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Guillain-Barre syndrome (GBS) is a rare autoimmune disorder in which the immune system attacks the peripheral nerves tha...
26/03/2023

Guillain-Barre syndrome (GBS) is a rare autoimmune disorder in which the immune system attacks the peripheral nerves that control muscle movement and sensation.

This leads to weakness, numbness, and tingling in the limbs, which can progress to paralysis in severe cases.

The exact cause of GBS is not fully understood, but it is thought to be triggered by an infection, such as a viral or bacterial infection.
The onset of symptoms can be sudden and may develop over the course of hours or days.

The most common symptoms of GBS include muscle weakness, numbness or tingling in the limbs, and difficulty with coordination and balance.

In some cases, the weakness can progress to the point where the affected person is unable to move or breathe on their own.

Treatment for GBS typically involves supportive care, such as physical therapy and respiratory support, to manage symptoms while the body recovers.

In some cases, plasmapheresis or intravenous immunoglobulin therapy may be used to reduce the severity of the immune response and speed up recovery.

Most people with GBS recover fully or have only minor residual effects, but in rare cases, the condition can be life-threatening.

ACROMIOCLAVICULAR JOINT DISLOCATION𝙎𝙪𝙗𝙟𝙚𝙘𝙩- 28 Years/Male𝘾𝙡𝙤. •difficulty in raising the right upper arm - 4 months Hist...
06/03/2023

ACROMIOCLAVICULAR JOINT DISLOCATION

𝙎𝙪𝙗𝙟𝙚𝙘𝙩- 28 Years/Male

𝘾𝙡𝙤.
•difficulty in raising the right upper arm - 4 months History

𝙃/𝙤.
•fall of a weight on the point of the right shoulder - 4months ago
•treatment with adhesive strapping+

𝙄𝙣𝙨𝙥𝙚𝙘𝙩𝙞𝙤𝙣
•Prominent swelling at the outer end of right clavicle
•Skin over the swelling is stretched but not shiny

𝙋𝙖𝙡𝙥𝙖𝙩𝙞𝙤𝙣
•Outer end of Right clavicle displaced upwards and mild thickening and irregularity present
•Acromion process displaced downwards
•Palpable step present between the two

𝙈𝙤𝙫𝙚𝙢𝙚𝙣𝙮 𝙤𝙛 𝙍𝙞𝙜𝙝𝙩 𝙎𝙝𝙤𝙪𝙡𝙙𝙚𝙧
•Flexion 0-90 degree possible
•Abduction 0-30 degree possible further restricted with pain
•Internal rotation 0-45 degree •External rotation 0-45degree
•No distal neurovascular deficit

𝙄𝙣𝙫𝙚𝙨𝙩𝙞𝙜𝙖𝙩𝙞𝙤𝙣
•X-ray (R) shoulder with clavicle- Acromio clavicular joint dislocation is evident

𝙏𝙮𝙥𝙚𝙨 𝙤𝙛 𝙍𝙚𝙘𝙤𝙣𝙨𝙩𝙧𝙪𝙘𝙩𝙞𝙤𝙣
a) Reconstruction of superior acromio clavicular ligament
b) Transfer of coracoid to clavicle
c) Transfer of coraco acromial ligament

𝙄𝙢𝙥𝙤𝙧𝙩𝙖𝙣𝙩 𝙋𝙤𝙞𝙣𝙩𝙨
1. Same classification is used for both old unreduced and acute dislocations of the acromio clavicular joint
2. In symptomatic type of unreduced dislocations, where the coraco clavicular ligaments are intact, resection of the distal end of the clavicle is done (Mumford procedure)
3. In types II, IV or V chronic unreduced acromio-clavicular dislocations the coraco clavicular ligaments should be reconstructed




Pic courtesy- google

BICIPITAL TENDINITIS𝙎𝙪𝙗𝙟𝙚𝙘𝙩- 40 years/Male𝘾𝙡𝙤. •pain right shoulder - 1 week  •inability to use right shoulder 1 week 𝙃𝙞...
25/02/2023

BICIPITAL TENDINITIS

𝙎𝙪𝙗𝙟𝙚𝙘𝙩- 40 years/Male

𝘾𝙡𝙤.
•pain right shoulder - 1 week •inability to use right shoulder 1 week

𝙃𝙞𝙨𝙩𝙤𝙧𝙮
•Pain right shoulder for 1 week duration following lifting of heavy weights
•Inability to use the right shoulder freely
•No swelling/constitutional symptoms

𝙄𝙣𝙨𝙥𝙚𝙘𝙩𝙞𝙤𝙣 𝙤𝙛 𝙍𝙞𝙜𝙝𝙩 𝙎𝙝𝙤𝙪𝙡𝙙𝙚𝙧
•No significant abnormality

𝙋𝙖𝙡𝙥𝙖𝙩𝙞𝙤𝙣
•Tenderness sharply localized to the bicipital groove
•Speed's test (+ve) :- Resisted flexion with elbow straight and forearm supinated causes pain
•Yergason's test +ve:- Resisted supination of the forearm with the elbow bent causes pain
•No distal neuro vascular deficit

𝙈𝙤𝙫𝙚𝙢𝙚𝙣𝙩
Right Shoulder--> Active--> Passive

•Flexion--> 0-90 degree--> further 20 degree
•Abduction--> 0-90 degree--> further 20 degree
•External rotation--> 0-20 deg -->further 10 deg
•Internal rotation--> 0-20 deg--> further 10 deg
•Extension: possible

𝙈𝙚𝙖𝙨𝙪𝙧𝙚𝙢𝙚𝙣𝙩
•No limb length discrepancy

𝙄𝙣𝙫𝙚𝙨𝙩𝙞𝙜𝙖𝙩𝙞𝙤𝙣
•X-ray right shoulder - No abnormality detected

𝙄𝙢𝙥𝙤𝙧𝙩𝙖𝙣𝙩 𝙋𝙤𝙞𝙣𝙩𝙨
1. The long tendon of biceps is a very intimate component of the articular capsule of the shoulder joint and therefore is frequently involved by the inflammatory processes which affect this joint, particularly capsulitis
2. Therefore it occurs together with rotator cuff impingement
3. Rarely it presents as an isolated problem in young people after unaccustomed
shoulder strain
4. Rest, local heat and deep transverse friction usually bring relief
5. If recovery is delayed, a cortico steroid injection will help. For refractory cases anterior acromio plasty is indicated



🖼️picture courtesy- Google

इंडियन एसोसिएशन ऑफ फिजियोथेरेपिस्ट के 60वें राष्ट्रीय सम्मेलन मे माननीय प्रधानमंत्री श्री Narendra Modi  जी के संबोधन की...
12/02/2023

इंडियन एसोसिएशन ऑफ फिजियोथेरेपिस्ट के 60वें राष्ट्रीय सम्मेलन मे माननीय प्रधानमंत्री श्री Narendra Modi जी के संबोधन की मुख्य बातें।

This is how physiotherapy saves you from getting unnecessary surgery....Take PT first before going for surgery.....you m...
22/01/2023

This is how physiotherapy saves you from getting unnecessary surgery....

Take PT first before going for surgery.....you may don't need surgery if you apply PT first......
Follow ORTHOCARE Physiotherapy For You for more Physiotherapy related contents

14/01/2023

13/01/2023
ServicesOur ServicesWe offer a comprehensive range of pain management, physiotherapy services and treatments at clinic &...
23/12/2022

Services
Our Services
We offer a comprehensive range of pain management, physiotherapy services and treatments at clinic & home in K***a Pratapgarh & Lalgopalganj prayagraj, including spinal physiotherapy, post-surgical rehabilitation, cardiopulmonary conditioning (CPC), geriatric care, sports rehabilitation, orthopaedic physiotherapy, and deconditioning for neurological illnesses. Relevium’s skilled physiotherapy team provides the highest quality homecare services throughout the K***a & lalgopalganj

गर्दन झुकाकर मोबाइल फोन और लैपटॉप वगैरह का इस्तेमाल करने की वजह से गर्दन और रीढ़ की हड्डी पर असर पड़ता है। गर्दन पीठ और ...
21/12/2022

गर्दन झुकाकर मोबाइल फोन और लैपटॉप वगैरह का इस्तेमाल करने की वजह से गर्दन और रीढ़ की हड्डी पर असर पड़ता है। गर्दन पीठ और कंधों में दर्द के अलावा सिरदर्द भी शुरू हो सकता है। जिसे टेक्स्ट नेक कहा जाता है।

अगर इस प्रॉब्लम को लेकर वक्त रहते सही कदम नहीं उठाया गया, तो यह आगे चलकर और परेशान कर सकती है। टेक्स्ट नेक के कुछ कॉमन लक्षण हैं- पीठ, गर्दन और कंधों में नॉर्मल और तेज दर्द, सिरदर्द, गर्दन को आगे की तरफ ले जाते वक्त दर्द, गर्दन, ऊपरी पीठ और कंधों में जकड़न, सिर का आगे की ओर झुका रहना और कंधों का पॉश्चर गोल होना भी इसका लक्षण है।

ऑर्थोकेयर फिजियोथेरेपी & रिहैब सेंटर कुंडा और लालगोपालगंज में, हम अपने कौशल और उपचार विकल्पों के विशाल ज्ञान का उपयोग करके लगातार उच्च गुणवत्ता वाली सेवा, उपचार और अनुभव प्रदान करने का प्रयास करते हैं।

डॉ जीशान बेग
Bs.c BPT/DPT/MIAP
CONSULTANT PHYSIOTHERAPIST
Mob. 7800447523/ 7985778960

Address

Seva Sadan Gali
K***a
230204

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