Tuesday 25 February 2014

Sunday 23 February 2014

Perthes disease in 20 yr old girl

X-Ray of a 20 yr old girl
























Reshmi (name not revealed as per request of patient) came with a complain of inability to abduct her hip beyond 30 degrees. Flexion  of hip possible till the range of 50 degrees.This girl was put on cast post trauma to the pelvic region. X-ray reveals reduced space between acetabulum 
and femur head. Avascular necrosis of articular surface.

Now my question - 
1. Age has not come to take her for any surgical management ( like THR)  so what  should a physio aim at?
 2. With time disuse atrophy can occur around hip muscles. so what should be the  PT management
 3. Psychological factors need to be considered. What is PT role in that & how?
 4. what shd be the short term and long term goal

Conclusion: 
Our management must be a sum up of all this . This helps you set up your own protocol, no need of any book
   

Thursday 20 February 2014

Pratiksha: After effect of "Vyayam Shala/gym" in a 24 yr old-...

Pratiksha: After effect of "Vyayam Shala/gym" in a 24 yr old-...:   SPOT THEE DIAGNOSIS?  IS IT WINGING OF SCAPULA?   IF YES WHAT TYPE- STATIC/DYNAMIC?                                     ...

After effect of "Vyayam Shala/gym" in a 24 yr old- Spot the diagnosis

 
SPOT THEE DIAGNOSIS?
 IS IT WINGING OF SCAPULA?
 

                                                                                                 A BARREL CHEST/ PIGEON CHEST?










WHAT IS THIS CHEST INDICATING- SPINAL ACCESSORY INVOLVED OR NOT?

AWARDED By President Of India

Pratiksha had been organising talk on All India Radio, Akashwani Bhagalpur as a step towards spreading awareness about physiotherapy.
It has acted as a noble work towards health services and the cash price of Rs 2000/- has been awarded by station director on behalf of PRESIDENT OF INDIA to Pratiksha

Tuesday 18 February 2014

22 yr old with ankle pain

Boy preparing for army fitness test suddenly complains of pain in ankle. Pain s mainly in medial arch of both foot , more in right. On and off complain of pain in lower back also.
When  I examined him at pratiksha I could see foot in eversion with reduced arch.
Fine I prescribe him correct footware with customised insole but what about the pathology?
Will rest and anti inflammatory be a solution.
No the answer is treat the root cause
This requires coordination between physio, orthopaedician, prosthetics and the awareness of the root cause.
What u say is the root cause?