Background: The most commonly identified cancer is breast cancer. In either the lobules or the breast ducts, the cancer normally grows. Infiltrating ductal carcinoma is the most common subtype. It may appear as a lump or mass; changes in the skin or nipple; breast rash or redness; or lymphadenopathy. Presenting Complains and Investigations: the patient presented with the complains of  swelling and pain in the left breast in lower outer quadrant since 6 months, which was initially small in size and gradually increased and reached up this level 2x2 cm which placed in infra areolar region covering lower inner and outer quadrant. USG and cytology reports showed bilateral breast with axilla. Right breast was normal, enlarged lymph node in the right axilla measuring 15.2 x 4.6 mm with maintained hilum S/O reactive lymphadenopathy. In left breast there is E/O ill-defined taller than wider irregular hypoechoic lesion with spiculated margins, measuring approximately 15.9 x 12.4 mm in lower inner quadrant containing multiple foci of calcification within showing central vascularity OB doppler on elastography lesion is stiff, in left axilla there is E/O on enlarged USG lymph node present measuring 10.2 x 6.7 mm with maintained hilum S/O reactive lymphadenopathy. Impression of F/S/O malignant lesion in the left breast lymphadenopathy. Diagnosis: Left sided infiltrating ductal carcinoma. Therapeutic Intervention and Outcomes: Physical therapy intervention involved a variety of range of motion exercises, strengthening exercises, resistance conditioning, breathing exercises, lymphoedema treatment and scar management. This intensive outpatient program is a successful way to enhance the mobility of the shoulder and ROM during the initial 6-week treatment cycle after surgery. Shoulder range of motion was increased, patient was able to do basic activities of daily living like dressing, bathing, combing, etc. Edema was reduced. Conclusion: Shoulder stiffness after modified radical mastectomy is the commonest complication. Upper limb mobility exercises reduced the shoulder stiffness. Breathing exercises improved the respiration. Strengthening and general aerobic exercises helped the patient to get back on her normal routine.

Background: Amputation is that the removal of injury by, undue constriction, surgical condition or surgery of associate degree extremity. Below-knee amputation (BKA) may be a transtibial amputation that involves separating the foot, ankle joint, and distal shinbone and leg bone from associated soft tissue structures. This surgical treatment carries wide morbidity, but, provided adequate indications; it remains a therapeutic tool with very important clinical price and generally life-saving importance. The majority of transtibial amputations is due to peripheral vascular disease or lower limb circulation disease (60 percent -70 percent).The main goal of rehabilitation procedures is to generally increase healthy and impaired limb strength, patient flexibility, cardiovascular ability, and equilibrium. . Health care is burdened by comprehensive recovery and long-term care. Mobility is essential to independence recovery; however, the effect of multiple comorbidities in this patient population will render mobility recovery a particularly difficult task Clinical Finding: An 65 year old male complains of pain in right foot since 3 month. Swelling was appeared and skin over the black lower leg turned black with foul smelling discharge from foot. He was diagnosed with right lower limb gangrene and referred to Physiotherapy department for prosthetic prescription and rehabilitation after trans tibial amputation. Diagnosis: Duplex colour Doppler study of left lower limb show triphasic flow in CIA, EIA, IIA, SFA, POP, ATA, PTA arteries of right lower limb, dampened flow noted in right dorsalis pedis artery and atherosclerosis wall thickening in the arteries of right lower limb. Conclusion: This case report provides patient with inclusive recovery which help to decide on a patient’s suitability for a prosthetic limb prosthetic fitting.

An older patient who has had total knee replacement surgery may be afraid about falling. Fear of falling following TKR and its effects on physical activity have received little attention. The purpose of this study was to see if there was a link between physical activity and fear of falling in individuals with TKR. The PASE Scale is used to measure physical activity. The fall efficacy scale is reliable measure for assessing fear of falling. The objective of the current study was to assess physical activity and fear of fall and to find Correlation of physical activity with fear of fall in patients with TKR. This research was conducted in the Physiotherapy OPD, in AVBRH Hospital in Wardha. The results of 60 TKR patients were studied. The PASE scale and the FES were used to measure physical activity and fear of falling, respectively. This study significantly showed that the correlation between PASE and FES was negative which means that there is Fear of Fall among participants who undergone TKR which was associated with decrease in physical activity score. Most of the studies indicated that there is decrease in physical activity in patients with TKR but very few studies indicated fear of fall in the patients. Therefore, the current study is being carried out which could help to reach the conclusion to find whether there is any correlation between physical activity and fear of fall in patients undergone TKR.

Background Task-oriented circuit training using a Multi-Activities workstation emphasises goal-oriented tasks practiced in a circuit or series in order to learn a new skill. It can be used for upper limb rehabilitation among stroke patients in a community setting, but there is currently very little evidence available regarding its use in this patient group and setting. This study aimed to explore the influence of task-oriented circuit training using a Multi-Activities workstation on upper limb function among community-dwelling individuals with chronic stroke. Methods A pre-test–post-test study was conducted involving 17 community-dwelling individuals with chronic stroke who were attending a stroke rehabilitation centre. Six weeks of task-oriented circuit training was given using a Multi-Activities workstation aimed to improve strength, range of motion and dexterity. Streamlined Wolf Motor Function Test and Chedoke Arm and Hand Activity Inventory were used to measure outcomes. Wilcoxon signed-rank test was used for data analysis. Results A total of 12 sessions of task-oriented circuit training using Multi-Activities workstations did not result in any statistically significant differences in outcome measures. Conclusions Task-oriented circuit training using the Multi-Activities workstation did not improve upper limb function in community-dwelling individuals with chronic stroke.

Background: Cyclic Mastalgia affects women who are menstruating in their 20s, 30s, or 40s. This pain starts about a week before commencing menstruation. During this period, the breasts become sore, tender, and swollen, though symptoms improve later in the cycle or it may be so severe that the patients cannot wear tight fitting clothes or they becomes irritable. The discomfort usually occurs outside and upper portions of both breasts, and it may even affect underarms. Cyclical Mastalgia is a common condition associated with a higher risk of breast cancer. Mastalgia is common ailment that affects about 70% of women and has negative impact on their quality of life. Many scientists believe that the cause of cyclic mastalgia lies in a mix of hormonal activity and something in the breast that reacts to it. Mastalgia is a term used to describe women's discomfort with their breasts, although doctors usually neglect it. Methods: Based on the inclusion and exclusion criteria, a total of 30 women will be selected for the study. A questionnaire of breast pain based on the McGill Pain Questionnaire, and a Cardiff chart, will all be employed as outcome measures. The individuals' pre-intervention scores will be collected, and they will be given an exercise routine to follow for four weeks, three times per week. The outcomes of the intervention will be measured afterwards. Our protocol will cover weeks of treatment. Reqular assessment will be carried out. Discussion: This study was done to find out effectivness of exercise program in obese womens with breast mastalgia and tenderness.