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Kel’s Physiotherapy Services, Nnewi (2026)

10/08/2026

MANAGING THE CHALLENGES OF CANCER TREATMENT THROUGH PHYSIOTHERAPY

The journey through chemotherapy and radiotherapy can come with a range of side effects that may affect movement, strength, function, and overall quality of life. Physiotherapy plays an important role in helping patients manage these challenges and maintain their best possible level of function.

Tomorrow, the ongoing Oncology Physiotherapy Bootcamp, organized by Physio-Africa Knowledge Hub (PAKH) in collaboration with NSP-HOPE, continues with another valuable learning session.

📚 TOPIC:
Physiotherapy for Patients Receiving Chemotherapy and Radiotherapy: Managing Side Effects and Improving Outcomes

👩🏽‍⚕️ FACILITATOR:
Aminat Abolade
Physiotherapist & Digital Health Innovator

📅 11th August 2026
🕔 5:00–7:00 PM WAT | 7:00–9:00 PM EAT | 6:00–8:00 PM CAT
💻 Google Meet

Whether you're a student, practicing physiotherapist, educator, or healthcare professional, come and learn practical, evidence-based approaches that can strengthen your understanding and practice in oncology rehabilitation.

Join us tomorrow, invite a colleague, and be part of the learning. Let’s continue building capacity for better cancer care across Africa.

07/08/2026

Over 70% of people will experience neck pain at some point in their lives.
Yet, many don’t realize that the muscles of the head and neck play a vital role in much more than simply turning the head.

These muscles work together to support the weight of the head, maintain good posture, enable facial expressions, assist with chewing, swallowing, speaking, breathing, and protect important structures such as the cervical spine, nerves, and blood vessels.

For physiotherapists, a solid understanding of head and neck muscles is essential because dysfunction in these muscles can contribute to a wide range of conditions, including:

✅ Neck pain and stiffness
✅ Tension-type and cervicogenic headaches
✅ Temporomandibular joint (TMJ) disorders
✅ Whiplash-associated injuries
✅ Poor posture, including Forward Head Posture (FHP)
✅ Dizziness related to cervical dysfunction
✅ Muscle strains and trigger points
✅ Difficulty swallowing or speaking in certain neurological conditions

Every muscle has a unique role, and understanding its anatomy, function, and biomechanics helps us perform accurate assessments, identify the true source of pain or movement dysfunction, and develop effective, evidence-based rehabilitation plans.

Over the next 30 days, we’ll explore the muscles of the head and neck one at a time. For each muscle, we’ll discuss:

* Its location
* Origin and insertion
* Nerve supply
* Primary actions
* Clinical relevance
* Common injuries or conditions
* Physiotherapy assessment and treatment approaches

Whether you’re a physiotherapy student, healthcare professional, or simply interested in learning more about your body, this series will help you build a stronger understanding of one of the body’s most fascinating regions.

Let’s begin this anatomy journey together—one muscle at a time.

💬 Question: Which head or neck muscle are you familiar with the most? Is it the sternocleidomastoid, trapezius, or masseter? Let me know in the comments!

Day1!

21/07/2026

The Bicycle Ergometer is more than just a stationary bike sitting in the gym.

It’s one of the most valuable tools we use in physiotherapy, cardiac rehabilitation, and sports medicine to assess and improve cardiovascular fitness safely and effectively.

Have you ever tried cycling on a bicycle ergometer for more than 5 minutes at a moderate workload?

You might be surprised by how challenging it can be.

It’s not just a workout, it’s an excellent way to assess your cardiovascular endurance and monitor how your heart responds to exercise.

Some of its key benefits include:

✅ Improves aerobic capacity (VO₂ max)

✅ Strengthens the heart and improves circulation

✅ Increases exercise tolerance and endurance

✅ Provides a low-impact option for people with joint pain or mobility limitations

✅ Allows precise monitoring of heart rate, workload, and exercise intensity

Because the workload can be adjusted progressively, the bicycle ergometer is suitable for everyone; from individuals undergoing cardiac rehabilitation to athletes aiming to improve performance.

Common Clinical Applications

▪️Cardiac rehabilitation

▪️Pulmonary rehabilitation

▪️Sports performance testing

▪️Exercise stress testing

▪️Cardiopulmonary Exercise Testing (CPET)

▪️Fitness assessment

▪️Weight management programmes

As physiotherapists, we don’t just prescribe exercise; we prescribe the right exercise, at the right intensity, for the right person, at the right time.

That’s what makes exercise medicine so powerful.

18/07/2026

𝗧𝗵𝗲𝗿𝗲 𝘄𝗮𝘀 𝗮 𝘁𝗶𝗺𝗲 𝘄𝗵𝗲𝗻 𝗰𝗮𝗻𝗰𝗲𝗿 𝗽𝗮𝘁𝗶𝗲𝗻𝘁𝘀 𝘄𝗲𝗿𝗲 𝘁𝗼𝗹𝗱 𝘁𝗼 𝗿𝗲𝘀𝘁.

Today, we know better.

Years of research have shown that exercise is not just supportive therapy; it is an essential part of comprehensive cancer care.

It helps reduce cancer-related fatigue, preserve muscle mass, improve physical function, enhance quality of life, and improve treatment tolerance.

This is where physiotherapy becomes indispensable.

Our role extends beyond rehabilitation. As physiotherapists, we are involved in prevention, prehabilitation, treatment, rehabilitation, and survivorship. By promoting physical activity and healthier lifestyles, we help reduce cancer risk while supporting those living with and beyond cancer.

I’ve been inspired by the work of experts like Dr. Kathryn Schmitz, Jay Harness, MD , Ash Walker, DHSc., MA, FAACVPR, FCEPA, and Andrea Leonard, whose research continues to shape the future of exercise oncology.

One thing is clear: exercise is medicine, and physiotherapists have an important seat at the oncology table.

That’s why I’m excited about the Physio Africa Knowledge Hub Exercise Oncology Boot Camp. It’s an opportunity to learn from experts, connect with like-minded physiotherapists, and gain practical knowledge that can improve cancer care across Africa.

I also hope to see more affordable training opportunities in exercise oncology, so more young physiotherapists can develop expertise in this rapidly growing field.

The future of oncology rehabilitation depends on clinicians who are willing to learn, collaborate, and lead.

10/07/2026

𝗜𝘀𝗼𝗺𝗲𝘁𝗿𝗶𝗰 𝘃𝘀 𝗜𝘀𝗼𝗸𝗶𝗻𝗲𝘁𝗶𝗰 𝗘𝘅𝗲𝗿𝗰𝗶𝘀𝗲𝘀.

As physiotherapists, we prescribe exercises every day. But how often do we stop to think about why we’re choosing one type of muscle contraction over another?

Two terms that are often confused are isometric and isokinetic exercises. While they both involve muscle contraction, they serve different purposes in rehabilitation and performance.

𝗜𝘀𝗼𝗺𝗲𝘁𝗿𝗶𝗰 𝗘𝘅𝗲𝗿𝗰𝗶𝘀𝗲𝘀
Isometric exercises involve muscle contraction without joint movement. The muscle generates force while maintaining the same length.

Think of:

* Holding a plank
* Wall sits
* Quadriceps sets after knee surgery

These exercises are particularly useful during the early stages of rehabilitation, when movement may be painful or restricted. They help maintain muscle activation, reduce pain, and improve joint stability.

𝗜𝘀𝗼𝗸𝗶𝗻𝗲𝘁𝗶𝗰 𝗘𝘅𝗲𝗿𝗰𝗶𝘀𝗲𝘀
Isokinetic exercises, on the other hand, involve muscle contraction through a full range of motion at a constant speed. The resistance changes automatically to match the force produced by the patient, which is why they require specialized equipment such as a Biodex or Cybex dynamometer.

Isokinetic training is commonly used for:

* Objective strength assessment
* Return-to-sport testing
* ACL rehabilitation
* Identifying muscle imbalances
* Performance optimization

One point I always emphasize to students is this:

Choose the exercise based on the patient’s goals not because it’s the exercise you’re most familiar with.

Understanding the principles behind each type of exercise allows us to design rehabilitation programs that are more targeted, evidence-based, and effective.

And here’s a quick reminder:

✅ Isometric = Muscle contracts without movement.

✅ Isokinetic = Movement occurs at a constant speed using specialized equipment.

As physiotherapists, our interventions should always be intentional. The more we understand the science behind exercise prescription, the better outcomes we can achieve for our patients.

Which do you use more often in your clinical practice: Isometric or Isokinetic exercises? And in what situations?

I’d love to hear your thoughts in the comments.

24/06/2026

Many physiotherapists can perform excellent assessments, no doubts about it.

But when an MRI, X-ray, or CT Scan report lands in front of them, confidence suddenly drops.

This was something I struggled with in my early years of practice, I had to start reading up and exposing myself to scan reports and their interpretations.

The truth is that understanding basic imaging findings is becoming an essential skill for the modern physiotherapist.

Not because we diagnose from scans.

Not because we treat images.

But because imaging provides another piece of the clinical puzzle.

I also believe this is an area that should be taught more effectively in our training programs. Physiotherapy students should be exposed early to imaging reports and taught how to interpret them within a clinical context.

A good physiotherapist should be able to look at an imaging report and ask:

• Does this finding match the patient’s symptoms?

• Are there any red flags I need to be aware of?

• Could this influence my treatment approach?

• Is further medical review required?

When physiotherapists understand MRI, X-ray, and CT Scan reports, we can:

1. Better relate imaging findings to the patient’s symptoms and presentation

2. Make more informed clinical decisions

3. Identify important precautions and red flags

4. Collaborate more effectively with doctors and other healthcare professionals

5. Help patients understand their condition without unnecessary fear or confusion

One thing I always remind students and young clinicians:

The patient is not their MRI.

The patient is not their X-ray.

The patient is not their CT Scan.

Some people have significant findings on imaging and little or no pain.

Others have severe symptoms despite minimal imaging changes.

This is why clinical assessment will always remain king.

However, when you combine a thorough assessment with a solid understanding of imaging, your clinical reasoning becomes much stronger.

How confident are you when reading MRI, X-ray, and CT Scan reports?

You can share your thoughts in the comment section 👇

23/06/2026

Shout out to my newest followers! Excited to have you onboard!

Cosmin Miroș, Chinaza Nzewi, Emmanuel Ogbu

22/06/2026

𝗧𝗵𝗲 𝗦𝘂𝗯𝗷𝗲𝗰𝘁𝗶𝘃𝗲 𝗔𝘀𝘀𝗲𝘀𝘀𝗺𝗲𝗻𝘁: 𝗧𝗵𝗲 𝗠𝗼𝘀𝘁 𝗨𝗻𝗱𝗲𝗿𝗿𝗮𝘁𝗲𝗱 𝗣𝗮𝗿𝘁 𝗼𝗳 𝗣𝗵𝘆𝘀𝗶𝗼𝘁𝗵𝗲𝗿𝗮𝗽𝘆 𝗘𝘃𝗮𝗹𝘂𝗮𝘁𝗶𝗼𝗻

As physiotherapists, we are often too eager to move past the subjective assessment and get to the objective examination where we can perform our special tests, measure range of motion, and assess strength.

But here’s something worth remembering:

A good subjective assessment provides up to 80% of the information needed to identify the patient’s problem and its likely root cause.

The objective assessment often serves to confirm what the subjective assessment has already revealed.

During the subjective assessment, we gather valuable information by answering key questions:

📍 Where is the pain?

📍 How did it start?

📍 When did it begin?

📍 What aggravates or relieves it?

📍 How is it affecting daily activities?

These details help us form clinical hypotheses even before our hands touch the patient.

Special tests are important, but they should not replace a thorough history-taking process. In fact, many special tests have limitations and should always be interpreted within the context of the patient’s story.

A detailed subjective assessment guides the objective examination, helps narrow down differential diagnoses, and leads to more accurate clinical reasoning.

Don’t rush through the subjective assessment.

It’s not just a formality, it’s the foundation of effective physiotherapy practice.

Remember: The patient often tells you the diagnosis; your examination helps you confirm it.

15/06/2026

Clicking Knee? Here’s What Your Meniscus Might Be Telling You.

A meniscus tear is one of the most common knee injuries, especially among athletes, runners, and older adults. The meniscus is a C-shaped piece of cartilage that acts as a shock absorber between the femur and tibia.

Common Signs and Symptoms of a Meniscus Tear

1. Joint Line Pain
The most characteristic symptom is pain along the inner (medial) or outer (lateral) side of the knee.
* Medial meniscus tear → pain on the inside of the knee.
* Lateral meniscus tear → pain on the outside of the knee.

2. Swelling
* Swelling may develop within a few hours or over the next 24–48 hours.
* Usually less dramatic than with an ACL tear.

3. Clicking, Catching, or Locking
Patients often report:
* Clicking during movement
* A catching sensation
* Knee locking, where the knee gets stuck and cannot fully bend or straighten
Locking strongly suggests a meniscal injury.

4. Pain with Squatting or Twisting activities such as:
* Squatting
* Kneeling
* Pivoting
* Turning while weight-bearing
often aggravate symptoms.

5. Reduced Range of Motion
The patient may struggle to:
* Fully bend the knee
* Fully straighten the knee

6. Feeling of Instability
Some patients describe:
* The knee “giving way”
* A sensation that something is moving inside the joint.

Clinical Tests Used by Physiotherapists

1. McMurray Test
2. Thessaly Test
3. Apley’s Compression Test

Physiotherapy Management of Meniscus Tear

The physiotherapy management of a meniscus tear focuses on reducing pain, restoring knee function, and preventing further injury.

1. Pain and Swelling Control

* Rest and activity modification
* Ice application
* Compression and elevation
* Pain-relieving modalities (e.g., TENS)

2. Restore Range of Motion

* Heel slides
* Gentle knee flexion and extension exercises
* Stationary cycling (low resistance)

3. Strengthening Exercises

* Quadriceps sets
* Straight leg raises
* Hamstring strengthening
* Mini squats and step-ups as symptoms improve

4. Balance and Proprioception Training

* Single-leg standing
* Balance board exercises
* Functional stability drills

5. Functional Rehabilitation

* Walking progression
* Stair climbing
* Gradual return to sports and daily activities

6. Patient Education

* Avoid deep squatting and twisting movements initially
* Maintain exercise compliance
* Gradually increase activity levels

When to Suspect a Meniscus Tear

A meniscus tear is highly suspected when there is:
✓ A twisting injury to the knee
✓ Joint line tenderness
✓ Pain during squatting
✓ Locking or catching symptoms
✓ Positive McMurray or Thessaly test

Many patients can achieve excellent outcomes without surgery when rehabilitation is performed consistently and appropriately.

Kel’s Physiotherapy Services

10/08/2026

07/08/2026

21/07/2026

18/07/2026

10/07/2026

24/06/2026

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