WebLog Journal of Musculoskeletal Disorders

Background: Habitual physical inactivity is a principal driver of both reduced peripheral muscle strength and declining respiratory muscle endurance in working-age adults, contributing to premature functional decline and increased musculoskeletal morbidity. Daily Islamic prayer (Salah) involves repeated cycles of closed kinetic-chain upper limb loading during prostration (Sujood), sustained isometric trunk and thoracic activation throughout postural transitions, and…

Background: Daily Islamic prayer (Salah) involves a sequence of whole-body postural movements repeated multiple times each day. Although it is among the most widely observed religious practices globally, its quantifiable contribution to physical fitness domains such as posterior chain extensibility and dynamic stability has not been thoroughly examined through objective instrumentation.

Objectives: To determine whether regular participation in…

Background: Osteoid osteoma is a benign osteoblastic neoplasm accounting for approximately 10–12% of benign bone tumors. It commonly affects the femur and tibia in adolescents and young adults. Proximal humeral involvement is uncommon and may mimic more prevalent causes of shoulder pain, resulting in delayed diagnosis.

Case Presentation: A 17-year-old male presented with a six-month history of persistent right upper arm pain that was more…

Anterior cruciate ligament (ACL) injuries are among the most studied musculoskeletal injuries and are traditionally associated with athletic activity. However, long-term clinical physiotherapy experience suggests that a considerable number of ACL injuries occur in non-athletic populations and often follow events described as “accidental”.

The aim of this article is to present 30 years of clinical observations suggesting that pre-existing neuromusculoskeletal…

Smartphone use has emerged as a significant risk factor for cervical musculoskeletal dysfunction, yet the integrated mechanistic pathways remain inadequately characterized. This study examined the temporal relationship between smartphone exposure and biomechanical, neuromuscular, and sensorimotor alterations in the cervical spine, coupled with physiotherapy-driven recovery mechanisms. We conducted a prospective, randomized controlled trial with 94 asymptomatic to minimally symptomatic…

Cervicogenic Headache (CGH), originating from cervical musculoskeletal dysfunction and associated neuropathological cascades, represents a significant clinical burden affecting 2.5-4.1% of the global population with limited evidence-based complementary intervention strategies. This randomized controlled trial evaluated the comparative effectiveness of Intermittent Neuromuscular Electrical Stimulation (INES) versus High Fruit-and-Vegetable (HFV) dietary intervention as adjuncts to standard…

Background: Glenohumeral Internal Rotation Deficit (GIRD) rehabilitation literature lacks comprehensive neuromuscular analysis explaining motor control mechanisms underlying elastic resistance training effectiveness. Current evidence emphasizes range of motion and pain outcomes without addressing rotator cuff and scapular stabilizer activation patterns or co-contraction dynamics essential to shoulder stability.

Objective: This randomized…

Background: Despite widespread clinical adoption of stretching interventions for Glenohumeral Internal Rotation Deficit (GIRD) management in overhead athletes, evidence supporting long term GIRD correction and recurrent injury prevention remains limited. Conversely, little empirical evidence exists characterizing how progressive resistance loading affects posterior shoulder tightness resolution, internal rotation deficit correction, and critically, tendon load tolerance…

Background: Anterior knee pain (AKP), commonly termed patellofemoral pain syndrome, represents the most prevalent lower extremity complaint in college-aged populations, affecting approximately 25% of physically active students. While quadriceps muscle weakness has been extensively characterized in patellofemoral pain pathophysiology, the role of muscle stiffness—a distinct biomechanical property reflecting tissue resistance to deformation—remains inadequately explored.…

Intramedullary nail removal is an uncommon but complicated procedure with significant surgical challenges, especially in the case of a broken nail. There are multiple cumbersome techniques for nail removal described that are frought with difficulty. We present a technique designed to take advantage of the difference in metallurgy of a stainless steel Schanz pin and a cannulated titanium intramedullary nail. We use a 5.0 mm self-tapping Schanz pin that is able to be drilled into the softer…