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                Parkinsonism Parkinsonism is one of the disorders of the extra pyramidal system caused by damage to the basal ganglia, usually as a result of a deficiency of the neurotransmitter dopamine in old age.  It is a name given to a clinical syndrome comprising of: Impairment of movement Rigidity Tremors Treatment The three methods of management include:- Pharmacology Rehabilitation, and Neurosurgical procedures.  Pharmacological Management Neurotransmitter replacement L-dopa, Carbidope with L-dopa Anticholinergic drugs, like trihexyphenidyl, benztropine, procyclidine Receptor agonists like amantadine Bromocriptine Rehabilitation Medical and nursing Firm bed to decrease contractures and improve bed mobility.  Regular meals with low protein diet Incentive spirometry to prevent atelectasis and pneumonia Artificial tears for lack of blinking Anticholinergic medications for excessive drooling.  Physical Therapy Relaxation techniques to decrease rigidity PNF technique of rhythmic in

  Bicipital tendinitis It is an inflammation of the long head of biceps commonly presenting with anterior shoulder pain.  The tendinitis is at the site anteriorly where the exposed tendon of the biceps passes through the bicipital groove and inserts onto the superior aspect of the glenohumeral joint.  It is also associated with periarthritis Or supra spinatus syndrome.  Repeated shoulder strain or wear and tear such as carrying heavy objects or working on a lathe can predispose to bicipital tendinitis.  Clinical finding :-  Bicipital tendinitis is suspected when athletes such as cricket bowlers, swimmers, or tennis enthusiasts complain of pain on the anterior joint line of shoulder after overhead overuse of the shoulder.  Pain increases with active shoulder movement.  Yergason's Test for Bicipital Tendinitis:- Resisted supination of forearm when the elbow is flexed to 90° and held at the side provokes pain in the long head of biceps tendon in the anterior compartment of the shoulde