Shoulder Treatment with Dr.Laraib Altaf (PT)

All of our Physiotherapists are specialist in assessing the shoulder and are experienced in special testing to diagnose conditions and are also able to advise whether a shoulder scan is necessary.

 

 

The shoulders five key structures

Bones The humerus the long upper arm bone. The scapular commonly known as the shoulder blade is an irregular bone providing the socket for the shoulder joint. The clavicle (collar bone) is an accessory joint of the shoulder, it connects to the scapular forming the acromioclavicular joint and also connect to sternum forming the sternoclavicular joint joining the shoulder to the body.
Ligaments are fibrous thick bands of fibre that reinforce and support the shoulder joints. There are numerous ligaments with various support function.
The rotator cuff is a collection of four stabiliser muscles 1) Teres minor 2) infraspinatus 3) Supraspinatus 4) Subscapularis. The rotator cuff supports and holds the humerus head into the scapular socket while allowing a wide range of motion.
Bursa is a small sac of fluid that cushions and protects the tendons of the rotator cuff from friction. This structure may become inflamed with impact or compression from tight shoulder musculature resulting in shoulder pain.
The Labrum is a cuff of flexible cartilage that deepens the socket of the shoulder joint allowing for extra support for the ball-like head of the arm bone to fit into.

The shoulders most common injuries

Shoulder dislocation occurs when the humerus (arm bone) is forced from the socket of the shoulder. Ligament, tendon, bone and labrum injury may also occur at this time and it is advised to have a shoulder MRI following dislocation to examine the extent of the injury.
Shoulder subluxation is when the humerus (arm bone) is forced partially from the socket of the shoulder, the shoulder can also become subluxed from poor prolonged posture and muscular imbalances.
Rotator cuff disease is due to trauma from falling, lifting awkwardly and friction from adjacent boney structures causing wear and tear. Other causes can be from overuse in sports particularly activities that involve repetitive overhead motions.
Frozen shoulder (adhesive capsulitis) is acute shoulder pain and increasing stiffness that can last beyond 18-months. It is caused by inflammation and thickening of the shoulder ligaments and capsule.
Shoulder subacromial impingement is present when the rotator cuff muscle tendons are in contact with the under surface of the acromion which is an extension of the shoulder blade bone causing pressure, irritation and inflammation.

There is a multitude of various other shoulder conditions associated with the same above mentioned structures, some of these conditions have similar symptom patterns so it is important to have your shoulder assessed thoroughly to specify correct line of treatment.

                                            

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( +92 334 5160947 , +92 311 0979070 )

Dr.Laraib Altaf (PT)

 

Dr.Laraib Altaf (PT) Providing online Physiotherapy Sessions

CONSULT A PHYSIO

 ONLINE

 Dr.Laraib Altaf (PT)

Have your injury diagnosed online through a video call with an experienced physiotherapist and receive bespoke treatment plan to help you recover.  

"But how can you fix my injury without touching me ?" you may ask.Most injuries can be self-treated as long as you have an accurate diagnosis and a sensible treatment plan, Which I can easily do via a video call.

Online physiotherapy can provide many benefits that you simply won’t get with traditional physiotherapy.

I don’t think it’s for everyone, if you’re the type of person who needs a  Physiotherapy with every treatment, maybe physiotherapy might be down your ally?

If you want to take control of your pain, then jump online and book your assessment with Online Sessions Physiotherapy.

FOR ONLINE SESSIONS 
CONTACT US

 (+92 334 5160947 , +92 311 0979070)  

Dr.Laraib Altaf (PT)

                           

                                    

Physiotherapy has changed over the last decade as we have adapted our techniques, based on the evidence available.
Physiotherapy used to be dominated by techniques like massage and manipulation as they give short term benefit. The problem is, these techniques rarely result in lasting change. So then, what does?
The one thing that comes up time and time again as being an effective treatment for pain, is exercise and load management/injury advice.
Guess what?
You don’t need to be present with somebody to prescribe appropriate exercises and give sound advice! This is how online physiotherapy assessment and treatment is feasible.
The ever-expanding technological advances is making videoconferencing easy and flexible.

 

Online treatment is personal

I know it sounds strange, but let me elaborate:
The face-time videoconferencing sessions are very similar to face-to-face without the touch component. Your therapist still hears your story, they understand your exact problem, they want to help YOU.
What really sets online apart is that after the initial video-conference, you have access to your therapist whenever, thanks to in-app messaging.
Instead of waiting for one appointment a week, you can literally ask a question, as you think of them. Heck, you can even ask them how their day has been!
We have all had the experience of going to a physiotherapist, and you walk out with hand-written drawings on paper like we live in the dark ages! The problem here is we never know if we’re doing the exercises correctly.
With online physio, you can video an exercise and shoot it through, to check if you’re doing it right.
Online physiotherapy treatment means you don’t have to worry about doing exercises the right way again. It takes away the problem that will prevent your recovery.

face to face consultation

 

It’s more affordable

Who doesn’t want more affordable physiotherapy!
At online Physiotherapy we don’t do cheap, we do quality at affordable prices. The reason we can pull this off, is because there are minimal overhead costs. 
Think about it, we don’t have a building to pay rent, or lots of equipment to buy. That means we can cut down on the cost of physiotherapy, without compromising our standard of care.
Our starting consultation is only 2000/-pkr for a session. This will give you an online video consultation with one of our therapists. Then after you will be given appropriate advice, any educational material you need and an initial home exercise program to start.

Take a physiotherapist in your pocket!

Have you ever needed a physiotherapist when you had an injury whilst skiing in Japan?
Well now you can take us with you!
The benefit of online physiotherapy is that if you have internet connection, you have connection with your physiotherapist. Now distance doesn’t have to be a limitation to you receiving the quality care that you deserve. 
If you’re anything like me, you want to keep a good physiotherapist when you find one. With online physiotherapy you will always have this luxury, even should you decide to move.
This also works for those who have busy schedules. Our hours fit well outside the normal schedule, to accommodate for those who work the 9 to 9.
Maybe you just want to get treated on you lunch break? Well this also is an option – just remember you may have to show the body part being treated so maybe get a private space.
Mums with young children that don’t get the luxury of leaving the home now don’t need to. With online physiotherapy all you need is a mobile phone to get treatment by a physiotherapist.

 

Online treatment will keep you accountable

One of my all-time favorite perks for online physiotherapy treatment is that we can track your adherence to the exercise program.
This is a valuable feature as I believe our job doesn’t end when the video-conference is over. Our job is to coach you through performing these exercises, because they are the key to your recovery.
If there are a few days missed, your physiotherapist may send a friendly reminder, or ask if you are struggling with the exercises. This opens a dialogue for conversation so we can better serve your needs.
We understand that exercises are hard, especially when you aren’t used to performing them regularly. We want to give you every opportunity to exceed in your rehabilitation.

You will have more access to information

The internet is full of quality information and you only need to know where to look.
During the video consultation, our video platform allows the screen that your physiotherapist is using to be displayed on your phone screen.
This means we can highlight in real-time, any relevant information that might help you to understand your condition.
This might include watching a you tube video together, or scrolling through specific pictures on our website to help you understand the muscles we need to strengthen or stretch.
We have some great information on all different aspects of training.


                     

Postural Problems

It is possible that you have a moderate to severe postural problem that is affecting your health, performance and is the source of your pain. Our Physiotherapists and Exercise Physiologists are experienced specialists in returning postures back to normal improving your health, performance and decreasing pain through the process.

 

 

Six of the most common presenting postural problems

Forward head position
Rounded shoulders
Increased flexion or extension of spine
Tilted pelvis position
Knocked knees or bowed legs
Flat feet
If the postural problem has persisted over time mobilisation of joints and returning muscle lengths back to normative values is needed before strengthening your new and improved posture.

Knee Pain

 

All of our Physiotherapists are specialists in assessing all the knee structures and are experienced in all special testing to diagnose your condition. We will advise you whether a knee scan is also necessary.
Take confidence that our Physiotherapists will be able to advise you of the treatment that you require.

 

 

The knees seven key structures

Bones there are three bones meet to form your knee joint, your thighbone (femur), shinbone (tibia), and kneecap (patella).
Articular Cartilage the ends of the femur and tibia and under surface of the patella are covered with articular cartilage. The function of cartilage is to produce a smooth glide between bones as they articulate.
Meniscus are two pieces of wedge shaped cartilage that act as shock absorbers and spacers between the long bones. The meniscus is a tough rubbery cushion that stabilises the joint.
Ligaments are fibrous bands that connect and provide support holding the bones together forming the knee joint. Ligaments are a strong band that combine to keep the knee very stable.
Collateral Ligaments border the inside and outside of the knee holding the knee together.
Cruciate Ligaments are found within the knee joint, they cross between the long bones forming a “X” with a cruciate ligament from the front and a cruciate ligament in the back. They control the back and forth sliding motion between the long bones.
Tendons connect muscle to the bone. The quadriceps tendon connects the muscles from the front of your thigh to your patella and the act of the quadricep muscle is to straighten the knee. Behind the knee the hamstrings and calf muscle tendons cross connecting at the back of the knee. The hamstrings bend the knee.
There is a multitude of various knee conditions associated with the above mentioned structures, some of these conditions have similar symptom patterns so it is important to have your knee assessed thoroughly to specify the correct line of treatment.

 

Seven Common Knee Injuries

• Fractures and broken bones
• Dislocation
• Anterior Cruciate Ligament (ACL) injuries
• Posterior Cruciate Ligament (PCL) injuries
• Collateral Ligament (MCL, LCL) injuries
• Meniscal Tears
• Tendon Tears

 

Work Injuries

 

 

 

As an injured worker you are required to nominate a treating doctor for your injury. Your treating doctor will issue you with a work cover medical certificate. You must also notify your employer of your injury as soon as possible and provide a copy of your work cover medical certificate.
When seeking treatment for your injury with  Physio please provide a copy of your workcover medical certificate. We will ensure that our communication with your treating doctors and employer are regular to facilitate a time efficient plan to return you back to you full duties as soon as possible.

Back Pain

 

Neurological exam is required if you have described symptoms that may indicate you are experiencing compression or inflammation related to a nerve or the spinal cord.
Vertebrobasilar insufficiency (blood flow restrictions causing symptoms)
Movements of the spinal joints (looking for joint restrictions or instability)
Palpation of spinal joints (looking for joint experiencing compression, inflammation etc)
Soft tissue examination (assessing muscle for overload, tightness, strains and sprains and tears)
Area of pain will be carefully assessed for damaged structures
Position and alignment of vertebrae
X-ray, CT and MRI explanation of findings in clear easy to understand language
Special testing stability, instability and functional movements
Throughout and following the physical exam our Physiotherapist will explain your assessment and how it is relevant to you and your condition.
Our Physiotherapists will then clearly explain your diagnosis in easy to understand language ensuring you are informed of what is causing your symptoms and concerns.

Neck Pain

 

 

The Neck (Cervical Spine) Roles and Functions

Housing and protecting the spinal cord. This bundle of nerves extends from the brain and runs through the cervical spine and thoracic spine prior to ending just before the lumbar spine (lower back), the spinal cord relays all the important messages from the brain to the rest of the body.
Supporting the head and its movement. The cervical spine carries the big load of the head weighing on average between 5 and 6 kilograms. In addition to its support role the cervical spine allows for the head’s flexibility, including rotational, flexion/extension and side to side bending motions.
Facilitating flow of blood to the brain. Vertebral openings (vertebral foramen) in the cervical spine provide a passageway for vertebral arteries to pass and ensure proper blood flow to the brain. These openings are present only in the vertebrae of the cervical spine.
The cervical vertebrae play a key role in maintaining these functions in the neck.

The Cervical spines key structures

• Vertebrae there are 7 bones that interconnect to form your neck
• Facet joints are the joints in your neck that interconnect your vertebrae and enable your neck to flex, lateral bend, extend and rotate.
• Intervertebral Discs are fibrocartilage discs that act as a spacer and provide shock absorption between each vertebrae
• Ligaments are fibrous bands that connect and provide support holding the bones together forming the facet joints. Ligaments are strong band that combine to keep the neck very stable.
• Spinal cord is a bundle of nerves that collectively connect from the brain extending down running through the cervical spine, thoracic spine and ends in the lumbar spine.
• Peripheral nerves are nerves that exit from the spine and are extensions from the spinal cord which innervate the body functions.

"Weight Loss Tommy reduction weight gain with or without any equipment online exercises plan at home"

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( +92 334 5160947 , +92 311 0979070 )

Dr.Laraib Altaf (PT)