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SUBACROMIAL BURSITIS

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WHAT IS SUBACROMIAL BURSAE? Subacromial bursa is a sac like structure filled with fluid found in the shoulder joint. The subacromial bursa separates the rotator cuff muscles, particularly the supraspinatus muscle from the acromion process (a bony structure), the overlying coracoacromial ligament and deltoid muscle. The bursa provides a smooth movement of the shoulder joint and reduce friction. WHAT IS BURSITIS? Bursitis is the inflammation (irritation) of the bursa. The subacromial bursa is the most commonly inflamed bursa in the shoulder joint. Inflammation of the subacromial bursa becomes a cause of pain in performing activities and movements occurring at shoulder joint. It leads to a restricted movement at the joint due to pain while performing the motion. Hence, a restricted range of motion occurs. WHAT CAUSES SUBACROMIAL BURSITIS? ·          Injury to the shoulder ·          Overuse of the shoulder joint ·          Calcium deposition ·          Rot
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SACROILIAC JOINT DYSFUNCTION

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WHAT IS SACROILIAC JOINT ? The Sacroiliac joint is the joint formed between the sacrum and the ilium located in the pelvis on each side of the lower spine. The joint is half synovial and half syndesmosis. Syndesmosis is a type of fibrous joint in which the intervening fibrous connective tissue form an interosseous membrane or ligament. Synovial potion of the joint is C shaped, with the convex iliac surface of the C facing anteriorly and inferiorly. The more acute the C the more stable the joint and the less the likelihood of the lesion to the joint. The sacral surface is slightly concave. The size and shape of the articular surfaces vary greatly among individuals. These surfaces are smooth in children.  They become rough in adults which allows them to fit in one another restricting the movements occurring at the joint and adds strength to the joints and transfer weight from lower limb to spine. The articular surface of the ilium is covered with fibrocartilage, the artic
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TESTS FOR SACROILIAC JOINT DYSFYNCTION

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·            PROVOCATION TESTS 1.        GAENSLEN’S TEST: The gaenslen’s test stresses the sacroiliac joint, increased pain on the joint while performing the test is indicative of the sacroiliac joint dysfunction. -           The patient in lying on the couch in a side lying position with the affected leg hyperextended (hanging outside the couch). Patient flexes the other leg and holds knee to chest. The therapist stabilizes the pelvis while the extending the hip by holding it from distal thigh. The pain in the sacroiliac joint may be caused due to a sacroiliac joint pathology, lesion or dysfunction. -           The patient is lying supine (this position limits the amount of hyperextension at the hip) the affected leg is hanging out of the couch, the therapist puts one hand on the hyperextended leg from distal thigh and the other hand on the flexed knee of the opposite leg and apply pressure to both the legs (a downwards pressure on the hyperextended limb and a knee to
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