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01/02/2026

Special Test for Knee Joint: Lachman Test Explained! The Lachman Test is one of the most reliable clinical tests used to assess the integrity of the ACL (anterior cruciate ligament) in the knee. It's especially useful for detecting ACL tears. How it's done: The patient lies down with the knee flexed at about 20-30Β°. The examiner stabilizes the femur with one hand and pulls the tibia forward with the other. Excessive forward movement or a soft end feel suggests an ACL injury. Quick Accurate Commonly used in orthopedic and sports settings Early diagnosis = Better recovery! Always consult a professional for accurate diagnosis and management. Test OrthoCare Knee Pain Injury Prevention Rehab Medical Education JointHealth Health Tips Physical Therapy KneeAssessment ACLRecovery moizsiddiqui physiomoiz

π‹π’π€πžβ™₯️ π’π‘πšπ«πžπŸ‘₯ π’πšπ―πžπŸ”

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01/02/2026

𝐏𝐋𝐀𝐍𝐄𝐬 𝐀𝐧𝐝 π€π—πˆπ’π¬

π‹π’π€πžβ™₯️ π’π‘πšπ«πžπŸ‘₯ π’πšπ―πžπŸ”

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31/01/2026

In denervated muscle:

❌Faradic - ineffective

βœ…Galvanic - effective.



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31/01/2026

Just basic movement to check motor involvement in disc compression without an MRI



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30/01/2026

6 TYPES OF ARTHRITIS USMLE Will Test on Step 1, 2, & 3

1️⃣Osteoarthritis Cartilage wears down.

Mechanical, not inflammatory. Weight-bearing joints.

Classic presentation: They'll give you elderly/obese patient, knee or hip pain WORSE with activity, BETTER with rest.

Morning stiffness 1 hour. Improves with use. Spares DIP - that's OA. Swan neck, boutonniere deformities. Tx: Methotrexate first-line. TNF inhibitors.

3️⃣Gout Crystal-urate Needle-shaped, NEGATIVELY birefringent (yellow parallel). Classic presentation: They'll give you sudden severe FIRST MTP pain (podagra) - red, hot, exquisitely tender. After alcohol, meat, thiazides. Don't start allopurinol during acute attack.Tx: Acute-NSAIDs, colchicine. Chronic-allopurinol.

4️⃣Pseudogout Crystal - calcium Rhomboid-shaped, pyrophosphate POSITIVELY birefringent (blue parallel). Opposite of gout. Classic presentation: They'll give you elderly patient, acute KNEE pain. X-ray shows chondrocalcinosis. Associated: hemochromatosis, hyperparathyroidism. Tx: NSAIDs, colchicine, steroids.

5️⃣Septic Arthritis Bacteria destroy cartilage in hours. Staph #1. Gonococcal in young sexually active. Classic presentation: They'll give you hot, swollen joint with fever. Can't move it. WBC >50,000, >75% PMNs. I TAP THE JOINT. Don't wait. Gonococcal = migratory arthritis + tenosynovitis + skin lesions. Tx: IV antibiotics immediately. Drainage.

6️⃣Reactive Arthritis Sterile inflammation after GI (Salmonella, Shigella) or GU (Chlamydia) infection. HLA-B27. Classic presentation: They'll give you young man, asymmetric arthritis 1-4 weeks after diarrhea or urethritis. Enthesitis, dactylitis (sausage digits). Tx: NSAIDs. Treat infection if present.

π‹π’π€πžβ™₯️ π’π‘πšπ«πžπŸ‘₯ π’πšπ―πžπŸ”

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29/01/2026

Most people don't realise this...

Your neck doesn't hurt because your posture is "bad."
It hurts because your neck is working too hard for too long every time you look down at your phone.

Here's what REALLY happens:

πŸ“ŒYour head moves forward
This makes your neck muscles carry 3-5x more weight than usual.

πŸ“ŒYour small neck-support muscles get tired
They're meant to keep your neck stable-but long scrolling makes them switch off.

πŸ“ŒYour big muscles take over
Upper traps, SCM, and muscles around the shoulder blade start working overtime.
That's when you feel tightness, heaviness, or burning.

πŸ“ŒYour discs and nerves get irritated
Not dangerous-just overloaded from staying in one position too long.

πŸ“ŒThe longer you scroll, the more tired your neck becomes And eventually it feels painful, stiff, or "stuck".

The GOOD NEWS?
This is fixable-and it's actually simpleπŸ‘ŽπŸΏ

βœ…Look up every 20-30 minutes
βœ…Do 3-4 gentle neck resets (chin tuck, levator stretch, trap relax)
βœ…Strengthen deep neck muscles a little each day
βœ…Keep your phone higher, not in your lap
βœ…Move your shoulders often

When small support muscles get stronger again...
♦️The big muscles stop overworking.
♦️Your neck feels lighter.
♦️Your posture improves naturally.
And pain gradually fades.
♦️Your neck isn't weak..
♦️It's overworked.

πŸ‘‰πŸ»Give it balance-and it heals beautifully.

π‹π’π€πžβ™₯️ π’π‘πšπ«πžπŸ‘₯ π’πšπ―πžπŸ”

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29/01/2026

This is your foot viewed from the bottom. Notice how your toes are the widest part of it. And this is the outline of your shoe. Can you spot the problem?

In order for your foot to fit into your shoe, a transformation needs to happen. Your toes have to get squashed together, so they are no longer the widest part of the foot.

That changes the forces acting on your forefoot, making it easier for foot deformities to develop.

Remember: wide toes are happy toes. Keep your toes happy, and they will keep you healthy.

π‹π’π€πžβ™₯️ π’π‘πšπ«πžπŸ‘₯ π’πšπ―πžπŸ”

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anatomy footbiomechanics

28/01/2026

The core group of adductors consists of four muscles connecting the pelvis to the femur. Because they so closely overlap, understanding their exact placement from the front view can be difficult. A much better approach is to dig into them from the back.

The first and most dominant structure is the Adductor Magnus. This thick powerful muscle, spans almost the entire length of the femur, essentially forming a wall that overshadows the others beneath it.

Once we remove the Magnus, three smaller adductors reveal themselves in a neat sequence. Starting from the bottom, we find the Adductor Longus. Directly above it lies the shorter Adductor Brevis. And sitting at the very top is the smallest of the group, the Adductor Minimus.

From the back, it looks like these muscles stack one on top of the other. However, shifting to an upper-front perspective reveals their true arrangement: they actually start at nearly the same height on the femur, but are layered at different depths.

Together, these four muscles form the structural core of the adductors.

π‹π’π€πžβ™₯️ π’π‘πšπ«πžπŸ‘₯ π’πšπ―πžπŸ”

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27/01/2026

π’πœπ¨π₯𝐒𝐨𝐬𝐒𝐬 𝐁𝐫𝐚𝐜𝐞....

π‹π’π€πžβ™₯️ π’π‘πšπ«πžπŸ‘₯ π’πšπ―πžπŸ”

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27/01/2026

If you've been living with pain that doesn't make sense anymore pain that stays even after rest, stretching, or strengthening you're not broken.

What's often happening is this

The muscle healed, but the signal didn't.

When a muscle stays tight, sore, or reactive for weeks or months, it's usually because the nervous system keeps it in protection mode.

Dry needling works by targeting overactive neuromuscular trigger points areas where the muscle and nerve are stuck in a loop of tension.

That quick twitch you sometimes see?

That's the nervous system letting go.

What people usually feel after:

Less guarding

Easier movement

Reduced pain sensitivity

A sense of "release" rather than numbness

Dry needling doesn't replace exercise or rehab. It creates the window where movement can finally work.

Pain isn't always an injury.

Sometimes it's just a signal that needs a reset.

If you've been pushing through pain and getting nowhere this might be the missing piece.

π‹π’π€πžβ™₯️ π’π‘πšπ«πžπŸ‘₯ π’πšπ―πžπŸ”

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26/01/2026

If you can read the X-ray, you can plan the rehab. Deformities every physio must recognize

X-ray deformities, musculoskeletal deformities, physiotherapy assessment, radiological diagnosis, orthopaedic physiotherapy, clinical reasoning in physiotherapy, physio education, image based diagnosis, rehab planning



π‹π’π€πžβ™₯️ π’π‘πšπ«πžπŸ‘₯ π’πšπ―πžπŸ”

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24/01/2026

Burning. Tingling. Numbness. Swelling.

These are not skin problems they are signals from your nerves, circulation, and movement system. Here's what your body may actually be telling you

βœ…Burning Sensation

Often linked to nerve irritation or overload. Common with prolonged sitting, spinal stiffness, or poor load distribution through the legs.

βœ…Tingling

A sign of altered nerve signal conduction.

Can occur when nerves are compressed, irritated, or sensitized due to posture, repetitive load, or reduced mobility.

βœ…Numbness

Usually indicates reduced nerve input or circulation.
Not normal if it's recurring or spreading especially in the feet.

βœ…Yellow Nails

May reflect chronic circulation stress, reduced tissue health, or fungal load often seen when movement and blood flow are compromised over time.

βœ…Swelling / Heaviness

A sign of poor venous or lymphatic return.
Common after long standing, travel, or low daily movement.

βœ…Nerve Irritation

Sharp, electric, or crawling sensations often point toward neural tension or sensitivity, not muscle tightness.

πŸ‘‰πŸΏWHY PHYSIOTHERAPY HELPS

Physiotherapy doesn't just treat the pain it addresses:

♦️Nerve mobility
♦️Circulation & fluid flow
♦️Load tolerance of tissues
♦️Movement quality & control

Relief without restoring movement often doesn't last.

WHEN TO TAKE THIS SERIOUSLY

Symptoms last more than 7-10 days Sensations are spreading or worsening Pain changes with posture or movement Morning stiffness + heaviness in feet History of back, hip, or nerve pain Your feet often show early signs before pain appears elsewhere.



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