Dr Jabran Khan - PT

24/05/2026

22/05/2026

Full body Rehabilitation exercises for stroke patients.

22/05/2026

Functional electrical stimulation (FES)
for infantile cerebral palsy and hemiplegic patient.

15/05/2026

C6-C7 level disc herniated physiotherapy exercises

09/05/2026

08/05/2026

🦵 What Your Knee Pain Location May Indicate

Knee pain can originate from different structures including tendons, ligaments, cartilage, bursae, muscles, or the joint itself. The location of pain often provides important clues about the possible underlying condition.

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🔺 Pain Above the Knee

This region commonly involves the quadriceps tendon, muscles, or surrounding bursae.

⚠️ Possible Causes
➟ Quadriceps tendinitis
➟ Hamstring tendinitis
➟ Arthritis
➟ Bursitis

🔍 Common Symptoms
➟ Pain during running or jumping
➟ Tightness above the kneecap
➟ Swelling or tenderness
➟ Pain with stairs or squatting

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🔵 Pain Around the Kneecap (Anterior Knee Pain)

Pain at the front of the knee is one of the most common knee complaints.

⚠️ Possible Causes
➟ Patellofemoral pain syndrome
➟ Chondromalacia patella
➟ Patellar tracking disorder
➟ Patellar instability
➟ Patella stress fracture
➟ Patellofemoral osteoarthritis
➟ Hoffa’s fat pad impingement

🔍 Common Symptoms
➟ Pain when climbing stairs
➟ Pain after prolonged sitting
➟ Clicking or grinding sensation
➟ Knee weakness or instability

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🟢 Pain Below the Knee

This area often involves the patellar tendon or growth-related conditions in younger athletes.

⚠️ Possible Causes
➟ Patellar tendinitis (“Jumper’s knee”)
➟ Osgood-Schlatter disease
➟ Sinding-Larsen-Johansson syndrome
➟ Osteochondritis dissecans

🔍 Common Symptoms
➟ Pain during jumping or sprinting
➟ Tenderness below the kneecap
➟ Swelling at the tibial tuberosity
➟ Activity-related discomfort

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🟠 Pain Behind the Knee

Posterior knee pain may involve muscles, ligaments, menisci, or cysts.

⚠️ Possible Causes
➟ Hamstring tendinitis
➟ Meniscus injury
➟ Baker’s cyst
➟ Cruciate ligament injuries
➟ Gastrocnemius tendinitis
➟ Arthritis

🔍 Common Symptoms
➟ Tightness behind the knee
➟ Swelling or fullness
➟ Pain during bending
➟ Instability or locking sensation

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🟣 Pain on the Inner Side of the Knee (Medial Knee Pain)

The medial side of the knee commonly experiences stress during twisting or valgus forces.

⚠️ Possible Causes
➟ Medial collateral ligament (MCL) injury
➟ Meniscus injury
➟ Pes anserine bursitis
➟ Osteoarthritis
➟ Rheumatoid arthritis
➟ Plica syndrome

🔍 Common Symptoms
➟ Pain while twisting
➟ Tenderness along the joint line
➟ Swelling
➟ Knee stiffness

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🟡 Pain on the Outer Side of the Knee (Lateral Knee Pain)

Lateral knee pain is frequently related to overuse, especially in runners and athletes.

⚠️ Possible Causes
➟ Iliotibial band syndrome (IT band syndrome)
➟ Meniscus tear
➟ Lateral collateral ligament injury
➟ Arthritis
➟ Knee contusion
➟ Lateral tibial plateau fracture

🔍 Common Symptoms
➟ Pain during running
➟ Sharp pain on the outside of the knee
➟ Tenderness with movement
➟ Swelling after activity

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🚨 When to Seek Medical Attention
➟ Severe swelling
➟ Inability to bear weight
➟ Knee locking or giving way
➟ Sudden deformity
➟ Fever or redness around the joint
➟ Persistent pain lasting weeks

✅ Early diagnosis and proper rehabilitation can help prevent chronic pain, instability, and long-term joint damage.

📚 Educational purposes only — not medical advice.

07/05/2026

06/05/2026

🟣 Knee Examination & Biomechanics – Understanding Common Knee Problems

The knee is not only a hinge joint—it is a dynamic stabilizing system that depends on proper alignment, muscle control, ligament integrity, and force distribution during movement.

🔍 What the Image Shows

➟ Q Angle of the Knee
The Q-angle represents the angle between the quadriceps muscle and patellar tendon.

✅ Normal alignment distributes forces evenly
⚠️ Increased Q-angle (knock-knee/genu valgum) may increase stress on the kneecap
⚠️ Reduced Q-angle (bow-leg/genu varum) shifts load toward the inner knee compartment

🟣 Common Knee Alignment Types

➟ Genu Valgum (Knock-Knees)
Knees move inward excessively.

Possible effects:
• Patellofemoral pain
• Increased ACL stress
• Medial knee instability

➟ Genu Varum (Bow-Legs)
Knees remain apart while standing.

Possible effects:
• Increased medial compartment loading
• Meniscus stress
• Early degenerative changes

🟣 Runner’s Knee (Patellofemoral Pain Syndrome)

This condition involves irritation around the kneecap due to abnormal tracking and overload.

🔹 Common Symptoms
➟ Pain around or behind the kneecap
➟ Pain with stairs or squatting
➟ Clicking or grinding sensation
➟ Pain after prolonged sitting

🔹 Common Triggers
➟ Weak glute muscles
➟ Tight quadriceps or IT band
➟ Poor foot mechanics
➟ Overtraining or repetitive running

🟣 Important Orthopedic Tests

✅ Apley Test
Used to assess:
➟ Meniscus injury
➟ Ligament involvement

Pain with compression may suggest meniscal damage.

✅ McMurray Test
Evaluates:
➟ Medial or lateral meniscus tears

A click or pain during rotation may indicate injury.

✅ Posterior Drawer Test
Assesses:
➟ Posterior Cruciate Ligament (PCL)

Excess backward movement of the tibia may indicate PCL injury.

✅ Lachman Test
One of the most sensitive tests for:
➟ ACL injury

Excess forward tibial movement suggests ACL instability.

🟣 Signs & Symptoms of Knee Dysfunction

➟ Swelling
➟ Knee instability
➟ Locking or catching sensation
➟ Pain during twisting movements
➟ Difficulty squatting or running
➟ Reduced athletic performance

🟣 Biomechanical Importance

The knee functions within a kinetic chain.

Foot posture, hip stability, pelvic control, and trunk mechanics all influence knee loading. Poor movement control may increase rotational stress on ligaments and cartilage.

Efficient knee mechanics depend on:
✅ Hip stability
✅ Quadriceps-hamstring balance
✅ Proper foot alignment
✅ Neuromuscular control

🟣 Management & Solutions

✅ Strengthening gluteal muscles
✅ Quadriceps and hamstring rehabilitation
✅ Balance and proprioception training
✅ Mobility correction
✅ Proper running mechanics
✅ Activity modification during flare-ups
✅ Progressive rehabilitation after injury

⚠️ Seek medical evaluation if you experience:
➟ Sudden swelling
➟ Knee giving way
➟ Locking
➟ Inability to bear weight
➟ Persistent instability

💡 Final Thought

Knee pain is often not just a local problem. Alignment, muscle coordination, and movement mechanics throughout the entire lower limb strongly influence knee health and long-term joint stability.

06/05/2026

🟣 Diabetic Foot

➟ Diabetic foot is a serious complication of diabetes caused by nerve damage, poor blood circulation, and increased infection risk.

➟ High blood sugar can reduce feeling in the feet and slow wound healing.

➟ Small cuts, blisters, cracks, or calluses can become serious ulcers if not treated early.

🟣 Warning signs

➟ Numbness or tingling
Feet may feel numb, tingling, or less sensitive because of nerve damage.

➟ Burning or pain
Some people feel burning, sharp pain, or unusual discomfort in the feet.

➟ Non-healing wound
A sore, cut, blister, or ulcer that does not heal is an important warning sign.

➟ Redness, swelling, or warmth
These may suggest irritation, inflammation, or infection.

➟ Cracks or calluses
Dry skin, cracks, corns, or calluses can put pressure on the skin and lead to deeper wounds.

➟ Color change or cold foot
Pale, bluish, dark, or cold feet may suggest poor blood flow and need medical evaluation.

🟣 Daily foot care

➟ Check your feet every day for cuts, blisters, redness, swelling, cracks, or color changes.

➟ Keep feet clean and dry, especially between the toes.

➟ Moisturize dry skin, but avoid applying cream between the toes.

➟ Wear well-fitting footwear and clean socks.

➟ Never walk barefoot, even at home.

➟ Do not cut corns or calluses yourself. Get proper medical foot care.

🟣 Management

➟ Good blood sugar control helps reduce the risk of nerve damage, infection, and poor wound healing.

➟ Control blood pressure, cholesterol, and avoid smoking to support blood flow.

➟ See a doctor early for ulcers, pus, bad smell, black skin, spreading redness, fever, or worsening pain.

➟ Regular foot checkups are important, especially if you already have numbness, previous ulcers, or poor circulation.

🟣 Why early care matters

➟ Diabetic foot ulcers can worsen quickly if ignored.

➟ Early treatment can help prevent deep infection, gangrene, hospitalization, and amputation.

Medical disclaimer:
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. People with diabetes should consult a qualified doctor or podiatrist for foot problems, wounds, numbness, or circulation concerns.

04/05/2026

Scoliosis case – real progression over time

From 46° / 30° May 2023
➡️ 20° / 8° May 2026
This is not the result of one session or one technique.
This case involved a combination of specific exercises, 3D spinal mobilisation, stretching, manual therapy, massage, a structured home exercise plan, swimming, and brace support.
Results like this come from consistency, patience, and a lot of work, both from the therapist and especially from the patient.
Every case is different and not all scoliosis cases will respond the same way. Outcomes can vary depending on many factors.
This is a demonstration of one case, not a guarantee.
Stay consistent. That’s where the real change happens.

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