Heide G. Sotero, PTRP - Bone Setter

28/11/2023

𝗧𝗢𝗥𝗧𝗜𝗖𝗢𝗟𝗟𝗜𝗦 (𝗪𝗿𝘆𝗻𝗲𝗰𝗸)
Torticollis, also known as wryneck, is a twisting of the neck that causes the head to rotate and tilt at an odd angle.

𝗖𝗔𝗨𝗦𝗘
The exact cause of torticollis is unknown.
Congenital muscular torticollis is more likely to happen in firstborn children. This may also be accompanied by a congenital hip dislocation. The cause is likely from the fetus’s position in the uterus resulting in injury to the neck muscles.

Acquired torticollis may be caused by irritation to the cervical ligaments from a viral infection, injury, or vigorous movement. Additional causes may include:

⚠️Sleeping in an awkward position
⚠️Neck muscle injury at birth
⚠️Burn injury
⚠️Any injury that causes heavy scarring and skin or muscle shrinkage
⚠️Neck muscle spasm
⚠️Slipped facets (two small joints on the side of the spine)
⚠️Herniated disk
⚠️Viral or bacterial infection

𝗦𝗬𝗠𝗣𝗧𝗢𝗠𝗦
✅️Neck muscle pain or pain down the spine
✅️Inability to turn the head, usually holding it twisted to one side
✅️Spasm of the neck muscles
✅️Awkward position of the chin
✅️During the baby's first few weeks, a soft lump may be felt in the affected neck muscle
✅️One side of the face and head may flatten because the child always sleeps on one side.

𝗗𝗜𝗔𝗚𝗡𝗢𝗦𝗜𝗦
📃Medical history
🧑‍⚕️Physical exam

𝗧𝗥𝗘𝗔𝗧𝗠𝗘𝗡𝗧/𝗠𝗔𝗡𝗔𝗚𝗘𝗠𝗘𝗡𝗧
👩‍⚕️𝙉𝙤𝙣𝙨𝙪𝙧𝙜𝙞𝙘𝙖𝙡 𝙏𝙧𝙚𝙖𝙩𝙢𝙚𝙣𝙩
Sternocleidomastoid muscle stretch. Turning the baby's neck side to side so that the chin touches each shoulder
Gently tilting the head to bring the ear on the unaffected side down to the shoulder.

💉𝙎𝙪𝙧𝙜𝙞𝙘𝙖𝙡 𝙏𝙧𝙚𝙖𝙩𝙢𝙚𝙣𝙩
Approximately 10% of children with congenital muscular torticollis require surgery. The operation is typically scheduled once the child reaches preschool years. The procedure, which will lengthen the short sternocleidomastoid muscle.

Source: Hopkinsmedecine.org / Orthoinfo.aaos.org

14/11/2023

💯

03/11/2023

𝗣𝗥𝗔𝗗𝗘𝗥 𝗪𝗜𝗟𝗟𝗜 𝗦𝗬𝗡𝗗𝗥𝗢𝗠𝗘

𝗖𝗔𝗨𝗦𝗘
is a rare genetic disorder caused by the loss of certain genes on chromosome 15. This loss of genetic material can occur in one of several ways, including deletion of a portion of chromosome 15, uniparental disomy (both copies of chromosome 15 are inherited from one parent), or imprinting defects.

𝗦𝗜𝗚𝗡𝗦 & 𝗦𝗬𝗠𝗣𝗧𝗢𝗠𝗦
Feeding Difficulties
Hyperphagia
Hypotonia
Delayed Motor Development
Intellectual Disabilities
Behavioral Issues
Short Stature
Hypogonadism
Altered Sleep Patterns
Skin Picking &Other Self-Injurious Behaviors
Cognitive and Learning Challenges

𝗗𝗜𝗔𝗚𝗡𝗢𝗦𝗜𝗦
𝘾𝙡𝙞𝙣𝙞𝙘𝙖𝙡 𝙀𝙫𝙖𝙡𝙪𝙖𝙩𝙞𝙤𝙣: A healthcare provider, often a geneticist or pediatrician, will assess the individual's medical history, physical characteristics, and developmental milestones.
𝙂𝙚𝙣𝙚𝙩𝙞𝙘 𝙏𝙚𝙨𝙩𝙞𝙣𝙜: PWS is primarily caused by genetic abnormalities involving chromosome 15.
𝘼𝙙𝙙𝙞𝙩𝙞𝙤𝙣𝙖𝙡 𝙏𝙚𝙨𝙩𝙞𝙣𝙜: In some cases, additional tests may be performed to assess hormonal imbalances, growth hormone deficiency, or other medical issues commonly associated with PWS.

𝗧𝗥𝗘𝗔𝗧𝗠𝗘𝗡𝗧 & 𝗠𝗔𝗡𝗔𝗚𝗘𝗠𝗘𝗡𝗧
1. 𝙀𝙖𝙧𝙡𝙮 𝘿𝙞𝙖𝙜𝙣𝙤𝙨𝙞𝙨: Early diagnosis is important to start interventions as soon as possible.
2. 𝙂𝙧𝙤𝙬𝙩𝙝 𝙃𝙤𝙧𝙢𝙤𝙣𝙚 𝙏𝙝𝙚𝙧𝙖𝙥𝙮: helps improve growth and body composition in children with PWS.
3. 𝙉𝙪𝙩𝙧𝙞𝙩𝙞𝙤𝙣𝙖𝙡 𝙈𝙖𝙣𝙖𝙜𝙚𝙢𝙚𝙣𝙩: Strict dietary control and monitoring are essential to prevent obesity.
4. 𝘽𝙚𝙝𝙖𝙫𝙞𝙤𝙧 𝙈𝙖𝙣𝙖𝙜𝙚𝙢𝙚𝙣𝙩: Behavior therapy can help manage food-related behaviors, temper tantrums, and other behavioral issues.
5. 𝙀𝙭𝙚𝙧𝙘𝙞𝙨𝙚 𝙖𝙣𝙙 𝙋𝙝𝙮𝙨𝙞𝙘𝙖𝙡 𝙏𝙝𝙚𝙧𝙖𝙥𝙮: Encouraging regular physical activity and therapy can help maintain muscle tone and overall health.
6. 𝙎𝙤𝙘𝙞𝙖𝙡 𝙎𝙪𝙥𝙥𝙤𝙧𝙩: Providing emotional and social support to individuals with PWS and their families is crucial.
7. 𝙎𝙥𝙚𝙚𝙘𝙝 𝙖𝙣𝙙 𝙊𝙘𝙘𝙪𝙥𝙖𝙩𝙞𝙤𝙣𝙖𝙡 𝙏𝙝𝙚𝙧𝙖𝙥𝙮: These therapies can address speech and motor skills difficulties often seen in PWS.
8. 𝙈𝙚𝙙𝙞𝙘𝙖𝙩𝙞𝙤𝙣: Some medications may be used to manage specific symptoms or behaviors associated with PWS.
9. 𝙍𝙚𝙜𝙪𝙡𝙖𝙧 𝙈𝙚𝙙𝙞𝙘𝙖𝙡 𝘾𝙝𝙚𝙘𝙠𝙪𝙥𝙨: To monitor for potential health issues, such as sleep apnea, diabetes, and heart problems.
10. 𝙎𝙡𝙚𝙚𝙥 𝙈𝙖𝙣𝙖𝙜𝙚𝙢𝙚𝙣𝙩: Sleep disorders are common in PWS. Proper sleep hygiene and monitoring can help address these issues.
11. 𝙋𝙨𝙮𝙘𝙝𝙞𝙖𝙩𝙧𝙞𝙘 𝙎𝙪𝙥𝙥𝙤𝙧𝙩: Individuals with PWS may require psychiatric care to manage mental health challenges, like anxiety or obsessive-compulsive tendencies.
12. 𝙎𝙥𝙚𝙘𝙞𝙖𝙡 𝙀𝙙𝙪𝙘𝙖𝙩𝙞𝙤𝙣: Tailored educational programs can help individuals with PWS maximize their potential.

02/11/2023

📣

27/10/2023

Hmmmm. Pano po pag yung PT , BONE SETTER din😅

Ilang oras lang kasi yung training at may certificate ka na 😮‍💨

25/10/2023

𝗚𝘂𝗶𝗹𝗹𝗮𝗶𝗻-𝗕𝗮𝗿𝗿é 𝘀𝘆𝗻𝗱𝗿𝗼𝗺𝗲 (𝗚𝗕𝗦)

is a rare neurological disorder in which your immune system mistakenly attacks part of the peripheral nervous system—the network of nerves located outside of the brain and spinal cord.

𝗖𝗔𝗨𝗦𝗘
Affected person's immune system begins to attack the body itself. Normally the immune system uses antibodies (molecules produced in an immune response) and special white blood cells to protect us by attacking infecting microorganisms (bacteria and viruses). It may be this immune attack starts as a fight against an infection and that some chemicals on infecting bacteria and viruses resemble those on nerve cells, which, in turn, also become targets of attack. In most cases of GBS, the immune system damages the myelin sheath that surrounds the axons of many peripheral nerves.

𝗦𝗬𝗠𝗣𝗧𝗢𝗠𝗦
😮‍💨𝘞𝘦𝘢𝘬𝘯𝘦𝘴𝘴. The weakness seen in GBS usually comes on quickly and worsens over hours or days. It often affect the arms, breathing muscles, and even the face, reflecting more widespread nerve damage.
😕𝘚𝘦𝘯𝘴𝘢𝘵𝘪𝘰𝘯 𝘤𝘩𝘢𝘯𝘨𝘦𝘴. Since nerves are damaged in GBS, your brain may receive abnormal sensory signals from the rest of your body. This results in unexplained, spontaneous sensations, called paresthesias.
👀𝘋𝘪𝘧𝘧𝘪𝘤𝘶𝘭𝘵𝘺 𝘸𝘪𝘵𝘩 𝘦𝘺𝘦 𝘮𝘶𝘴𝘤𝘭𝘦𝘴 𝘢𝘯𝘥 𝘷𝘪𝘴𝘪𝘰𝘯
👄𝘋𝘪𝘧𝘧𝘪𝘤𝘶𝘭𝘵𝘺 𝘴𝘸𝘢𝘭𝘭𝘰𝘸𝘪𝘯𝘨, 𝘴𝘱𝘦𝘢𝘬𝘪𝘯𝘨, 𝘰𝘳 𝘤𝘩𝘦𝘸𝘪𝘯𝘨
📍𝘗𝘳𝘪𝘤𝘬𝘪𝘯𝘨 𝘰𝘳 𝘱𝘪𝘯𝘴 𝘢𝘯𝘥 𝘯𝘦𝘦𝘥𝘭𝘦𝘴 𝘴𝘦𝘯𝘴𝘢𝘵𝘪𝘰𝘯𝘴 𝘪𝘯 𝘵𝘩𝘦 𝘩𝘢𝘯𝘥𝘴 𝘢𝘯𝘥 𝘧𝘦𝘦𝘵
😭𝘗𝘢𝘪𝘯 𝘵𝘩𝘢𝘵 𝘪𝘴 𝘣𝘦 𝘴𝘦𝘷𝘦𝘳𝘦, 𝘱𝘢𝘳𝘵𝘪𝘤𝘶𝘭𝘢𝘳𝘭𝘺 𝘢𝘵 𝘯𝘪𝘨𝘩𝘵
🖖𝘊𝘰𝘰𝘳𝘥𝘪𝘯𝘢𝘵𝘪𝘰𝘯 𝘱𝘳𝘰𝘣𝘭𝘦𝘮𝘴 𝘢𝘯𝘥 𝘶𝘯𝘴𝘵𝘦𝘢𝘥𝘪𝘯𝘦𝘴𝘴
🫀𝘈𝘣𝘯𝘰𝘳𝘮𝘢𝘭 𝘩𝘦𝘢𝘳𝘵𝘣𝘦𝘢𝘵/𝘳𝘢𝘵𝘦 𝘰𝘳 𝘣𝘭𝘰𝘰𝘥 𝘱𝘳𝘦𝘴𝘴𝘶𝘳𝘦
😣𝘗𝘳𝘰𝘣𝘭𝘦𝘮𝘴 𝘸𝘪𝘵𝘩 𝘥𝘪𝘨𝘦𝘴𝘵𝘪𝘰𝘯 𝘢𝘯𝘥/𝘰𝘳 𝘣𝘭𝘢𝘥𝘥𝘦𝘳 𝘤𝘰𝘯𝘵𝘳𝘰𝘭

𝗗𝗜𝗔𝗚𝗡𝗢𝗦𝗜𝗦
👨‍⚕️𝘗𝘩𝘺𝘴𝘪𝘤𝘢𝘭 𝘦𝘹𝘢𝘮
📈𝘕𝘦𝘳𝘷𝘦 𝘤𝘰𝘯𝘥𝘶𝘤𝘵𝘪𝘰𝘯 𝘷𝘦𝘭𝘰𝘤𝘪𝘵𝘺 𝘵𝘦𝘴𝘵 (𝘕𝘊𝘝)
🧪𝘊𝘦𝘳𝘦𝘣𝘳𝘰𝘴𝘱𝘪𝘯𝘢𝘭 𝘧𝘭𝘶𝘪𝘥 𝘢𝘯𝘢𝘭𝘺𝘴𝘪𝘴

𝗧𝗥𝗘𝗔𝗧𝗠𝗘𝗡𝗧
𝘼𝙘𝙪𝙩𝙚 𝙘𝙖𝙧𝙚
🩸𝘗𝘭𝘢𝘴𝘮𝘢 𝘦𝘹𝘤𝘩𝘢𝘯𝘨𝘦 (𝘗𝘌), also called plasmapheresis, involves removing some of your blood through a catheter.
⚗️𝘐𝘯𝘵𝘳𝘢𝘷𝘦𝘯𝘰𝘶𝘴 𝘪𝘮𝘮𝘶𝘯𝘰𝘨𝘭𝘰𝘣𝘶𝘭𝘪𝘯 𝘵𝘩𝘦𝘳𝘢𝘱𝘺 (𝘐𝘝𝘐𝘨) involved intravenous injections of immunoglobulins proteins that your immune system naturally makes to attack infecting organisms.
🫁𝘚𝘶𝘱𝘱𝘰𝘳𝘵𝘪𝘷𝘦 𝘤𝘢𝘳𝘦 is very important to address the many complications of paralysis as your body recovers, and damaged nerves begin to heal. These includes mechanical vent and heart monitor or equipment that measures and tracks body function.

𝙍𝙚𝙝𝙖𝙗𝙞𝙡𝙞𝙩𝙖𝙩𝙞𝙫𝙚 𝙘𝙖𝙧𝙚
♿️𝘗𝘩𝘺𝘴𝘪𝘤𝘢𝘭 𝘛𝘩𝘦𝘳𝘢𝘱𝘪𝘴𝘵. Helps to manually move and position your limbs to help keep the muscles flexible and prevent muscle shortening. Here, you can regain strength, receive physical rehabilitation and other therapy to resume activities of daily living, and prepare to return to pre-illness life.
🤲𝘖𝘤𝘤𝘶𝘱𝘢𝘵𝘪𝘰𝘯𝘢𝘭 𝘢𝘯𝘥 𝘷𝘰𝘤𝘢𝘵𝘪𝘰𝘯𝘢𝘭 𝘵𝘩𝘦𝘳𝘢𝘱𝘺 helps you learn new ways to handle everyday functions that may be affected by the disease, as well as work demands and the need for assistive devices and other adaptive equipment and technology.

Source: https://www.ninds.nih.gov/health-information/disorders/guillain-barre-syndrome

20/10/2023

😂😂😂😂

Sabi ko na nga ba, nagbago na ang bilang ng mga vertebrae sa spine. C15, T20, L10, Coc10

😱

19/10/2023

What is the best order or pairing of examination maneuvers to diagnose ?
https://ow.ly/HyJ450PUywc

17/10/2023