Category: 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.

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Spine and Core Rehab Benefits at Synapse Cyberjaya Clinic

Physiotherapy Near Me

Spine and Core Rehab Benefits at Synapse Cyberjaya Clinic

admin

December 2, 2024

Physiotherapy Near Me
Pre-Post-Surgical Conditions, Scoliosis & Postural Abnormalities, Sports Injuries, Synapse Physiotherapy, Work Desk Injuries​

Spine and Core Rehab Benefits at Synapse Cyberjaya Clinic

 

What is Spine and Core Rehabilitation?

Spine and core rehabilitation is a comprehensive program tailored to individuals experiencing spine-related issues, including problems in the neck, upper back, and lower back. The primary goal is to reduce pain caused by spine conditions and to design specific exercises that strengthen core muscles, thereby preventing re-injury.

This program is suitable for a wide range of conditions, including acute and chronic spine problems. It is also highly beneficial for post-operative patients, as the rehabilitation plan is carefully designed to align with medical precautions and promote safe recovery. For example, tailored exercises and therapies are implemented to restore mobility and strength while adhering to post-surgical restrictions.

Additionally, the program addresses secondary issues that arise from spine problems, such as weakness in the upper or lower limbs caused by nerve entrapment. The program helps improve functionality and overall quality of life by focusing on these side effects.

Whether you are dealing with neck pain, back pain, or other spine-related challenges, this rehabilitation program offers a conservative approach to treatment. For individuals seeking alternatives to surgery, physiotherapy is an excellent first step. Feel free to search for “physiotherapy near me” to explore treatment options that prioritize your recovery and well-being.

Benefits of Spine and Core Rehabilitation at Synapse Cyberjaya Clinic

Physiotherapy near me spine and core rehabilitation offers numerous advantages that can significantly improve your overall health and well-being. Here are the key benefits:

  • Pain Relief: Strengthening the core reduces pressure on the spine and surrounding tissues, helping to alleviate pain, particularly in individuals with chronic back pain.
  • Improved Posture: A strong core supports proper spinal alignment, reducing slouching and minimizing strain on the spine for better posture.
  • Enhanced Stability: Core strengthening creates a stable foundation for movement, reducing the risk of injuries and improving body control during physical activities.
  • Better Balance and Coordination: Core-focused exercises enhance proprioception, leading to improved balance and coordination while decreasing the risk of falls.
  • Accelerated Recovery: A stable and strong core expedites the rehabilitation process following spinal injuries or surgeries, promoting faster healing and recovery.
  • Injury Prevention: By encouraging proper body mechanics and stabilizing the spine, core strengthening reduces the likelihood of future injuries.
  • Increased Flexibility and Range of Motion: Core exercises improve flexibility in the muscles surrounding the spine, enhancing overall mobility and range of motion.
  • Improved Functional Movements: A stronger core enhances your ability to perform daily activities like lifting, bending, and twisting more efficiently and with less discomfort.

Physiotherapy near me benefits not only help manage existing spine problems but also play a crucial role in preventing future issues, making spine and core rehabilitation an essential component of a healthier, pain-free lifestyle. At Synapse Cyberjaya Clinic, we tailor our programs to address your unique needs, ensuring optimal outcomes and long-term benefits.

Why Choose Synapse Cyberjaya Clinic for Your Rehabilitation Needs?

At Synapse Cyberjaya Clinic, we take pride in offering exceptional care for spine and core rehabilitation, thanks to our team of highly experienced physiotherapists. Here’s why we stand out:

  • Expert Physiotherapists: Our skilled physiotherapists specialize in providing thorough assessments and creating personalized treatment programs tailored to each individual’s specific needs. With advanced manual therapy techniques, they effectively address a wide range of spine-related issues.
  • State-of-the-Art Facilities: Our clinic is equipped with modern facilities, including electrotherapy devices and a spinal decompression bed, to enhance recovery and provide effective pain relief. These tools ensure a comprehensive approach to spine and core rehabilitation.
  • Prime Location: Conveniently located in Cyberjaya, our physiotherapy near meclinic is situated in a shop lot directly opposite the well-known Tamarind Square, making it easily accessible for residents and visitors in the area.
  • Insurance-Friendly: Synapse Cyberjaya Clinic is a panel clinic for many insurance companies, making it easier for patients to access care without worrying about financial constraints.
  • Holistic Approach: Beyond treating symptoms, we focus on addressing the root causes of spine problems to ensure long-lasting results and improved quality of life.

Whether you’re dealing with acute pain, recovering from surgery, or seeking preventative care, Synapse Cyberjaya Clinic is your trusted partner in achieving optimal spine health. With our patient-centered care, advanced techniques, and convenient physiotherapy near me location, we are committed to helping you regain mobility, strength, and confidence in your daily life.

Who Can Benefit from Spine and Core Rehabilitation?

Spine and core rehabilitation is suitable for a wide range of individuals dealing with various spine-related conditions or seeking preventative care. Here’s who can benefit from this program:

  • Individuals with Acute or Chronic Spine Problems: Whether you’re experiencing sudden back pain or dealing with long-term discomfort in the neck or lower back, this program offers effective solutions to manage pain and improve function.
  • Post-Operative Patients: Rehabilitation is essential for those recovering from spine surgeries, such as discectomies or spinal fusions. Our program is carefully designed to follow post-surgical precautions, ensuring safe and steady recovery.
  • Patients with Nerve-Related Symptoms: Conditions like nerve entrapment or sciatica that cause weakness or tingling in the limbs can be addressed with targeted rehabilitation to restore nerve function and muscle strength.
  • Athletes and Active Individuals: For athletes recovering from spine injuries or looking to prevent future ones, core strengthening and stabilization exercises are critical for optimal performance and injury prevention.
  • Office Workers and Sedentary Individuals: Prolonged sitting or poor posture can lead to chronic back and neck pain. This program helps correct posture, strengthen weakened muscles, and prevent further deterioration.
  • Older Adults: As we age, the spine may become more susceptible to injuries and degenerative conditions. Spine and core rehabilitation can help improve mobility, balance, and overall quality of life.
  • Individuals Seeking Non-Surgical Solutions: For those looking to manage spine-related pain without resorting to surgery, rehabilitation provides a conservative and effective alternative.



The Rehab Process: What to Expect at Synapse Cyberjaya Clinic

At Synapse Cyberjaya Clinic, we follow a structured and patient-centered rehabilitation process to ensure optimal outcomes. Here’s what you can expect during your spine and core rehabilitation physiotherapy near me journey:

  • Comprehensive Assessment:

 Your first session begins with an in-depth evaluation to understand your condition. This includes:

  • Assessing spine movement and flexibility to identify restrictions or abnormalities.
  • Performing special tests to pinpoint the root cause of the issue.
  • Check your posture for misalignments or strain patterns.
  • Conducting a strength assessment to identify weak muscles and imbalances.
  • After the assessment, our physiotherapist will discuss your condition, explain the contributing factors, and collaborate with you to establish realistic rehabilitation goals. A personalized treatment plan will then be created to meet your unique needs.

  • Personalized Treatment:

Your rehabilitation sessions will include a combination of therapies tailored to your condition:

  • Manual Therapy: Specialized hands-on techniques to enhance mobility, relieve tension, and reduce pain.
  • Electrotherapy: Advanced modalities, such as TENS or ultrasound, to promote healing and manage discomfort.
  • Therapeutic Exercises: Customized exercises designed to strengthen your core, improve stability, and enhance overall flexibility and mobility.

 

  • Session Duration and Follow-Ups:

 Each session typically lasts 45 minutes to 1 hour, providing ample time to focus on both therapy and education. Progress is meticulously recorded after every session to monitor improvements and identify areas needing adjustment.

  • Progress Tracking and Adjustments:

 Our physiotherapists conduct regular follow-ups to evaluate your progress and modify your rehabilitation plan as needed. This dynamic approach ensures that your treatment evolves with your recovery, optimizing outcomes at every stage.

At Synapse Cyberjaya Clinic, we prioritize not just treating the symptoms but addressing the root cause of your spine and core issues. We aim to help you achieve a pain-free, functional lifestyle with long-term results.

Conclusion

If you’re experiencing spine-related issues or believe that spine and core rehabilitation could benefit you, don’t hesitate to take the first step toward recovery. At Synapse Cyberjaya Clinic, our experienced physiotherapists, state-of-the-art facilities, and personalized approach ensure you receive the care and support needed to regain strength, mobility, and a pain-free life.

Book your appointment today at Synapse Physiotherapy and let us design a rehabilitation program tailored to your needs. Your journey to better spine health starts here!

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physiotherapy near me

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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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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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Scoliosis and Bracing Treatment I Physiotherapy Ampang

scoliosis

Scoliosis and Bracing Treatment I Physiotherapy Ampang

admin

May 13, 2024

scoliosis
Back & Neck Pain, Scoliosis & Postural Abnormalities, Synapse Physiotherapy

Introduction 

 

Scoliosis presents a multifaceted spinal deformity affecting three planes: frontal curvature, horizontal axial rotation, and sagittal plane irregularities. Diagnosis typically relies on assessing the Cobb angle, with angles exceeding 10° deemed significant. Adolescent idiopathic scoliosis (AIS) specifically denotes a three-dimensional spinal abnormality appearing during puberty in otherwise healthy youngsters. While scoliosis can manifest at any age, its prevalence peaks during adolescence, typically between ages 10 and 18. As the foremost pediatric spinal deformity, scoliosis affects a considerable portion of the pediatric population worldwide, with estimates by the International Society on Scoliosis Orthopedic and Rehabilitation Treatment (SOSORT) ranging from 0.93% to 12%. Timely detection and appropriate intervention are paramount in managing scoliosis effectively. You can access assessment and treatment services for scoliosis at our Physiotherapy center.

Type of scoliosis 

 

Idiopathic scoliosis is diagnosed when all other potential causes are ruled out and accounts for approximately 80% of all cases. In adults over the age of 25, the prevalence of scoliosis exceeds 8%, escalating to 68% in individuals over 60 years old due to degenerative changes in the aging spine. Additionally, in the general population, the prevalence of scoliosis with a Cobb angle larger than 10 degrees is approximately 2.5%. Adolescent idiopathic scoliosis is the most common form, typically diagnosed during puberty. It is further classified into subgroups:

 

  1. Infantile scoliosis: Developing between 0 to 3 years of age, infantile scoliosis has a prevalence of 1%.
  2. Juvenile scoliosis: Emerging between 4 to 10 years of age, this form comprises 10-15% of all idiopathic cases in children. Left untreated, curves may lead to serious cardiopulmonary complications, with approximately 95% of patients requiring surgical intervention for curves of 30 degrees or more.
  3. Adolescent scoliosis: Manifesting between 11 to 18 years of age, this type accounts for around 90% of idiopathic cases in children.

Congenital scoliosis results from embryological malformations of one or more vertebrae and may occur at any location along the spine. These abnormalities cause curvature and other spinal deformities as one area of the spinal column grows at a slower rate than the rest. The progression of scoliosis in magnitude is influenced by the geometry and location of these abnormalities, and since they are present at birth, congenital scoliosis is typically detected at a younger age than idiopathic scoliosis.

Neuromuscular scoliosis encompasses scoliosis secondary to neurological or muscular diseases, including cerebral palsy, spinal cord trauma, muscular dystrophy, spinal muscular atrophy, and spina bifida. This type often progresses more rapidly than idiopathic scoliosis and frequently necessitates surgical intervention. Additionally, injuries and infections to the spine can also contribute to the development of scoliosis.

Sign and symptoms 

Scoliosis typically doesn’t present noticeable symptoms, but when they do occur, they may include back pain, difficulty standing upright, core muscle weakness, and leg pain, numbness, or weakness. Signs of scoliosis can manifest as uneven shoulders, protruding shoulder blades, a head that doesn’t center above the pelvis, an uneven waist, elevated hips, constant leaning to one side, uneven leg length, and changes in skin appearance or texture such as dimples, hair patches, or skin discoloration along the spine. If any of these signs are observed, it’s advisable to seek a healthcare provider for a screening. Over time, further indicators of scoliosis may become evident, such as height loss and uneven alignment of the pelvis and hips.  

Complication 

Complications stemming from untreated scoliosis can lead to various issues, including the progression of deformity(s). This progression may result in back pain, lumbar radiculopathy, cosmetic concerns, nerve damage, and in severe cases, cardiac and pulmonary restriction. Individuals with untreated scoliosis, particularly those with a curve exceeding 80 degrees in the coronal plane, may experience increased shortness of breath due to compromised lung function. 

Diagnosis

Confirmation of scoliosis typically involves various diagnostic methods, including a physical examination, x-ray imaging, spinal radiograph, CT scan, or MRI. These diagnostic tools allow healthcare providers to visualize the curvature of the spine and assess its severity. The primary method for measuring the curvature is the Cobb Method, which quantifies the angle of deviation from the normal alignment of the spine. The severity of scoliosis is diagnosed based on the number of degrees measured using the Cobb Method. This comprehensive diagnostic approach enables healthcare professionals to accurately assess and monitor scoliosis, guiding appropriate treatment strategies tailored to the individual’s needs.

Treatment

Observation 

For mild cases of scoliosis, especially in children who are still growing, observation may be the initial course of action. Regular monitoring through physical exams and X-rays allows healthcare providers to track any changes in the curvature over time. 

Role of physiotherapy 

The role of a physical therapist in scoliosis management encompasses three pivotal tasks: informing, advising, and instructing. Providing clear and comprehensive information to patients and/or parents about the individual’s specific situation is essential. This includes elucidating the nature of scoliosis, its potential progression, and available treatment options, which may include recommending braces, such as the Milwaukee brace, to prevent scoliosis from worsening. Another significant focus for physical therapists is guiding patients in performing tailored exercises suited to their condition. Numerous studies highlight the beneficial effects of exercises for individuals with idiopathic scoliosis. Moreover, physiotherapists address biopsychosocial factors, particularly in adolescents experiencing chronic low back pain, by assessing and managing additional factors such as insomnia, depression, anxiety, stress, and daytime sleepiness. Recognizing and addressing these contributing factors is crucial for comprehensive care, addressing both the physical and psychosocial aspects of the patient’s experience. 

A highly effective approach in scoliosis management is the use of physiotherapeutic scoliosis-specific exercises (PSSE). These exercises are customized for each patient based on scientific evidence and are aimed at achieving three-dimensional self-correction of posture, stabilization of corrected posture, patient education, and integration of corrective positions into daily activities. The frequency of PSSE physiotherapy varies depending on factors such as the complexity of the technique used and the patient’s ability to follow the prescribed program, typically ranging from 2 to 7 days per week. Long-term outpatient programs may occur two to four times a week if the patient is willing to cooperate. PSSE physiotherapy is typically performed by professionally trained instructors, as exercises are chosen based on the type and severity of scoliosis in each patient, and the methodology applied. 

Bracing

Bracing is often recommended for adolescents with moderate scoliosis curves (typically between 25-40 degrees) who are still growing. The brace helps prevent further curvature progression by providing external support to the spine. Bracing is usually worn for several hours each day or overnight, depending on the severity of the curvature.

When children are still experiencing growth and have moderate scoliosis, a doctor may recommend a brace. While wearing a brace won’t cure scoliosis or reverse the curve, it effectively prevents further progression. The most common type of brace is typically made of plastic and contoured to fit the body’s shape. It’s designed to be nearly invisible under clothing, fitting snugly under the arms and around the rib cage, lower back, and hips, as exemplified by the Milwaukee brace. Most braces are worn throughout the day and night, and their effectiveness increases with prolonged wear. Children who wear braces can generally participate in most activities with few restrictions and can remove the brace for sports or other physical activities if necessary. Braces are usually discontinued once the bones stop growing, which typically coincides with milestones such as girls beginning to menstruate, boys needing to shave daily, or when there are no further changes in height. However, it’s important to note that congenital scoliotic curves are often inflexible and resistant to repair with bracing. In such cases, braces are primarily used to prevent the progression of secondary curves that may develop above and below the congenital curve, thereby minimizing imbalance. Bracing may be continued until skeletal maturity in these cases.

To conclude, parents play a vital role in monitoring their children’s posture from an early age. Early prevention or timely detection of idiopathic scoliosis is crucial to prevent its progression. Seeking assessment from a qualified scoliosis practitioner ensures a thorough evaluation of your child’s condition. Synapse Physiotherapy offers comprehensive scoliosis assessment and treatment services, providing support and guidance for families in need. Don’t hesitate to reach out to us for assistance. By taking proactive steps towards early intervention, we can effectively address scoliosis and promote better spinal health for your child’s future.

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physiotherapy ampang

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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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Scoliosis I Tips to Help Your Child Develop Good Posture

Scoliosis I Tips to Help Your Child Develop Good Posture

admin

May 9, 2024

Scoliosis & Postural Abnormalities, Synapse Physiotherapy

Scoliosis presents a multifaceted spinal deformity affecting three planes: frontal curvature, horizontal axial rotation, and sagittal plane irregularities. Diagnosis typically relies on assessing the Cobb angle, with angles exceeding 10° deemed significant. Adolescent idiopathic scoliosis (AIS) specifically denotes a three-dimensional spinal abnormality appearing during puberty in otherwise healthy youngsters. While scoliosis can manifest at any age, its prevalence peaks during adolescence, typically between ages 10 and 18. As the foremost pediatric spinal deformity, scoliosis affects a considerable portion of the pediatric population worldwide, with estimates by the International Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) ranging from 0.93% to 12%. Timely detection and appropriate intervention are paramount in managing scoliosis effectively

 

The most common kind of scoliosis is called idiopathic scoliosis. It’s usually found when people begin puberty. Idiopathic scoliosis represents one of three primary types of scoliosis, characterized by an abnormal curvature of the spine. The term “idiopathic” signifies that no specific cause can be identified. It stands as the most prevalent form of scoliosis, often exhibiting a familial tendency and disproportionately impacting girls over boys at a ratio of eight to one. While idiopathic scoliosis may manifest in various degrees of severity, many cases are mild and necessitate only vigilant observation without the need for active treatment.




Ways to improve teenagers’ good posture

Promoting good posture and healthy habits from an early age can significantly contribute to reducing the risk of developing scoliosis or mitigating its progression in children. Scoliosis is often idiopathic, meaning its exact cause is unknown, but certain factors such as poor posture and muscular imbalances can contribute to its development or exacerbation. Encouraging proper posture involves educating children about the importance of maintaining alignment in the head, shoulders, and hips while sitting, standing, and walking. When the spine is properly aligned, it experiences less stress and strain, reducing the likelihood of developing abnormal curvatures.

Regular exercise is crucial for strengthening the muscles that support the spine and promoting optimal spinal alignment. Activities like swimming, yoga, and Pilates focus on core strength and flexibility, which are essential for maintaining good posture. Additionally, providing ergonomic furniture, such as supportive chairs and desks at appropriate heights, helps ensure that children maintain proper alignment while sitting during activities like studying or using electronic devices.

Another important aspect of preventing scoliosis is minimizing the strain on the spine caused by heavy backpacks. Encouraging children to use both shoulder straps and distribute the weight evenly can reduce the risk of developing muscular imbalances or structural issues that may contribute to scoliosis.

Furthermore, reducing sedentary behaviors, such as excessive screen time, and promoting breaks for physical activity not only support overall health but also encourage proper spinal alignment. Activities that promote movement and engagement of different muscle groups help prevent stiffness and promote optimal posture.

Supportive footwear with proper arch support and cushioning is also essential for maintaining healthy spinal alignment and reducing the risk of imbalances that may contribute to scoliosis.

Additionally, maintaining a healthy lifestyle, including a balanced diet, adequate hydration, and sufficient sleep, supports overall growth and development, including the musculoskeletal system. Regular check-ups with healthcare providers allow for monitoring of growth and development, as well as early detection of any signs of scoliosis or other musculoskeletal issues that may require intervention.

Diagnosis 

Scoliosis diagnosis in children and teenagers often occurs during routine medical examinations due to the absence of noticeable symptoms. Scoliosis chiropractors undertake a comprehensive diagnostic approach, which typically commences with a thorough review of the child’s medical history and family background. This inquiry may uncover any potential underlying medical conditions contributing to spinal curvature, with some cases even identified through school screenings. Following this, a physical examination is conducted to assess the child’s posture and detect any asymmetry in the trunk or shoulders. Notably, when the child bends forward, the doctor observes for signs such as one side of the rib cage appearing higher than the other, indicative of possible scoliosis. However, the most definitive diagnostic tool is x-ray imaging, which provides detailed insights into the extent and severity of the spinal curvature. By evaluating these x-ray images, practitioners can accurately determine the severity of the condition and devise appropriate treatment strategies tailored to each individual case.

Sign and symptom 

Teenagers with idiopathic scoliosis may exhibit several signs and symptoms, including uneven shoulder height, an uneven waistline, and rib prominence when bending forward. Additionally, they may display differences in hip alignment and changes in posture, such as leaning to one side or appearing to lean forward. Some individuals may experience mild to moderate back pain, particularly as the curvature progresses, leading to discomfort and fatigue, especially after prolonged periods of standing or sitting. In severe cases where the curvature affects the chest cavity, breathing difficulties may occur, though this is less common.  

Treatments Goal  

The treatment goals for children with scoliosis are multifaceted, aiming to address various aspects of the condition to improve overall health and well-being. Firstly, the primary objective is to halt or slow the progression of the spinal curvature. By implementing interventions that stabilize or correct the curvature, healthcare providers aim to prevent further advancement of the deformity, thereby minimizing its impact on the child’s spine and overall health. Additionally, treatment seeks to alleviate any associated pain, discomfort, or limitations in mobility that may arise as a result of scoliosis. This aspect of care is crucial for enhancing the child’s comfort and quality of life. Moreover, as scoliosis can sometimes lead to respiratory complications due to the compression of the chest cavity, treatment focuses on preventing or managing these respiratory issues to ensure optimal lung function and respiratory health. Furthermore, efforts are directed towards improving posture and spinal alignment, which not only enhances physical function but also contributes to the child’s overall appearance and self-esteem. Ultimately, the overarching goal of scoliosis treatment is to enhance the child’s quality of life by addressing the physical, functional, and emotional aspects of the condition, enabling them to lead a fulfilling and active life. 

Treatments  

Treatment options for scoliosis vary depending on factors such as the severity of the curvature and the stage of skeletal growth. Observation is often recommended for mild curves in children whose skeletons are still developing. This involves regular monitoring by a doctor to track any changes in the spine over time. Bracing may be advised for moderate curves in growing children or teenagers to prevent further progression. Braces are customized to the individual and worn for a specified number of hours each day to halt or slow the curvature’s advancement. Research indicates that braces are effective when worn consistently during growth periods. In cases where scoliosis persists and progresses despite bracing, surgery may be necessary. Surgical interventions, such as spinal fusion or the insertion of expandable rods, aim to correct the curvature and stabilize the spine. These procedures carry risks, and discussions with a surgeon are essential to weigh the potential benefits against potential complications. Additionally, physical therapy may be recommended to strengthen the muscles supporting the spine and improve overall musculoskeletal function.

 

In conclusion, it’s imperative for parents to pay close attention to their children’s posture from a young age. By promoting good posture habits and implementing preventive measures, such as ergonomic furniture, regular exercise, and proper backpack use, parents can help reduce the risk of developing or exacerbating idiopathic scoliosis. Early detection is also crucial, as it allows for timely intervention to prevent the progression of the condition. Consulting a professional scoliosis practitioner for a thorough assessment is recommended, as they can provide personalized guidance and treatment options if necessary. For those seeking scoliosis assessment and treatment, Synapse Physiotherapy offers specialized care and expertise in this area. Feel free to reach out to Synapse Physiotherapy for comprehensive scoliosis assessment and treatment services.

 

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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

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May 6, 2024

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

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

 

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

 

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

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

1. Musculoskeletal Physiotherapy:

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

2. Neurological Physiotherapy:

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

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

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

3. Paediatric Physiotherapy:

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

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

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

4. Geriatric Physiotherapy:

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

5. Cardiopulmonary Physiotherapy:

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

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

6. Women’s Health Physiotherapy:

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

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

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

7. Sports Physiotherapy:

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

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

Conclusion

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

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Physiotherapy Malaysia

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Back & Neck Pain

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

Sports Injuries

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

Work Desk Injuries​

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

Pre-Post-Surgical Conditions

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

Scoliosis & Postural Abnormalities

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

Neurological Conditions

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

Osteoarthritis & Rheumatism

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

Conditions Relating To Elderly

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

Home Physiotherapy

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