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Rotator Cuff Tendinopathy

It refers to the pain and weakness of rotator cuff musculature Rotator cuff comprises of four main muscles viz. Subscapularis, Supraspinatus, Infraspinatus, Teres Minor responsible for abduction and rotation movement of shoulder

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EPIDEMIOLOGY

Commonly affects athletes involved in sporting activities like Cricket, Swimming, Throwers etc and it can be age related problem affecting old aged patients their is an incidence of 11.2 cases per 1000 patients per year

CLININCAL PRESENTATION AND PATHOPHYSIOLOGY

Their is a difference between tendinitis and tendinopathy. Tendinitis is an inflammation of tendons whereas tendinopathy is deterioration of tendons. Rotator Cuff tendinopathy is clinically presented with

Pain, Weakness, Loss of strength to bear load aur lift weight on shoulders along with tenderness around shoulder joint painfull overhead movement localised swelling may also be present

MECHANISM

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PHYSICAL EXAMINATION AND DIAGNOSIS

For Physical examination two clinical tests are performed namely

Empty can test and Hawkins test

Other tests include Modified Belly press test, Palpation, ROM testing the latter two are not so significant In order to see how the tests are performed visit

https://www.physio-pedia.com/Rotator_Cuff_Tendinopathy

Other diagnostic tools include ultrasound, radiographs, radionucleotide isotope scan, magnetic resonance imaging (MRI), computed axial tomography (CT), electromyography

Ultrasound reveal partial tear of tendon fibres partial thickened tears and thickened subacromial bursa MRI also reveals rotator cuff tears

DIFFERENTIAL DIAGNOSIS

Osteoarthritis

Biceps tendinopathy

Frozen Shoulder

Cervical Disc Disease

Cervical Spondylosis

MEASUREMENT

For measuring extent of rotator cuff tendinopathy VAS score, SPADI (Shoulder pain and disability index) have be adopted extensively by physiotherapist

PHYSIOTHERAPY MANAGEMENT

Physiotherapy is the gold standard treatment for rotator cuff tendinopathy along with Medical Management in majority cases and rarely require surgical intervention if Conservative treatment doesn’t work Medical Management includes NSAIDS, Shoulder immobilisation etc Surgery involves Arthroscopic intervention Physiotherapy treatment includes step wise procedure firstly Stretching, ROM exercises and then Muscle Strengthening exercises for pain management Ultrasound, TENS etc Modalities can be applied Kinesiotaping have shown better result in patients with Rotator Cuff Tendinopathy. Other techniques include

Isometric exercises

Kinetic Chain exercises

Correcting scapulohumeral rhythm

Corrective Posture

Pilates technique

for more info visit

https://www.physio-pedia.com/Rotator_Cuff_Tendinopathy

Symptoms and Risk Factors of Septic Arthritis

In this article we will discuss about Symptoms and Risk Factors of Septic Arthritis. So let’s get started.

Symptoms

Chills
Fatigue
Fever
Weakness
Severe Pain in the affected Joint
Swelling in the affected joint
Warmth around the affected joint
Pseudoparalysis or inability to move the affected joint.

Risk Factors

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What is Metrorrhagia and its Causes

In this article we will discuss about Metrorrhagia and reason behind its Occurrence. So let’s get started.

Definition

Uterine Bleeding at unexpected intervals specifically between the period expected Menstrual Periods.

Reasons behind Metrorrhagia

Hormonal Imbalance due to Birth Control Pills
Endometriosis
Clotting Disorders
Thyroid Disorder
Diabetes
Uterine Fibroid, Polyps, Cancer etc
IUCD

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Symptoms of GERD (Gastroesophageal Reflux Disorder)

In this article we will discuss about Symptoms of GERD (Gastroesophageal Reflux Disorder). So let’s get started.

Symptoms

Burning Chest Pain
Bitter Taste in Mouth
Regurgitation of food or sour liquid
Chronic Cough
Sensation of lump in throat
Difficulty in Swallowing
Bad Breath
Nausea or Vomiting
Pain in Upper Abdomen

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Symptoms of Concussion

In this article we will discuss about various Symptoms of Concussion. So let’s get started.

Symptoms

Headache

Dizziness

Disorientation

Vertigo

Tinnitus

Hearing Loss

Emotional lability

Irritability

Slow Mental Processing

Blurred Vision

Cognitive Dysfunction and Impairment

Primitive Motor Response

Sleep Disturbance

Sensory Impairment

Altered Taste and Smell

Depression

Anxiety

Fatigue

Trapezius Strengthening Exercises

In this article we will discuss about Trapezius Strengthening Exercises. So let’s get started.

Exercises

Kneeling Dumbbell Shrugs

Cable Overhead Trap Raise

Twisting Trap Shrugs

Dumbbell Shrug Rows

Dumbbell Prone Press

Reverse Trap Flys

Video link given below Courtesy

Athlean-X™

https://www.youtube.com/user/JDCav24

Causes of Amenorrhea

In this Article we will discuss about Various Causes Responsible for Amenorrhea. So let’s get started.

Causes

Pregnancy

Menopause

Breastfeeding

Use of Contraceptives

Anti-psychotic Medications

Antidepressants

Chemotherapy

Antihypertensive

Antiallergic Medications

Low Body Weight

Excessive Stress

Intense Exercises

Pituitary tumor

Thyroid Malfunction

PCOS (polycystic ovary syndrome)

Anatomical Abnormalities of Vagina

Uterine Scarring

Symptoms of Tennis Elbow

In this article we will discuss about the Sign and Symptoms of Tennis Elbow. So let’s get started.

Sign and Symptoms

Pain on the lateral aspect of elbow at common extensor origin at lateral epicondyle of Humerus.

Pain on resisted wrist extension ( Cozen test ).

Pain while gripping or holding an object.

Pain can radiate down to the wrist.

Pain on forearm rotation for eg. turning a door knob etc.

Pain gets worsen overtime and repetitive extension and rotation movements aggravates pain.

Decreased ROM and patient gradually develops weakness in wrist.

Diagnosis of ACL Tear or Injury

In this article we will discuss about the Diagnosis of ACL (Anterior Cruciate Ligament) Tear or Injury. So let’s get started.

Diagnosis

Radiographical presentation is given below

Physical Examination includes

Lachman Test

How to Perform Video link given below

Anterior Drawer Test

Pivot Shift Test

Video Credits

Physiotutors

https://www.youtube.com/user/Physiotutors

Symptoms of Uterine Fibroids

In this article we will discuss about Symptoms of Uterine Fibroids. So let’s get started.

Symptoms

Pelvic Pain

Heavy and Prolonged Menstrual Periods

Pain during intercourse (dyspareunia)

Intermenstrual Bleeding

Low Back Pain

Frequent Urination and difficulty in emptying bladder

A Solid Mass felt on palpation by physician

Bloating and Constipation