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Learn Movement's with Physio PIASH, Banosree, Dhaka (2026)

Being a movement and healing expert I'm committed to helping you move better and creating your life easier, feel stronger, and live pain-free.

19/03/2026

🫀 “Second Heart” of the Body – The Calf Muscle Pump

The “second heart” refers to the calf muscle pump, mainly formed by the gastrocnemius and soleus muscles. It plays a crucial role in circulating blood from the lower limbs back to the heart, especially against gravity.

1. 🔬 Why is it called the Second Heart?

-The heart pumps blood downward easily, but returning it upward from the legs is harder.
-The calf muscles contract during movement (walking, ankle motion).
-This contraction compresses deep veins, pushing blood upward.
-Venous valves prevent backflow, ensuring one-way movement toward the heart.

👉 So, the calf muscles act like a peripheral pump, assisting circulation — hence the name “second heart.”

2. ⚙️ Mechanism of Calf Muscle Pump

-Muscle contraction (plantarflexion / walking)
Calf muscles squeeze deep veins
Blood is pushed upward

-Venous valves
Open upward
Close downward → prevent backflow

-Muscle relaxation
Veins refill with blood from superficial veins

🔁 This cycle repeats continuously during movement.

3. ⚠️ What Happens if It Doesn’t Work Properly?

-Blood pooling in legs
-Swelling (edema)
-Varicose veins
-Increased risk of Deep Vein Thrombosis (DVT)
-Fatigue and heaviness in legs

4. 💪 Ankle Pump Exercise (Key to Activate the Second Heart)

🧍 Position:
Lie down or sit comfortably
Legs extended

🔄 Movement:
Pull your toes towards you (dorsiflexion)
Push your toes away (plantarflexion)
Move slowly and rhythmically

⏱️ Repetitions:
10–20 repetitions per set
3–5 times per day

5. 🎯 Benefits of Ankle Pump Exercise

-Improves venous return
-Prevents blood clot formation (DVT)
-Reduces leg swelling
-Enhances circulation in immobilized patients
-Useful post-surgery and in long sitting (e.g., travel)

6. ❤️ How to Keep This “Second Heart” Healthy
✅ Stay Active
Walking, jogging, cycling activate calf muscles naturally

✅ Regular Exercise
Ankle pumps, heel raises, calf stretches

✅ Avoid Prolonged Sitting/Standing
Move every 30–60 minutes

✅ Elevate Legs
Helps venous return

✅ Hydration
Maintains proper blood flow

✅ Compression Stockings (if needed)
Especially in varicose veins or post-surgery

🧠 Clinical Importance

-Essential in post-operative care (especially orthopedics)
-Used in ICU & bedridden patients
-Key part of DVT prevention protocols
-Important in geriatric and neurological rehab

✍️ Learn Movement's with Physio PIASH

03/07/2025

আপনার সন্তানকে শক্তিশালী করে তুলুন - TO SERVE AND PROTECT YOUR FAMILY.

26/06/2025

Klumpke's Paralysis is a type of brachial plexus injury that specifically affects the lower roots of the brachial plexus — mainly the C8 and T1 nerve roots.

🧠 Key Features:
Cause: Often due to excessive abduction of the arm at birth or trauma in adults (e.g. catching oneself during a fall from height).

Nerve Roots Involved: C8–T1 (sometimes called the lower brachial plexus).

Muscles Affected:

Intrinsic muscles of the hand

Flexors of the wrist and fingers (especially ulnar-innervated muscles)

Sensory Loss: Along the medial side of the forearm and hand

Motor Loss:

Weakness or paralysis of the hand muscles (especially small muscles = intrinsic hand muscles)

Leads to a "claw hand" deformity

✋ Clinical Presentation:
Claw hand (hyperextension of MCP joints + flexion of IP joints)

Wasting of hand muscles

May be associated with Horner's syndrome if T1 sympathetic fibers are also affected:

Ptosis (drooping eyelid)

Miosis (constricted pupil)

Anhidrosis (loss of sweating on affected side)

⚕️ Common Causes:
Birth trauma (e.g., pulling of baby's arm during delivery)

Falls where the arm is suddenly pulled upward

Thoracic outlet syndrome

Pancoast tumor (lung apex tumor compressing lower plexus)

🩺 Diagnosis:
Clinical examination (motor and sensory testing)

Electromyography (EMG)

Nerve conduction studies

MRI or CT (to assess root or plexus damage)

💊 Treatment:
Conservative: Physical therapy, occupational therapy

Surgical: Nerve grafts or transfers in severe or non-recovering cases.

04/05/2025

Postpartum Pilates is a safe, low-impact exercise method designed to help new mothers recover after childbirth. It focuses on rebuilding core strength, improving posture, and supporting mental well-being, all while being gentle on the body.

Postpartum Pilates Workout Rebuild core, improve stability, and strengthen body gently with these effective exercises.

Sample Postpartum Pilates Exercises

Bridge: Strengthens glutes and core while supporting the lower back.

Standing Wall Holds: Engages the core and improves posture.

Arm Circles: Mobilizes the shoulders and upper back.

Half Roll Back: Gently activates deep abdominal muscles.

Side-Lying Leg Work: Tones hips and thighs without straining the core.
Perfect for new moms—do 8–12 repetitions each and feel the difference!

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Dhaka
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