Dr Abdelrahman Taha, Suez Videos

Videos by Dr Abdelrahman Taha in Suez. نقدم لكم اهم النصائح و الخدمات في العلاج الطبيعي لمرضي الأصابات الرياضية و العمود الفقري

What I Learned from a Chronic Discogenic Low Back Pain Case with Movement Coordination Deficit, Presenting with Flexion Direction Preference (Anterior Derangement): Useful Clinical Points....

A 21-year-old male with a history of right hip labral repair (endoscopic) presented with stabbing low back pain (LBP) and intermittent posterior thigh pain (above the knee) for the past seven months. His condition had worsened without any apparent cause. The patient reported the following pain levels on the Visual Analog Scale (VAS): best "5/10," worst "8/10," and current "7/10." His Oswestry Disability Index (ODI) was 44%. The pain was aggravated by bending and sitting, while lying prone and rubbing his back provided brief relief. His sleep was disrupted due to pain. The examination revealed the following:
🛑 Poor sitting and standing posture with accentuated lumbar lordosis.
🛑 Pain at the end range of flexion and when returning from full flexion to extension (painful arc), along with significant loss of extension and more pain with extension than flexion.
🛑 Positive prone instability test.
🛑 Repeated Movement (RM) assessment:
- Repeated Extension in Standing (EIS) and Extension in Lying (EIL) caused an increase in his familiar symptoms, and the patient reported worsening after testing. Additionally, 5 minutes of lying prone in extension worsened both mechanical and symptomatic baseline presentations.
- Sustained Flexion in Lying (FIL) led to significant improvement in baseline symptoms.
- Repeated FIL (30 reps) resulted in further improvement in pain, flexion range of motion (ROM), and the ability to return to standing from flexion, although there was no improvement in extension ROM.
- Repeated FIL with therapist overpressure (20 reps) showed the same improvements as repeated FIL, along with a marked increase in extension ROM.

🛑 Clinical learning points:

👉 The McKenzie RM testing system is recommended for identifying spinal pain subgroups who are rapid res

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What I Learned from a Chronic Discogenic Low Back Pain Case with Movement Coordination Deficit, Presenting with Flexion Direction Preference (Anterior Derangement): Useful Clinical Points.... A 21-year-old male with a history of right hip labral repair (endoscopic) presented with stabbing low back pain (LBP) and intermittent posterior thigh pain (above the knee) for the past seven months. His condition had worsened without any apparent cause. The patient reported the following pain levels on the Visual Analog Scale (VAS): best "5/10," worst "8/10," and current "7/10." His Oswestry Disability Index (ODI) was 44%. The pain was aggravated by bending and sitting, while lying prone and rubbing his back provided brief relief. His sleep was disrupted due to pain. The examination revealed the following: 🛑 Poor sitting and standing posture with accentuated lumbar lordosis. 🛑 Pain at the end range of flexion and when returning from full flexion to extension (painful arc), along with significant loss of extension and more pain with extension than flexion. 🛑 Positive prone instability test. 🛑 Repeated Movement (RM) assessment: - Repeated Extension in Standing (EIS) and Extension in Lying (EIL) caused an increase in his familiar symptoms, and the patient reported worsening after testing. Additionally, 5 minutes of lying prone in extension worsened both mechanical and symptomatic baseline presentations. - Sustained Flexion in Lying (FIL) led to significant improvement in baseline symptoms. - Repeated FIL (30 reps) resulted in further improvement in pain, flexion range of motion (ROM), and the ability to return to standing from flexion, although there was no improvement in extension ROM. - Repeated FIL with therapist overpressure (20 reps) showed the same improvements as repeated FIL, along with a marked increase in extension ROM. 🛑 Clinical learning points: 👉 The McKenzie RM testing system is recommended for identifying spinal pain subgroups who are rapid res

What I Learned from a Chronic Discogenic Low Back Pain Case with Movement Coordination Deficit, Presenting with Flexion Direction Preference (Anterior Derangement): Useful Clinical Points A 21-year-old male with a history of right hip labral repair (endoscopic) presented with stabbing low back pain (LBP) and intermittent posterior thigh pain (above the knee) for the past seven months. His condition had worsened without any apparent cause. The patient reported the following pain levels on the Visual Analog Scale (VAS): best "5/10," worst "8/10," and current "7/10." His Oswestry Disability Index (ODI) was 44%. The pain was aggravated by bending and sitting, while lying prone and rubbing his back provided brief relief. His sleep was disrupted due to pain. The examination revealed the following: 🛑 Poor sitting and standing posture with accentuated lumbar lordosis. 🛑 Pain at the end range of flexion and when returning from full flexion to extension (painful arc), along with significant loss of extension and more pain with extension than flexion. 🛑 Positive prone instability test. 🛑 Repeated Movement (RM) assessment: - Repeated Extension in Standing (EIS) and Extension in Lying (EIL) caused an increase in his familiar symptoms, and the patient reported worsening after testing. Additionally, 5 minutes of lying prone in extension worsened both mechanical and symptomatic baseline presentations. - Sustained Flexion in Lying (FIL) led to significant improvement in baseline symptoms. - Repeated FIL (30 reps) resulted in further improvement in pain, flexion range of motion (ROM), and the ability to return to standing from flexion, although there was no improvement in extension ROM. - Repeated FIL with therapist overpressure (20 reps) showed the same improvements as repeated FIL, along with a marked increase in extension ROM. 🛑 Clinical learning points: 👉 Current evidence suggests that not all individuals with lumbar derangement require extension movements. A

Critical Evaluation of Research on Shoulder Special Tests: A Fresh Perspective . . . #physicaltherapy #physiotherapy #physiotips #physicaltherapyresearch #physiotherapyegypt #physicaltherapyegypt #spinemdt #gym #performance #spinesurgery #spta #gym_tips #spinehealth #spinecare #gym_injuries #fitness #medicine #mdt #kpta #uaephysiotherapy #mckenziemethod #mckenziemdt #bahrainpt #cscs #chiropractic #uaephysio #neurodynamics #neurodynamicsolutions #fisioterapia #fisioterapista

"Critical Evaluation of Research on Shoulder Special Tests: A Fresh Perspective
#physicaltherapy #physiotherapy #physiotips #physicaltherapyresearch #physiotherapyegypt #physicaltherapyegypt #spinemdt #gym #performance #spinesurgery #spta #gym_tips #spinehealth #spinecare #gym_injuries #fitness #medicine #mdt #kpta #uaephysiotherapy #mckenziemethod #mckenziemdt #bahrainpt #cscs #chiropractic #uaephysio #neurodynamics #neurodynamicsolutions #fisioterapia #Fisioterapista

#physicaltherapy #physiotherapy #physiotips #physicaltherapyresearch #physiotherapyegypt #physicaltherapyegypt #spinemdt #gym #performance #spinesurgery #spta #gym_tips #spinehealth #spinecare #gym_injuries #fitness #medicine #mdt #kpta #uaephysiotherapy #mckenziemethod #mckenziemdt #bahrainpt #cscs #chiropractic #uaephysio #neurodynamics #neurodynamicsolutions #fisioterapia #fisioterapista

"Striking the Balance Between Reality and Myth: Tailored Shoulder Diagnosis for Every Patient".... 🤷🏻 . . . #physicaltherapy #physiotherapy #physiotips #physicaltherapyresearch #physiotherapyegypt #physicaltherapyegypt #spinemdt #gym #performance #spinesurgery #spta #gym_tips #spinehealth #spinecare #gym_injuries #fitness #medicine #mdt #kpta #uaephysiotherapy #mckenziemethod #mckenziemdt #bahrainpt #cscs #chiropractic #uaephysio #neurodynamics #neurodynamicsolutions #fisioterapia #Fisioterapista

Who is responsible for diagnosing? . . . . Historically, diagnosis has been the sole responsibility of medical practitioners. However, due to long wait times for orthopedic consultations, there has been a shift towards finding innovative solutions to reduce the reliance on specialist services for the routine diagnosis and management of musculoskeletal conditions. The question then arises: "Who should perform a patho-anatomic diagnosis?" The answer is clear—any healthcare clinician who has received appropriate training and meets the minimum educational standards necessary for a first-level diagnostic evaluation. . . . . #physicaltherapy #physiotherapy #physiotips #physicaltherapyresearch #physiotherapyegypt #physicaltherapyegypt #spinemdt #gym #performance #spinesurgery #spta #gym_tips #spinehealth #spinecare #gym_injuries #fitness #medicine #mdt #kpta #uaephysiotherapy #mckenziemethod #mckenziemdt #bahrainpt #cscs #chiropractic #uaephysio #neurodynamics #neurodynamicsolutions #fisioterapia #fisioterapista

Pathoanatomical features in imaging may be responsible for the patient's symptoms 👌 . . The interpretation of imaging findings can be complicated by the presence of anatomic variants andthe high prevalence of asymptomatic pathology especially in ageing populations. As a physiotherapist The aim is 👉 to evaluate the association between imaged pathology and a positiveresponse to diagnostic blocks. . . The value of finding this association is "Clinical diagnosis, based on readily available patient information, along with a thorough clinical history and physical examination, is already sufficient for categorizing patients into pathoanatomic subgroups within the subacute and chronic shoulder pain spectrum. While it may not be perfect—and likely never will be—it is adequate to guide the use of reference standard diagnostic interventions and management protocols. If you can predict the outcome of a reference standard test, there's often no need to subject the patient to expensive and invasive testing. Patients frequently want to understand the source and cause of their pain, and being able to explain the probable reasons for it is of great value both to the patient and to you as a clinician." . . . #physicaltherapy #physiotherapy #physiotips #physicaltherapyresearch #physiotherapyegypt #physicaltherapyegypt #spinemdt #gym #performance #spinesurgery #spta #gym_tips #spinehealth #spinecare #gym_injuries #fitness #medicine #mdt #kpta #uaephysiotherapy #mckenziemethod #mckenziemdt #bahrainpt #cscs #chiropractic #uaephysio #neurodynamics #neurodynamicsolutions #fisioterapia #Fisioterapista

Story of shoulder orthopedic special tests #physicaltherapy #physiotherapy #physiotips #physicaltherapyresearch #physiotherapyegypt #physicaltherapyegypt #spinemdt #gym #performance #spinesurgery #spta #gym_tips #spinehealth #spinecare #gym_injuries #fitness #medicine #mdt #kpta #uaephysiotherapy #mckenziemethod #mckenziemdt #bahrainpt #cscs #chiropractic #uaephysio #neurodynamics #neurodynamicsolutions #fisioterapia #Fisioterapista

Rule in / Rule Out... 👌 Negative highly sensitive tests allow rule out (SnNOut) and positive highly specific tests allow rule in (SpPIn). 💥 Clinical reasoning is a process involving pattern recognition, Ruling In, Diagnosis by Subtraction, leading to a Clinical Diagnosis. This is the basis of management. . . . #physicaltherapy #physiotherapy #physiotips #physicaltherapyresearch #physiotherapyegypt #physicaltherapyegypt #spinemdt #gym #performance #spinesurgery #spta #gym_tips #spinehealth #spinecare #gym_injuries #fitness #medicine #mdt #kpta #uaephysiotherapy #mckenziemethod #mckenziemdt #bahrainpt #cscs #chiropractic #uaephysio #neurodynamics #neurodynamicsolutions #fisioterapia #Fisioterapista

Index Vs Reference standard #physicaltherapy #physiotherapy #physiotips #physicaltherapyresearch #physiotherapyegypt #physicaltherapyegypt #spinemdt #gym #performance #spinesurgery #spta #gym_tips #spinehealth #spinecare #gym_injuries #fitness #medicine #mdt #kpta #uaephysiotherapy #mckenziemethod #mckenziemdt #bahrainpt #cscs #chiropractic #uaephysio #neurodynamics #neurodynamicsolutions #fisioterapia #fisioterapista