Pain Paralysis Center Malangwa

20/11/2025

18/11/2025

18/11/2025

Physiotherapy service Now in your city Malangwa.
Pain Paralysis Center Malangwa
982-2007053

17/11/2025

15/11/2025

14/11/2025

✅ Spine degeneration is the gradual loss of normal structure and function in the spine, most commonly due to aging, where the intervertebral discs wear out and lose their cushioning ability. This can lead to symptoms like chronic back or neck pain, stiffness, and numbness or tingling in the arms or legs, especially when the degeneration puts pressure on nerves.

✅ Treatment options range from conservative methods like over-the-counter pain relievers and gentle exercises to more intensive medical treatments depending on the severity.

❄️Causes and contributing factors❄️

✔️Aging: The most common cause, where discs lose water content and shrink, and the body's natural shock absorbers deteriorate.
Injury or trauma: Can accelerate the degeneration process.
✔️Repetitive strain: Overuse from certain activities can lead to damage.
✔️Genetics: Genetic factors can play a role in how the spine ages.
✔️Smoking: Can contribute to the rate of disc degeneration.
✔️Tumors or infections: These can also cause degenerative spinal conditions.

❄️Symptoms❄️

✅ Pain: Chronic or recurring pain in the back or neck, which can worsen with sitting, bending, or twisting.
✅ Stiffness: Reduced flexibility and increased stiffness in the spine.
✅ Numbness or tingling: Often occurs in the buttocks, legs, or arms due to nerve irritation.
Pain that improves with certain positions: Pain may decrease with walking or lying down, as the pressure on the discs is reduced compared to sitting.

❄️Management and treatment❄️

➡️ Conservative treatments:
✔️Over-the-counter pain relievers like acetaminophen or NSAIDs (non-steroidal anti-inflammatory drugs).
✔️Gentle stretching programs.
✔️Heat or ice therapy.
☑️Physiotherapy.

➡️ Lifestyle and prevention:
✔️Maintaining a healthy weight.
✔️Regular exercise to strengthen the muscles supporting the spine.
✔️Avoiding smoking.
✔️Lifting with care.

11/11/2025

11/11/2025

L4-L5 and L5-S1 disc bulge is a common lower back condition where the disc between these vertebrae bulges outward, potentially irritating a nearby spinal nerve. This can cause symptoms like lower back pain, sciatica (pain radiating down the leg), numbness, tingling, or weakness in the leg or foot.

Causes include age-related wear, injury, or repetitive stress, and treatment often involves conservative options like physical therapy, rest, and pain management, though surgery may be an option for severe cases.

The lower spine has five vertebrae (L1-L5), followed by the sacrum (S1).
A disc bulge occurs when the soft, inner part of the spinal disc pushes through a weak spot in its tougher outer layer.
L4-L5 and L5-S1 are the most common locations for disc bulges in the lumbar (lower) spine because of the significant stress on these discs.

Symptoms:
Pain: Lower back pain that can be sharp or dull, and pain that radiates down one leg (sciatica).

Numbness or tingling: A "pins and needles" sensation in the leg, foot, or toes.
Muscle weakness: Difficulty with certain movements, such as walking or lifting your foot and toes.

Causes:
Age: Degenerative changes can weaken the disc over time.

Injury: A sudden impact like a fall, car accident, or sports injury.

Repetitive stress: Activities that involve heavy lifting, twisting, or long periods of sitting.

Treatment:
Conservative care: Most cases can be managed without surgery.

Rest: Avoiding activities that worsen the pain.
Physical therapy: A physiotherapist can guide you through stretches and strengthening exercises to improve flexibility and stability.

Pain management: Over-the-counter or prescription pain relievers, and sometimes other therapies like ice or heat.

Medical intervention: If conservative treatment is not effective, a doctor may recommend other options, such as injections or, in severe cases, surgery.

11/11/2025

For any query related to Neuro disorder or Paralysis or bones and muscle pain or Nerve Pain, feel free to contact our center at your city Malangwa.
DrSanij Pandit Physiotherapist
+977 9746590425
Pain Paralysis Center Malangwa
982-2007053

10/11/2025

✅ A lower extremity neurological examination is a medical assessment that tests the motor and sensory function of a patient's legs, including a patient's gait, muscle strength, tone, and reflexes.

✅ The exam also checks sensation using touch, pain, vibration, and proprioception, or the body's sense of position in space. This comprehensive assessment helps doctors detect nerve impairment, identify the location of nerve issues, and distinguish between upper and lower motor neuron problems.
Components of the examination

✔️Gait and observation: The examiner first observes the patient's walk for any abnormalities. They also look for visible signs like muscle wasting, symmetry, and involuntary movements such as tremors or fasciculations.
✔️Muscle tone: The examiner passively moves the patient's legs to assess resistance. This helps identify increased resistance (hypertonia or spasticity) or decreased resistance (hypotonia).
✔️Muscle strength: The patient is asked to perform movements like lifting their leg or pushing against resistance. Strength is typically graded on a scale of 0 to 5.
✔️Reflexes: Deep tendon reflexes are tested by tapping tendons with a reflex hammer to check for involuntary muscle contractions. The plantar reflex (Babinski sign) is also assessed.
✔️Coordination: Tests such as the heel-to-shin test are used, where the patient uses their heel to run down their shin, to check coordination.
✔️Sensation: Sensation is tested by touching the patient with different stimuli, like cotton wool for light touch, a pin prick for pain, and a vibrating tuning fork for vibration sense.
✔️Proprioception: This is assessed by passively moving the patient's toe up and down and asking them to identify the direction to see if they can sense the movement and position of their joints.