Category: 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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6 Red Flags Signs for Slipped Disc I Physiotherapy Malaysia

Physiotherapy Malaysia

6 Red Flags Signs for Slipped Disc I Physiotherapy Malaysia

admin

June 27, 2024

Physiotherapy Malaysia
Home Physiotherapy, Scoliosis & Postural Abnormalities, Synapse Physiotherapy

What Is A Slipped Disc ?

A slipped disc, also known as a disc prolapse, protrusion, or herniated disc, occurs when part of the gel-like disc between the vertebrae leaks out and makes contact with nearby nerves or the spinal cord. It is a common cause of back pain. Patients who experience pain related to a herniated disc often recall a specific event that triggered their discomfort. Following the diagnosis of a slipped disc, it is important to start a physiotherapy program. You can get the best rehabilitation in physiotherapy Malaysia to aid your recovery and help manage your condition effectively.

Causes Of Slipped Discs

Discs are composed of strong connective tissue that functions as shock absorbers for the spine while also allowing movement. Each disc has a tough outer layer that encases a softer, gel-like substance in its center. If the outer layer gets damaged, small tears may form, allowing the inner substance to leak out and contact the nerves or spinal cord. Slipped discs are most common in individuals aged 30 to 50 and tend to affect men more than women. As people age, their discs dehydrate, making them more susceptible to tearing and, consequently, to slipped discs. Additional risk factors include repetitive lifting of heavy objects, prolonged sitting such as during long-distance driving, and being overweight.

 

Stages , Signs And Symptoms  

1. Disc Degeneration:

  • Description: The intervertebral discs lose their hydration and elasticity due to aging or repetitive stress, making them less able to absorb shock.
  • Symptoms: Often asymptomatic in this stage but may cause mild discomfort or stiffness.

 

2. Prolapse (Protrusion):

  • Description: The outer layer of the disc (annulus fibrosus) weakens, and the inner gel-like core (nucleus pulposus) starts to bulge out but does not rupture the outer layer.
  • Symptoms: Mild to moderate pain, stiffness, and possible nerve irritation if the bulge presses against surrounding nerves.

 

3. Extrusion:

  • Description: The nucleus pulposus breaks through the annulus fibrosus but remains within the disc space.
  • Symptoms: More pronounced pain, numbness, tingling, and muscle weakness, as the extruded material compresses nearby nerves.

 

4. Sequestration (Sequestered Disc):

  • Description: Fragments of the nucleus pulposus break free from the main disc and migrate into the spinal canal.
  • Symptoms: Severe pain, significant neurological symptoms, and possibly loss of bladder or bowel control if nerve roots are severely compressed (cauda equina syndrome).

Diagnostic Method Imaging 

    • X-rays: X-rays are readily available at most clinics and outpatient offices. This imaging technique can be used to assess structural instability. If x-rays reveal an acute fracture, further investigation with a CT scan or MRI is necessary. X-rays can also show narrowed disc space, loss of lumbar lordosis, and complementary scoliosis.
    • CT Scan: A CT scan is preferred for visualizing bony structures in the spine. It can also reveal calcified herniated discs, and the size and shape of the spinal cord, along with the surrounding soft tissue. While less accessible in office settings compared to x-rays, CT scans are more accessible than MRIs. For patients with non-MRI-compatible implanted devices, CT myelography can be used to visualize herniated discs.
    • MRI: MRI is the preferred and most sensitive method for visualizing herniated discs. MRI findings assist surgeons and other healthcare providers in planning procedural care when indicated. This imaging technique can identify disc protrusion and nerve root compression.

Physiotherapy assessment

A physiotherapy assessment for a slipped (herniated) disc begins with a detailed patient history, focusing on previous back injuries, surgeries, medical conditions, and the nature and duration of current symptoms such as pain, numbness, tingling, or weakness. The physiotherapist will inquire about the patient’s daily activities, occupation, recent changes in physical activity, and identify movements or positions that aggravate or relieve symptoms. Observation involves evaluating the patient’s posture for abnormalities or asymmetries, observing gait for deviations or limping, and checking for muscle atrophy. Palpation is used to detect tenderness along the spine and surrounding muscles, as well as areas of muscle spasm.

Range of motion (ROM) testing assesses the mobility of the lumbar and cervical spine in various movements, noting any pain or discomfort. A neurological examination is conducted to test deep tendon reflexes, check for sensory deficits, and assess muscle strength in the extremities. Special tests such as the Straight Leg Raise (SLR), Slump Test, and Spurling’s Test help identify nerve root irritation or compression. A functional assessment evaluates the impact of symptoms on daily activities and the patient’s ability to perform functional movements like bending, lifting, sitting, and standing.

If available, imaging studies such as MRI or CT scans are reviewed to confirm the diagnosis and identify the specific location and severity of the disc herniation. Goal setting involves establishing short-term objectives focused on pain relief and inflammation reduction, and long-term goals aimed at restoring normal function, improving strength and flexibility, and preventing recurrence.

Management

  • Interventional: Epidural steroid injections, nerve blocks.
  • Surgical: Microdiscectomy, laminectomy, or spinal fusion, especially in severe cases or when conservative treatments fail.
  • Conservative: Physical therapy, anti-inflammatory medications, pain relievers, lifestyle modifications.

Physiotherapy for a slipped disc

Stretching: Evidence suggests that adding hyperextension to an exercise program may not provide additional benefits compared to intensive exercise alone for functional status or pain outcomes. Similarly, combining strength training with stretching did not show significant differences in disability and pain compared to strength training alone.

 

Muscle Strengthening: Strong muscles support the spine and can help manage pain. Core stability should be fully regained and controlled before progressing to strength and power training, as improper technique can increase the risk of back problems and pain.

 

Spinal Manipulative Therapy and Mobilization: These therapies can provide short-term pain relief for acute low back pain. For chronic low back pain, spinal manipulation has shown effects similar to nonsteroidal anti-inflammatory drugs (NSAIDs).

 

Transcutaneous Electrical Nerve Stimulation (TENS): TENS therapy contributes to pain relief and improves function and mobility of the lumbosacral spine.

 

Manipulative Treatment: Manipulative treatment for lumbar disc herniation appears safe and effective, potentially better than other therapies, though more high-quality evidence is needed for further investigation.

 

Traction: Traction therapy has shown positive effects on pain, disability, and straight leg raise (SLR) in patients with intervertebral disc herniation. Combining mechanical traction with medication and electrotherapy may offer additional benefits.

 

Hot Therapies: Heat therapy increases blood flow to the affected area, delivering oxygen and nutrients that aid healing and removes waste products from muscle spasms.

 

Cryotherapy: Cold therapy reduces spasm and inflammation, particularly in the acute phase of injury.

 

Ultrasound: Used as phonophoresis, ultrasound increases the extensibility of connective tissues.

 

Ergonomic Advice: Provide guidance on proper body mechanics and ergonomic adjustments to reduce strain on the spine.

Frequently Asked Questions (FAQs)

Common symptoms include back pain, numbness, tingling, and muscle weakness. Severe cases can cause loss of bladder or bowel control.

Diagnosis involves a physical examination, patient history, and imaging studies such as X-rays, CT scans, or MRI.

Yes, physiotherapy can help manage pain, improve function, and prevent recurrence through exercises, therapies, and ergonomic advice.

Recovery time varies depending on the severity of the condition and the treatment approach, ranging from a few weeks to several months.

Preventive measures include maintaining a healthy weight, practicing good posture, exercising regularly, and avoiding heavy lifting.

Conclusion

In summary, physiotherapy is essential for rehabilitating both acute and chronic slipped discs, including preventing future issues. Synapse Physiotherapy specializes in creating personalized treatment plans based on thorough assessments. For acute cases, the focus is on reducing pain and inflammation with exercises and therapies. In chronic cases, the emphasis shifts to improving core strength, flexibility, and posture to manage symptoms long-term and prevent recurrence. By teaching proper body mechanics and providing ongoing support, Synapse Physiotherapy helps patients recover effectively and maintain spinal health, ensuring a better quality of life.

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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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Physiotherapy After Total Knee Replacement

physiotherapy petaling jaya

Physiotherapy After Total Knee Replacement

admin

June 24, 2024

physiotherapy petaling jaya
Home Physiotherapy, Synapse Physiotherapy

Introduction

Total knee replacement (TKR) is a common surgical procedure for patients with severe knee arthritis or injury, designed to relieve pain and restore function. Post-operative physiotherapy is crucial for a successful recovery, ensuring optimal outcomes and enabling patients to return to their daily activities. In particular, rehabilitation protocols, with early postoperative ambulation, are highly effective, which leads to shorter postoperative hospital stays and lower analgesic intake.

If you are looking for physiotherapy in Petaling Jaya for your post TKR rehabilitation, look for the nearest Synapse Physiotherapy to you and our expert physiotherapist will be able to help you return to your best form!

A knee replacement also known as a knee arthroplasty is one of the most successful surgeries performed throughout the world, however understanding that each part of the recovery process that comes after the surgery is very important for you to reach your goal of a well-functioning knee even after 15 years of post-surgery. Typically, a knee replacement surgery takes about 13 weeks to recover. However, the recovery timeline is dependent on a lot of factors such as type(s) of procedure, limiting complications, and being consistent with your doctor and physiotherapy visits. Even after 13 weeks, it is highly recommended that you continue with your rehabilitation program to further strengthen your knee and achieve full recovery.

This article delves into the importance of physiotherapy after TKR, what not to do after knee replacement surgery, outlining the stages of rehabilitation, common exercises, and tips for maximising recovery.

The Importance of Physiotherapy Post-TKR

  1. Enhanced Recovery: Physiotherapy accelerates the healing process, helping to reduce pain and swelling while improving mobility.
  2. Strength and Stability: Targeted exercises strengthen the muscles around the knee, providing better support and stability.
  3. Improved Range of Motion: Early mobilisation and specific exercises help regain the knee’s range of motion, crucial for everyday activities.
  4. Preventing Complications: Regular physiotherapy can prevent complications such as blood clots, joint stiffness, and muscle atrophy.
  5. Boosting Confidence: Structured physiotherapy programs can enhance patients’ confidence in using their new knee, promoting a quicker return to normal life.

What not to do after knee replacement surgery

  1. Do not skip your physiotherapy sessions and knee exercises.

Rehabilitation exercises provided to you will play a key part when recovering from a knee replacement. Staying mobile in the weeks and months after surgery will help you to recover faster and improve mobility as well as range of motion in the affected joint.

  1. Do not ignore professional advice.

Follow the advice of your orthopaedic surgeon and your physiotherapist for the best chance of a full recovery as they are professionals in this field of healthcare. 

  1. Do not do too much too soon.

Healing and recovery takes time and everyone progresses at a different rate. Overexerting yourself too soon can prolong your recovery and lead to unnecessary pain and discomfort. Work with your physiotherapist and follow the timeline of your recovery plan.

  1. Do not avoid using walking aids or assistive devices during your recovery.

Assistive devices such as walking frames, crutches and walking sticks are designed to support you during your recovery. These devices are designed to take some of the pressure off your knee, helping you to balance and walk with more confidence. 

  1. Do not use a pillow under your knee in bed.

Placing a pillow under your knee may feel comfortable however this position will cause your knee to bend. This will cause excessive stress on the joint replacement and may cause contractures to happen. Ideally, you need to keep your knee as straight as possible while sleeping.

  1. Do not forget proper wound care and medication.

Proper education on wound care is essential in order to avoid infection and complications that could delay recovery. You need to follow instructions given by your medical provider on how to care for your wound and how to keep it clean and take any medication that has been prescribed to you.

Stages of Rehabilitation

A. Immediate Post-Operative Phase (0-2 weeks)

  1. Goals: Pain management, reduction of swelling, and commencement of easier exercises.
  2. Exercises:
  • Ankle Pumps: To promote circulation and prevent blood clots.
  • Quad Sets: Isometric exercises to activate the quadriceps.
  • Heel Slides: Gentle bending and straightening of the knee to improve range of motion.
  1. Techniques:
  • Cryotherapy (ice application) to reduce swelling and pain.
  • Elevation of the leg to control swelling.

 

B. Early Recovery Phase (2-6 weeks)

  1. Goals: Increase range of motion, improve strength, and enhance walking ability.
  2. Exercises:
  •  Straight Leg Raises: To strengthen the quadriceps without bending the knee.
  •  Knee Bends: To improve flexibility and motion.
  •  Seated Marching: To promote knee and hip mobility.
  1. Techniques:
  • Continued use of cryotherapy as needed.
  • Gradual increase in weight-bearing activities.

 

C. Intermediate Recovery Phase (6-12 weeks)

  1. Goals: Further improve strength, range of motion, and functional mobility.
  2. Exercises:
  • Mini Squats: To strengthen the lower body.
  • Stationary Cycling: To enhance cardiovascular fitness and knee motion.
  • Step-Ups: To improve balance and leg strength.
  1. Techniques:
  • Gait training to improve walking patterns.
  • Use of resistance bands for progressive strengthening.

 

D. Advanced Recovery Phase (3-6 months)

  1. Goals: Achieve full functional recovery and return to normal activities.
  2. Exercises: 
  • Lunges: To enhance lower body strength and stability.
  • Balance Exercises: To improve proprioception and prevent falls.
  • Advanced Strength Training: Using weights or resistance machines. 
  1. Techniques:
  • Functional training tailored to the patient’s lifestyle and goals.
  • Continued cardiovascular exercises such as swimming or cycling.

Tips for Maximising Recovery

  1. Adherence to Physiotherapy Program: Consistency is key; follow the prescribed exercises and attend all physiotherapy sessions.
  2. Pain Management: Use prescribed pain medications and non-pharmacological methods like ice and elevation to manage discomfort.
  3. Healthy Diet: Maintain a balanced diet rich in proteins, vitamins, and minerals to support healing.
  4. Stay Active: Incorporate gentle activities like walking into your daily routine to promote circulation and mobility.
  5. Regular Follow-Up: Attend all follow-up appointments with your surgeon and physiotherapist to monitor progress and make necessary adjustments.

Frequently Asked Questions (FAQs)

Physiotherapy is crucial for restoring mobility, reducing pain, and improving strength and flexibility after a total knee replacement.

Physiotherapy typically begins within 24 hours after surgery to promote early movement and prevent complications.

Exercises may include range-of-motion activities, strengthening exercises, walking, and balance training to enhance recovery.

The duration of physiotherapy varies but generally lasts for several weeks to a few months, depending on individual progress and goals.

Yes, physiotherapy can help manage and reduce pain through targeted exercises, manual therapy, and modalities like ice and heat.

Conclusion

Physiotherapy is an indispensable component of recovery after a total knee replacement. Through structured and progressive rehabilitation, patients can achieve significant improvements in pain relief, mobility, and overall quality of life. By understanding the stages of rehabilitation and committing to a comprehensive physiotherapy program, patients can maximise their recovery and enjoy the benefits of their new knee joint. 

Produced by MYSense

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physiotherapy petaling jaya

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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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When Should I See a Physiotherapist? Kuala Lumpur

physiotherapy kuala lumpur

When Should I See a Physiotherapist? Kuala Lumpur

admin

June 24, 2024

physiotherapy kuala lumpur
Home Physiotherapy, Synapse Physiotherapy

What is physiotherapy?

The terms “physical therapy” and “physiotherapy” are synonymous and used interchangeably, as are “physiotherapist” and “physical therapist.”

 

Physiotherapy is a healthcare service that emphasizes the science of movement to help restore, maintain, and optimize the strength, function, movement, and overall well-being of patients with various health conditions. It encompasses physical rehabilitation, injury prevention, and the promotion of health and fitness. A distinctive feature of this treatment is that physiotherapists engage patients in their own recovery journey. Choosing the right physiotherapy center is very important. There are a lot of excellent physiotherapy clinics in Kuala Lumpur. These clinics offer personalized treatment plans tailored to individual needs, with skilled and experienced teams capable of managing various injuries and physical conditions.

Sub-specialities of physiotherapy

Physiotherapy has significantly advanced, now encompassing various sub-specialties that allow for highly effective, condition-specific treatments. These sub-specialties include:

  • Orthopaedic/Musculoskeletal Physiotherapy
  • Neurological Physiotherapy
  • Cardiopulmonary Physiotherapy
  • Paediatric Physiotherapy
  • Geriatric Physiotherapy
  • Rehabilitation and Pain Management

What is a physiotherapist ?

A physiotherapist, also known as a physical therapist, is a healthcare professional who specializes in diagnosing and treating individuals who have medical problems or health-related conditions that limit their abilities to move and perform functional activities in their daily lives.

 

What do you expect during a physiotherapy session? 

During a physiotherapy session, several key steps are typically involved to ensure a comprehensive and effective treatment.

  1. Initial Assessment:
    • The session usually begins with an initial assessment where the physiotherapist gathers detailed information about your medical history, current symptoms, lifestyle, and goals.
    • They may ask about the onset, duration, and nature of your problem, and any previous treatments you have received.
  2. Physical Examination:
    • The physiotherapist performs a thorough physical examination to assess your movement, strength, flexibility, balance, and posture.
    • This may include observing you perform certain movements, palpating (feeling) different areas, and conducting specific tests to evaluate joint and muscle function.
  3. Diagnosis and Goal Setting:
    • Based on the assessment and examination, the physiotherapist diagnoses the issue and discusses the findings with you.
    • Together, you will set realistic and achievable goals for your treatment.
  4. Treatment Plan:
    • A personalized treatment plan is created to address your specific needs and goals. This plan may include a variety of therapeutic techniques and interventions.
    • The plan will also outline the frequency and duration of your physiotherapy sessions.
  5. Interventions:
    • Manual Therapy: Hands-on techniques such as massage, joint mobilizations, or manipulations to relieve pain and improve mobility.
    • Exercise Therapy: Tailored exercises to strengthen muscles, improve flexibility, enhance balance, and promote overall physical function.
    • Modalities: Use of equipment like ultrasound, electrical stimulation, heat/ice therapy, or traction to reduce pain and inflammation.
    • Education and Advice: Guidance on posture, ergonomics, activity modifications, and self-management strategies to prevent further injury and promote recovery.
    • Assistive Devices: Recommendations for braces, supports, or mobility aids if necessary.
  6. Monitoring and Progress Evaluation:
    • Throughout the session, the physiotherapist monitors your response to the treatment and adjusts the interventions as needed.
    • They will regularly evaluate your progress towards the goals and make any necessary changes to the treatment plan.
  7. Home Exercise Program:
    • At the end of the session, the physiotherapist may prescribe a home exercise program to reinforce the session’s work and promote continued progress between appointments.
  8. Follow-up Sessions:
    • Subsequent sessions will build on the initial assessment, incorporating feedback and progress to continuously adept the treatment plan.
    • Regular follow-up helps to ensure that you are progressing and allows the physiotherapist to address any new or ongoing concerns.

Each physiotherapy session is tailored to the individual’s specific needs, ensuring a focused approach to rehabilitation and recovery.

Physical conditions that require seeing a physiotherapist

Many conditions may require or prompt you to consult a physiotherapist. Being aware of these conditions ensures timely and appropriate care.

Post-Surgery Rehabilitation

After major surgery, post-surgery rehabilitation may be necessary to manage various consequences such as pain, reduced strength, limited range of motion, swelling, balance and coordination issues. For orthopedic surgeries, this can include pain management and restoring mobility. For cardiac surgeries, it may involve addressing breathing difficulties and postural problems. Neurological surgeries might require rehabilitation for weakness, decreased mobility, and loss of sensation. Abdominal surgeries can result in breathing difficulties and continence problems, all of which physiotherapy can help manage.

Pain Due to Injury

Persistent pain after an injury is a clear indicator that you should see a physiotherapist. These professionals can trace the source of the pain and treat it effectively. They identify areas of weakness or stiffness that may be aggravating the injury and provide exercises to alleviate pain and improve movement. Pain management might include relief exercises, low-impact aerobic training, strengthening exercises, and potentially TENS (Transcutaneous Electrical Nerve Stimulation) and ultrasound.

Sports Injury

Sports injury treatment and rehabilitation have become specialized fields due to the growing popularity of sports. Physiotherapy is crucial in treating sports injuries, with sports physiotherapists working closely with sports physicians and orthopedic surgeons to ensure athletes can return to their sports with minimized injury risk.

Joint or Muscle Pain

Joint or muscle pain can significantly impact daily activities and quality of life. If you experience constant or intermittent pain, a burning or throbbing sensation, or stiffness that improves with movement, and initial treatments are ineffective, it’s time to visit a physiotherapist. They can help alleviate pain and improve flexibility through a balanced fitness program. Muscle pain symptoms like tenderness, redness, swelling, limited motion, weakness, or spasms also warrant a visit to a physiotherapist if they persist.

Idiopathic Pain or Pain of Unknown Etiology

Pain with no identifiable cause, known as idiopathic pain, should prompt a visit to a healthcare provider or physiotherapist. Examples include unexplained neck or shoulder pain lasting over three months. Physiotherapists can often diagnose and treat such pain without a referral.

Pain or Condition Interfering with Daily Activities

Chronic pain, lasting over 3-6 months, may be linked to conditions like arthritis or cancer, or may have no clear cause. This type of pain should signal the need for a physiotherapist. Evidence shows that physiotherapists can significantly improve quality of life for those with chronic pain through various therapeutic skills.

Balance Problems

Balance issues can stem from vestibular problems, peripheral neuropathy, joint, muscle, or vision problems, side effects of medication, or neurological conditions. Physiotherapy can be an effective adjuvant therapy for balance problems. Specialized therapists can create customized balance retraining exercise programs.

Rehabilitation Following a Neurological Condition Such as Stroke or Injury

A stroke, which disrupts blood flow to the brain and results in brain cell death, can cause significant mobility issues such as paraplegia, hemiplegia, or quadriplegia. Physiotherapists play a crucial role in stroke rehabilitation, focusing on positioning, mobilization, balance, gait, and overall mobility to improve the patient’s quality of life.

Feel free to contact Synapse Physiotherapy in Kuala Lumpur for your treatment needs, especially if you’re experiencing a reduced quality of life due to physical impairments. They are known for providing excellent physiotherapy services tailored to individual needs, aimed at improving your overall well-being.

Frequently Asked Questions (FAQs)

Physiotherapists can treat a wide range of conditions, including musculoskeletal injuries, neurological disorders, cardiovascular issues, pediatric conditions, and geriatric problems. They are also adept at managing chronic pain and facilitating post-surgery rehabilitation.

The frequency of visits to a physiotherapist depends on your specific condition and treatment plan. Typically, sessions can range from once a week to several times a week, depending on the severity and type of the issue being treated.

No, you generally do not need a referral to see a physiotherapist in Kuala Lumpur. You can directly contact a physiotherapy clinic to schedule an appointment.

Wear comfortable, loose-fitting clothing that allows easy movement. Depending on the area being treated, you might be asked to expose certain parts of your body, so clothing that is easy to adjust is recommended.

Yes, physiotherapy is highly effective in managing chronic pain. Physiotherapists use various techniques such as manual therapy, exercise, and education to help reduce pain and improve function, thereby enhancing the quality of life for individuals with chronic pain.

Conclusion

Understanding when to see a physiotherapist is crucial for maintaining and improving your health and well-being. Whether you’re recovering from surgery, dealing with chronic pain, or experiencing issues that interfere with your daily life, physiotherapy can provide effective treatment and relief. In Kuala Lumpur, there are many skilled physiotherapists ready to help you on your path to recovery and optimal health. Don’t hesitate to seek their expertise to enhance your quality of life.

Produced by MYSense

Tags :

physiotherapy kuala lumpur

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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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Who Needs Home Physiotherapy? I Rehab Malaysia

Home Physiotherapy

Who Needs Home Physiotherapy? I Rehab Malaysia

admin

June 18, 2024

Home Physiotherapy
Home Physiotherapy, Synapse Physiotherapy

Introduction

Physiotherapy restores movement and function when there is injury, such as a sports related injury or work related injury as well as illness and disability. It can reduce pain, promote recovery and reduce long-term damage that can result in the event of injury, so that your quality of life is greatly improved. Therefore, people of all ages can benefit from physiotherapy.

However, many people do not realise that in-home physiotherapy is an option. In-home physiotherapy offers treatment in your own home as opposed to a traditional office or hospital based setting. In today’s fast-paced world, where convenience and efficiency are highly valued, home physiotherapy is emerging as a transformative solution for individuals seeking physical rehabilitation and improved well-being. This approach brings the expertise of professional physiotherapists directly to the comfort of one’s home, offering a range of benefits that make it an attractive alternative to traditional in-clinic visits.

What is Home Physiotherapy?

Home physiotherapy involves licensed physiotherapists providing personalised treatment and rehabilitation services in the comfort of the patient’s own home. In recent years, home physiotherapy has gained popularity as an effective and convenient alternative to traditional outpatient or hospital based treatments. 

Home physiotherapy offers numerous benefits and plays a crucial role in promoting independence for individuals with various health conditions. This includes post-surgical recovery, chronic pain, mobility issues, sports injuries, and neurological disorders. By tailoring exercises and treatment plans to the specific needs of each patient, home physiotherapy aims to restore function, reduce pain, and enhance overall quality of life.

Benefits of Home Physiotherapy

1. Convenience and Comfort

One of the most significant advantages of home physiotherapy is the convenience it offers. Patients no longer need to travel to a clinic, which can be particularly beneficial for those with mobility issues, busy schedules, or transportation challenges. Receiving treatment in a familiar environment can also enhance comfort and relaxation, contributing to a more positive and effective rehabilitation experience. 

2. Personalised Care

Home physiotherapy allows for highly personalised care. Physiotherapists can observe and assess how patients move and function in their own homes, providing insights that may not be apparent in a clinical setting. This enables the development of customised treatment plans that address the specific challenges and goals of each individual.

3. Improved Adherence to Treatment

Patients are more likely to adhere to their treatment plans when sessions are conducted at home. The ease of access eliminates many of the barriers associated with clinic visits, such as transportation issues and scheduling conflicts. Increased adherence to physiotherapy exercises and routines can lead to faster and more effective recovery. 

4. Enhanced Safety and Hygiene

For individuals with compromised immune systems or those recovering from surgery, avoiding exposure to potentially contagious environments is crucial. Home physiotherapy reduces the risk of infections by minimising contact with other patients and clinic staff, ensuring a safer and more hygienic treatment experience.

5. Holistic Approach

Home physiotherapy often involves educating patients and their families about exercises and lifestyle modifications that can support recovery and prevent future injuries. This holistic approach fosters a supportive home environment where patients can practise their exercises and integrate healthy habits into their daily routines.

6. Cost-Effectiveness

While the cost of home physiotherapy sessions may initially appear higher than clinic visits, it can be more cost-effective in the long run. Savings on transportation, reduced time off work, and the potential for quicker recovery can offset the initial expenses. Additionally, some insurance plans cover home physiotherapy services, making it a financially viable option for many patients.

Who Can Benefit from Home Physiotherapy?

Home physiotherapy is suitable for a wide range of individuals, including: 

Elderly Individuals:

Due to various factors like illness, mobility constraints, travel constraints, or dependencies, older citizens find it difficult to make it to regular physiotherapy sessions. Therefore home physiotherapy is very beneficial for the elderly as it brings care to their doorstep and they can get tailored treatments that enhance their independence and quality of life.

 

Some of the benefits that older adults with mobility issues, arthritis, or chronic pain can receive are:

  • Improving mobility and physical function by enhancing strength, flexibility, balance and posture.
  • Managing and alleviating age-related pain caused by conditions like arthritis or musculoskeletal discomfort.
  • Identifying fall hazards at home and providing strategies and exercises to reduce the risk of fall.
  • Can aid in post-surgery recovery by helping them regain strength and mobility.
  • Can be integrated into chronic disease management plans to better manage conditions like diabetes, arthritis, and heart diseases.
  • Simplifies the treatment process by eliminating the need to travel thus reducing dependencies and stress induced by travel.
  • Receiving treatments in the familiarity of their own home has a calming effect and reduces anxiety, this enhances the impact of physiotherapy.

 Physiotherapists are also a great source of moral and emotional support, motivation, and encouragement for seniors. These healthcare professionals build a personal connection and the conversations can have a great positive impact on their mental health. These physiotherapy sessions play an important role in enabling senior citizens to maintain their independence by improving mobility and functional abilities. Not only can physiotherapists boost their confidence, they can also help them carry out their daily activities with ease.

Other populations that can greatly benefit from home physiotherapy are neurological patients, chronic pain sufferers, and post-surgical patients.

Frequently Asked Questions (FAQs)

Home physiotherapy involves licensed physiotherapists providing personalised treatment and rehabilitation services in the patient’s home. Physiotherapists bring the necessary equipment and tailor exercises and treatment plans according to the specific needs of each patient, ensuring a comfortable and effective rehabilitation experience.

Home physiotherapy is suitable for a wide range of individuals, including the elderly, those with mobility issues, chronic pain sufferers, neurological patients, and post-surgical patients. It offers personalised care in a familiar environment, making it ideal for anyone seeking convenient and effective physical rehabilitation.

Yes, home physiotherapy can be just as effective as in-clinic treatments. The personalised nature of home sessions allows physiotherapists to address specific challenges and goals in the patient’s own environment, often leading to better adherence to treatment plans and improved outcomes.

To prepare for a home physiotherapy session, ensure you have a clean and safe space for the therapist to work. Wear comfortable clothing that allows for movement, and have any relevant medical information or previous treatment records available for the physiotherapist to review.

Coverage for home physiotherapy services varies by insurance provider and policy. Many insurance plans do cover home physiotherapy, but it’s important to check with your insurance provider to understand your specific coverage and any potential out-of-pocket costs.

Conclusion

Home physiotherapy is revolutionising the way individuals approach physical rehabilitation and well-being. By bringing expert care directly to the patient’s doorstep, it offers unparalleled convenience, personalised treatment, and a holistic approach that enhances recovery and quality of life. As the demand for flexible and effective healthcare solutions continues to grow, home physiotherapy stands out as a valuable and innovative option for those seeking to improve their physical health in the comfort of their own homes.

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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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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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Stroke Rehabilitation in Malaysia: Effective Rehab Treatment

Stroke Rehabilitation in Malaysia: Effective Rehab Treatment

admin

May 8, 2024

Conditions Relating To Elderly, Home Physiotherapy, Neurological Conditions, Synapse Physiotherapy

Stroke, a leading cause of disability worldwide, can have profound and life-altering effects on individuals and their families. In Malaysia, cerebrovascular disease is Malaysia’s third leading cause of death. Successive national health and morbidity surveys demonstrated a continuous rise in the prevalence of risk factors such as diabetes, hyperlipidaemia, and obesity. Several studies have also shown that the outcome of hospital admissions for acute stroke have shown that 36.2% were discharged independent while 53.1% had functional dependence. This indicates that there is a real need for stroke rehab in Malaysia.

 

When stroke prevalence is on the rise due to ageing demographics and lifestyle factors, stroke rehabilitation plays a crucial role in helping survivors regain independence, mobility, and quality of life. Let’s delve into the field of stroke rehabilitation in Malaysia and explore the treatments available to support recovery.

Understanding Stroke:

Stroke occurs when blood flow to the brain is disrupted, either due to a blockage known as ischemic stroke (occurs when the blood supply to part of the brain is blocked or reduced) or bleeding known as hemorrhagic stroke (occurs when a blood vessel in the brain leaks or bursts and causes bleeding in the brain, blood increases pressure on brain cells and damages them). 

 

A stroke is a medical emergency and it’s crucial to get medical treatment right away. It can cause lasting brain damage, long-term disability or even death. Therefore, seeking emergency medical help quickly can reduce brain damage and other stroke complications.

 

Many people are unsure of the symptoms of a stroke, even if they seem to come and go or they disappear completely. Seek immediate medical attention if you suspect that you or a loved one is demonstrating symptoms of a stroke. A simple way to remember would be by using the mnemonic device “FAST”.

 

  • Face. Ask the person to smile and notice if there is any drooping on one side of the face.

 

  •  Arms. Ask the person to raise both arms and notice if one arm drifts downward or they are unable to raise the arm.

 

  • Speech. Ask the person to repeat a simple phrase and is the person’s speech slurred or different from usual?

 

  • Time.  If any of the above symptoms seems to persist or come and go persistently, seek for emergency medical help right away.

 

Some of the symptoms of stroke include:

  • Trouble speaking and understanding what others are saying. A person having a stroke may be confused, slur words or may not be able to understand speech.
  • Numbness, weakness or paralysis in the face, arm or leg. Usually stroke affects just one side of the body.

 

  • Problems seeing in one or both eyes. Person may have sudden blurred or blackened vision in one or both eyes.

 

  • Headache. Sudden and severe headaches may be a symptom of a stroke. May be accompanied by vomiting, dizziness and a change in consciousness.

 

  • Trouble walking. Loss of balance and coordination.

 

The sudden onset of symptoms such as weakness, numbness, difficulty speaking, and loss of balance requires immediate medical attention to minimise brain damage and prevent long-term disability. Once stabilised, stroke survivors often face a challenging journey of recovery, requiring comprehensive rehabilitation to address physical, cognitive, and emotional impairments.

 

Multidisciplinary Approach to Rehabilitation:

Rehabilitation is a key part of stroke recovery and the goal is to restore as much independence as possible by improving your physical, mental and emotional functions. Different types of therapies will be designed for your specific needs to relearn skills lost as a result of your stroke. Rehabilitation therapy will focus on helping you with movement, speech, strength and daily living activities. It is strongly recommended for everyone affected by stroke to participate in stroke rehabilitation as it is proven these populations will recover better.

 

Stroke rehabilitation in Malaysia follows a multidisciplinary approach, involving a team of healthcare professionals working collaboratively to address the diverse needs of stroke survivors. Physiotherapists, occupational therapists, speech therapists, psychologists, and rehabilitation nurses play integral roles in the rehabilitation process, tailoring treatment plans to each individual’s unique impairments, goals, and functional abilities.

 

Key Components of Stroke Rehabilitation:

 

  1. Physiotherapy focuses on restoring movement, strength, and coordination through exercises, gait training, and mobility aids. In Malaysia, physiotherapists utilise a variety of techniques including Bobath therapy, constraint-induced movement therapy (CIMT), and robotic-assisted therapy to facilitate motor recovery and improve functional independence.

 

  1. Occupational therapists help stroke survivors regain skills needed for daily activities such as dressing, feeding, and grooming. They provide adaptive strategies, assistive devices, and environmental modifications to enhance independence and participation in meaningful occupations.

 

  1. Speech therapists address communication deficits (aphasia), swallowing difficulties (dysphagia), and cognitive-linguistic impairments following stroke. They employ exercises, compensatory strategies, and augmentative communication devices to improve speech clarity, language comprehension, and swallowing safety.

 

  1. Coping with the physical and emotional consequences of stroke can be challenging for survivors and their families. Psychologists offer counselling, psychoeducation, and coping strategies to address depression, anxiety, adjustment issues, and cognitive-behavioural difficulties, promoting emotional well-being and resilience.

 

  1. Rehabilitation extends beyond the clinical setting to support stroke survivors’ reintegration into the community. Community-based programs, vocational rehabilitation, and support groups provide opportunities for socialisation, leisure participation, and vocational retraining, empowering survivors to rebuild their lives post-stroke.

Advancements in Stroke Rehabilitation:

In recent years, Malaysia has witnessed advancements in stroke rehabilitation technologies and interventions aimed at enhancing recovery outcomes. Innovative approaches such as virtual reality therapy, brain-computer interface technology, and telerehabilitation have shown promise in engaging stroke survivors in intensive, goal-directed rehabilitation while overcoming barriers to access and participation.

Challenges and Future Directions:

Despite progress in stroke rehabilitation, challenges such as limited access to specialised services, disparities in rural healthcare, and cultural beliefs affecting help-seeking behaviour persist in Malaysia. Addressing these challenges requires concerted efforts to expand stroke rehabilitation services, raise public awareness, and promote interdisciplinary collaboration in stroke care.

 

In conclusion, stroke rehabilitation in Malaysia embodies a holistic and person-centred approach aimed at optimising recovery, promoting independence, and enhancing quality of life for stroke survivors. Through multidisciplinary interventions, innovative technologies, and community support, Malaysia is paving the way for empowering stroke survivors on their journey toward recovery and rehabilitation. 

At Synapse, we have a great neurological rehabilitation program designed to help patients suffering from stroke and various other neurological conditions. Our professional physiotherapist will be sure to meet your expectations. 



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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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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.