Physio Masud

29/03/2026

QL tightness → Anterior pelvic tilt ^ →
Increased lumbar lordosis →
Posterior disc pressure ↑ →
Facet loading ↑

07/03/2026

Big shout out to my newest top fans! Chris Etila, Gabriel Simasiku, Mujtaba Rizwanur Rahman, Dina Svencioniene, Sameh Gayed, Senthil Sadayapillai, Rodriguez Noemi, Hongvan Huynh, Meldy Iren, Mj Ramadhan, Dragana Vučić, Vikas Kumar, Betu Bhai Bhai, Abhay Patil, Rajan Ramamoorthy, Kavitha Physiotherapy Thanjavur, Duy Pham, Physio Mojnu Miah, Suvarna Ramabade Ramababe, Sukman Ibnu Matta, শংকুরী হাওলাদার, Than Myint Htay, Kibrom Kidanu, Physio Zaved, Zohaib Qazi, Gayan Ranaweera, Tharaka Healingmoves

07/03/2026

Multifidus Needling
“2-3-90 Rule”

✅2–3 cm lateral to spinous process

✅90° insertion

✅2–3 cm depth

03/03/2026

F.I.G.W.T for Spinal canal stenosis
F → Flexion bias
I → Incline walking
G → Glute strength
W → Walking interval
T → Trunk endurance

02/03/2026

Spinal manipulation → short-term pain relief
Exercise → long-term outcome driver of pain
Education → recurrence reduction of pain

01/03/2026

Lumber mobilization

17/02/2026

Rib flare → poor diaphragm control → TrA delayed → lumbar extensors overactive → lordosis ↑

11/02/2026

Knee effusion causes reflex quadriceps inhibition, limiting effective muscle activation.

05/02/2026

Big shout out to my newest top fans! Chris Etila, Kavitha Physiotherapy Thanjavur, Gabriel Simasiku, Mujtaba Rahman, Dina Svencioniene, Sameh Gayed, Senthil Sadayapillai, Avez Momin, Rodriguez Noemi, Hongvan Huynh, Meldy Iren, Mj Ramadhan, Dragana Vučić, Vikas Kumar, Betu Bhai Bhai, Abhay Patil, Rajan Ramamoorthy, Duy Pham, Physio Mojnu Miah, Suvarna Ramabade Ramababe, Sukman Ibnu Matta, শংকুরী হাওলাদার, Than Myint Htay, Kibrom Kidanu, Physio Zaved, Zohaib Qazi, Gayan Ranaweera, Tharaka Healingmoves

05/02/2026

04/02/2026

💪 CLINICAL IMPORTANCE OF VASTUS MEDIALIS OBLIQUE (VMO) ON KNEE PAIN

🦵 What is VMO?
The Vastus Medialis Oblique (VMO) is the inner part of your quadriceps muscle — located just above the medial side of the patella (kneecap).

It plays a crucial role in keeping your kneecap centered and stable during movement

⚙️ VMO – The Patellar Stabilizer
Every time you bend or straighten your knee, the patella glides in a groove (the trochlear groove).

✅ A strong & active VMO pulls the patella medially, keeping it aligned.

❌ A weak VMO allows lateral drift — leading to patellar maltracking, friction, and pain in the front of the knee.

💥 Clinical Relevance in Knee Pain

✅🔹 Patellofemoral Pain Syndrome (PFPS) – VMO weakness causes the patella to move laterally → irritation of cartilage → anterior knee pain.
✅🔹 Chondromalacia Patellae – Poor VMO control increases patellar compression → cartilage softening & degeneration.
✅🔹 Post ACL or Meniscus Injury – VMO activation delay leads to poor knee control & instability.
✅🔹 After Knee Surgery / Immobilization – VMO atrophy develops quickly, resulting in weakness and pain during walking or stairs.

♨️ Clinical Insight
➡️ Research shows the VMO activates in the last 15–20° of knee extension — that’s why terminal extension exercises are vital!
➡️ The timing of VMO contraction is more important than its size — delayed activation causes pain even if the muscle looks strong.

💪 VMO Strengthening & Rehabilitation
✅ Isometric terminal knee extensions
✅ Straight leg raises with external rotation
✅ Mini squats or wall sits (0–45°)
✅ Step-down exercises
✅ Biofeedback or electrical stimulation to enhance activation
✅ Taping (McConnell) to guide patella medially

🧩 Remember
Without proper VMO strength & timing, your patella loses its track —
👉 leading to pain, popping, grinding, and instability.
Reactivating VMO is the key foundation of all knee rehabilitation programs 🩺

✅ Physio Masud