Category: Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

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Dry Needling vs. Acupuncture: Which One Do You Need?

Dry Needling vs. Acupuncture: Which One Do You Need?

admin

May 11, 2024

Back & Neck Pain, Conditions Relating To Elderly, Home Physiotherapy, Synapse Physiotherapy

Introduction 

It’s common for people to feel confused about the differences between dry needling and acupuncture, often leading to comparisons between the two practices. Many individuals find it difficult to decide to choose one over the other.

 Acupuncture

Acupuncture, an integral component of Traditional Chinese Medicine (TCM), dates back thousands of years as a holistic healthcare system. TCM, a comprehensive approach to wellness, encompasses methods aimed at prevention, diagnosis, and treatment of ailments. Central to TCM philosophy is the concept of qi, the body’s vital energy, believed to flow along specific meridians. Balanced qi signifies overall well-being, encompassing spiritual, emotional, and physical health, while imbalances may lead to illnesses. Blockages in qi can disrupt the equilibrium between yin and yang, opposing yet interconnected principles in Chinese philosophy. TCM employs diverse strategies to restore harmony between yin and yang, including acupuncture. Acupuncturists identify over 2,000 acupuncture points interconnected by meridians, utilizing this technique to alleviate blocked or stagnant qi, thus facilitating its free flow and enhancing health. Acupuncture entails inserting fine needles into specific points along meridians, with subsequent activation by manual manipulation or electrical stimulation by the practitioner.

Dry needling 

‘Dry needling’ involves the insertion of thin monofilament needles, similar to those utilized in acupuncture, without injection. This technique is frequently utilized in the treatment of muscles, ligaments, tendons, subcutaneous fascia, scar tissue, peripheral nerves, and neurovascular bundles to address various neuromusculoskeletal pain syndromes. Importantly, the definition of dry needling has undergone refinement by organizations like the National Physical Therapy Association and several State Boards of Physical Therapy. According to their updated specifications, dry needling is specifically defined as the insertion of needles into nodules within taut bands of muscle, commonly referred to as ‘trigger points’ or ‘myofascial trigger points’ (MTrPs).

Benefits 

Dry needling offers several potential benefits for individuals experiencing musculoskeletal pain and dysfunction:

Pain Relief

One of the primary benefits of dry needling is pain relief. By targeting trigger points and releasing tension in muscles, dry needling can help alleviate acute and chronic pain conditions such as muscle strains, tension headaches, fibromyalgia, and lower back pain.

Improved Range of Motion

Tight muscles and trigger points can restrict movement and flexibility. Dry needling helps release muscle tension, allowing for improved range of motion and flexibility in the affected area. This can be particularly beneficial for athletes or individuals recovering from injuries.

Muscle Relaxation

 Dry needling promotes muscle relaxation by stimulating the release of endorphins, which are natural pain-relieving chemicals produced by the body. This relaxation can help reduce muscle spasms and stiffness, allowing for greater comfort and mobility.

Enhanced Healing

 By increasing blood flow to the targeted area, dry needling can facilitate the delivery of oxygen and nutrients to injured tissues, thereby promoting faster healing and recovery. It can also help break up scar tissue and adhesions, which can inhibit movement and contribute to chronic pain.

Complementary Treatment

 Dry needling can be used as part of a comprehensive treatment plan for musculoskeletal conditions, complementing other therapies such as physical therapy and exercise. It can help address underlying muscle imbalances and dysfunctions, leading to more effective overall treatment outcomes.

Reduced Dependence on Medications

 For individuals who prefer to avoid or minimize the use of medications for pain management, dry needling offers a drug-free alternative. By targeting the root cause of pain and dysfunction, it can help reduce the need for pain medications and their associated side effects.

Improved Quality of Life 

Chronic pain and musculoskeletal dysfunction can significantly impact an individual’s quality of life, limiting their ability to perform daily activities and participate in leisure or recreational activities. By providing effective pain relief and improving mobility, dry needling can help enhance overall quality of life and well-being.

Acupuncture 

Acupuncture, a traditional Chinese medical practice, offers numerous potential benefits for both physical and mental health.

Pain Relief

Acupuncture is well-known for its ability to alleviate pain, both acute and chronic. It is often used to manage conditions such as back pain, neck pain, osteoarthritis, migraines, and menstrual cramps. Acupuncture can help reduce inflammation, release endorphins (the body’s natural painkillers), and regulate the nervous system’s pain response.

Stress Reduction and Relaxation

Acupuncture sessions are typically relaxing experiences for many individuals. The insertion of needles at specific points on the body can help regulate the body’s stress response, promote relaxation, and reduce feelings of anxiety and tension. Some people also report improvements in sleep quality after acupuncture treatment

Improved Mood and Mental Health

Acupuncture has been shown to have positive effects on mood and mental well-being. It can help regulate neurotransmitters such as serotonin and dopamine, which play a role in mood regulation. Acupuncture is often used as a complementary therapy for conditions such as depression, anxiety, and PTSD.

Enhanced Immune Function

 Acupuncture is believed to support the body’s immune system by promoting the flow of Qi (vital energy) and balancing the body’s internal systems. Regular acupuncture treatments may help strengthen the immune response and reduce the risk of illness and infection.

Better Digestive Health

Acupuncture can help regulate digestive function and alleviate symptoms of gastrointestinal disorders such as irritable bowel syndrome (IBS), acid reflux, bloating, and constipation. By balancing the body’s energy flow and reducing stress, acupuncture may improve digestion and nutrient absorption.

Hormonal Balance

Acupuncture may help regulate hormonal imbalances in the body, making it beneficial for conditions such as polycystic ovary syndrome (PCOS), infertility, menopausal symptoms, and menstrual irregularities. It can help regulate menstrual cycles, improve ovarian function, and reduce symptoms associated with hormonal fluctuations.

Support for Chronic Conditions

Acupuncture can provide relief and support for various chronic conditions, including autoimmune disorders, fibromyalgia, chronic fatigue syndrome, and neuropathic pain. While it may not cure these conditions, acupuncture can help manage symptoms and improve overall quality of life.

Complementary Cancer Care

Acupuncture is often used as a complementary therapy for cancer patients to manage treatment side effects such as nausea, pain, fatigue, and neuropathy. It can help improve overall well-being and quality of life during cancer treatment.

 

 

Technique 

 

Dry needling

Assessment

Before performing dry needling, the practitioner typically conducts a thorough assessment of the patient’s musculoskeletal system. This may involve identifying areas of pain, muscle tightness, restricted movement, or trigger points.

Locating Trigger Points

Trigger points are areas of tight muscle fibers that can cause pain and dysfunction. The practitioner locates these points by palpating the muscles and asking the patient about areas of pain or tenderness.

Insertion of Needles

Once the trigger points are identified, the practitioner inserts thin, solid needles directly into the skin and muscle at these points. The needles used in dry needling are similar to those used in acupuncture but are typically thicker and may be manipulated differently.

Stimulation

After insertion, the needles may be manipulated by the practitioner, often with gentle movements or twitches, to stimulate the trigger point. This can help release tension in the muscle and alleviate pain.

Response and Monitoring

Patients may experience various sensations during dry needling, including a dull ache, tingling, or a muscle twitch. The practitioner monitors the patient’s response and adjusts the treatment as needed.

Aftercare

After the dry needling session, patients are usually advised to rest and drink plenty of water. Some practitioners may also recommend specific exercises or stretches to complement the treatment and prevent further muscle tension.

Acupuncture 

Consultation and Assessment

Before starting acupuncture treatment, the acupuncturist conducts a thorough consultation and assessment with the patient. This may involve discussing the patient’s medical history, current symptoms, lifestyle, and any specific health goals.

Point Selection

Based on the assessment, the acupuncturist selects the acupuncture points to target during the session. Acupuncture points are located along pathways called meridians, which are believed to be channels through which Qi (pronounced “chee”), or vital energy, flows.

Needle Insertion

The acupuncturist inserts thin, sterile needles into the selected acupuncture points on the patient’s body. The needles are typically made of stainless steel and are extremely thin, ranging from 0.12 to 0.35 millimeters in diameter. The depth of insertion varies depending on the location of the acupuncture point and the condition being treated.

Needle Manipulation

After the needles are inserted, the acupuncturist may gently manipulate them by twirling, rotating, or stimulating them with a slight up-and-down movement. This manipulation is believed to enhance the therapeutic effects of acupuncture by promoting the flow of Qi and facilitating the body’s natural healing processes.

Needle Retention

Once the needles are in place, the patient typically remains in a relaxed position for a certain period, typically ranging from 15 to 30 minutes. During this time, the patient may experience sensations such as warmth, tingling, or a dull ache at the acupuncture points.

Removal of Needles

After the designated period of needle retention, the acupuncturist removes the needles carefully and safely. The needles are disposed of in accordance with medical waste regulations.

Follow-Up and Recommendations

 Depending on the patient’s response to treatment, the acupuncturist may recommend a series of acupuncture sessions to achieve optimal results.

Differences 

Dry needling performed by a physiotherapist concentrates on treating musculoskeletal (MSK) conditions directly related to pain, movement, and function. Although acupuncturists may receive additional training in MSK conditions, their practice tends to be broader, potentially resulting in less specialized experience in addressing MSK issues compared to physical therapists.

A physiotherapist, specializing in musculoskeletal (MSK) conditions, incorporates dry needling as part of a comprehensive treatment plan. This plan may encompass various interventions such as joint mobilizations, neuromuscular reeducation, postural education, as well as strength, mobility, and flexibility exercises. In contrast, an acupuncturist’s approach might differ, focusing less on these specific components of MSK treatment and more on adjunctive therapies like recommending herbal supplements or dietary changes to support the healing process.

 

Which is better for you?

For musculoskeletal (MSK) injuries, seeking treatment from a specialized MSK practitioner such as physiotherapy who offers a multifaceted approach to address your pain and movement condition is often recommended. These professionals are trained to provide comprehensive care tailored to MSK issues. In cases where the injury appears to involve non-MSK components, consulting a medical doctor (MD) first would be prudent. This ensures a thorough evaluation and appropriate management plan, potentially involving a multidisciplinary approach if necessary.

 

In conclusion, if you’re dealing with a musculoskeletal (MSK) injury, seeking assistance from a qualified physiotherapist who is trained in dry needling can be beneficial. Synapse Physiotherapy is a reputable option that offers this service. Physiotherapists are skilled in providing a multifaceted approach to MSK injury treatment, and dry needling can be an effective component of their treatment plans. However, it’s essential to ensure that the physiotherapist you choose is appropriately qualified and experienced in dry needling techniques to optimize your recovery and rehabilitation process.

 

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Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Sports Injuries

Rolled ankles, jarred knees, impinged shoulders are few conditions in the plethora of sports injuries which can hamper performance and limit our enjoyment of sports. Physiotherapy not only treats the symptoms of these conditions but propels your overall fitness to greater heights.

Work Desk Injuries​

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

Scoliosis & Postural Abnormalities

The way we stand, sit, walk and sleep has influence over our posture and the overall balance of muscles controlling its alignment. A comprehensive screening can be done by our physiotherapists to detect abnormalities, which we will aid in correcting.

Neurological Conditions

Neurological disabilities such as stroke, nerve compression and neuropathies can be barriers for patients to live life to its fullest. We at Synapse are committed to help you overcome these hurdles by ensuring functional mobility and quality of life is at its optimum by providing the right treatment and exercises.

Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.
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How Does Aqua Hydrotherapy Treatment Work? I Physio Centre

aqua hydrotherapy treatment

How Does Aqua Hydrotherapy Treatment Work? I Physio Centre

admin

May 10, 2024

aqua hydrotherapy treatment
Back & Neck Pain, Neurological Conditions, Pre-Post-Surgical Conditions, Sports Injuries, Synapse Physiotherapy, Work Desk Injuries​

Aquatic therapy encompasses treatments and exercises conducted in water to facilitate physical rehabilitation, relaxation, fitness, and therapeutic benefits. It is widely embraced across all age groups with various disabilities or disorders, offering numerous advantages.

Within aquatic therapies, warm water promotes muscle relaxation and peripheral circulation. Water resistance enhances muscle strengthening, while the alleviation of gravitational forces and joint pain facilitates the performance of range of motion or stretching exercises. Furthermore, regular swimming can improve respiratory functions and thoracic mobility. Swimming has been found to enhance pulmonary functions, aerobic capacity, and quality-of-life parameters in patients with AS (ankylosing spondylitis).

Physiotherapists often integrate aqua hydrotherapy into rehabilitation programs. The water offers a secure, low-risk, and supportive training environment, especially beneficial for older individuals participating in fitness programs without worry of falling. This enhances client satisfaction and adherence to hydrotherapy exercises. Furthermore, the social atmosphere of the sessions often amplifies the therapeutic benefits.

Properties of Water 

Hydrostatic pressure 

Hydrostatic pressure plays a crucial role in aquatic therapy, representing the static force exerted by water against a person or object. This force also generates the upward thrust we know as buoyancy, which significantly influences therapeutic exercise. For instance, during standing hip abduction, buoyancy assists the limb, while returning to neutral position requires increased hip adductor force to overcome buoyancy. Thus, buoyancy can act both as an aid and a resistance.

Moreover, hydrostatic pressure enhances heart efficiency by aiding venous return and applies compression to joints, muscles, and soft tissue, facilitating swelling reduction and lymphatic drainage. Buoyancy unloads the body, with greater depth of submersion leading to reduced gravitational effect on body weight. A basic breakdown of buoyancy’s unloading effect relative to body weight includes: waist deep – 50%; chest deep – 75%; neck deep – 90%.

 

The conditions helps by hydrotherapy 

Chronic pain 

Hydrotherapy is recommended as a course of treatment for various chronic pain conditions. It helps to promote normal movement, increase muscle length, and enhance muscle strength and control. Conditions such as fibromyalgia, complex regional pain syndrome, and longstanding musculoskeletal issues can benefit from hydrotherapy.

Hydrotherapy is particularly effective for chronic pain because it addresses multiple symptoms simultaneously. It offers several key benefits. First, heat stimulates thermo-receptor nerves, thus relieving pain and increasing soft tissue extensibility. Additionally, heat promotes fluid movement within the body’s joints and induces muscle tissue relaxation, thereby calming the mind. Next, buoyancy reduces direct pressure on joints as the body floats in water, resulting in less pain and enabling freer movement. This effect can be adjusted easily by changing water depth. Finally, water resistance provides gentle yet variable resistance according to movement speed, aiding in improving muscle tone and strength. Moreover, the constant resistance of the surrounding water stabilizes movements, boosting confidence in pain-free movement without the risk of injury.

Neurological conditions

For individuals with neurological conditions, hydrotherapy offers opportunities to perform activities that may be challenging on dry land. It can also help reduce muscle spasms in severe traumatic brain injury patients and enhance strength in various neurological conditions.

The warm water in hydrotherapy sessions facilitates increased movement by reducing joint stiffness, normalizing muscle tone, and promoting muscle relaxation, collectively contributing to pain relief. Water also offers resistance, aiding in the strengthening of weak muscles. Additionally, the buoyancy effect of water enables passive stretching. Furthermore, water provides a safe environment for practicing balance and walking, and it enhances ease of handling for physiotherapists. Moreover, buoyancy decreases weight bearing, allowing for easier walking. 

Cardiovascular condition

In cardiovascular and pulmonary conditions, hydrotherapy aids in improving muscular and cardiopulmonary endurance, particularly in the elderly or in rehabilitation following chronic heart failure or respiratory disease exacerbations.

Musculoskeletal injuries

Musculoskeletal injuries, whether from sports or aging, can be improved with hydrotherapy. Commonly treated conditions include osteoarthritis, rheumatoid arthritis, ankle sprains, muscle tears, and low back pain.

Water offers a unique and supportive environment for muscle and joint rehabilitation, providing numerous benefits. The buoyancy effect experienced in water reduces the weight that bones, muscles, and joints have to bear, while the heating effect helps decrease swelling, increase blood flow, and alleviate pain. This combination creates an ideal medium to aid in your return to full function.

Moreover, water provides accommodating resistance, meaning that the resistance increases with the speed of movement. This feature is especially advantageous in musculoskeletal injuries as it reduces the risk of excessive resistance. In hydrotherapy, you can experience this concept firsthand and practice common functional movements relevant to your daily life.

By varying the depth, you can gradually increase the amount of body weight borne by the affected joint. Once mastered, these skills can be transitioned to land-based functional exercises. Hydrotherapy is particularly effective in the early stages of lower limb rehabilitation, before full weight bearing is feasible. Starting a hydrotherapy program early in the rehabilitation process helps preserve joint range of motion and facilitates a smoother recovery journey.

Post-operation

Hydrotherapy accelerates recovery for patients undergoing back, abdominal, or lower limb surgeries, aiding joint movement and muscle strength. It is beneficial for clients recovering from surgeries like anterior cruciate ligament surgery, Colles’ fracture reduction, and lower limb joint replacements.

The buoyancy from the water alleviates stress on weight-bearing joints, providing patients who are unable to bear weight with an opportunity to do so much earlier without concern for exacerbating their injuries. Additionally, the resistance offered by water can be utilized to build strength, with the level of effort modulated by the individual through adjustments in speed. Furthermore, the warmth of the water aids in relaxing tight muscles, facilitating easier range of motion exercises and reducing pain sensation. This combination of factors makes water-based therapy an effective and comfortable option for rehabilitation.

Pediatric condition

In pediatric care, hydrotherapy is commonly used for children with neurological or orthopedic conditions, or post-surgery. Conditions such as Rett syndrome, cerebral palsy, spina bifida, infantile spinal muscular atrophy, and post-surgery recovery can benefit from hydrotherapy.

Children often find water-based rehabilitation more enjoyable than traditional land-based methods. The playful environment of the pool makes exercise enjoyable, leading to greater enthusiasm and participation. Consequently, children are more willing to engage in water-based exercises, resulting in improved compliance with their rehabilitation regimen.

How long for a session

The duration of a hydrotherapy appointment typically varies depending on client tolerance and therapy objectives, but it usually lasts between 45 to 90 minutes.

What happens during the first session

During your initial hydrotherapy session, your therapist will ensure your safe entry into the pool. They may utilize aquatic equipment such as floats, paddles, or pool noodles to aid in exercises or provide additional resistance. The session may take place in shallow or deep water depending on your therapy goals.

How many session is needed

The number of hydrotherapy sessions required depends on factors such as your diagnosis, the severity or chronicity of your injury, your medical history, and other considerations. Hydrotherapy sessions often complement in-clinic therapy well and can effectively help achieve therapy goals.

Hydrotherapy plays a crucial role in physiotherapy by offering effective rehabilitation and pain relief through water-based treatments. Synapse Physiotherapy provides tailored hydrotherapy sessions, harnessing the benefits of water to enhance mobility, reduce pain, and improve overall well-being. With specialized expertise, we ensure patients receive personalized care to achieve optimal outcomes in their recovery journey.

 

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Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Sports Injuries

Rolled ankles, jarred knees, impinged shoulders are few conditions in the plethora of sports injuries which can hamper performance and limit our enjoyment of sports. Physiotherapy not only treats the symptoms of these conditions but propels your overall fitness to greater heights.

Work Desk Injuries​

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

Scoliosis & Postural Abnormalities

The way we stand, sit, walk and sleep has influence over our posture and the overall balance of muscles controlling its alignment. A comprehensive screening can be done by our physiotherapists to detect abnormalities, which we will aid in correcting.

Neurological Conditions

Neurological disabilities such as stroke, nerve compression and neuropathies can be barriers for patients to live life to its fullest. We at Synapse are committed to help you overcome these hurdles by ensuring functional mobility and quality of life is at its optimum by providing the right treatment and exercises.

Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.
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Types of Physiotherapy Treatments in Malaysia

Types of Physiotherapy Treatments in Malaysia

admin

May 6, 2024

Back & Neck Pain, Conditions Relating To Elderly, Home Physiotherapy, Neurological Conditions, Osteoarthritis & Rheumatism, Pre-Post-Surgical Conditions, Scoliosis & Postural Abnormalities, Sports Injuries, Synapse Physiotherapy, Work Desk Injuries​

Physiotherapy is a branch of healthcare that focuses on rehabilitation, restoring movement and function to individuals affected by injury, illness, or disability as well as health promotion and fitness. It encompasses a wide array of treatments tailored to meet diverse needs. The profession employs a holistic approach to treatment, looking at a patient’s lifestyle and engaging them at where they are at. Physiotherapy can be defined as a treatment method that focuses on the science of movement and helps people to restore, maintain and maximise their physical strength, function, motion and overall well-being by addressing the underlying physical issues.

 

At Synapse Physiotherapy, our physiotherapists believe in helping people maximise their quality of life by looking at the physical, psychological, emotional and social wellbeing of an individual. As physiotherapy is about promoting health, prevention of injuries, treatment/intervention, and rehabilitation, our physiotherapists are qualified to:

 

  • Undertake a comprehensive examination/assessment of the patient/client or needs of a client group.
  •  Evaluate the findings from the examination/assessment of the patient/client or needs of a client group.
  •  Formulate a diagnosis, prognosis and plan.
  • Provide consultation within their expertise and determine when patients/clients need to be referred to another healthcare professional.
  • Implement a physiotherapy intervention/treatment programme.
  • Determine the outcomes of any interventions/treatments.
  • Make recommendations for self-management.

In Malaysia, the field of physiotherapy has evolved significantly, offering a plethora of specialised treatments that cater to various conditions and requirements in a number of different settings, whether it be home health, clinical based or acute care. This article will explore the different types of physiotherapy treatments available in Malaysia.

1. Musculoskeletal Physiotherapy:

Musculoskeletal physiotherapy, also known as orthopaedic physiotherapy, is one of the most common types practised in Malaysia. It focuses on treating conditions related to the musculoskeletal system which are made up of muscles, bones, joints, tendons, ligaments, and soft tissues. Physiotherapists can help diagnose and treat any musculoskeletal injuries or ailments to improve mobilisation and flexibility by employing a variety of techniques including manual therapy, exercise prescription, and electrotherapy to alleviate pain, treat soft tissue damage, improve mobility, and enhance overall function. This type of physiotherapy is often sought by individuals suffering from work-related injuries, arthritis, back pain, and post-operative rehabilitation. 

2. Neurological Physiotherapy:

Neurological physiotherapy is designed to address impairments resulting from neurological conditions in relation to the nervous system such as stroke, Parkinson’s disease, multiple sclerosis, and spinal cord injuries. Effects from these conditions can lead to paralysis, lack of sensation and balance issues.

Physiotherapists work on improving balance, coordination, strength, and mobility through specialized exercises, gait training, and functional activities. Neurological physiotherapy uses a multitude of intervention techniques aimed at rehabilitating patients with very specific disorders and traumas.

In Malaysia, neurological physiotherapy plays a crucial role in helping individuals regain independence and quality of life following neurological diseases.

3. Paediatric Physiotherapy:

Paediatric physiotherapy focuses on the unique needs of infants, children, and adolescents. Physiotherapists focus on providing assessment and treatment to help children with mobility, balance, flexibility, coordination, core stability and more. This branch of physiotherapy also focuses on improving the growth and development in children.

Physiotherapists utilise playful activities, developmental exercises, and sensory integration techniques to address conditions such as developmental delays, cerebral palsy, and musculoskeletal disorders in young patients.  Some of the benefits include improvement of motor skills, posture, gait, balance, and developing strength and endurance.

In Malaysia, paediatric physiotherapy aims to promote optimal physical development and functional abilities in children, fostering their participation in daily activities and social interactions.

4. Geriatric Physiotherapy:

Geriatric physiotherapy caters to the ageing population, addressing age-related conditions, functional decline and any related medical conditions. This branch of physiotherapy is useful in helping people maintain flexibility and reduce the chances of injuries in later years, improve mobility, alleviate pain and restore overall health. Physiotherapists focus on enhancing strength, endurance, balance, flexibility, and mobility to improve independence and reduce the risk of falls and injuries among older adults. In Malaysia, with a growing elderly population, geriatric physiotherapy plays a vital role in promoting healthy ageing and maintaining seniors’ quality of life.

5. Cardiopulmonary Physiotherapy:

Cardiopulmonary physiotherapy targets individuals with cardiovascular and respiratory conditions such as chronic obstructive pulmonary disease (COPD), asthma, chest infections and cardiac rehabilitation post-heart surgery. Physiotherapists employ breathing exercises, airway clearance techniques, and cardiovascular conditioning to optimise lung function, endurance, and overall cardiovascular health. In recent years, it has also been useful for people suffering from the side effects of COVID-19. Cardiopulmonary physiotherapy is beneficial in treating shortness of breath, chronic cough, and rehabilitation for cardiac conditions.

 In Malaysia, cardiopulmonary physiotherapy is instrumental in improving respiratory efficiency and promoting cardiac wellness.

6. Women’s Health Physiotherapy:

Women’s health physiotherapy addresses conditions specific to women, including pelvic floor dysfunction, prenatal and postnatal care, and urinary incontinence. Physiotherapists employ pelvic floor exercises, manual therapy, and education to manage symptoms and improve pelvic health.

It can help to strengthen core muscles, helps in the childbirth process, control urinary functions, strengthen pelvic floor muscles and help alleviate pain for pregnant women.

In Malaysia, women’s health physiotherapy is not as well known however it still plays a crucial role in supporting women through various stages of life, from pregnancy to menopause, promoting optimal pelvic wellness and overall well-being.

7. Sports Physiotherapy:

Sports physiotherapy has played a huge role in helping athletes and sports professionals to get back to their optimal form. This type of physiotherapy deals with assessment and treatments of injuries related to sports and focuses on preventing and treating sports-related injuries, as well as enhancing athletic performance. Sports activities have higher demands on the body hence these sports professionals who go through rigorous training will need this type of physiotherapy to improve flexibility and avoid serious injuries. 

Physiotherapists utilise a combination of movement assessments, manual therapy, exercise prescription, taping techniques, and sports-specific rehabilitation to rehabilitate athletes and prevent future injuries. In Malaysia, with a burgeoning interest in sports and fitness, sports physiotherapy plays a pivotal role in keeping athletes in peak physical condition and facilitating their return to sport safely.

Conclusion

In conclusion, the field of physiotherapy in Malaysia encompasses a diverse range of treatments tailored to meet the unique needs of individuals across the lifespan and with varying health conditions. From musculoskeletal and neurological rehabilitation to pediatric and geriatric care, our physiotherapists here at Synapse are equipped with the knowledge and skills to empower individuals to achieve optimal health, function, and quality of life. Whether you’re recovering from an injury, managing a chronic condition, or seeking to enhance your physical well-being, the world of physiotherapy in Malaysia offers a wealth of opportunities for healing and rehabilitation.

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Physiotherapy Malaysia

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Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Sports Injuries

Rolled ankles, jarred knees, impinged shoulders are few conditions in the plethora of sports injuries which can hamper performance and limit our enjoyment of sports. Physiotherapy not only treats the symptoms of these conditions but propels your overall fitness to greater heights.

Work Desk Injuries​

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

Scoliosis & Postural Abnormalities

The way we stand, sit, walk and sleep has influence over our posture and the overall balance of muscles controlling its alignment. A comprehensive screening can be done by our physiotherapists to detect abnormalities, which we will aid in correcting.

Neurological Conditions

Neurological disabilities such as stroke, nerve compression and neuropathies can be barriers for patients to live life to its fullest. We at Synapse are committed to help you overcome these hurdles by ensuring functional mobility and quality of life is at its optimum by providing the right treatment and exercises.

Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.
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Muscle Atrophy: Causes, Symptoms & Best Physiotherapy

Muscle Atrophy: Causes, Symptoms & Best Physiotherapy

admin

April 19, 2024

Back & Neck Pain, Sports Injuries, Synapse Physiotherapy, Work Desk Injuries​

Muscle atrophy, characterized by the gradual decrease in muscle mass and strength, poses significant challenges to one’s mobility and function. This article delves into the various causes and symptoms of muscle atrophy, highlighting the role of physiotherapy in providing effective treatment and management strategies.

Types of Muscle Atrophy

 
 Disuse Atrophy

Occurs when muscles are not regularly used or stimulated, leading to weakening and decreased size due to lack of activity.

 

Neurogenic Atrophy

Caused by damage or diseases affecting the nerves controlling muscle function, resulting in muscle wasting over time.

 

Pathologic Atrophy

Muscle wasting due to underlying medical conditions like cancer, inflammatory diseases, or hormonal imbalances, rather than normal physiological processes.


Causes of Muscle Atrophy


Disuse Atrophy

Prolonged bed rest, immobilization due to injury, or sedentary lifestyle leading to muscle degeneration and weakness.

 

Neurogenic Atrophy

Conditions such as ALS, spinal cord injuries, or neuropathy disrupts nerve-muscle communication, thus resulting in muscle wasting.

 

Inflammatory Conditions

Chronic diseases, like dermatomyositis, polymyositis, or rheumatoid arthritis, target muscle tissue, thus causing inflammation and subsequent atrophy.

 

Malnutrition

Inadequate protein intake or deficiencies in essential nutrients impair muscle maintenance and repair processes.


Endocrine Disorders

Hormonal imbalances from conditions like Cushing’s syndrome or hyperthyroidism affect metabolism and protein synthesis, leading to muscle wasting.


Chronic Diseases

Conditions such as cancer, HIV/AIDS, or kidney disease, and certain medications like corticosteroids contribute to muscle loss.

Symptoms of Muscle Atrophy

  • Visible reduction in muscle size and bulk.
  • Weakness and fatigue during physical activities.
  • Impaired mobility, coordination, and range of motion.
  • Joint stiffness and muscle cramps.
  • Changes in muscle tone and function.
  • Muscle twitching or fasciculations.



Treatments for Muscle Atrophy

Physical Therapy

Customized exercise programs which focus on strength training, flexibility, and endurance help in combating muscle atrophy and promoting muscle growth.


Nutritional Support

Balanced diet rich in protein, vitamins, and minerals help support muscle repair and regeneration. Protein supplementation may be necessary in some cases.


Electrical Stimulation

Techniques like neuromuscular electrical stimulation help to activate and strengthen weakened muscles.


Medication

Medical management addresses underlying medical conditions contributing to muscle atrophy or manage symptoms like pain or inflammation.


Surgery

Nerve repair or muscle transfer surgeries in severe cases help to restore muscle function and mobility.


Lifestyle Modifications

Adopt a healthy lifestyle with regular physical activity, rest, and stress management to support muscle health.

Frequently Asked Questions (FAQs)

1. How can I prevent muscle atrophy?

Regular exercise, adequate nutrition, and addressing underlying health conditions are essential for preventing muscle atrophy.

2. Is muscle atrophy reversible?

With proper treatment, including physical therapy and lifestyle modifications, muscle atrophy can be managed, and muscle strength and function can be improved.

3. How long does it take to regain muscle mass after atrophy?

The time to regain muscle mass varies depending on factors such as the severity of atrophy, adherence to treatment, and individual response to therapy.

4. Can muscle atrophy lead to permanent disability?

In severe cases, untreated muscle atrophy can lead to permanent disability, highlighting the importance of early intervention and treatment.

5. What role does physiotherapy play in treating muscle atrophy?

Physiotherapy interventions such as exercise programs, manual techniques, and education are crucial for addressing muscle atrophy, promoting muscle repair, and improving functional outcomes.

Conclusion

In conclusion, muscle atrophy poses significant challenges to individuals’ mobility and quality of life. However, with the right treatment approach, including physiotherapy, many of these challenges can be overcome. Synapse Physiotherapy offers comprehensive care and support to individuals with muscle atrophy, empowering them to regain muscle strength, function, and independence. Through personalized treatment plans and innovative therapies, Synapse Physiotherapy strives to optimize outcomes and enhance the overall well-being of its patients.

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Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Sports Injuries

Rolled ankles, jarred knees, impinged shoulders are few conditions in the plethora of sports injuries which can hamper performance and limit our enjoyment of sports. Physiotherapy not only treats the symptoms of these conditions but propels your overall fitness to greater heights.

Work Desk Injuries​

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

Scoliosis & Postural Abnormalities

The way we stand, sit, walk and sleep has influence over our posture and the overall balance of muscles controlling its alignment. A comprehensive screening can be done by our physiotherapists to detect abnormalities, which we will aid in correcting.

Neurological Conditions

Neurological disabilities such as stroke, nerve compression and neuropathies can be barriers for patients to live life to its fullest. We at Synapse are committed to help you overcome these hurdles by ensuring functional mobility and quality of life is at its optimum by providing the right treatment and exercises.

Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.
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The Most Common Sports Injuries in Badminton | Physio Centre

The Most Common Sports Injuries in Badminton | Physio Centre

admin

April 18, 2024

Back & Neck Pain, Sports Injuries, Synapse Physiotherapy

Badminton, a popular racquet sport in Malaysia, demands agility, speed, and precision. However, the physical intensity of the game also exposes players to various injuries. To address these concerns effectively, establishing a sports injury clinic is essential. This article explores the most common sports injuries in badminton and the role of physiotherapy in their management.

Shoulder Injuries

Causes

Shoulder injuries often result from the repetitive overhead strokes in badminton. The twisting motion required for shots like smashes and clears stresses the shoulder muscles, particularly the rotator cuff, leading to strains and tears. Postural imbalances and asymmetry in shoulder movement patterns can also contribute to these injuries.

Symptoms

Symptoms of shoulder injuries include difficulty raising the arm, weakness, pain during specific movements, and sensations of popping or clicking in the shoulder joint.

Treatments

Treatment for shoulder injuries may involve rest, ice therapy, physical therapy, and medication to manage pain and inflammation. Rehabilitation exercises aim to strengthen muscles and improve flexibility to prevent future injuries.

Prevention

Preventive measures include warm-up routines, strengthening exercises to target shoulder muscles, and proper technique during gameplay to minimize strain on the shoulders.

Elbow Injuries

Causes

Lateral epicondylitis, commonly known as tennis elbow, is prevalent in badminton due to the repetitive short hitting action unique to the sport. Gripping the racket tightly and performing quick hitting techniques can strain the tendons in the elbow, leading to pain and inflammation.

Symptoms

Symptoms of tennis elbow include pain and tenderness on the outside of the elbow, which can spread to the upper or lower arm. Activities like lifting objects or making a fist may exacerbate the pain.

Treatments

Treatment options include rest, ice therapy, pain medication, bracing, physical therapy, and, in severe cases, corticosteroid injections or surgery.

Ankle Injuries

Causes

Ankle sprains are common in badminton due to rapid footwork and sudden directional changes. Injuries often occur from incorrect landings or slipping during swift movements on the court.

Symptoms

Symptoms of ankle injuries include pain, swelling, bruising, tenderness, restricted range of motion, and feelings of instability at the joint.

Treatments

Treatment involves rest, ice therapy, compression, elevation, pain medication, physical therapy, and, in severe cases, medical interventions or surgery.

Prevention

Preventive measures include warm-up routines, wearing supportive footwear, using ankle braces or tape, and investing in quality badminton shoes to reduce the impact on ankles during jumps and landings.

Frequently Asked Questions (FAQs)

1. How can I prevent shoulder injuries in badminton?

Shoulder injury prevention tips include warming up before play, strengthening shoulder muscles, maintaining proper technique, and avoiding overexertion.

2. What is the best way to treat tennis elbow from badminton?

Treatment options for tennis elbow include rest, ice therapy, pain medication, bracing, physical therapy, and, if necessary, corticosteroid injections or surgery.

3. How long does it take to recover from an ankle sprain in badminton?

Recovery time for ankle sprains varies depending on the severity of the injury. Mild sprains may heal within a few weeks with rest and rehabilitation, while severe sprains may take several months.

4. Can physiotherapy help prevent recurrent ankle sprains in badminton players?

Yes, physiotherapy can help strengthen ankle muscles, improve flexibility, and enhance stability, reducing the risk of recurrent ankle sprains in badminton players.

5. What are some tips for returning to badminton after recovering from an ankle injury?

Gradually reintroduce activities, follow a tailored rehabilitation program, wear supportive footwear, use ankle braces if necessary, and prioritize proper technique to prevent reinjuries. 

Conclusion

In conclusion, badminton players are susceptible to various sports injuries due to the physical demands of the game. However, with proper preventive measures and timely intervention, many of these injuries can be managed effectively. Physiotherapy plays a crucial role in the rehabilitation process, offering tailored treatment plans to address the unique needs of each player. Synapse Physiotherapy, with its specialised expertise in sports injury management, provides comprehensive care to help badminton players recover from injuries, prevent future setbacks, and enhance performance on the court. With a focus on excellence and patient-centered care, Synapse Physiotherapy is committed to promoting health, longevity, and resilience in the badminton community.

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Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Sports Injuries

Rolled ankles, jarred knees, impinged shoulders are few conditions in the plethora of sports injuries which can hamper performance and limit our enjoyment of sports. Physiotherapy not only treats the symptoms of these conditions but propels your overall fitness to greater heights.

Work Desk Injuries​

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

Scoliosis & Postural Abnormalities

The way we stand, sit, walk and sleep has influence over our posture and the overall balance of muscles controlling its alignment. A comprehensive screening can be done by our physiotherapists to detect abnormalities, which we will aid in correcting.

Neurological Conditions

Neurological disabilities such as stroke, nerve compression and neuropathies can be barriers for patients to live life to its fullest. We at Synapse are committed to help you overcome these hurdles by ensuring functional mobility and quality of life is at its optimum by providing the right treatment and exercises.

Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.
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What is Frozen Shoulder? I Stages, Symptoms & Treatments

What is Frozen Shoulder? I Stages, Symptoms & Treatments

admin

April 8, 2024

Back & Neck Pain, Conditions Relating To Elderly, Home Physiotherapy, Neurological Conditions, Synapse Physiotherapy

Introduction

Frozen shoulder, also known as adhesive capsulitis, is a painful and debilitating condition that affects the shoulder joint. It is a condition that causes a gradual loss of movement in the shoulder joint. The shoulder joint is a ball and socket joint and it is one of the most mobile joints in the body. However with a frozen shoulder, the joint feels stuck and its movement is limited. The shoulder capsule thickens and becomes stiff and tight. Thick bands of tissue called adhesions develop and there will be less synovial fluid in the joint to lubricate the joint, which will make it painful and stiff to move.

Symptoms and Causes

Individuals experiencing frozen shoulder often find their daily activities compromised due to varying degrees of symptoms such as:


  • Dull and aching pain.
  • Stiffness and difficulty to move the shoulder joint.
  • Typically worse in the earlier phase of the condition.
  • Usually located over the outer shoulder area and sometimes the upper arm.

There is no known specific cause for frozen shoulders. It is most often caused by inflammation of the tissues surrounding the joint or immobilisation of the shoulder after an arm injury or inflammation of the muscles and tendons (such as rotator cuff tendinitis or bursitis).

The following are some of the risk factors for frozen shoulder:


  • People aged 40 and older, particularly women
  • History of immobility and injury/trauma to the shoulder
  • Stroke
  • Recovery from surgery
  • Systemic diseases such as diabetes, thyroid disorders, cardiovascular diseases and Parkinson’s disease.

 

Stages of Frozen Shoulder

For people who are suffering from this condition, symptoms may develop suddenly and have a slow recovery phase. Recovery may take up to 2 or 3 years. Frozen shoulder develops in three stages:


Stage 1 – Freezing

Any movement of the shoulder causes pain, and the shoulder’s ability to move becomes limited. Typically at this stage, the patient will experience an increase in pain. The freezing stage lasts from 2 to 9 months.


Stage 2 – Frozen

Painful symptoms may lessen during this stage however stiffness remains or increases. Using the shoulder for daily activities during this stage may be very difficult. The frozen stage lasts from 4 to 12 months.  


Stage 3 – Thawing

Shoulder movements begin to improve. There will be a complete or near complete return to normal strength and motion. This thawing stage typically takes anywhere from 6 months to 2 years.


Physiotherapy Treatment for Frozen Shoulder

Fortunately, there are a range of effective physiotherapy treatments for frozen shoulders to alleviate symptoms and restore shoulder function. At Synapse Physiotherapy, we will be able to help address these symptoms and help you recover to full health. Undoubtedly, physiotherapy plays a crucial role in managing frozen shoulders. Here at Synapse Physiotherapy, we aim to reduce pain, increase range of motion, and enhance overall shoulder function. Our professionally trained physiotherapists employ a variety of techniques, exercises, and modalities to achieve these goals. The following are some of the treatment techniques and exercises that are carried out by our physiotherapists: 

1. Passive Range of Motion (PROM) Exercises:

Passive range of motion exercises involve a therapist gently moving the patient’s arm through various motions. This helps maintain flexibility and prevent further stiffness. PROM exercises are particularly beneficial in the painful and early stages of shoulder dysfunction.

 2. Active Range of Motion (AROM) Exercises:

As pain decreases and the shoulder begins to thaw, active range of motion exercises become crucial. Patients are encouraged to perform controlled movements on their own, gradually improving their ability to move the shoulder. These exercises are designed to restore strength and flexibility.

 3. Stretching Exercises: 

Stretching exercises target the muscles and connective tissues around the shoulder joint. Stretching helps improve flexibility and reduce stiffness. Therapists may incorporate techniques such as wall stretches, pendulum exercises, and towel stretches to address specific areas of tightness. 

4. Strengthening Exercises:

Strengthening the muscles surrounding the shoulder is essential for restoring function. Therapists design tailored exercise programs that focus on building strength in a progressive manner. Resistance bands, dumbbells, and bodyweight exercises may be utilised to target specific muscle groups. 

5. Joint Mobilisation:

Joint mobilisation involves the therapist gently moving the joint in specific directions to improve its mobility. This technique helps reduce stiffness and enhances the shoulder range of motion. It is often used in conjunction with other exercises to optimise results.

6. Heat and Cold Therapy:

Applying heat or cold to the affected shoulder can provide relief from pain and inflammation. Heat therapy helps relax muscles and increase blood flow, while cold therapy helps reduce swelling. Physios may recommend alternating between these modalities based on the individual’s needs.

7. Ultrasound Therapy:

Ultrasound therapy uses sound waves to stimulate deep tissues and promote healing. It can be effective in reducing pain and inflammation associated with frozen shoulders. Physios may incorporate ultrasound as part of a comprehensive treatment plan.

8. Electrical Stimulation:

Electrical stimulation, such as transcutaneous electrical nerve stimulation (TENS), can be employed to alleviate pain. By sending low-level electrical currents through the skin, this technique disrupts pain signals and provides relief. It is often used in combination with other therapeutic interventions.

9. Home Exercise Programs:

To ensure continuity of care, our physiotherapists will prescribe home exercise programs. They are designed to empower individuals to continue their rehabilitation independently. Consistent engagement with prescribed exercises contributes significantly to the success of physiotherapy treatment.

Frequently Asked Questions (FAQs) about Frozen Shoulder Treatment

1. What causes frozen shoulders, and who is at risk?

Frozen shoulders can develop from various factors, including inflammation of the tissues surrounding the joint, immobilization after injury, or underlying health conditions such as diabetes, stroke, or thyroid disorders. People aged 40 and older, particularly women, individuals with a history of shoulder immobility or trauma, and those recovering from surgery are at higher risk.

2. How long does it take to recover from a frozen shoulder with physiotherapy?

The recovery timeline for frozen shoulder varies depending on the severity of the condition and individual response to treatment. With consistent physiotherapy sessions and home exercises, significant improvement can be seen within a few weeks to months. However, complete recovery may take up to two to three years, especially in severe cases.

3. Is physiotherapy painful for frozen shoulder treatment?

Physiotherapy for frozen shoulder aims to alleviate pain and improve mobility, but some discomfort may be experienced during certain exercises or therapeutic modalities. However, the level of discomfort should be manageable and should not cause excessive pain. Your physiotherapist will adjust the treatment plan according to your tolerance levels.

4. Can frozen shoulder recur after treatment?

While frozen shoulder can recur in some cases, especially if underlying risk factors are not addressed, proper management and rehabilitation can significantly reduce the likelihood of recurrence. Following a comprehensive physiotherapy program, maintaining shoulder mobility through regular exercises, and addressing any contributing factors can help prevent recurrence.

5. Are there any precautions to take during frozen shoulder physiotherapy?

During frozen shoulder physiotherapy, it’s essential to communicate any discomfort or pain to your physiotherapist. They can adjust the intensity or technique of exercises accordingly. It’s also essential to follow the prescribed home exercise program diligently to maximize the benefits of treatment. Additionally, avoiding activities that exacerbate shoulder pain or stiffness can help facilitate recovery.

Conclusion

Frozen shoulders can be a challenging condition, but with the right physiotherapy interventions, individuals can experience significant improvement in pain and mobility. The key to successful treatment lies in early intervention and a tailored approach to address the specific needs of each patient. Whether through targeted exercises, modalities, or a combination of therapies, physiotherapy offers a path to improved mobility and restoring the joy of pain-free shoulder movement. If you suspect you have frozen shoulder symptoms, come to Synapse Physiotherapy for a consultation today with a qualified physiotherapist and take a crucial step towards a comprehensive and effective treatment plan to tackle frozen shoulder. 

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Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Sports Injuries

Rolled ankles, jarred knees, impinged shoulders are few conditions in the plethora of sports injuries which can hamper performance and limit our enjoyment of sports. Physiotherapy not only treats the symptoms of these conditions but propels your overall fitness to greater heights.

Work Desk Injuries​

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

Scoliosis & Postural Abnormalities

The way we stand, sit, walk and sleep has influence over our posture and the overall balance of muscles controlling its alignment. A comprehensive screening can be done by our physiotherapists to detect abnormalities, which we will aid in correcting.

Neurological Conditions

Neurological disabilities such as stroke, nerve compression and neuropathies can be barriers for patients to live life to its fullest. We at Synapse are committed to help you overcome these hurdles by ensuring functional mobility and quality of life is at its optimum by providing the right treatment and exercises.

Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.
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Top 3 Body Pain Problems in Malaysia: Physiotherapy Ampang

Top 3 Body Pain Problems in Malaysia: Physiotherapy Ampang

admin

April 7, 2024

Back & Neck Pain, Home Physiotherapy, Neurological Conditions, Sports Injuries, Synapse Physiotherapy, Work Desk Injuries​

Introduction

Lower Back Pain

Lower back pain (LBP) is a common complaint characterized by discomfort between the lower ribcage and buttocks. It can be acute, sub-acute, or chronic, impacting movement and quality of life. LBP can be specific or non-specific, with non-specific cases comprising the majority. Symptoms include dull or intense pain, often radiating to the legs, affecting mobility and causing sleep disturbances. Chronic LBP can lead to functional limitations and reduced productivity.

Neck Pain

Acute neck pain is prevalent and often resolves within weeks, while chronic neck pain persists beyond three months, with psychological stress playing a role in its development. Symptoms include stiffness, sharp pain, and radiating discomfort to the head, trunk, shoulders, and arms. Neck pain can be accompanied by numbness, tingling, weakness, and headaches, necessitating medical evaluation for proper management.

Knee Osteoarthritis

Knee osteoarthritis (OA) results from the gradual breakdown of articular cartilage, leading to pain, stiffness, and swelling in the knee joint. It can be primary or secondary, with symptoms worsening over time and affecting mobility. Risk factors include age, obesity, and occupational hazards, contributing to the high prevalence of knee OA in Malaysia’s elderly population.

Prevalence

Studies have highlighted the significant prevalence of musculoskeletal pain in Malaysia, particularly in the lower back, neck, and knee regions. Factors such as sedentary lifestyles, occupational hazards, obesity, and an aging population contribute to the high burden of these conditions in the country.

Role of Physiotherapy

Physiotherapy plays a crucial role in managing lower back pain, neck pain, and knee osteoarthritis by employing a comprehensive approach focused on pain management, functional improvement, and prevention of recurrent symptoms. Modalities such as heat and cold therapy, manual therapy techniques, and tailored exercise programs are utilized to alleviate pain, improve mobility, and enhance overall well-being.

Characteristics 

Chronic ankle instability is defined by enduring feelings of apprehension within the ankle, recurrent instances of the ankle giving way, and repeated ankle sprains persisting for a minimum of six months post-initial sprain. Patients with chronic ankle instability typically have a medical history characterized by repeated ankle sprains and significant inversion injuries, often impacting the anterior talofibular ligament (ATFL), the calcaneofibular ligament (CFL), and/or the posterior talofibular ligament (PTFL). 

 

Symptoms indicative of chronic ankle instability encompass lateral ankle pain and ongoing swelling. As a result of these injuries, they tend to take specific precautions to avoid weight-bearing activities, strenuous exercises, and walking on uneven or rough surfaces.

 

Regarding impairments associated with chronic ankle instability, notable factors include heightened ligamentous laxity and proprioceptive deficits. These impairments contribute to limitations in various activities such as walking and jumping. Furthermore, in terms of participation, individuals with chronic ankle instability may find themselves ceasing participation in sports, withdrawing from or reducing occupational involvement, experiencing decreased exercise levels, and even altering the type of sport they engage in. 

Causes 

Chronic ankle instability is primarily attributed to two key factors: diminished proprioceptive abilities stemming from the loss of mechanoreceptors and weakened invertor and evertor muscle strength.

Following a lateral ankle sprain (LAS), not only are ligaments structurally compromised, but the mechanoreceptors within joint capsules, ligaments, and tendons surrounding the ankle complex also sustain damage. These mechanoreceptors play a vital role in relaying feedback about joint pressure and tension, aiding in the perception of joint movement and position. This sensory input is integrated with visual and vestibular cues, forming a complex control system responsible for regulating posture and coordination. When injury disrupts afferent input, it can lead to alterations in corrective muscular contractions, potentially contributing to functional impairments and chronic instability post-injury. 

Proprioception

Proprioception is defined as the sensory information relayed to the central nervous system by mechanoreceptors located in various tissues including joint capsules, ligaments, muscles, tendons, and skin. Trauma to tissues containing these mechanoreceptors can result in partial differentiation, leading to proprioceptive deficits that contribute to chronic ankle instability. Studies have shown postural control deficits during quiet standing following acute LAS and in individuals with chronic ankle instability. 

Muscle Weakness

Additionally, researchers have identified weakness in the peroneal muscles as a contributing factor to chronic ankle instability. Deficits in evertor strength reduce the muscles’ ability to resist inversion and return the foot to a neutral position, potentially increasing susceptibility to inversion sprains. Notably, eccentric evertor weakness has been observed in patients with chronic ankle instability. 

Management 

In contrast to acute ankle sprains, chronic ankle instability often necessitates surgical intervention. However, before resorting to surgery, non-surgical approaches are strongly advocated for patients with chronic ankle instability. Research indicates that repetitive ankle joint injuries lead to neuro-sensory, proprioceptive, and mechanical impairments. Therefore, exercises aimed at enhancing proprioception, balance, and functional capacity are typically incorporated into treatment protocols following an ankle joint injury, alongside muscle strengthening exercises. 

Neuromuscular training

Neuromuscular training involves the unconscious activation of dynamic restraints, which prepare and respond to joint motion and loads, thereby maintaining and restoring functional joint stability. The primary objectives of neuromuscular training are twofold: first, to enhance lower limb postural control, and second, to rehabilitate active stability through targeted training methods. 

Balance training 

Balance training can affect multiple joints and produce overall improvements. It significantly improves functionality, instability, and dynamic balance outcomes in people with chronic ankle instability 

Mobilization 

Limited ankle dorsiflexion during jogging and walking presents a risk factor for recurrent sprains due to several factors. Firstly, insufficient dorsiflexion restricts the ankle joint’s ability to reach its closed-packed position during stance, compromising its stability. Secondly, individuals with limited dorsiflexion may have a tendency to lock the midfoot in supination, further compromising the ankle’s ability to adapt to uneven surfaces or sudden changes in terrain. Lastly, the lateral movement of the center of gravity caused by limited dorsiflexion increases the vulnerability of the ankle joint to supination and subsequent sprains, as the joint lacks the necessary flexibility to absorb and adapt to these forces effectively. Hence, mobilization with movement intervention will definitely benefit patients with chronic ankle instability by increasing dorsiflexion range of motion.  

Taping 

Physiotherapists will apply taping in order to improve patients’ perceptions of stability and decrease mechanical laxity.  

Strengthening exercise

Chronic ankle instability often leads to weakness in the muscles surrounding the ankle joint, including the peroneal muscles, which play a crucial role in stabilizing the ankle during movement. Strengthening exercises help to rebuild strength in these muscles, improving their ability to support and protect the ankle joint. 

Associated lesions

Chronic ankle instability is often associated with lesions that evolve from contributory factors. They do not necessarily occur with chronic ankle instability, and if any, not all these lesions occur together. 

 

Sinus tarsi syndrome is frequently observed in specific populations such as basketball and volleyball players, dancers, overweight individuals, as well as those with flatfoot and hyperpronation deformities. This condition manifests as pain and tenderness in the sinus tarsi, located on the lateral side of the hindfoot. It can develop after a single severe ankle sprain or as a result of repetitive ankle injuries (Al-Kenani & Al-Mohrej, 2016).

 

Osteochondral defects (OCD) are injuries that affect the talus bone. These injuries can manifest as the blistering of cartilage layers, the formation of cyst-like lesions within the bone, or even fractures involving both bone and cartilage layers. OCD can be caused by a single traumatic event or recurrent trauma over time. Symptoms of OCD typically include swelling, instability in the ankle joint, and persistent pain that extends over a prolonged period (Al-Kenani & Al-Mohrej, 2016). 

 

Peroneal tendinopathy is chronic inflammation of the peroneal tendon resulting in weakness of the active ankle stabilizers. This happens when a person performs a repetitive activity that stresses the tendon over a long period. In addition, poor and rapid training and poor shoe wear may cause peroneal tendinosis. People who have a hindfoot varus posture are more likely to experience peroneal tendinosis (Al-Kenani & Al-Mohrej, 2016).

Frequently Asked Questions (FAQs)

1. How long does it take to see improvement with physiotherapy for lower back pain?

The timeframe for improvement varies depending on the severity and underlying cause of the pain. Generally, patients may experience relief within a few weeks of starting physiotherapy, with continued improvement over time.

2. Is physiotherapy effective for chronic neck pain?

Yes, physiotherapy can be effective in managing chronic neck pain by addressing underlying issues, improving mobility, and reducing pain intensity. However, the treatment approach may vary based on individual needs and response to therapy.

3. Can physiotherapy prevent the progression of knee osteoarthritis?

While physiotherapy cannot reverse the degenerative process of osteoarthritis, it can help manage symptoms, improve joint function, and delay disease progression. Through targeted exercises and lifestyle modifications, physiotherapy aims to optimize the quality of life for individuals with knee OA.

4. Are there any side effects associated with physiotherapy for musculoskeletal pain?

Physiotherapy is generally safe, with minimal side effects. However, some patients may experience temporary soreness or discomfort following certain treatments. These effects are usually transient and outweighed by the long-term benefits of therapy.

5. How can I find a qualified physiotherapist for my musculoskeletal pain in Ampang?

You can search online or ask for recommendations from your healthcare provider. Look for physiotherapy clinics like Synapse Physiotherapy that offer personalized care and have experienced professionals specializing in musculoskeletal rehabilitation.

Conclusion

In conclusion, musculoskeletal pain poses a significant challenge in Malaysia, affecting individuals’ daily lives and overall well-being. Physiotherapy offers a holistic approach to managing conditions like lower back pain, neck pain, and knee osteoarthritis, addressing pain, improving function, and enhancing quality of life. At Synapse Physiotherapy in Ampang, our team is dedicated to providing personalized care tailored to your specific needs, helping you achieve better musculoskeletal health and overall wellness. Don’t let pain hold you back; start your journey to recovery with physiotherapy today.

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Back & Neck Pain

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Sports Injuries

Rolled ankles, jarred knees, impinged shoulders are few conditions in the plethora of sports injuries which can hamper performance and limit our enjoyment of sports. Physiotherapy not only treats the symptoms of these conditions but propels your overall fitness to greater heights.

Work Desk Injuries​

Conditions such as stiffness, postural abnormalities and muscle overuse from prolonged desk work at the office or home is more prevalent than most would think. We provide the necessary tools to fix you up and educate you on ergonomics which can unload unnecessary stress.

Pre-Post-Surgical Conditions

Surgery involves going through preparation both before and after. Physiotherapists play a vital role in getting your body ready for surgeries with circulatory, breathing and strengthening exercises. After the procedure, let us be there for your recovery and rehabilitation, taking it one step at a time.

Scoliosis & Postural Abnormalities

The way we stand, sit, walk and sleep has influence over our posture and the overall balance of muscles controlling its alignment. A comprehensive screening can be done by our physiotherapists to detect abnormalities, which we will aid in correcting.

Neurological Conditions

Neurological disabilities such as stroke, nerve compression and neuropathies can be barriers for patients to live life to its fullest. We at Synapse are committed to help you overcome these hurdles by ensuring functional mobility and quality of life is at its optimum by providing the right treatment and exercises.

Osteoarthritis & Rheumatism

Joint degeneration and inflammation happens as the human body grows older, but that does not mean our way of life degenerates as well. Relief your joint pains with a joint effort together with your physiotherapist, who will provide pain-relief treatments and prescribe exercises for your wellbeing.

Conditions Relating To Elderly

Common conditions in the older age population include hips & knee pain, back & neck pain, osteoarthritis, rheumatism, fear of falling and many more.  Aging and degeneration of bodily function is inevitable, but here at Synapse, we will help you live the best of your life.

Home Physiotherapy

We understand that some conditions or injuries can make it difficult to receive rehabilitation at our clinic be it mobility or transportation issues. Our objective is to provide you with the same high-quality physiotherapy services at home that you would receive in-clinic.