Background: Cervical radiculopathy, generally entitle as pinching of the nerves which causes severe shooting pain which mostly pass through the shoulder. Along with it causes muscle weakness and numbness into the arm and hand. In majority of the cases, cervical radiculopathy responds well to conservative mode of treatments which incorporate physical therapy with medical management. The aim of this study is to uncover the effective and evidence based conservative treatment of cervical radiculopathy. Method: Randomized controlled trial study conducted from January 2014 to December 2014. Participants were recruited from physiotherapy OPDs of tertiary care hospitals. A total number of, 100 subjects with a ratio of 50 men and 50 women were recruited between the ages of 25 and 55 years with unilateral cervical radiculopathy. Control group received combination of conventional AROM exercises and modalities including TENS and superficial thermotherapy as a treatment while experimental group received manual cervical traction and combination of conventional AROM exercises, modalities including TENS and superficial thermotherapy. For both groups, treatment was designed for two weeks (6 sessions/ week). Improvement in symptoms was assessed by evaluation of both groups on the basis of visual analogue scale (VAS). Results: After 2 weeks of treatment, patients with neck pain showed marked decreased in pain as compared with the control group (P<.001).For pre and post level a paired sample t-test was used and the results with p-value less than 0.05 were considered as significant. Mean difference of 0.94 (VAS) with a significant p-value (P<0.01) was obtained shows the respective improvements in the numeric pain scale scores. Conclusion:Manual cervical traction when used with conventional AROM exercises and modalities were effective methods for decreasing pain in cervical radiculopathy. Recent literature supports such protocols involving multiple interventions. Results of this study also supported the treatment options in cervical radiculopathy in a multimodal approach.

Background: LBP is a condition with a high prevalence and recurrence rate. This condition has the potential to create a major impact on the individual over extended periods of time. Numerous reasons and factors for lower back pain have been suggested; including age, gender, body mass index (BMI) and physical activity of the patient. There are different treatments and techniques being implemented, however their effects are minimal. Students at University level are at high risk of LBA due to prolonged sitting and standing hours.Methods: Research was conducted on 190 students of ISRA University, Karachi Campus. The duration of the study was 6 months, the participants were randomly selected, who were studying in ISRA University, Karachi Campus and self-administered questionnaires with consent forms were distributed to all the participants. Participants were asked to complete the questionnaire and return it to the concerned person after one week.Results: 71.6% had history of low back pain whereas 28.4% did not have history of low back pain. 84.7% students used computer whereas 15.3% did not use computer. 65.3% left the class room due to low back pain whereas 34.7% did not leave the class room. 61.6% students had prevented normal work from 1-7days due to low back pain during last 12 months, 26.8% prevented normal work from 0 days whereas 11.6% students had prevented normal work from 8-30days due to low back pain during last 12 months. Conclusion:The overall aim of this study was to analyze the prevalence of low back pain among the undergraduate students of ISRA University, Karachi Campus. The study provided a detailed awareness about the level of prevalence of lower back pain among the undergraduate students. The results of this study showed that most of the students were experiencing lower back pain, and it was also found that it is directly related to their work.

OBJECTIVES To determine the awareness level of good body posture in school going students and teachers of different academic places and compare the level of awareness between students and teachers. STUDY DESIGN A cross sectional study was conducted during January 2013 to April 2013. STUDY SETTINGS & PARTICIPANTS Research data was collected from different schools of Karachi. One hundred and thirty two participants including both school going students and teachers were participated in this study. The students belonged to 9-16 year age group. DATA COLLECTION TOOL Data was collected through close ended self-administered questionnaire. RESULTS Chi square test was applied to check the association between occupation and lecture attending question. Chi-square test results (p value = 0.000) showed that, there was a significant association between the occupation and attended lectures regarding postural awareness. Results also revealed that teachers and students were equally aware of standing and lying position, whereas for sitting position teachers were more aware than the students. CONCLUSION Study showed significant association of awareness between students and teachers. However, more education and further awareness regarding good body posture is needed to perform activities of daily living (ADLs) and to prevent prevalence of body pain due to poor posture.

Acute back pain is the fifth most common reason for visiting the physicians and practitioners. It is one of the most common musculoskeletal problems in the society. This research has been conducted on experimental method by using sample size of 60 patients including both the genders. The participants have been selected from the OPD of physical therapy and rehabilitation of the tertiary care hospital. 60 patients was divided into two groups where Group A was treated with hot packs at low back for 25 minutes with low back strengthening exercises and whereas Group B was treated with SWD (continuous mode) for 15 minutes with the exercises. Exercises were started from the 4th day of treatment in both conditions after being relieved from acute back pain and spasm. Both groups received 5 sessions per week for consecutive 3 weeks. Therefore, the symptoms have been reassessed at 8th and 15th day of treatment. After analyzing the data it was found that, the patients in group A treated with hot packs and back strengthening exercises were relieved from pain more quickly and efficiently than the group B treated with short wave and exercises.

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