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"Pain, a useful servant but a poor master"



Knee Joint:
A memory aid that may help remind you of these four basic treatment steps is the word "RICE":
R=Rest the knee from the painful activity.
I=Ice the affected area for 20 minutes, 3 times a day.
C=Compress the painful area with an elastic bandage.
E=Elevate the leg.
Shoulder:

http://www.vesalius.com/graphics/archive/arch2_musculo.asp
Muscle
Pics
Carpal
Tunnel
B6
100 mg of vitamin B6 three times per day
http://www.thehelpinghand.com/tips/tips.htm
http://www.medicalmultimediagroup.com/pated/ctd/cts/cts.html#treatment
RSI (Repetitive Strain
Injury)
Computer Related
Repetitive Strain Injury
What
is Repetitive Strain Injury?
Hamstring Stretch (there are many methods of stretching but few are
biomechanically optimized to avoid back injury).
Stretching

Orthopedic Injuries (hip, cervical, hand, etc.)
Want to exercise? Ask your doctor and start here
Regular exercises to restore your normal shoulder motion and flexibility and a gradual return to everyday work and recreational activities are important for your full recovery. Your orthopaedic surgeon and physical therapist may recommend that you exercise from 10 to 15 minutes 2 or 3 times a day during your early recovery period. They may suggest some of the following exercises. This guide can help you better understand your exercise and activity program.
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Pendulum, Circular - Bend forward 90
degrees at the waist, using a table for support. Rock body in a circular pattern to move arm clockwise 10 times, then counterclockwise 10 times. Do 3 sessions a day.
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Shoulder Flexion (Assistive) - Clasp
hands together and lift arms above head. Can be done lying down (drawing A) or sitting (drawing B). Keep elbows as straight as possible. Repeat 10 to 20 times. Do 3 sessions a day.
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Supported Shoulder Rotation - Keep
elbow in place and shoulder blades down and together. Slide forearm back and forth. Repeat 10 times. Do 3 sessions a day.
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Walk Up Exercise (Active) - With elbow
straight, use fingers to "crawl" up wall or door frame as far as possible. Hold 10 seconds. Repeat 3 times. Do 3 sessions a day.
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Shoulder Internal Rotation (Active) -
Bring hand behind back and across to opposite side. Repeat 10 times. Do 3 sessions a day.
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Shoulder Flexion (Active) - Raise arm
to point to ceiling, keeping elbows straight. Hold 10 seconds. Repeat 3 times. Do 3 sessions a day.
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Shoulder Abduction (Active) - Raise arm
out to side, elbow straight and palm downward. Do not shrug shoulder or tilt trunk. Hold 10 seconds. Repeat 3 times. Do 3 sessions a day.
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Shoulder Extension (Isometric) - Stand
with your back against the wall and your arms straight at your sides. Keeping your elbows straight, push your arms back into the wall. Hold for 5 seconds, then relax. Repeat 10 times.
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Shoulder External Rotation (Isometric)
- Stand with the involved side of your body against a wall. Bend your elbow 90 degrees. Push your arm into the wall. Hold for 5 seconds, then relax. Repeat 10 times.
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Shoulder Internal Rotation (Isometric)
- Stand at a corner of a wall or in a door frame. Place the involved arm against the wall around the corner, bending your elbow 90 degrees. Push your arm into the wall. Hold for 5 seconds, then relax. Repeat 10 times.
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Shoulder Internal Rotation - Keep elbow
bent at 90 degrees. Holding light weight, raise hand toward stomach. Slowly return. Repeat 10 times. Do 3 sessions a day.
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Shoulder External Rotation - Keep elbow
bent at 90 degrees at side. Holding light weight, raise hand away from stomach. Slowly return. Repeat 10 times. Do 3 sessions a day.
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Shoulder Adduction (Isometric) - Press
upper arm against a small pillow alongside your body. Hold 5 seconds. Repeat 10 times. Do 3 sessions a day.
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Shoulder Abduction (Isometric) - Resist
upward motion to the side, push arm against back of chair. Hold 5 seconds. Repeat 10 times. Do 3 sessions a day. |
Isotonic Exercises | |
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Repeat each exercise 5 - 7 repetitions: | |
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Slowly turn the head to the right bringing the
chin over the right shoulder. Hold for a count of three and roll
head back to the neutral position. Pause and repeat in the opposite
direction. |
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Slowly bend chin forward to rest it gently on the
breast bone. Flex only to the point of comfortable stretch. Pause,
slowly raise the head back to neutral and extend back as far as
comfortable without straining. Pause and repeat. |
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Slowly bend the head to the right, ear to the
shoulder. Pause, return head to the neutral position and repeat in
the opposite direction. |
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With head turn right, allow chin to drop forward
in a semi-circular motion rolling across the chest and up to look
over the left shoulder. Pause and repeat in the opposite direction.
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Sitting upright, slowly draw your chin and head
straight backwards, keeping your jaw parallel to the floor. Resist
tipping you head back. Guide your jaw with your hand. Hold, count to
three and relax. |
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Isometric Exercises | |
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Repeat each sequence 3 - 5 times | |
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Resisted Extension: Interlock
your fingers behind the head and push backwards against resisted
hands without moving the head. Hold for approximately 10 seconds and
relax. |
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Resisted Flexion: Place hands on
the forehead. Attempt to push forward while resisting against your
hands. Avoid moving the head, hold for a count of 10 and relax.
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Resisted Side Bends: Place your
right hand on the right side of your face. Push head against the
hand and avoid moving the head. Hold for a count of 10, relax and
perform procedure on the opposite side. |
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Resisted Rotation: Place your
right hand on your right temple, your left hand on the left side of
the back of your head. Now attempt to look over your right shoulder
while resisting the movement of your head with your hands. Hold for
a count of 10. Relax and repeat in the opposite direction with hands
reversed. |
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Additional Exercises for
Recurrent or Chronic Neck and Upper Back Strain | |
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The following are to be done while in a hot
shower. The purpose here is to benefit from the heat as well as the
general massaging action of the water. These serve to soothe
irritated tissues, increase blood flow and enhance the effectiveness
of the following stretches. Repeat each sequence 3 -5 times | |
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Turn the head as far as possible to the right,
hold for a count of 5, then turn the head as far as possible to the
left. Hold again and return to the neutral position. Relax. |
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Flex head forward to the point where the chin
approximates the chest as closely as is comfortable. Hold for a
count of 5 and relax, returning to the neutral position. |
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Attempt to approximate the left ear and left
shoulder. Never stretch to the point of discomfort. Hold for a count
of 3 and return to neutral position. Perform the procedure on
opposite side and pause. |
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While left hand grasping right wrist behind back,
pull downward towards the floor with the left hand. Take a deep
breath, slowly stretch, standing on the toes while looking towards
the ceiling. Hold for a count of 3, exhale and relax. Now perform
the same procedure while grasping left wrist with right hand. |
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This exercise is similar to the previous except
instead of looking up, you bend your head away from the arm being
pulled down. Hold position for 10 to 15 seconds, and alternate arms.
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Another variation. Instead of looking up or
bending away, you turn your head away from the side being pulled
down. Hold position for 10 to 15 seconds, and alternate arms. |
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Still more
exercise! | |
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Shoulder Shrug: While standing
erect, arms held loosely at your sides, breath deeply as you lift
your shoulders as high and far back as possible. Now breath out as
you lower your shoulders to the starting position. Relax and
repeat. |
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Upper Back Stretch: Place your
hands on the respective shoulders. Now slowly cross you elbows,
first right over left, then left over right until you feel a
comfortable stretch to the upper back. Repeat this sequence 5 to 10
times. |
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Shoulder/Arm Swing and Stretch:
· A. While holding a .5 to 1
kg (1 - 2 pound) weight in the hand of the affected side, flex the
knees while bending forward at the waist bracing body with the
opposite hand. Slowly allow the arm to swing across the body right
to left for a period of 30 seconds to one minute. Attempt to allow
the affected side to remain as limp as possible, thereby providing
the maximum amount of stretch to irritated tissues. · B. While maintaining the
same position, swing the arm backward and forward for 30 seconds to
a minute. · C. Allow arm to swing in a
gradually increasing clockwise circle for one minute. · D. Repeat procedure C. in a
counter clockwise direction. |
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Wall Climb: Face the wall.
Keeping the elbow straight, "walk" your fingers up the wall as high
as you can go. (Do not shrug or hunch your shoulder or tilt the
upper half of your body.) Repeat 10 times, each time trying to
"walk" a little higher. Turn your body slightly and repeat 10 times.
Continue gradually turning your body and repeating the exercise
until you are at a right angle to the wall. Perform this exercise
for 10 minutes, two or three times a day. |
![]() Tilt From Front To Back
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![]() Tilt From Side To Side
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![]() Rotate Head From Side To Side
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![]() Side Resistance
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| Hand Resistant Exercises | |
![]() Forward Resistance
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![]() Backward Resistance
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BRACHIAL PLEXUS C5-T1 Grey's Anatomy


LUMBOSACRAL
PLEXUS L4-S3 Grey's
Anatomy
http://www.medmedia.com/05/2123.htm


PIRIFORMIS SYNDROME
http://www.michiganrunner.com/add_articles/RunDr_Sept.html
http://www.rice.edu/~jenky/sports/piri.2.html
http://www.rice.edu/~jenky/stretch.html
http://www.rice.edu/~jenky/images/piriformis.stretch.gif
R-I-C-E
Principle
· REST. Limit your walking, especially right after injury. Crutches or a cane may be necessary, depending on the severity of your injury. You will probably walk on your heel at first. Work gradually toward a "normal" toe-off in you stride.
· ICE. Ice your ankle 2-4 times a day until all pain, swelling and discoloration are gone.
· COMPRESSION. Use an elastic wrap (and air splint, if provided) as directed.
· ELEVATE. Elevate your ankle above your waist as much as possible until swelling resolves.
HEEL CORD STRETCH -
(ACHILLES TENDON: GASTROC-SOLEUS)
Stand flat-footed
about three feet from the wall. Lean in, until you feel a stretch in your
calf. Hold for 10 seconds. Relax and repeat 10 times. Do this with your
knees bent and straight. You may find this easier after icing the ankle.
ACTIVE RANGE-OF-MOTION
EXERCISE
Simply move your ankle
as far as possible in its 4 basic directions as shown. This might be
uncomfortable, but not painful. This exercise too will be easier after
icing.
BALANCE
EXERCISE
Practice standing on
one foot (the injured one) with your eyes open. As your ankle feels better
you can do this with your eyes closed. You should continue this exercise
throughout the program regimen. Your ankle needs to relearn its balance
function. Compare with the opposite side to see how long you can balance
on one foot.
Progress to the next phase only when you can do so without a limp or significant pain.PHASE II
TOE
RAISES
Stand with toes on a
block or stair step. Let your heel drop below the stair step. Raise up on
your toes. Hold each position for 10 seconds. Repeat 8-10 times. Do this
2-4 times a day.
RESISTED
RANGE-OF-MOTION
Use a piece of
surgical tubing or a towel to resist all ankle motions, especially
eversion. Do this about 10 minutes twice a day.
STRAIGHT-AHEAD
ACTIVITY
Progress comfortably
from walking to faster walking to jogging and running on smooth surfaces.
FUNCTIONAL
ACTIVITY
Work on twisting,
changing directions. Walk, then jog, then run -- straight ahead and
backwards. Change directions while jogging. Run figure - 8's, first wide
and slowly, then quicker with tight corners. Progress to cutting sharply.
S-A-I-D PRINCIPLE
(SPECIFIC ADAPTATION TO IMPOSED DEMANDS)
Progress gradually
toward your previous or desired activity. For example, work on kicking and
stop-start running before playing soccer. Or practice jumping, pivoting,
and defensive shuffling before playing basketball.
Continue each exercise until both ankles perform equally well
http://www.latimes.com/features/health/la-he-ankle8jul08.story