Dr/ khalid Ibrahim

Cauda equina syndrome (CES) occurs when there is dysfunction of multiple lumbar and sacral nerve roots of the cauda equina.

Causes
CES most commonly results from
a massive herniated disc in the lumbar region.
A single excessive strain or injury may cause a herniated disc, however, many disc herniations do not necessarily have an identified cause.
The size of the disc herniation that results in cauda equina is often much larger than normal; however, if the spinal canal is smaller due to conditions such as arthritis, a smaller disc herniation can produce CES.

Potential Causes of CES

Spinal lesions and tumors
Spinal infections or inflammation
Lumbar spinal stenosis
Violent injuries to the lower back (gunshots, falls, auto accidents)
Birth abnormalities
Spinal arteriovenous malformations (AVMs)
Spinal hemorrhages (subarachnoid, subdural, epidural)
Postoperative lumbar spine surgery complications
Spinal anesthesia

Nutrition plays an important part in the anti-inflammatory process and the following are foods to avoid/decrease in your diet, so that healing may occur.
The following foods are very acidic in nature
and therefore encourage inflammation:
Alcohol
Citrus fruits
Saturated fat
Processed foods such as cakes, biscuits,
bread, etc
Fizzy drinks
Red meat. Try to limit this - no more than
once a week
Dairy foods such as milk and cheese
Organ meat such as liver
Yeast foods such as bread
Purine rich foods such as shellfish ,mushrooms and sardines, peanuts

some age and s*x related medical conditions

The shoulder is the one that most commonly dislocates.
This is due to a number of factors: the shallowness of the glenoid socket; the extraordinary range of movement; underlying conditions such as ligamentous laxity or glenoid dysplasia;
and the sheer vulnerability of the joint during stressful activities
of the upper limb.

Patellar tendinitis
Patellar tendinitis is an injury to the tendon connecting your patella to your tibia.
Symptomes:
Pain is the first symptom of patellar tendinitis, usually between your patella and where the tendon attaches to your tibia
Causes
Patellar tendinitis is a common overuse injury, caused by repeated stress on your patellar tendon. The stress results in tiny tears in the tendon, which your body attempts to repair.

But as the tears in the tendon multiply, they cause pain from inflammation and weakening of the tendon. When this tendon damage persists for more than a few weeks, it's called tendinopathy.

Risk factors
A combination of factors may contribute to the development of patellar tendinitis, including:

1-Physical activity. Running and jumping are most commonly associated with patellar tendinitis. Sudden increases in how hard or how often you engage in the activity also add stress to the tendon, as can changing your running shoes.
2-Tight leg muscles. Tight thigh muscles (quadriceps) and hamstrings, which run up the back of your thighs, can increase strain on your patellar tendon.
3-Muscular imbalance. If some muscles in your legs are much stronger than others, the stronger muscles could pull harder on your patellar tendon. This uneven pull could cause tendinitis.
4-Chronic illness. Some illnesses disrupt blood flow to the knee, which weakens the tendon. Examples include kidney failure, autoimmune diseases such as lupus or rheumatoid arthritis and metabolic diseases such as diabetes.

Prevention
To reduce your risk of developing patellar tendinitis, take these steps:
1-Don't play through pain
2- Strengthen your muscles.
3-Improve your technique when starting a new sport or using exercise equipment.

Magnetic therapy

Common musculoskeletal Impairments
Managed with Therapeutic Exercise

Disablement Risk Factors

common functional limitations
related to physical tasks

For all physical therapists and physical therapy students
Daily, we will share the top tips for physical therapy and rehabilitation
follow us

This is what the spine afected by scoliosis looks like.

Scoliosis is a medical condition in which a person's spine is curved from side to side.

Although it is a complex three-dimensional deformity, on an X-ray, viewed from the rear, the spine of an individual with scoliosis can resemble an "S" or a "C", rather than a straight line.

The deformity may begin in the intervertebral discs, producing distortions in the epiphyseal cartilage which may influence the end of growth and therefore the deformity of the vertebrae, resulting in wedging and rotation of the vertebrae.

People having reached skeletal maturity are less likely to have a worsening case. Some severe cases of scoliosis can lead to diminishing lung capacity, putting pressure on the heart, and restricting physical activities.

An estimated 65% of scoliosis cases are idiopathic (cause unknown, sub-classified as infantile, juvenile, adolescent, or adult, according to when onset occurred), about 15% are congenital (caused by vertebral anomalies present at birth) and about 10% are secondary to a neuromuscular disease (e.g., spina bifida, cerebral palsy, spinal muscular atrophy, or physical trauma) or syndromes such as Chiari malformation.