Life style
Physiotherapy for optimal performance in sports
BY RANDIMA ATTYGALLE
Sports physiotherapy is a specialized field that focuses on the prevention, treatment, and rehabilitation of injuries related to sports and physical activity. Unlike general physiotherapy, which encompasses a broad range of medical conditions, sports physiotherapy addresses the unique needs of athletes and active individuals.
With their specialized knowledge, sports physiotherapists, manage sports injuries, enhance athletic performance, implement injury prevention strategies, and contribute to the overall health and well-being of players and athletes. The role of the sports physiotherapist in international sports competitions is significant today.
In an interview with Sunday Island, Dr. Subashini Jayawardana, senior physiotherapist, educator, and Head of the Department of Allied Health Sciences at the Faculty of Medicine, University of Colombo, sheds light on this specialized branch of physiotherapy which calls for better recognition here at home.
Following are the excerpts:
Q: Could you brief on the scope of physiotherapy in sports?
A: A sports physiotherapist plays a crucial role as part of a multidisciplinary team, working alongside coaches, trainers, massage therapists, sports physicians, counselors, and nutritionists. The primary responsibility of the sports physiotherapist is to help athletes and sports professionals perform at their optimal levels by preventing injuries and managing them through acute interventions and rehabilitation.
However, the role of sports physiotherapists extends far beyond injury treatment. They also assist uninjured athletes in maintaining musculoskeletal fitness and facilitate post-competition recovery, contributing significantly to the overall enhancement of athletic performance.
Sports physiotherapists rely on evidence-based practices to ensure the highest standards of clinical care. The International Federation of Sports Physical Therapy (IFSPT), a global body representing national sports physiotherapy organizations, has established competencies and protocols aimed at elevating the practice of sports physiotherapy worldwide. These guidelines not only provide a framework for the professional conduct of sports physiotherapists but also promote safe participation of athletes and foster the ongoing development of professionals within the field. By adhering to these standards, the IFSPT aims to improve the quality of sports physiotherapy and ensure the continued advancement of athlete care globally.
Q: What are the short-term and long-term objectives of physiotherapy?
A: The short-term goals of sports physiotherapy focus on effectively managing acute symptoms, such as pain and swelling, following a sports injury. Immediate physical intervention offers numerous benefits, including the prevention of further damage or recurrence of the injury, as well as promoting faster recovery.
Long-term objectives, on the other hand, are centered on ensuring the athlete’s safe return to sport, rebuilding confidence, and achieving enhanced performance levels.
Q: What is the preventive aspect of sports physiotherapy?
A: Physiotherapy plays a critical role in the prevention of sports injuries by employing a comprehensive approach that combines injury risk assessment, biomechanical evaluation, personalized exercise programmes and education on proper movement techniques.
Injury risk assessments allow physiotherapists to identify potential weaknesses and imbalances that may predispose athletes to injury. Meanwhile, biomechanical evaluations analyze sports-specific movement patterns and techniques, helping to ensure that the bones, muscles, and joints function optimally and healthily.
Based on these assessments, physiotherapists develop tailored exercise programmes that address the unique needs of each athlete. These programmes incorporate sport-specific considerations, including warm-up routines, stretching, and strengthening exercises. Additionally, physiotherapists provide athletes with guidance on proper techniques and practices to minimize the risk of musculoskeletal injuries, ensuring safer and more effective performance.
Q: What is the injury-related role played by physiotherapy?
A: When an athlete sustains an injury, physiotherapists intervene across three key stages: the acute phase, the sub-acute phase, and the rehabilitation phase.
During the acute phase, physiotherapists provide immediate on-site support at the time of injury. The sub-acute phase follows, typically lasting from several days to a few weeks after the injury. The rehabilitation process is a critical phase where careful management is essential to ensure a smooth, injury-free return to sport. The physiotherapist’s focus during this phase is on restoring movement control, regaining joint range of motion, and rebuilding muscle strength.
The rehabilitation phase is vital for minimizing the risk of re-injury when the athlete returns to sport. Physiotherapists conduct physical examinations and tailor interventions to meet the specific needs of the athlete. For athletes undergoing surgical interventions, such as ligament reconstruction, physiotherapists follow evidence-based treatment protocols to ensure optimal recovery and successful outcomes post-surgery.
Q: What are the short-term and long-term repercussions of unaddressed sports-related injuries?
A: Secondary trauma is the immediate repercussion. When a player or an athlete is injured his/her common psyche is that regardless of the injury he/she can continue to play or compete. The mind-set is such, we often see them being reluctant to get out of the field. For example, if a badminton player suffers a partial meniscus tear in the knee and continues to play without seeking professional physiotherapy or medical advice, there is a high risk of causing further damage to the meniscus, potentially requiring surgical intervention. This could result in the athlete being sidelined for an extended period, significantly affecting their career.
Neglecting timely and appropriate medical treatment and physiotherapy can increase the risk of aggravating the condition, leading to frequent recurrences and a decline in performance. In many cases, this can ultimately force athletes to abandon their sports careers prematurely.
Furthermore, damage to soft tissues in weight-bearing joints, such as the knee, can lead to long-term complications, including degenerative arthritis in later years. Without proper rehabilitation in the early stages, athletes may eventually require joint replacement surgeries, further diminishing their quality of life and mobility as they age.
Q: What are the advancements found in sports physiotherapy in terms of diagnostics and treatment modalities?
1. Advancements in Diagnostics
High-Resolution Ultrasound: The resolution of ultrasound imaging has greatly improved, enabling physiotherapists to visualize soft tissue injuries, tendon damage, muscle strains, and joint abnormalities in real-time. This technology aids in monitoring tissue healing and guiding targeted therapeutic interventions.
Advanced Motion Capture Systems: Techniques like 3D kinematic analysis are now used to assess an athlete’s movement patterns, helping to identify abnormal motions or compensations that could lead to injury. Early intervention can thus be made to prevent further damage or enhance performance.
Wearable Devices: Devices such as accelerometers, gyroscopes, and pressure sensors provide real-time data on movement mechanics, load, and forces. This continuous monitoring allows physiotherapists to track athletes’ progress and adjust treatment plans accordingly.
2. Advancements in Treatment Modalities
Instrument-Assisted Soft Tissue Mobilization (IASTM): utilize specialized instruments to break down scar tissue and facial adhesions, improving mobility and alleviating pain.
Active Release Technique (ART): ART targets soft tissue restrictions caused by muscles, tendons, ligaments, and nerves. Commonly used for treating overuse injuries, this hands-on technique aids in restoring optimal tissue function.
Dry needling: involves inserting fine needles into trigger points to relieve muscle tension and improve blood flow. It is particularly effective for treating myofascial pain and chronic muscle tightness, common among athletes suffering from muscle strains.
Postural and Core Stability Training: These exercises focus on enhancing posture, balance, and core strength, preventing injury and improving performance.
Sport-Specific Rehabilitation: Treatment protocols are increasingly customized to address the unique movement patterns, agility drills, and strength requirements of the athlete’s sport.
Virtual Reality (VR): VR technology is being used to simulate real-life sports scenarios, aiding in functional movement recovery. This immersive environment enhances both cognitive and motor rehabilitation for athletes.
Telehealth & Remote Monitoring: Telehealth allows physiotherapists to conduct virtual consultations and monitor recovery remotely. Wearable devices integrated with apps enable physiotherapists to track progress and make adjustments to treatment plans in real-time.
Active Recovery & Compression Therapy
Devices like pneumatic compression sleeves and cryo-compression systems have been developed to accelerate recovery. These devices improve circulation, reduce swelling, and enhance tissue oxygenation, speeding up the healing process.
Hydrotherapy
Water-based therapies, including swimming and underwater treadmills, offer a low-impact environment for rehabilitation.
Q: What is the Sri Lankan situation in terms of awareness and adherence to physiotherapy in the sports arena, especially at school level?
A: In some of the leading schools in Colombo, as well as a few regional schools, physiotherapists are employed to support competitive sports such as rugby and cricket. However, for other sports, particularly athletics, the presence of a physiotherapist is virtually nonexistent. This gap may be attributed to a lack of awareness among relevant authorities about the crucial role of physiotherapy in sports.
Q: What is the level of accessibility to sports physiotherapist in the state sector?
A: The Ministry of Sports has a dedicated unit that focuses solely on national athletes, but there is a need to enhance its capacity. The Sri Lanka Cricket Board also operates its own physiotherapy unit.
The sports physiotherapy unit at the National Hospital can only cater to a limited number of athletes due to constraints in infrastructure and human resources. On a positive note, the Department of Allied Health Sciences at the Faculty of Medicine, University of Colombo, runs a sports physiotherapy clinic that is currently undergoing expansion. We strongly encourage athletes and sports enthusiasts to take advantage of this clinic, as the services provided are completely free of charge.
Q: What are the local state institutions which offer qualifications in physiotherapy?
A: The Faculty of Medicine at the University of Colombo, the Faculty of Allied Health Sciences at the University of Peradeniya and the Kotelawala Defence University (KDU) are the key state institutions in Sri Lanka offering four-year degree programmes in physiotherapy. Each year, approximately 120 students graduate from these institutions.
Q: Finally, what needs to be done to recognize the role of physiotherapy in local sports?
A: Beyond the innate talent of an athlete, achieving success on the global stage requires the professional expertise of physiotherapists from the outset of their training. Unfortunately, outside of cricket, physiotherapists are seldom seen accompanying Sri Lanka’s national teams on international tours. While athletes may have access to local professionals in the host country in the event of an injury, it is crucial that they have the support of a local physiotherapist who is familiar with their medical history, pre-existing conditions and previous injuries to provide more effective emergency care.
Modern rehabilitation approaches have far surpassed traditional methods, now focusing on active rehabilitation that requires the full engagement of both the athlete and the entire rehabilitation team. In a multidisciplinary sports team, which includes coaches, sports physicians, massage therapists, and other professionals, each member plays a vital role. The success of the team depends on the understanding and mutual respect for each professional’s expertise, with the athlete at the center of the process.
In Sri Lanka’s sports landscape, there is a growing need for greater recognition of the physiotherapist’s role in helping athletes and players reach their full potential. A more prominent position for physiotherapists within the sports community is essential to ensure that athletes receive the comprehensive support they need for optimal performance and recovery.
Life style
Elegant threads of tradition: Darshi Batik at Sheraton
As the Colombo skyline softens into golden hour “Sundown with Buddhi Batiks “at Sheraton Colombo unfolded as a seamless blend of heritage and contemporary elegance – an experience that felt both intimate and visually striking.
The evening drew a crowd that reflected the very essence of the brand it celebrated refined, creative and deeply connected with flowing silhouettes, to cultural and the quiet hum of conversation over curated cocktails.
Buddhi Batiks with Darshi Keerthisena is a label celebrated for transforming Sri Lankan batik into modern, wearable art. Her story telling through fabric where each piece reflected craftsmanship, culture, and a contemporary design language. The collection leaned into effortless elegance, resort ready kaftans, structured yet fluid dresses and statement pieces that moved as beautifully as they look. The atmosphere was electrifying. Guest sipped on delicated curated cocktails as soft music hummed in the background, creating an ambience that felt both exclusive and deeply relaxed.
More than aesthetics, Buddhi Batiks tells stores. Each motif, each gradation of colour carried a sense of place and memory.
Buddhi Batiks is proof that fashion can honour heritage without compromising on glamour, with every brush stroke of wax and every hand dyed.
The event, aptly named Sundown, was an ode to the timeless elegance of Sri Lankan craftsmanship, seamless fabrics woven into contemporary silhouettes that speak to a global sensibility.
The collection by Buddhi Batiks drew inspiration from Sri Lanka’s natural landscape, from the shimmering coastlines to the lush inland jungle, translated into vivid patterns and textures on display.
- High Commissioner of Indonesia in Sri Lanka- Dewi Gustina Tobing
- Every fold tells a story
The brand celebrated Sri Lankan’s rich artistic legacy while embracing a global fashion vision.
There are designers who wear fashion and then there are designers who live fashion, Darshi Keerthisena, creative director and CEO of Buddhi Batiks, belongs to the latter. She hasn’t merely followed a family tradition. She has reimagined it, transforming Sri Lankan batiks from a cultural craft into a globally resonant fashion statement. Under Dharshi’s leadership, Buddhi Batiks has evolved far beyond traditional cotton saris. She has introduced silk, geogette and satin as canvasses for Batik, infusing pieces with contemporary silhouettes and subtle, sophisticated colour stories that appeal to international design sensibilities. Her innovations have taken batik onto global platforms.
Darshi’s innovation isn’t only stylistic, it is ethical. She has championed sustainable practises, such as digital printing on recycled textiles and eco friendly dyes, while keeping handmade batik at the heart of the brand.
Her career has been marked by accolades and awards Dharshi’s vision for batik is expansive. She sees it not just on runaway gowns or resort wear, but translated into interiors, accessories and everyday life, capable of transcending borders while keeping the soul of Sri Lankan artisan’s heritage alive.
Sheraton Colombo Sri Lanka’s most prestigious 5-star hotels with Paul Sun, General Manager and his dedicated team, [played a key role and the hotel’s assistance went beyond providing a venue, it was a seamless blend of hospitality, event management and creative support.
By Zanita Careem
Life style
Farzana redefining power and purpose for women
Farzana Baduel stands as a powerful voice in global communication and a passionate advocate for women’s empowerment making her perspective especially relevant on International Women’s Day. As CEO of Curzon PR,in UK she has built a career defined by influence, resilience and purpose championing the advancement of women’s leadership.
(Q) How would you describe the role of women in the UK today and how does it compare to women’s role in Sri Lanka?
(A) Women in the UK today hold positions of real influence across politics, business, media, academia and the creative industries. There are strong legal protections around equality and conversations about gender parity have become mainstream. But equality in law does not always translate to equality in lived experience, particularly when it comes to pay gaps, the weight of childcare, and who actually occupies the most senior positions.
Sri Lanka presents a genuinely fascinating paradox. It elected the world’s first female Prime Minister in 1960, yet many women still face structural and cultural constraints, especially outside urban centres. What strikes me about Sri Lankan women is their extraordinary resilience and entrepreneurial spirit, often demonstrated within more traditional frameworks. That combination of ambition and adaptability is something I find deeply impressive.
Both countries are progressing. But both still have considerable work to do.
(Q) Are there areas where UK women face challenges that Sri Lankan women may not, or vice versa?
(A) In the UK, one of the most persistent challenges is what I would describe as the double burden: professional ambition sitting alongside disproportionate domestic responsibility. There is also the very modern pressure of digital culture, the weight of image, comparison, online abuse and public scrutiny that affects women in ways men rarely experience to the same degree.
In Sri Lanka, the challenges tend to be more structural. Economic instability, limited access to opportunity in rural areas, and in some cases stronger social conservatism around gender roles all shape what is possible for women. And yet extended family networks in Sri Lanka can offer something many women in the UK genuinely lack: built in childcare, intergenerational support, a community that holds you.
The pressures differ. But the underlying theme is remarkably consistent. Women everywhere are negotiating expectations that men are simply not asked to meet.
(Q) How do you define what it means to be a woman today, and have there been moments where your gender shaped your opportunities or challenges?
(A) To me, being a woman today means navigating complexity with strength. It means holding ambition and empathy in the same space without apologising for either. It means being commercially sharp and emotionally intelligent. Above all, it means resilience.
There have certainly been moments in my career where being a woman changed the dynamic in a room, particularly in senior advisory spaces involving government or corporate leadership. Early on, I sometimes had to prove competence before being taken seriously. Over time I came to understand that credibility does not come from changing who you are. It comes from deep expertise and calm authority.
Gender shapes experience. But it does not have to define potential.
(Q) How can women lift each other up in workplaces, communities and society at large?
(A) By being genuinely generous with opportunity. Sponsorship matters far more than mentorship. It is powerful when senior women actively advocate for other women in rooms those women are not in. That kind of invisible advocacy changes careers.
By rejecting scarcity thinking. There is not only one seat at the table.
And by modelling integrity. When women support each other publicly and privately, it does not just help individuals. It changes workplace cultures entirely.
(Q) Do you believe women are getting enough representation in leadership roles? If not, what needs to change?
(A) Progress has been made. But representation at the very top, in boardrooms and in global political leadership, remains deeply uneven. And the solution is not simply about recruiting more women. It is about changing the systems they are recruited into: flexible leadership structures, normalised parental leave for both men and women, transparent promotion criteria, and zero tolerance for the kind of subtle bias that is so easy to dismiss but so corrosive over time.
Representation is not about optics. It is about influence. Those are not the same thing.
(Q) What societal expectations or stereotypes have you personally encountered as a woman?
(A) The most persistent one is the idea that women must choose between warmth and authority, that being decisive risks being labelled difficult. Men are rarely subjected to that framing. A decisive man is simply a leader.
There is also the expectation that women should balance everything effortlessly, as though the juggle should be invisible. The reality is that balance is dynamic, often imperfect, and occasionally held together by nothing more than determination and strong coffee.
(Q) What challenges do women face in accessing healthcare or support, and how can society improve this?
(A) Even in developed countries, women’s health is frequently under researched and under prioritised, particularly around reproductive health, menopause and mental health. This is not a niche issue. It affects half the population.
Improvement requires sustained investment in research, workplace policies that recognise women’s health realities, and a collective willingness to remove the stigma that still clings to these conversations. Health is not a private inconvenience. It is a public priority.
(Q) Do you feel women are encouraged enough to pursue their passions alongside family and work responsibilities?
(A) The encouragement exists in rhetoric. The practical support frequently does not. True encouragement requires structural foundation: affordable childcare, flexible working arrangements, and a cultural acceptance that ambition in women is not selfish. It is not something that requires justification.
Women should never feel they must apologise for aspiration.
(Q) How do media portrayals of women impact society’s perception of them?
(A) Media shapes norms in ways we often do not notice until we look back. When women are portrayed primarily through the lens of appearance, domestic roles or conflict narratives, it quietly narrows the public imagination about what leadership looks like.
When media platforms showcase women as thinkers, strategists, innovators and policymakers, something opens up, especially for young girls who are watching and deciding, consciously or not, what is possible for them. Representation shapes expectation. That is not a small thing.
(Q) What changes would you most like to see for women in the next decade?
(A) Economic parity, not just participation. Greater support for women entrepreneurs. More women shaping foreign policy and global governance. A healthier and kinder public discourse online.
But most importantly, I would like to see confidence. Young women growing up without internalised limits, without the quiet voice that tells them to take up less space. That, more than any policy change, is what transforms the next generation.
(Q) And finally, how do you define what it means to be a woman today?
(A) To be a woman today is to stand fully in your capability without shrinking for anyone’s comfort. It is to embrace both strength and compassion, not as opposites but as complements. It is to define yourself rather than accept the definitions others impose upon you.
And perhaps most importantly, it is to leave the path a little wider for the women who come after you.
Life style
From Hanoi to Colombo: Women leading change across borders
Grace, resilience and quiet determination define the women of both Vietnam and Sri Lanka, two nations bound not only by rich cultural heritage, but by the enduring strength of their women. As the world marked International Women’s Day, the interview with the Vietnamese Ambassador in Sri Lanka offers a compelling lens into how tradition and modernity intervine to shape the lives of women across these societies Women in Vietnam and Sri Lanka continue to redifine their roles, balancing family, career and ambition with remarkable pause. While their journeys were shaped by distinct histories and cultural naunces there is a shared narrative of perseverance, adaptability and progress. In this interview the envoy reflects on these parallels and contrasts, offering insight into the evolving status of women. The challenges, they face and the inspiring strides being made towards equality.
Q How would you describe the role of women in Vietnam compared to Sri Lankan women?
A Women in Vietnam and Sri Lanka share many important similarities. In both societies, women are known for their diligence, resilience, and strong sense of responsibility toward family and community. Having experienced periods of war, conflict, and economic hardship, women in both countries deeply understand the values of sacrifice, solidarity, and perseverance. They often carry multiple roles at the same time—caregivers, income earners, and community supporters. In both countries, there has been an increasingly active participation of women in the workforce, including trade, manufacturing, SMEs, as well as in the leadership. It is meaningful to recognize these shared qualities that quietly but steadily contribute to social stability and national development.
Q From your personal experience, what defines a modern woman in your country?
A From my personal experience, a modern woman is someone who strives for balance rather than choosing between roles. She values education, independence, and self-development, while remaining deeply committed to her family and social responsibilities. She is confident, adaptable, and increasingly comfortable using technology and global networks. At the same time, she respects cultural values and traditions, selecting what is meaningful rather than rejecting them entirely. Modern women today are not defined only by career success, but by their ability to manage multiple responsibilities with empathy, resilience, and purpose.
Q Have you seen a significant change in women’s roles over the past decade?
A Yes, there have been noticeable and positive changes over the past decade. More women are pursuing higher education, entering diverse professional fields, and participating actively in economic and social life. Attitudes toward women’s leadership and decision-making roles have gradually improved, especially among younger generations. At the same time, women continue to shoulder major responsibilities within the family. This dual role has become more visible and more openly discussed. While challenges remain, the growing recognition of women’s contributions—both at work and at home—reflects a meaningful shift toward a more inclusive understanding of development.
Q Women in Vietnam are often visible in trade and entrepreneurship. How does this compare with Sri Lanka?
A Women in both Vietnam and Sri Lanka demonstrate a strong entrepreneurial spirit, particularly in trade, services, and family-based businesses. Many women engage in economic activities not only for personal ambition, but also to support their families and contribute to their communities. In both countries, women entrepreneurs are known for their adaptability, hard work, and practical approach to business. While the scale and sectors may differ, the underlying motivation and resilience are remarkably similar. With better access to finance, markets, and mentoring, women in both societies have great potential to further expand their entrepreneurial impact.
Q Do you think society equally values women’s economic contributions in both countries?
A Societal recognition of women’s economic contributions has improved, but full equality has not yet been achieved in either country. Women’s income is increasingly important for household stability, yet their unpaid care work often remains invisible. Professional success is respected, but women are still expected to prioritize family responsibilities. This creates pressure to constantly balance multiple roles. It is important to acknowledge that true equality means valuing both paid and unpaid work, and creating supportive environments that allow women to contribute economically without compromising their well-being or family life.
Q Vietnam has relatively strong female participation in governance. What drives this? Why is female representation still low in Sri Lanka?
A Both Vietnam and Sri Lanka recognize the importance of women’s participation in governance, and both have many capable women leaders. Differences in representation are largely shaped by institutional structures and political culture rather than women’s ability or commitment. Where supportive frameworks, mentoring, and clear pathways exist, women are more likely to enter public leadership.
In Sri Lanka, many talented women also serve their communities in different ways, though public roles can be more demanding to combine with family responsibilities. Creating more supportive and flexible pathways can help more women step forward and share their perspectives, enriching decision-making and social cohesion.
Q What are the most pressing issues women still face today?
A One of the most pressing challenges women face today is achieving a healthy balance between work, family responsibilities, and personal life. Women continue to carry a disproportionate share of caregiving and household duties, even when they are fully engaged in professional work. Gender inequality in wages, leadership opportunities, and decision-making persists. Social expectations often require women to excel in all areas simultaneously, creating emotional and physical strain. Addressing these issues requires not only policy support—such as childcare and flexible work—but also cultural change that encourages shared responsibility and mutual respect.
Q Do globalization and social media help accelerate gender equality?
A Globalization and social media can play a positive role in accelerating gender equality by expanding access to information, markets, and role models. They allow women to connect, learn, and express their voices beyond traditional boundaries. Many women entrepreneurs and professionals have benefited from digital platforms. However, these tools also bring challenges, including online harassment and unrealistic social pressures. Their impact depends on how responsibly they are used and supported. When combined with education, digital literacy, and safeguards, globalization and social media can become powerful tools for women’s empowerment.
Q How do you see the future of women evolving in the next 10 years?
A Over the next decade, I expect women to play an even more visible role in leadership, entrepreneurship, and innovation. Flexible work models and digital technologies will help more women participate in the economy while managing family responsibilities. Younger generations are already embracing more balanced views on gender roles and shared caregiving. While challenges will remain, especially in achieving true equality, the overall direction is positive. With sustained support from institutions, families, and society, women’s contributions will continue to shape more inclusive and resilient communities.
Q What can Sri Lanka learn from Vietnam in terms of empowering women economically?
A Sri Lanka can draw useful lessons from Vietnam’s emphasis on integrating women into value chains, supporting small businesses, and linking skills training with market access. Practical support—such as simplified procedures, access to finance, and business networks—helps women move from informal activities to sustainable enterprises. Equally important is recognizing women’s economic roles publicly and socially. Empowerment is most effective when economic opportunity is combined with family support and social respect. These shared principles are especially meaningful and highlight when celebrated International Women’s Day on 8 March.
By Zanita Careem
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