Mehta Physiotherapy Clinic

30/11/2025

Fully recovered after stroke

02/11/2025

Post knee replacement physiotherapy and it’s beautiful result

01/11/2025

31/10/2025

Post ACL reconstruction surgery , inspite of 130 kg weight , he achieved full knee flexion , cross leg sitting and normal gait without any pain or trouble
Deep squat , and high impact activities are not recommended for next 6 months to prevent any further injury or pain

29/10/2025

⚠️ Understanding Why Myositis Ossificans Forms

MO occurs when:
1. Soft-tissue trauma or microbleeding near the brachialis / triceps gets calcified.
2. Aggressive passive stretching or deep massage re-injures healing tissue.
3. Local warmth and repeated irritation trigger ossification.

Hence, the approach should be low-force, high-frequency, and pain-free.

⸻

✅ Safe Physiotherapy Protocol (Post 4 Weeks Internal Fixation)

🔹 Phase 1 – Gentle Tissue Conditioning (Weeks 4–6)

Goal: Improve mobility within tissue tolerance, prevent inflammation.

Exercises:
• Active-assisted elbow flexion–extension
→ Patient-assisted using opposite hand.
→ Hold for 2–3 sec, repeat 10–15 times, 4–5 sets/day.
• Forearm rotation (supination/pronation) in mid-range (no forced end range).
• Isometric biceps & triceps contractions (no load).
→ Improves circulation, prevents stiffness without shear stress.

Modalities:
• Cryotherapy after sessions (10–12 min).
→ Controls any microinflammation.
• No ultrasound / no heat at this stage.

Key Principle:

“Move often, move gently, never move through pain.”

⸻

🔹 Phase 2 – Controlled Stretching & Strength Activation (Weeks 6–10)

Goal: Gradually increase flexion by 5–10° per week.

Exercises:
• Active self-stretching using wall or table:
• Sit beside table, gently slide forearm forward on towel (gravity-assisted).
• End-range holds (5 sec) at tolerable point only.
• Isotonic biceps curls with 0.5–1 kg later when pain-free.

Optional adjuncts:
• Static progressive splinting (only under supervision).
→ Helps gain flexion safely by holding mild stretch for long durations.

27/10/2025

Post-Myositis Ossificans (Elbow) Rehabilitation 💪
After removal of ossification, the main goal is to restore movement while preventing recurrence — and that depends on how carefully physiotherapy is done.

✨ Phase 1 (0–3 weeks):
Focus on pain & inflammation control, gentle pain-free ROM, and cold therapy.
🚫 Avoid massage, heat, or aggressive stretching.

✨ Phase 2 (3–6 weeks):
Gradually increase range, continue gentle ROM, start light isometrics.
🚫 Don’t push beyond pain or do forced mobilization.

✨ Phase 3 (6–12 weeks):
Begin controlled strengthening, progressive functional work, safe modalities like TENS.
🚫 Avoid heavy resistance or jerky movements.

✨ Phase 4 (>12 weeks):
Regain function and strength, slowly return to daily and work activities.
🚫 Avoid trauma or overuse.

💡 Key: Gentle, guided, and consistent rehab prevents recurrence of ossification.
Aggressive stretching or local trauma can restart the process again!