Dr S.P. Singh pt

18/08/2025

24/11/2023

Need one male and one female physiotherapist
One female receptionist
(Full time)
S P Osteopathy and advance physiotherapy centre,Kanpur,
Fresher may be apply
Contact with resume at
095658 88861

11/08/2022

https://youtu.be/Alj8K7ffQgs

08/06/2022

🔈 HEADACHES AND MYODURAL BRIDGES

• Recent anatomical studies have found that the deep suboccipital (top of the neck) muscles are connected to the dura matter (the covering of the spinal cord) by ligaments.
• Pulling on a suboccipital muscle moves the dura matter, in cadavers.
• The suboccipital muscles often atrophy (waste away) in headache sufferers.

Can headaches be affected by using Active Release Techniques (ART) on the the suboccipital muscles: superior oblique, inferior oblique, re**us capitis posterior major and minor? The suboccipital muscles are important little muscles which control fine neuromuscular control of the head.

Recent studies have added to our knowledge of the possible connections between headaches and the myodural bridges:

Enix et al did microscopic evaluations to confirm that ligaments called the myodural bridges emanate from the suboccipital muscle bellies, and attach to the dura mater in 75% of specimens. These myodural bridges have a hypothetical role in human homeostasis, and they may contribute to certain neuropathological conditions as well. The presence of a neural component within the myodural bridges suggests that they may serve another function aside from simply anchoring the muscles to the dura mater. Such a connection may be involved in monitoring dural tension and may also play a role in certain cervicogenic pathologies (neck pain and headaches).

They noted that manual traction of the re**us major in cadavers resulted in gross dural movement from the spinal root level of the axis (C2) to the spinal root level of the first thoracic vertebra.
Fernández-de-Las-Peñas found that the greater the headache intensity, duration or frequency, the smaller the cross sectional area of the re**us minor and re**us major muscles. He also foundthat there was a correlation between hyper-tenderness and atrophy of the re**us minor. In these cases pressing on the re**us minor reproduced the patient’s headaches.

The re**us minor was also found to have atrophied by Hallgren, in chronic head pain sufferers. He proposed a theory that whiplash could lead to nerve damage which causes the re**us minor to atrophy. His photo in the picture shows the myodural bridge.

ART is a hands-on soft tissue treatment of ligaments, muscles, tendons, and nerves. It provides a quick way to make a tight muscle loose, as well as treating conditions such as: tennis elbow, frozen shoulder, shoulder tendinitis, and plantar fasciitis. The technique involves the therapist putting pressure on a tissue, while the patient stretches to move the tissue slowly out from under the contact. The treatment hurts a bit, but only in a way that makes the patient know it is working. The technique works by increasing the nervous system’s tolerance to stretch.

27/05/2022

🔊 CALCIFIC TENDONITIS OF THE SHOULDER

🔔 INTRODUCTION

Calcific tendonitis of the shoulder happens when calcium deposits form on the tendons of your shoulder. The tissues around the deposit can become inflamed, causing a great deal of shoulder pain. This condition is fairly common. It most often affects people over the age of 40.

🔔 ANATOMY

Calcific tendonitis occurs in the tendons (tendons attach muscles to bones) of the rotator cuff. The rotator cuff is actually made up of several tendons that connect the muscles around your shoulder to the humerus (the larger bone of the upper arm).

Calcium deposits usually form on the tendon in the rotator cuff called the supraspinatus tendon.

There are two different types of calcific tendonitis of the shoulder: degenerative calcification and reactive calcification. The wear and tear of aging is the primary cause of degenerative calcification. As we age, blood flow to the tendons of the rotator cuff decreases. This makes the tendon weaker. Due to the wear and tear as we use our shoulder, the fibers of the tendons begin to fray and tear, just like a worn-out rope. Calcium deposits form in the damaged tendons as a part of the healing process.

Reactive calcification is different. Why it occurs is not clear. It doesn't seem to be related to degeneration, though it is more likely to cause shoulder pain than degenerative calcification.

No one knows what triggers the body to reabsorb the deposits. But once this occurs and the tissue begins to be remodeled, the pain usually decreases or goes away altogether.

🔔 SYMPTOMS

While the calcium is being deposited, you may feel only mild to moderate pain, or even no pain at all. For some unknown reason, calcific tendonitis becomes very painful when the deposits are being reabsorbed. The pain and stiffness of calcific tendonitis can cause you to lose motion in your shoulder. Lifting your arm may become painful. At its most severe, the pain may interfere with your sleep.

🔔 REHABILITATION

Even if you don't need surgery, you may need to follow a program of rehabilitation exercises. It is recommend that you work with a physical or occupational therapist for four to six weeks. Your therapist can create an individualized program of strengthening and stretching for your shoulder.

It is very important to strengthen the muscles of the rotator cuff, as these muscles help control the stability of the shoulder joint. Strengthening these muscles can actually decrease the pressure on the calcium deposits in the tendon. Your therapist can also evaluate your workstation or the way you use your body when you do your activities and suggest changes. Simple changes in the way you sit or stand can ease pain and help you avoid further problems.

20/05/2022

https://youtube.com/shorts/w9YinBNXmJA?feature=share

17/05/2022

https://youtu.be/zlHa1xqXaFY

weight management adjustment

17/05/2022

https://youtu.be/zlHa1xqXaFY

19/04/2022

All about


https://youtube.com/shorts/99l7HPA_MzM?feature=share

10/04/2022

https://youtu.be/HXE0kuqirbo

All about