or SICK Scapula Syndrome is a term used for abnormal position and movement of the scapula, especially in overhead athletes. SICK stands for: S → Scapular malposition I → Inferior medial border prominence C → Coracoid pain and malposition K → Kinesis abnormalities of scapular movement It is a type of scapular dyskinesis. Features of SICK Scapula Drooping shoulder Prominent medial border of scapula Abnormal scapular rhythm Pain around coracoid process Weakness in overhead movements Tight posterior shoulder structures Common Causes Muscle imbalance Overhead sports (throwing, badminton, volleyball) Poor posture Serratus anterior weakness Lower trapezius weakness Pectoralis minor tightness Muscles Commonly Involved Weak Serratus anterior Lower trapezius Middle trapezius Tight Pectoralis minor Upper trapezius Levator scapulae Physiotherapy Management Stretching Pectoralis minor stretch Posterior capsule stretch Strengthening Serratus anterior exercises Lower trapezius strengthening Scapular stabilization exercises Common Exercises Push-up plus Wall slides Scapular retraction Dynamic hug Prone Y/T exercises https://www.instagram.com/p/DYPvGupGmFA/?igsh=aWh0YTVpbXU5a2Mx

Go with proper evidence based treatment after 1st understanding biomechanics is essential to treat any conditions . . . . . . . https://www.instagram.com/p/DYJp5LRjN46/?igsh=MXY1MDkwN2JxNW1tcQ==

DM me on instagram regarding all the subjects related notes Thesis related work or statistician help for result or sample size formula regarding work shop and we want one female physiotherapy student for observationship 3 rd year final year or 2 nd year

PMMC Flap Used for: Chest wall, head & neck reconstruction Cancers: Breast cancer, oral cancer, esophageal cancer ALT Flap Used for: Soft tissue & oral cavity reconstruction Cancers: Oral cancer (tongue, floor of mouth), soft tissue tumors DIEP Flap Used for: Breast reconstruction Cancers: Breast cancer (after mastectomy) LD Flap Used for: Breast, chest wall, head & neck Cancers: Breast cancer, chest wall tumors Radial Forearm Flap Cancers: Oral cancer, laryngeal cancer Fibula Free Flap Cancers: Mandible (jaw) cancer, bone tumors Scapular / Parascapular Flap Cancers: Head & neck cancers, chest wall tumors ALA & Supraclavicular Flaps Cancers: Oral cancer, skin cancers, facial defects . . https://www.instagram.com/p/DX-4jwUiGxT/?igsh=aDl1OTJ1bXZmZmQ5

https://www.instagram.com/stories/physio_._com/3888771190013861882?utm_source=ig_story_item_share&igsh=MWc2M3luaTUzZTFh

https://www.instagram.com/stories/physio_._com/3888761440027039455?utm_source=ig_story_item_share&igsh=MnB5bWd2MXl2a2tv

Dm me on instagram

One Female observer needed if any one is interested to come in sadar Nagpur for observationship Mahavir international Foot care center

1 St year 2nd year student who is interested to do observationship in Jaipur foot and physiotherapy center Nagpur Dm me on Instagram

https://www.instagram.com/stories/physio_._com/3820552458288769878?utm_source=ig_story_item_share&igsh=MWNia215azdkZXNkaA==

Do follow my Instagram id