BRAIN & SPINE PHYSIOTHERAPY CENTER

Low back pain (LBP) is a prevalent condition worldwide, affecting a significant portion of the population. Its etiology encompasses various biological factors, including injury (disk herniation, trauma), structural deficiencies (spinal deformities), age-related changes (spinal stenosis, nerve root compression), and obesity. To alleviate LBP symptoms, we provide personalized treatment options, including manual therapy, physical modalities, traction, orthotics, spinal manipulation, targeted exercise, and educational initiatives.

The most common cause of neck discomfort is mechanical or postural issues. Various factors contribute to this condition, such as poor posture, nervousness, neck strain, and engaging in specific sports or occupations. To effectively alleviate neck pain, we offer comprehensive workout programs that incorporate proprioceptive, strengthening, endurance, coordination, modalities, mobilization, and chiropractic adjustments.

Cervicogenic headache, a secondary headache, arises from neck dysfunction. Neck movement, prolonged uncomfortable head positions, or external pressure on the upper cervical or occipital area on the affected side can exacerbate this condition. Physiotherapists possess expertise in cranio-cervical, scapulo-thoracic, and spinal mobilization techniques, in addition to spinal manipulation and trigger point treatment.

The etiology of adhesive capsulitis, commonly known as frozen shoulder, remains unknown. It is characterized by a marked restriction of shoulder mobility, both passive and active, without a discernible underlying cause. The most prevalent symptoms of frozen shoulder include subtle shoulder stiffness, severe discomfort that typically worsens at night, and almost complete loss of shoulder external rotation, both passive and active. Physiotherapists employ modalities, range-of-motion exercises, stretching exercises, strengthening activities, and functional exercises to alleviate discomfort associated with frozen shoulder.

Supraspinatus tendinitis is the most prevalent cause of shoulder pain, characterized by pain in and around a tendon related to repetitive motions and function impairment resulting from inadequate tendon regeneration during the healing process. To alleviate discomfort and enhance quality of life, physiotherapists employ soft tissue mobilization techniques in conjunction with posture correction activities.

Lateral epicondylitis, commonly referred to as tennis elbow, manifests as discomfort and soreness on the lateral epicondyle of the elbow. While it is often associated with repetitive motions, such as those in tennis, it can also affect individuals engaged in a diverse range of occupations and hobbies. Physiotherapy, which focuses on pain management, functional recovery, and recurrence prevention, is a conservative treatment approach for tennis elbow. Manual treatments, including joint mobilizations, soft tissue massage, myofascial release, taping, and bracing, are employed to alleviate pain and restore joint function.

Carpal tunnel syndrome (CTS) is a neurological disorder caused by compression of the median nerve at the wrist due to elevated pressure within the carpal tunnel. This compression impairs the nerve’s freedom of movement relative to the surrounding tissues. Typically, the initial symptoms of CTS include sensory or motor complaints in the hand and wrist. In the distal distribution of the thumb, index, and middle fingers, as well as the radial aspect of the ring finger, patients frequently experience discomfort, paresthesia, or numbness. The objective of manual treatment based on neurodynamic principles is to restore the disrupted carpal tunnel nerve slide. By restoring the dynamic equilibrium between the nerve’s relative motion and the surrounding tissues, potentially reducing harmful stresses, particularly compressive ones, physiotherapy aims to improve the nerve’s physiological function.

Compression neuropathy of the ulnar nerve around the cubital tunnel is known as cubital tunnel syndrome. The arcade of Struthers, the medial intermuscular septum, the medial epicondyle, the cubital tunnel, and the deep flexor-pronator aponeurosis are the most frequently occurring potential sites of compression of the ulnar nerve. Ulnar nerve distribution impairment, atrophy of the first dorsal interosseus muscle, Wartenberg, Froment, and Jeanne signs, and clawing of the fourth and fifth fingers are among the symptoms. A physiotherapist can assist with night splints, ultrasound treatment, orthoses to prevent elbow flexion, elbow pads, triceps workout avoidance, postural/behavioral adjustment, ergonomics education, nerve gliding, and tendon gliding activities.

Sciatica is a condition characterized by leg-radiating pains that can be attributed to piriformis syndrome and lumbar disc problems. When any of the nerves from the fourth lumbar vertebrae to the third sacral vertebrae are compressed, patients typically experience tingling, numbness, and pain as symptoms. Physiotherapy techniques have been demonstrated to be effective in addressing this issue. Techniques such as deep friction massage, stretching, myofascial release, and nerve mobilization—which includes nerve gliding and nerve tensioning—all contribute to symptom relief.

In older adults, knee osteoarthritis is a leading cause of musculoskeletal impairment. It is a chronic, progressive disorder characterized by pain, stiffness, diminished muscular strength, decreased mobility, reduced physical function, and a diminished quality of life. A successful rehabilitation program from a physiotherapist can enhance knee range of motion, isometric quadriceps strength, and productivity while simultaneously reducing discomfort through kinesiotaping, strengthening and stretching exercises, concentric and eccentric training, and pain-relieving modalities.

One of the most prevalent overuse injuries in the lower extremities is iliotibial band syndrome (ITBS), also known as iliotibial band friction syndrome. This condition affects athletes such as rowers, runners, cyclists, soccer players, field hockey players, and basketball players, significantly impacting their performance. When the knee is flexed to approximately thirty degrees, friction occurs between the lateral femoral condyle and the iliotibial band, leading to irritation and discomfort at the knee joint.

​

To alleviate pain at the hip and knee joints, physiotherapists employ a comprehensive approach. This includes modifying patients’ activities, administering therapeutic modalities to reduce local inflammation, stretching exercises, identifying and releasing myofascial restrictions, strengthening and muscle reeducation, dry needling, and soft tissue mobilization.

Sports players who engage in high-intensity activities, such as sprinting, jumping, and sudden direction changes, are at a higher risk of sustaining an ankle sprain. Symptoms of an ankle sprain include bruising, decreased range of motion, discomfort, swelling, soreness, and partial functional loss. To restore normal functional activities and enhance quality of life, we provide various interventions, including bracing, taping, proprioceptive training, and pain- and swelling-reducing therapies.