Entries by Patel

Achilles Tendinopathy Part 1

The Achilles tendon is the biggest and strongest tendon in the human body. The tendon has the capacity to resist large tensile forces. It stems from a distal confluence of the gastrocnemius and soleus muscle and inserts at the bottom of the calcaneus. It can be described as • Mid-point tendinopathy – injury at the […]

The untold story of mighty psoas Part 2

Kindly read previous blog to understand second one ,  The mighty psoas untold story The hip joint is a triaxial joint that allows motion in all three cardinal planes. Therefore we can examine the effect of the psoas major in each of the three cardinal planes. Further, we need to consider the open-chain motions of […]

Plantar Heel Pain and neural origin Part 2

In case, if you have missed our  previous post click here Part 1 Differential diagnosis: Hendrix et al (1998) found that all of their 51 patients with chronic plantar heel pain due to nerve entrapment showed the following symptoms (1) loss of plantar sensation, (2) a positive plantar flexion-inversion test, (3) a positive Tinel’s test […]

Plantar heel pain of neural origin

Plantar heel pain is one of the most common conditions a clinical therapist encounters. Several conditions lead to heel pain like• Plantar fasciitis• Calcaneal fracture• Rupture of plantar fascia• Atrophy of  heel pad Entrapment of tibial nerve and/or its branches may also cause heel pain. s. Although the contribution of nerve entrapment to plantar heel […]

Total Hip replacement

. Due to the hip being a robust and stable joint, hip replacement hardware generally doesn’t have the same types of stress applied to it such as something like a knee replacement. . LIMITATION—SHORT-TERM PHYSICAL While it is traumatic to have a steel-rod driven into the leg bone, much of the initial movement restrictions are […]

Quadriceps lag: physiological vs pathological

Stillman B.C. conducted study on 64 healthy subjects with no history of knee pain or injury. He found all of them with physiological quadriceps lag: that is, in most subjects the active limit of knee extension fell short of the passive limit. With the subjects seated, for the passive test the examiner lifted the heel […]

The Gracilis: pain generator in knee

The gracilis is one of the contributor to the pes anserine when we consider to knee pain. It helps to add stability to the medial stabilizing complex of the knee. During a gait cycle, the gracilis contracts throughout stance phase with bursts from terminal swing through initial contact and again from pre swing to initial […]

Tips to plan the treatment

The subjective examination is the most crucial aspect of the examination as it determines the severity, irritability and nature  of the patient’s condition.   Good questioning leads to the formation of primary and secondary hypotheses and helps in  prognosis of the injury.   you should have a solid understanding of the patient’s condition and reduce the […]