Physiotherapy Clinic Multan

12/08/2026

Lateral Ankle Sprain

A lateral ankle sprain is an injury to the ligaments on the outer side of the ankle, most commonly caused by inversion of the foot.

Commonly injured ligaments

1. ATFL – Anterior talofibular ligament → most commonly injured
2. CFL – Calcaneofibular ligament
3. PTFL – Posterior talofibular ligament → usually involved in more severe sprains

Mechanism

Usually occurs when the foot suddenly inverts and plantarflexes, such as:

* Landing awkwardly after a jump
* Running or changing direction
* Stepping on an uneven surface
* Sports-related injury

Clinical features

* Pain over the lateral ankle
* Swelling and bruising
* Tenderness around ATFL/CFL
* Difficulty walking or weight-bearing
* Reduced ankle ROM
* Feeling of ankle instability

Assessment

Observation & palpation

* Swelling/bruising
* Tenderness over ATFL and CFL
* Weight-bearing ability

ROM & strength

* Ankle dorsiflexion/plantarflexion
* Inversion/eversion
* Peroneal muscle strength

Special tests

* Anterior Drawer Test → ATFL
* Talar Tilt Test → primarily CFL
* Squeeze Test → helps assess syndesmotic injury

Ottawa Ankle Rules can help determine whether an X-ray is indicated after acute trauma.

Physiotherapy treatment

Acute phase

* Relative rest/protection
* Compression
* Elevation
* Pain-free weight bearing as tolerated
* Gentle ROM exercises

Subacute phase

* Ankle dorsiflexion ROM
* Calf stretching
* Isometric → isotonic strengthening
* Theraband inversion/eversion
* Calf raises
* Balance and proprioception training

Return-to-sport phase

* Single-leg balance
* Hopping and landing drills
* Agility and change-of-direction exercises
* Sport-specific training
* Ankle brace/taping when appropriate

Key goal: restore pain-free ROM, strength, proprioception, and dynamic ankle stability to reduce the risk of recurrent sprain.

07/08/2026

SI joint dysfunction is a condition in which one or both sacroiliac (SI) joints become painful due to abnormal movement (too much or too little) or inflammation. The SI joints connect the sacrum (base of the spine) to the iliac bones of the pelvis.

Common Symptoms

* Pain over one side of the lower back or buttock
* Pain that may radiate to the groin, hip, or back of the thigh (usually not below the knee)
* Pain when standing up from sitting
* Pain during prolonged standing, walking, climbing stairs, or turning in bed
* Stiffness in the lower back or pelvis

Causes

* Pregnancy and childbirth
* Trauma or falls
* Leg length difference
* Arthritis (especially ankylosing spondylitis)
* Repetitive twisting or heavy lifting
* Previous lumbar spine surgery

Physiotherapy Management

* Pain-relieving modalities (heat/ice, TENS if appropriate)
* Manual therapy and SI joint mobilization
* Muscle energy techniques (MET)
* Core stabilization exercises
* Gluteal and hip strengthening
* Stretching of tight muscles (hip flexors, piriformis, hamstrings)
* Postural correction and movement education
* Activity modification and ergonomic advice
* SI belt (pelvic belt) if indicated, especially in pregnancy-related instability

Red Flags

Seek urgent medical evaluation if SI joint pain is accompanied by:

* Loss of bowel or bladder control
* Progressive leg weakness
* Fever or unexplained weight loss
* Severe pain after major trauma
* Numbness in the saddle area

With appropriate physiotherapy and activity modification, many people improve within 4–8 weeks, though recovery depends on the underlying cause and severity.

21/05/2026

Plantar fasciitis is one of the most common causes of heel pain. It occurs when the plantar fascia — the thick band of tissue connecting the heel bone to the toes — becomes irritated or inflamed.

Common Symptoms

* Sharp pain in the bottom of the heel
* Pain that is worse with the first steps in the morning
* Discomfort after standing for long periods
* Heel stiffness after rest
* Pain after exercise rather than during it

Common Causes & Risk Factors

* Excessive walking or running
* Flat feet or high arches
* Tight calf muscles
* Obesity or weight gain
* Poor footwear without arch support
* Long periods of standing

Treatment Options

* Rest and reduce high-impact activities
* Ice therapy for 15–20 minutes
* Stretching exercises for the calf and plantar fascia
* Supportive shoes or orthotics
* Physical therapy
* Night splints in severe cases

Schedule your appointment and visit Faisal Hospital Multan.

13/05/2026

Physical therapy focuses on restoring movement, reducing pain, improving strength, and helping people return to daily activities safely. Mobility training is a key part of physical therapy because stiff joints and tight muscles can limit movement and increase pain.

Goals of Physical Therapy & Mobility

* Improve flexibility and range of motion
* Reduce muscle tightness and nerve irritation
* Strengthen weak muscles
* Improve posture and balance
* Prevent re-injury
* Restore normal movement patterns

Visit Faisal Hospital and improve your mobility .
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12/05/2026

Piriformis Syndrome is a condition in which the piriformis muscle — a small muscle deep in the buttock — irritates or compresses the sciatic nerve. This can cause pain, tingling, or numbness in the buttock and down the back of the leg.

Common Symptoms

* Deep buttock pain
* Pain radiating down the leg (similar to sciatica)
* Tingling or numbness in the leg or foot
* Pain worsens with:
* Sitting for long periods
* Climbing stairs
* Running or squatting
* Relief with walking or stretching.

Goals of Physical Therapy

* Reduce pain and inflammation
* Relax tight piriformis muscle
* Improve hip flexibility
* Strengthen gluteal and core muscles
* Improve posture and walking mechanics
* Prevent sciatic nerve irritation

Schedule your appointment today and Visit Faisal Hospital Multan.

02/05/2026

Sciatica is a type of nerve pain that happens when the sciatic nerve—the longest nerve in your body—gets irritated or compressed.

* Pain that starts in your lower back or buttock and travels down one leg
* Sharp, burning, or shooting pain
* Tingling or “pins and needles”
* Numbness or weakness in the leg or foot
* Usually affects one side of the body

Get medical help if you have:

* Severe or worsening pain
* Loss of bladder or bowel control
* Significant leg weakness
* Pain after a serious injury

Schedule your appointment today and visit Faisal hospital Multan.

01/05/2026

Development delays occur when a child does not reach expected milestones at the typical age, affecting physcial,cognitive,communication,social or emotional skills.
Physiotherapy for development delay helps children improve motor skills,balance,coordination and strength to achieve milestones like sitting,crawling and walking.

04/01/2026