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All Posts in Category: Clinical Conditions

Physiotherapy Scoliosis Treatment In Nigeria

What is scoliosis?

Scoliosis is a sideways curvature of the spine. The degree of curvature of the spine can vary from C-shape to an S-shape. Several people have a degree of curvature as but if the curve exceeds 10 degrees, a diagnosis of scoliosis is made. Scoliosis is more common in girls than in boys. Sometimes, a “wait and see” approach may be used when scoliosis is first observed because it may not progress further. During that period, scheduled checks are recommended and if it is progressing, intervention may be recommended.

S shaped scoliosis

scliosis assessment

PhysioCraft client being assessed for scoliosis. Notice the extra folds on one side

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What is Foot Drop or Injection Palsy?

foot-drop image from msviews.org

Physiotherapy Treatmet of Foot drop or Injection Palsy

Foot drop or drop foot refers to the inability to lift off the front part of the foot. It can occur because the nerve, muscles or tendon responsible for the movement have been damaged. The most common cause is injury or trauma to peroneal nerve, a nerve which supplies the muscles and helps in transmission of sensation in the foot. Foot drop is usually a symptom of another problem rather than a disease itself. Because the ability to lift off the foot is a critical part of the way we walk, foot drop often affects the gait.

In Nigeria, the term injection palsy is commonly used interchangeably with foot-drop. Unfortunately, injection palsy is quite common in children this is because, children are still frequently given injection in the buttocks area and since they don’t have muscle bulk or fat pads in the region, they are more susceptible to the nerve being injured by the injection needle. This is one of the reasons injections should only be given as a last resort to children, mothers are advised to ask questions pertaining this whenever they have to visit the hospital and injection is suggested.

 

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Physiotherapy for ACL reconstruction in Nigeria

 

acl reconstuction Nigeria

Resistance exercise of lower limbs

The anterior cruciate ligament (ACL) is a supporting structure in the knee joint which helps to stabilise the knee and contributes to its movement.  Because of its anatomical position, the ACL is susceptible to injury particularly during high risk activity or sports such as football and basketball. Injury to the ACL is a fairly common occurrence with almost half of the cases requiring surgery for repair, hence the need for ACL reconstruction. Often times, associated damage may occur to other structures in the knee joint such as the meniscus or the surface of the bone.

Common triggers of ACL tear are:

  • Stopping suddenly while running
  • Twisting of the knee with the foot planted on the ground
  • Jumping and landing on an extended knee
  • A direct blow or hit to the knee while it is fixed
  • Pushing the knee farther than its usual range of movement
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Treatment of painful sex, a physiotherapy story…

 

courtesy wackystuff

MA was a 32 year old female who reached out to the PhysioCraft team with complaints of pain in her hip and “very low back” region of about 7 months duration which began just before the birth of her 6 month old baby.

During consultation, she reported that childbirth was per vagina and certain movements like getting up, climbing stairs and getting into the car were also painful. Though her O&G physician had prescribed pain meds, she got only short term relief and was reluctant to take them because she was breastfeeding. She was also trying to shed the pregnancy weight and she was quite unhappy about her body and the effect pregnancy had on her. She had tried registering in the gym but walking on the treadmill and cycling made her pain much worse.

In the course of her examination, she admitted her real concern: sex was very painful. This pain was different from the previous pregnancy she’d had and she wasn’t happy at all.

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What is Coccydynia (Tailbone pain, Coccygodynia, Cocalgia)?

 

courtesy twitter

Coccygodynia is a debilitating pain around the coccyx. This pain is usually triggered by sitting or transiting from sitting to standing. The pain may sometimes radiate to the spine, sacrum, buttocks or thighs. Tailbone pain is more common in women than in men and is suspected to be related to increased pressure during pregnancy or childbirth.

Associated symptoms of Coccydynia

  • Limited movement in the thoracic spine
  • Limited movement or poor alignment in the lumbar spine
  • Limited movement in the hip musculature
  • Tension in the pelvic muscle floor

 

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What is Incontinence?

courtesy north eastern urology

Incontinence is when there is a leakage of urine while sneezing, laughing, coughing or doing exercises. Incontinence can also be occur when one cannot hold urine long enough to get to the bathroom and leakage occurs in the underwear. Incontinence is a fairly common occurrence in female population and in the senior citizens. Women are prone to incontinence after pregnancy and childbirth.

There are three types of incontinence

  • Stress incontinence
  • Urge incontinence
  • Overactive bladder
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Plantar Fascitis or Pain in the foot

 

Plantar Fascitis is the most common cause of heel pain in adults. It often occurs as a result of repetitive use or excessive load on the fascia of the foot. The fascia is a band of connective tissue beneath the skin which acts as a shock absorber, attaches and stabilises different segments in the foot. For a long time, plantar fasciitis was thought to be an inflammatory process but recent research is showing that it may be a degenerative process.

Plantar fasciitis can either be caused by traction or compression injuries.

 

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What is SIJ dysfunction?

 

The sacro-iliac joint is a system of joint connecting the lower spine and the pelvis. The lowest part of the spine, the sacrum which is also called the tailbone connects the two pelvic bones on the right and left called the ilia to form the sacro-iliac joint.

Normally, movement at the sacro-iliac joint is limited to a few millimetres but trauma and pregnancy can cause increased movement in this region which may result in SIJ pain.  Abnormality of movement and impaired muscle activation contribute to SIJ dysfunction and SIJ pain.

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What is Achilles tendonitis or Achilles tendinopathy

courtesy, shutterstock

This occurs when there is pain and swelling at the insertion of the tendon at the ankle joint, specifically at the calcaneus bone. It is almost always a posterior heel pain and it is associated with overuse of the calf muscles or abnormal biomechanical stress on the foot and ankle

Symptoms of Achilles tendonitis

  • Difficulty in performing strenuous activities such as running, jumping or making quick turns
  • Pain that is achy or occasionally sharp which worsens with increased activity
  • Increased pain in the area when contact is made with back of footwear
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