Physiotherapy clinic in Tambaram Are you Looking f...

Physiotherapy clinic in Tambaram Are you Looking for Physiotherapy Treatment in Tambaram, Sunshine Super Speciality Physiotherapy Clinic, We Provide Electrotherapy, Exercise and Manual Therapy, Orthopedic, Neuro, Cardio, Pediatric, Sports and Geriatric Rehabilitation, Post Operative Physiotherapy Treatment, Fracture Rehabilitation, pain free movement. 📎Median nerve The Median Nerve begins in the axillary region with the root of median nerves situated in the anterior rami of C5-T1. Median and lateral cords of the brachial plexus are merged and extended as the median nerve. 🎀Nerve Roots ~C5-C6-C7-C8-T1 •C5 to C7 Roots from Lateral Cord of Brachial Plexus •C8 and T1 Roots from Medial Cord of Brachial Plexus. 🎀Clinical Relevance The Median Nerve can be compressed at many points along its course to the wrist. Depending on the site of injury and the symptoms, the syndrome is known by various names. There are three entrapment syndromes involving the medial nerve or its branches with the most well-known and frequent form of Median Nerve Entrapment known as Carpal Tunnel Syndrome (CTS). 🎗️Carpal Tunnel Syndrome Carpal Tunnel Syndrome is a common condition that causes a tingling sensation, numbness and sometimes pain in the hand and fingers. Other symptoms of carpal tunnel syndrome include: •Pins and Needles (Paraesthesia) •Thumb Weakness •Dull ache in the hand or arm 🎗️Anterior Interosseous Syndrome Anterior Interosseous Syndrome is a pure motor neuropathy, as the anterior interosseous nerve contains no sensory fibers; dull forearm pain is however sometimes mentioned by patients. ➡️Typically, patients fail to make an “O K Sign", as flexion of the interphalangeal joint of the thumb and the distal interphalangeal joint of the index finger, are impaired. ➡️Another sensitive test is the Pinch Test: a patient with anterior interosseous syndrome will also not be able to pinch a sheet of paper between the thumb and index finger, instead of clamping the sheet between theextended thumb and index fingers, akin to a tong rather than a clamp. The weakness of pronator quadratus manifests itself in pronation weakness with a flexed elbow. 🎗️Pronator Teres Syndrome Pronator Teres Syndrome is a result of the to the position of this muscle that sits over your median nerve, the pressure on the nerve can elicit pain while hindering your forearm movement 🎀Injury at the Wrist Most Common Associated Injury = Lacerations just proximal to the Flexor Retinaculum. 1-Motor Function: Thenar muscles paralysed, as are the lateral two lumbricals. This affects the opposition of the thumb and flexion of the index and middle fingers. 2-Sensory Function: Same as an injury at the elbow. 3-Characteristic Signs: Same as an injury at the elbow, i.e. Hand of Benediction on attempting to make a fist. 🎀Clinical Examination 🎗️Neuro Exam Motor signs of a median nerve lesion include; •Weak pronation of the forearm •Weak flexion and radial deviation of wrist •Thenar atrophy •Inability to oppose or flex the thumb; 🎗️Sensory signs of a median nerve lesion include; •sensory distribution includes thumb, radial 2 •1/2 fingers, and the corresponding portion of palm. •with intact nerve, thumb can be pronated, lining up nails at or near 180 deg; •with median nerve palsy, thumb cannot be pronated & nail is < 100 deg. 🎗️Neurodynamics The purpose is to test for C5, C6, C7 nerve roots and median nerve as the source of the patient’s painful shoulder and arm.[11] Upper Limb Tension Test 1 (ULTT1, Median Nerve Bias) •Shoulder Girdle Depression •Shoulder Joint Abduction •Forearm Supination •Wrist and Finger Extension •Shoulder Joint Laterally Rotated •Elbow Extension 2-Upper Limb Tension Test 2A (ULTT2A, Median Nerve Bias) •Shoulder Girdle Depression •Elbow Extension •Lateral Rotation of the whole Arm •Wrist, Finger and Thumb Extension. 🎀Physical Therapy Treatment 🎗️Manual Therapy 1-Soft Tissue Mobilization 2-Splinting 3-Neurodynamic Techniques 4-Functional Massage 5-Carpal Bone Mobilization Technique 6-Corticosteroid injection 🎗️Electrophysical Therapy 1-Therapeutic Ultrasound. 2-Laser Therapy. SUNSHINE ® SUPER SPECIALITY PHYSIOTHERAPY CLINIC - #DrParthiban #Sunshinephysioclinic.in #Physiotherapyclinicintambaram DR.M.P. PARTHIBAN.M.P.T (Ortho), Chief Orthopedic Physiotherapist, Call for Appointments: - 9345122177 East Tambaram, CHENNAI