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Physiotherapy for Slip Disc I Causes & Treatments

Physiotherapy for Slip Disc I Causes & Treatments
Physiotherapy for Slip Disc I Causes & Treatments
Synapse Physiotherapy

Introduction

A herniated disc in the spine occurs when the nucleus pulposus is displaced from the intervertebral space, which is a common cause of back pain. Patients with herniated disc pain often recall a specific event that triggered their discomfort. Unlike mechanical back pain, the pain from a herniated disc is often burning or stinging and may radiate into the lower extremities. In more severe cases, there may also be associated weaknesses or changes in sensation. Physiotherapy for slipped discs is important for recovery. These programs are commonly recommended to alleviate pain and restore function and neurological health in patients with symptomatic disc herniation.

Etiology 

An intervertebral disc is made up of two parts: the annulus fibrosus, a tough outer ring, and the nucleus pulposus, a gel-like center. A disc herniation happens when some or all of the nucleus pulposus pushes through a tear in the annulus fibrosus.

The most common reason for disc herniation is aging. As we get older, the nucleus pulposus loses water and becomes weaker, which can lead to herniation and cause symptoms. Another common cause is trauma or injury. Other causes include connective tissue disorders and congenital issues like short pedicles. Disc herniation occurs most frequently in the lower back (lumbar spine) and the neck (cervical spine) because these areas experience more movement and stress. It is less common in the upper back (thoracic spine).

The problems caused by herniated discs come from two main factors: the disc pressing on nearby nerves and the increase in inflammatory chemicals in the area.

Herniations often occur at the sides of the disc (posterolateral), where the annulus fibrosus is thinner and less supported by ligaments. This type of herniation is more likely to press on nerve roots. A large herniation in the center of the disc can compress the spinal cord and cause more serious symptoms. The pain from a herniated disc is due to both the pressure on the surrounding ligaments and the chemical irritation from inflammation.

Sign and Symptoms 

A herniated disc can present with a variety of signs and symptoms. One of the most common symptoms is severe low back pain, which can be debilitating. This pain often radiates, spreading to other areas such as the legs, a condition known as sciatica. Walking can become painful and difficult, and movements that increase pressure within the spine, such as coughing, sneezing, or straining (Valsalva maneuver), can exacerbate the pain.

Muscle-related symptoms are also frequent, including muscle spasms, tingling sensations, and weakness. In more severe cases, muscle atrophy may occur due to prolonged nerve compression. A particularly serious symptom is the loss of bladder or bowel control, which requires immediate medical attention as it indicates significant nerve compression.

Interestingly, some people with a herniated disc may be asymptomatic, experiencing no pain or discomfort. For those who do have symptoms, walking patterns can be noticeably affected. They may walk slowly and deliberately, or on their toes, to avoid pain. Additionally, the spine or trunk may appear misaligned or deviated due to muscle imbalance and pain avoidance strategies. Gait abnormalities, such as an antalgic gait (limping to avoid pain) or Trendelenburg gait (a waddling movement due to hip muscle weakness), are also common. Paraspinal muscle spasms, where the muscles along the spine tighten uncontrollably, can contribute further to pain and discomfort.

Role of physiotherapy 

Acute cervical and lumbar radiculopathies due to a herniated disc are primarily managed with non-surgical treatments. NSAIDs and physiotherapy are first-line treatment modalities. 

Your physical therapist plays a crucial role in reducing pain and alleviating symptoms associated with a herniated disc. They will guide you in understanding how to modify activities that may have caused the injury, allowing the healing process to commence. Various treatments and technologies may be employed by your physical therapist to manage and decrease pain.

Improving posture is another key focus. If poor posture contributes to your herniated disc, your therapist will educate you on posture correction techniques to alleviate pressure on the injured area and facilitate healing.

Restoring motion and flexibility are important aspects of therapy. Your therapist will select specific exercises and treatments to restore normal movement in stiff joints, progressing from passive motions to active exercises and stretches that you can perform independently at home or at work.

Additionally, your therapist will assess and address any muscle tightness or weakness. Stretching exercises will be prescribed to improve flexibility, while targeted exercises will be recommended to strengthen weakened or injured muscles, particularly focusing on core muscles to support your spine.

Endurance training is also integral to the recovery process. Your therapist will design a program to help you regain and enhance muscular endurance post-injury.

A customized home exercise program will be provided to complement in-clinic therapy sessions. Consistently performing these exercises as instructed by your therapist can expedite your recovery.

Your therapist will collaborate with you to set realistic goals for returning to your normal activities, whether they be work, sports, or daily tasks. Proper body mechanics will be taught to prevent further injury to your spine.

Once your pain subsides, maintaining proper posture and movement habits will be essential to prevent recurrence of symptoms and ensure long-term back health and freedom from pain. Your therapist will provide guidance on incorporating these habits into your daily routine for sustained wellbeing.

Physiotherapy treatments. 

Stretching: Evidence suggests that adding hyperextension to intensive exercise programs may not significantly improve functional status or pain outcomes compared to intensive exercise alone. Similarly, combining strength training with stretching may not yield clinically relevant differences in disability and pain compared to strength training alone.


Muscle Strengthening: Strong muscles provide essential support for the spine and can better manage pain. However, caution is advised when incorporating power training into core stability exercises, as the combination of force and velocity may increase the risk of back problems and pain.


Spinal Manipulative Therapy and Mobilisation: These therapies offer short-term pain relief for acute low back pain. In cases of chronic low back pain, manipulation has been found to have a similar effect to nonsteroidal anti-inflammatory drugs (NSAIDs).


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


Traction: Traction therapy has shown positive effects on pain and disability in patients with intervertebral disc herniation. Some studies also suggest additional benefits when traction is combined with medication and electrotherapy.


Hot Therapies: Heat therapy increases blood flow to the affected area, delivering extra oxygen and nutrients for healing while removing waste byproducts from muscle spasms.


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


Shortwave Diathermy and Ultrasound: These modalities may be used for acute and chronic conditions, with shortwave diathermy pulsed in acute conditions and continuous in chronic conditions. Ultrasound, when used as phonophoresis, increases the extensibility of connective tissues.

Frequently Asked Questions (FAQs)

1. What causes a slipped disc?

A slipped disc, or herniated disc, occurs when the gel-like center (nucleus pulposus) of an intervertebral disc pushes through a tear in the tough outer ring (annulus fibrosus). Aging, trauma or injury, connective tissue disorders, and congenital issues are common causes. Disc herniation is most frequent in the lower back (lumbar spine) and neck (cervical spine) due to increased movement and stress in these areas.

2. What are the signs and symptoms of a slipped disc?

Symptoms of a slipped disc can include severe low back pain, radiating pain into the legs (sciatica), muscle spasms, tingling sensations, weakness, and, in severe cases, loss of bladder or bowel control. Some individuals may be asymptomatic, while others may experience noticeable changes in walking patterns or gait abnormalities.

3. What is the role of physiotherapy in treating a slipped disc?

Physiotherapy for a slipped disc aims to reduce pain, alleviate symptoms, and restore function and neurological health. Treatment may involve modifying activities, improving posture, restoring motion and flexibility, addressing muscle tightness or weakness, endurance training, and providing a customized home exercise program. Physiotherapy treatments such as stretching, muscle strengthening, spinal manipulative therapy, traction, hot and cold therapies, and modalities like TENS, ultrasound, and shortwave diathermy may also be utilized.

4. What physiotherapy treatments are effective for a slipped disc?

Effective physiotherapy treatments for a slipped disc include stretching, muscle strengthening, spinal manipulative therapy, traction, hot and cold therapies, and modalities like TENS, ultrasound, and shortwave diathermy. However, caution is advised when incorporating certain exercises, such as power training, to prevent exacerbating back problems or pain.

5. How can Synapse Physiotherapy assist in recovery from a slipped disc?

Synapse Physiotherapy offers specialized services tailored to aid individuals in their recovery from a slipped disc. Whether it’s reducing pain, improving mobility, or enhancing strength and flexibility, their team provides personalized care and support to facilitate the healing process. If you’re experiencing a slipped disc or related issues, don’t hesitate to reach out to Synapse Physiotherapy for assistance in regaining your health and well-being.

Conclusion

In conclusion, physiotherapy plays a crucial role in the recovery process for disc herniation. Synapse Physiotherapy offers specialized services to aid individuals in their journey to recovery from this condition. Whether it’s reducing pain, improving mobility, or enhancing strength and flexibility, our team is dedicated to providing personalized care and support to facilitate the healing process. If you’re experiencing disc herniation or any other related issues, don’t hesitate to reach out to us for assistance. We’re here to help you regain your health and well-being.

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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: How Long to Notice Results

dry needling vs acupuncture
dry needling vs acupuncture
Synapse Physiotherapy

Introduction

The general public often confuses dry needling with acupuncture. Many people are unsure about the distinct purposes and proper contexts for each treatment, which leads to the misconception that dry needling and acupuncture are the same. Although both practices involve inserting thin needles into the body, they differ greatly in their techniques, philosophies, and goals. “Dry Needling vs. Acupuncture” is a common topic of conversation among individuals.

I. What is dry needling?

The term “dry needling” was created to differentiate it from traditional acupuncture and wet needling, which involves injections. This term emphasizes that no substances are injected. Starting in the late 20th and early 21st centuries, dry needling gained popularity among physiotherapists and other musculoskeletal health professionals in Western countries. This increase in use was supported by evidence demonstrating its effectiveness in treating musculoskeletal pain and dysfunction. Dry needling utilizes thin monofilament needles, similar to those used in acupuncture, but without any injections. This method is often applied to muscles, ligaments, tendons, subcutaneous fascia, scar tissue, peripheral nerves, and neurovascular bundles to treat various neuromusculoskeletal pain syndromes. The definition of dry needling has been updated by organizations such as the National Physical Therapy Association and several State Boards of Physical Therapy. According to their guidelines, dry needling involves inserting needles into nodules found within taut muscle bands, known as ‘trigger points’ or ‘myofascial trigger points’ (MTrPs).

Benefits of dry needling 

Relieving Muscle Tightness and Pain Dry needling targets the source of pain (the trigger point), causing the muscle to contract and relax, restoring normal function. This alleviates both muscle tightness and tension, thereby reducing pain.

 

This benefit can often be felt immediately after treatment, with more significant relief typically experienced after multiple sessions. For more details on the timeline for dry needling effectiveness, check out our recent blog.

 

Improving range of motion by releasing muscle tightness, tension, and trigger points, dry needling also helps to enhance or restore range of motion. This, in turn, improves overall function and reduces general discomfort.

 

Accelerating recovery from injuries can be a lengthy process, particularly for athletes and active individuals. However, dry needling has the potential to expedite recovery and help clients return to normal function more quickly than other therapies.

 

This acceleration may stem from muscle relaxation and increased blood flow, which delivers essential oxygen and nutrients to the injured area

II. What is Acupuncture?

Acupuncture, a key component of Traditional Chinese Medicine (TCM), has been a holistic healthcare practice for thousands of years. TCM encompasses a broad approach to wellness, including prevention, diagnosis, and treatment of various ailments. A central concept in TCM is qi, the vital energy that flows through the body along specific pathways known as meridians. When qi is balanced, it reflects overall well-being, covering spiritual, emotional, and physical health. Imbalances in qi can cause illness, as blockages disrupt the balance between yin and yang, the interconnected principles in Chinese philosophy. To restore harmony between yin and yang, TCM uses several strategies, with acupuncture being a prominent one.

 

Acupuncturists recognize over 2,000 acupuncture points linked by meridians and use this technique to clear blockages or stagnant qi, promoting its smooth flow and enhancing health. This practice involves inserting fine needles into specific points along the meridians, which practitioners may activate through manual manipulation or electrical stimulation.

 

Physiotherapy often involves mobilizing tissues and joints that have become tight, weak, or inflamed due to injury, illness, or surgery. Hands-on techniques to move and manipulate these areas aim to restore mobility, increase blood flow, and promote healing, although some procedures might cause temporary soreness. Additionally, tailored stretching and strengthening exercises may lead to muscle soreness as your body adapts to new movements. Techniques to gently break down scar tissue formed from injury or surgery can be uncomfortable but are crucial for restoring normal function and reducing long-term pain. 

 

Rehabilitation after injury or surgery often involves exercises to restore strength, flexibility, and range of motion, which might cause discomfort as your body heals. Moreover, some conditions or injuries can lead to compensatory movement patterns, placing stress on certain body areas. Correcting these patterns might result in temporary discomfort as your muscles and joints adjust.

Benefits of acupuncture

Pain relief acupuncture is renowned for its ability to relieve pain, whether acute or chronic. It is frequently used to manage conditions such as back pain, neck pain, osteoarthritis, migraines, and menstrual cramps. Acupuncture works by reducing inflammation, triggering the release of endorphins (the body’s natural painkillers), and regulating the pain response of the nervous system.

 

Stress Reduction and Relaxation: Many individuals find acupuncture sessions to be deeply relaxing. By inserting needles at specific points on the body, acupuncture helps regulate the body’s stress response, promoting relaxation and reducing feelings of anxiety and tension. Some people also report improved sleep quality after acupuncture treatment.

 

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

 

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

Better Digestive Health Acupuncture can assist in regulating digestive function and alleviating 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 enhance nutrient absorption.

 

Hormonal Balance Acupuncture may aid in regulating 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 alleviate symptoms associated with hormonal fluctuations.

 

Support for Chronic Conditions Acupuncture offers 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 enhance overall quality of life.

III. How long before you notice the effects?

1. Dry needling

Following a dry needling session, it’s common to experience a variety of sensations. You may feel immediate pain relief, as needling can help alleviate acute tension and reduce inflammation. However, it’s also normal to experience some discomfort during the muscle’s involuntary twitch response immediately after the procedure.

This discomfort can include muscle soreness similar to post-workout aches or a mild lingering ache, which typically diminishes within 24 to 48 hours. This soreness occurs because the muscles are responding to the needle insertion, which initiates the healing process. The initial irritation is a natural part of the body’s response, leading to improved muscle relaxation and pain relief as the muscles recover.

2. Acupuncture 

For acute pain or a sports injury, you might experience almost immediate pain relief after the first treatment.

In cases of chronic pain, it may take up to 2 or 3 sessions before you notice a reduction in pain. Sometimes, as the primary pain subsides, you may notice pain shifting to other areas of the body. This can happen because when the most intense pain is alleviated, secondary pain sites may become more noticeable.

IV. How long the effect can be sustained?

1. Dry Needling 

After their initial dry needling appointment, clients can anticipate that the benefits will last for several days. As they undergo subsequent appointments, the benefits are likely to extend with each session, leading to longer-lasting effects over time. However, the duration of these benefits can vary from person to person.

2. Acupuncture

The effectiveness and duration of acupuncture benefits depend on a variety of factors. These include the patient’s age, overall health condition, the specific ailment being treated, the duration of acupuncture treatment, whether the patient is receiving other concurrent treatments, or any coexisting health conditions.

Initially, patients may experience relief from symptoms such as pain and inflammation lasting anywhere from a few days to a couple of weeks after each acupuncture session. However, with continued treatment, acupuncture has the potential to provide longer-lasting benefits, and in some cases, permanent relief from chronic issues.

Frequently Asked Questions (FAQs)

Dry needling focuses on relieving muscle pain and trigger points, while acupuncture targets energy flow and holistic health using traditional Chinese medicine techniques.

Many people experience relief within 24 to 48 hours after a dry needling session, though some may require multiple treatments for lasting effects.

Results from acupuncture can vary, but some individuals notice improvements after the first session. Typically, noticeable changes occur after a few weeks of regular treatment.

Both dry needling and acupuncture can be effective for chronic pain, but the best option depends on individual conditions and response to treatment. Consulting with a professional can help determine the most suitable method.

Yes, combining both therapies can be beneficial for some individuals. Always discuss with your healthcare provider to ensure a safe and effective treatment plan.

Conclusion

In conclusion, for individuals managing musculoskeletal injuries, dry needling administered by a physiotherapist can be particularly effective due to its targeted approach to trigger points and muscle tension. However, individuals seeking a more comprehensive approach to health or who have additional health concerns beyond the musculoskeletal system may find acupuncture with a licensed acupuncturist to be a more suitable choice. The immediate and lasting effects of these treatments can vary for each individual. At Synapse Physiotherapy, we offer dry needling services. Don’t hesitate to reach out to us for more information or to schedule an appointment.

Produced by MYSense

Share This :

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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Does Physiotherapy Hurt? I Physio Near Me

Physio Near Me
Physio Near Me
Synapse Physiotherapy

Introduction

Many people do not understand physiotherapy and are afraid it will cause pain. You may experience temporary discomfort during the treatment process; however, physiotherapy should not cause pain. While it may seem counterproductive, there are several reasons why physiotherapy might result in mild aching, stiffness, or tenderness. This is ultimately for the patient’s benefit. Therefore, don’t be afraid to receive physiotherapy treatment at Physio Near Me.

I. What is physiotherapy? 

Physiotherapy, also known as physical therapy, is a healthcare profession that focuses on the treatment and management of physical impairments, disabilities, and pain through various therapeutic techniques and exercises. Physiotherapy aids in restoring movement and function for individuals affected by injury, illness, or disability. Additionally, it can help lower the risk of future injuries or illnesses. Physiotherapy is administered by specially trained and regulated practitioners known as physiotherapists. Physiotherapists often collaborate as part of a multidisciplinary team across various medical fields and settings, including hospitals, community health centers or clinics, certain GP surgeries, sports teams, clubs, charities, and workplaces. Additionally, physiotherapists also provide home visits.

II. What does a physiotherapy session typically look like?

A physiotherapy session is a structured process designed to assess, treat, and manage a patient’s physical impairments, disabilities, and pain. Here’s what typically happens during a physiotherapy session:

1. Initial Assessment

  • Discussion: The session begins with a discussion about the patient’s medical history, current symptoms, pain levels, and specific goals for therapy.
  • Physical Examination: The physiotherapist conducts a physical examination to assess the patient’s mobility, strength, flexibility, balance, and posture. This may include observing movements, palpating areas of pain, and performing specific tests.

2. Treatment Plan Development

  • Based on the initial assessment, the physiotherapist develops a personalized treatment plan tailored to the patient’s needs and goals. This plan outlines the therapeutic techniques and exercises that will be used.

3. Therapeutic Techniques

  • Exercise Therapy: The patient engages in specific exercises designed to improve strength, flexibility, balance, and coordination. These exercises can include stretching, resistance training, and functional movements.
  • Manual Therapy: The physiotherapist may use hands-on techniques such as massage, joint mobilization, and manipulation to reduce pain, improve joint and soft tissue function, and enhance circulation.
  • Electrotherapy: Modalities like ultrasound, TENS (Transcutaneous Electrical Nerve Stimulation), or electrical stimulation may be used to manage pain and promote healing.
  • Heat and Cold Therapy: The application of heat packs or cold compresses can help to reduce pain, alleviate muscle spasms, and decrease inflammation.

4. Education and Advice

  • The physiotherapist provides education on proper posture, ergonomics, and body mechanics to prevent further injury. They may also give advice on lifestyle modifications and activities to support recovery.

5. Home Exercise Program

  • Patients are often given exercises to perform at home to reinforce the benefits of the in-clinic sessions and promote continued progress between appointments.

6. Monitoring and Adjustments

  • Throughout the session, the physiotherapist closely monitors the patient’s response to treatment and makes adjustments as necessary. They ensure that exercises are performed correctly to avoid injury and maximize benefits.

7. Feedback and Future Planning

  • At the end of the session, the physiotherapist discusses the progress made, addresses any concerns, and plans the next steps in the treatment. This may include scheduling follow-up sessions and updating the treatment plan based on the patient’s progress.

Session Duration and Frequency

  • A typical physiotherapy session lasts between 45  to 60 minutes, depending on the treatment plan and the patient’s condition. The frequency of sessions can vary from multiple times a week to twice a month, based on the severity of the condition and the goals of therapy.

Overall, physiotherapy sessions are designed to be interactive and collaborative, focusing on helping patients achieve their physical goals and improve their quality of life through targeted treatment and education.

 

III. Who needs physiotherapy? 

 

Physiotherapy can benefit a wide range of individuals with various conditions. It includes those recovering from injuries such as sports injuries or accidents, and those undergoing post-surgery rehabilitation following orthopedic, cardiac, or thoracic surgeries. People with chronic conditions like arthritis, chronic pain, or neurological conditions such as stroke, multiple sclerosis, and Parkinson’s disease often require physiotherapy to manage symptoms and improve function. Additionally, it aids in musculoskeletal issues like back and neck pain, postural problems, and mobility challenges faced by the elderly, helping to prevent falls and enhance overall mobility. Children with developmental delays, congenital conditions like cerebral palsy, and women dealing with pregnancy-related physical changes or pelvic floor disorders also benefit from physiotherapy. Furthermore, individuals with respiratory conditions like chronic obstructive pulmonary disease and cystic fibrosis, as well as those undergoing cardiac rehabilitation or dealing with peripheral artery disease, can improve their quality of life and physical function through tailored physiotherapy programs.

IV. Should physiotherapy cause pain? 

 

During physiotherapy treatment, you might experience temporary discomfort, but it shouldn’t be painful. Although it may seem counterproductive, there are valid reasons why physiotherapy could lead to symptoms like mild aching, stiffness, or tenderness. Understanding these reasons and discussing any discomfort with your physiotherapist is essential for safe treatment. During the initial assessment and diagnosis, your physiotherapist might need to move or manipulate the affected area, which can be uncomfortable, especially if you have acute pain or inflammation. Throughout the process, they will explain their actions, proceed slowly, and adjust based on your body’s responses. 

Physiotherapy often involves mobilizing tissues and joints that have become tight, weak, or inflamed due to injury, illness, or surgery. Hands-on techniques to move and manipulate these areas aim to restore mobility, increase blood flow, and promote healing, although some procedures might cause temporary soreness. Additionally, tailored stretching and strengthening exercises may lead to muscle soreness as your body adapts to new movements. Techniques to gently break down scar tissue formed from injury or surgery can be uncomfortable but are crucial for restoring normal function and reducing long-term pain. 

Rehabilitation after injury or surgery often involves exercises to restore strength, flexibility, and range of motion, which might cause discomfort as your body heals. Moreover, some conditions or injuries can lead to compensatory movement patterns, placing stress on certain body areas. Correcting these patterns might result in temporary discomfort as your muscles and joints adjust.

Benefits of physiotherapy

Rehab from a sports-related injury: Not all sports injuries require surgery, but targeted interventions are essential to prevent further damage, decrease pain, strengthen the injured area, and help athletes return to competition. According to the National Institute of Arthritis and Musculoskeletal and Skin Diseases, severe sports injuries might necessitate physical therapy for rehabilitation or the use of a brace, cast, or splint. A physical therapist can create a plan to rebuild range of motion and strength, using methods like targeted exercises, massage therapy, aquatic therapy, ultrasound, and cold and/or heat therapy.

 

Reduce pain: While some pain needs prescription medications or surgery, physical therapy and exercise can effectively address other types. Acute pain, which usually has a known cause and starts suddenly, often improves with time and treatment. Chronic pain, lasting over three months, can stem from injuries, diseases, inflammation, medical treatments, or sometimes unknown reasons. Although opioids are commonly recommended, the CDC suggests physical therapy as a safer alternative for pain management. Techniques used in physical therapy to alleviate pain include therapeutic exercises, stretching, electrical stimulation, ultrasound, taping, and cold and/or heat therapy.

 

Support neurological conditions: Physical therapy can help manage symptoms from neurological conditions such as stroke, multiple sclerosis, Parkinson’s disease, and spinal cord injuries. A 2017 review found that four weeks of gait training or eight weeks of balance training had lasting positive effects, including reduced falls and improved gait performance and walking capacity for several months. For multiple sclerosis, physical therapy can address balance, weakness, coordination, spasticity, flexibility, aerobic endurance, fatigue, and respiratory function. Additionally, in-hospital programs can assist with stroke rehabilitation and spinal injury treatment.

 

Reduce symptoms related to arthritis: Physical therapy can help alleviate symptoms like joint inflammation, pain, tenderness, swelling, and stiffness caused by rheumatoid arthritis and osteoarthritis. According to the Arthritis Foundation, physical therapy can enhance mobility, restore joint function, increase overall strength to support joints, and maintain fitness levels, thereby improving the overall quality of life.

 

Reduce complications related to pelvic floor dysfunction: Pregnancy, birth, menopause, abdominal surgeries, and other conditions can weaken pelvic floor muscles, causing urinary leakage, low back pain, sexual dysfunction, pelvic pressure, and prolapse. Pelvic floor physical therapy (PFPT) is effective for most pelvic floor disorders, helping to manage and reduce these symptoms, thereby improving daily life.

 

Shorten post-surgery recovery: Physical therapy is often recommended following surgery to improve range of motion, reduce pain, prevent excessive scar tissue buildup, and restore normal functioning. Depending on the injury, surgical procedure, and overall health, treatment can last from weeks to months. The American Academy of Orthopaedic Surgeons recommends physical therapy for a full recovery, restoration of strength, and a gradual return to daily activities. Studies have shown that early mobilization and physical therapy for critically ill patients result in a better quality of life, greater walking ability, and improved muscle function upon discharge.

 

Manage pain: Research indicates a connection between physical therapy and reduced opioid use for chronic pain management. One study on new-onset chronic low back pain found that early physical therapy interventions decreased opioid use in both the short and long term. Another study showed that patients who participated in physical therapy for chronic low back pain were prescribed opioids less often during follow-up healthcare visits.

Frequently Asked Questions (FAQs)

Physiotherapy may cause some discomfort, especially during certain exercises, but it should not be overly painful. Your therapist will adjust the treatment to your tolerance level.

Communicate with your therapist about any discomfort. They can modify exercises and techniques to ensure you’re comfortable and gradually build your tolerance.

Yes, it’s normal to experience some soreness after physiotherapy, similar to the feeling after a good workout. This should subside within a day or two.

If you experience persistent pain after a session, contact your therapist. They can assess your condition and make necessary adjustments to your treatment plan.

Absolutely. Physiotherapists are trained to customize treatments based on individual pain thresholds and conditions, ensuring effective and comfortable therapy.

Conclusion

In conclusion, physiotherapy is highly beneficial for individuals needing to manage pain, recover from injuries, improve mobility, and enhance overall physical function. Whether you’re dealing with a sports injury, chronic pain, post-surgery recovery, or a neurological condition, a qualified physiotherapist can provide tailored treatment to help you achieve your health goals. If you’re considering physiotherapy, don’t hesitate to reach out to a local physiotherapist. Synapse Physiotherapy, for example,is an excellent choice for receiving personalized and professional care.

Produced by MYSense

Share This :

Back & Neck Pain

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

Sports Injuries

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

Work Desk Injuries​

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

Pre-Post-Surgical Conditions

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

Scoliosis & Postural Abnormalities

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

Neurological Conditions

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

Osteoarthritis & Rheumatism

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

Conditions Relating To Elderly

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

Home Physiotherapy

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

physiotheraphy near me
physiotheraphy near me
Synapse Physiotherapy

Introduction

Shock wave therapy is a non-invasive therapeutic procedure. It involves applying a single-impulse transient acoustic wave, lasting 1 microsecond, to various target body regions. This treatment aims to induce analgesia and facilitate healing through a mechanism known as mechanotransduction . Shock waves are recognised as an effective, non-invasive, and cost- and time-efficient treatment. Shockwave therapy was initially introduced into clinical practice in 1982 for managing urologic conditions. Its success in treating urinary stones rapidly established it as a first-line, noninvasive, and effective method . Later, shockwave therapy was investigated in orthopedics, revealing its potential to loosen cement in total hip arthroplasty revisions. Subsequently, orthopedic research has concentrated on tendinopathies, fasciopathies, and soft tissue conditions affecting both upper and lower extremities. Plantar fasciitis was the first orthopedic condition to receive FDA (Food and Drug Administration) approval for shock wave management, paving the way for numerous other indications to follow. 

Feel free to search for “physiotherapy near me” to find a nearby physiotherapy center where you can receive shockwave therapy.

 

Physiology

Shockwaves are sound waves characterised by specific physical attributes, including nonlinearity, high peak pressure followed by low tensile amplitude, short rise time, and short duration (10 ms). They consist of a single pulse with a wide frequency range (0-20 MHz) and a high pressure amplitude (0-120 MPa).

These characteristics give rise to both a positive and negative phase of shockwave. The positive phase exerts direct mechanical forces, while the negative phase generates cavitation and gas bubbles that subsequently implode at high speeds, generating a second wave of shockwaves.

In comparison to ultrasound waves, the peak pressure of shockwaves is approximately 1000 times greater than that of an ultrasound wave.”

Mechanism

ESWT works by promoting the growth of new blood vessels where tendons and bones connect. It also encourages the growth and specialisation of tendon cells and bone-forming cells. Additionally, it increases the number of certain types of white blood cells and boosts the production of growth factors and proteins, which help in making collagen and remodeling tissues. Additionally, shockwave therapy is thought to disrupt the transmission of pain signals and break down calcifications or scar tissue in the affected area, promoting tissue remodeling and healing.

Indication 

Shockwave therapy, also known as extracorporeal shockwave therapy (ESWT), is a non-invasive treatment method utilised for various musculoskeletal conditions. Primarily, it finds application in alleviating pain and promoting healing in conditions like plantar fasciitis, tennis elbow (lateral epicondylitis), golfer’s elbow (medial epicondylitis), and Achilles tendinopathy. Additionally, it’s effective in addressing shoulder pain issues such as calcific tendonitis and rotator cuff tendinopathy. Beyond these specific ailments, shockwave therapy can also be beneficial for chronic musculoskeletal pain management, targeting areas like the knees, hips, and back. Moreover, it has been explored for its potential in promoting bone healing, particularly in cases of non-union or delayed union fractures. Furthermore, shockwave therapy has shown promise in treating trigger points and has even been investigated as a potential treatment for erectile dysfunction, especially when related to insufficient blood flow to the penis. However, it’s crucial to consult with a healthcare professional to determine the suitability of shockwave therapy for an individual’s specific condition and medical history

Contraindication

Shock wave treatment isn’t advised for people on blood-thinning medication or those prone to bleeding, as high-intensity shock waves can cause bleeding. It’s also not recommended for those with acute infections, during pregnancy, or directly over growth plates. Care should be taken to avoid nerves and major blood vessels during treatment. It is also not suitable for complete tendon ruptures.

Side effect

ESWT is generally safe, with most side effects occurring at the application site, such as pain during treatment, temporary skin irritation (like redness, bruising, and swelling), or brief nerve irritation causing tingling sensations. No serious adverse events have been reported. Patients often find ESWT uncomfortable but bearable. If necessary, the energy level can be adjusted to improve tolerance. It’s crucial to be prescribed this treatment by a licensed professional and receive shockwave therapy only from a qualified clinician

Procedure 

Shockwave therapy sessions typically last between 10 to 20 minutes, varying depending on the treated condition and the size of the treatment area. The number of sessions needed can range from 4 to 8, tailored to individual requirements. Before the procedure, a conductive gel is applied to the treatment area by the healthcare provider to facilitate the penetration of shockwaves through the skin. To ensure accurate targeting, the area may be marked. Using a handheld applicator or probe, the provider administers shockwaves in intermittent bursts, adjusting intensity and frequency according to the patient’s needs and the specific condition being treated. Patients might feel a mild to moderate tapping or vibrating sensation during the treatment. While some individuals may experience mild discomfort or soreness afterward, it typically subsides within a few hours. Post-treatment instructions, including recommendations to avoid strenuous activities and applying ice to the treated area, are provided to patients.

Similarities of Shockwave Therapy with Therapeutic Ultrasound 

Shockwave therapy and therapeutic ultrasound, while distinct modalities in physiotherapy, share several similarities in their therapeutic applications. Both treatments harness mechanical energy to elicit healing responses within the body. Shockwave therapy utilises high-energy acoustic waves, while therapeutic ultrasound employs high-frequency sound waves. This mechanical energy enables both modalities to penetrate tissues, albeit to varying depths. While shockwave therapy typically reaches deeper structures due to its higher energy levels, therapeutic ultrasound is effective at targeting superficial and deeper tissues alike.

Biologically, both treatments exert similar effects, promoting tissue healing and regeneration, increasing blood flow, reducing inflammation, and alleviating pain. However, the specific mechanisms of action may differ slightly between the two modalities. Despite these variances, they are both non-invasive procedures, offering safer alternatives to surgical interventions for various musculoskeletal conditions.

In terms of clinical applications, shockwave therapy is often used to treat specific conditions such as plantar fasciitis, tendinopathies, and musculoskeletal pain. In contrast, therapeutic ultrasound has a broader range of applications, encompassing soft tissue injuries, muscle strains, joint stiffness, and scar tissue management, among others. Additionally, both modalities typically require multiple treatment sessions to achieve optimal therapeutic outcomes, with the number and frequency of sessions tailored to the individual patient’s needs and response to treatment.

While shockwave therapy and therapeutic ultrasound share similarities, it’s essential to recognise their unique characteristics and applications. The choice between the two modalities depends on factors such as the patient’s diagnosis, treatment goals, and individual response to therapy. Therefore, a thorough assessment by a healthcare professional is crucial in determining the most suitable treatment approach for each patient.

Differences of Shockwave Therapy with Therapeutic Ultrasound 

Shockwave therapy and ultrasound therapy have distinct mechanisms of action and clinical applications.

Extracorporeal Shockwave Therapy (ESWT) utilises high-energy mechanical sound waves, known as therapeutic shockwaves, to stimulate healing in injured areas of bones, tendons, and soft tissues. These shockwaves cause physical disruption or stimulation in the tissue, leading to increased blood flow and tissue regeneration. ESWT is particularly effective for chronic pains or injuries such as plantar fasciitis, tennis elbow, shoulder tendinopathies, and certain slow-healing fractures.

In contrast, ultrasound therapy employs sound waves at a much higher frequency than audible to generate heat deep within the body’s tissues. This thermal effect increases blood flow, speeds up healing, decreases pain, reduces inflammation, and improves tissue elasticity. Ultrasound therapy is versatile, working well in both post-acute and chronic pain scenarios, including strains, sprains, tendon strains, and fractures.

In summary, while shockwave therapy and ultrasound therapy both promote healing and alleviate pain, they do so through different mechanisms and are suited to different types of conditions. Shockwave therapy is ideal for chronic pains and injuries, while ultrasound therapy is effective across various stages of recovery and in treating a broader range of musculoskeletal issues.

Frequently Asked Questions (FAQs)

1. How does shockwave therapy work?

Shockwave therapy utilizes high-energy acoustic waves to induce analgesia and facilitate healing through a process known as mechanotransduction. These waves promote the growth of new blood vessels, encourage specialization of tendon and bone cells, and disrupt pain signals, ultimately promoting tissue remodeling and healing.

2. What are the common indications for shockwave therapy?

Shockwave therapy, also known as extracorporeal shockwave therapy (ESWT), is commonly used to treat musculoskeletal conditions such as plantar fasciitis, tennis elbow, golfer’s elbow, Achilles tendinopathy, calcific tendonitis, and rotator cuff tendinopathy. It can also be effective for chronic musculoskeletal pain management and promoting bone healing in cases of non-union or delayed union fractures.

3. Are there any contraindications to shockwave therapy?

Yes, shockwave therapy is not advised for individuals on blood-thinning medication, those prone to bleeding, or those with acute infections. It should also be avoided during pregnancy and directly over growth plates. Complete tendon ruptures are also a contraindication to shockwave therapy.

4. What are the potential side effects of shockwave therapy?

Side effects of shockwave therapy are generally mild and may include pain during treatment, temporary skin irritation (such as redness, bruising, and swelling), or brief nerve irritation causing tingling sensations. Serious adverse events are rare, and shockwave therapy is considered safe when administered by a qualified professional.

5. How many sessions of shockwave therapy are typically needed, and what is the procedure like?

The number of shockwave therapy sessions needed can vary, but typically ranges from 4 to 8 sessions, tailored to individual requirements. Each session lasts between 10 to 20 minutes, during which a conductive gel is applied to the treatment area, and shockwaves are administered using a handheld applicator or probe. Patients may feel a mild to moderate tapping or vibrating sensation during the treatment, with post-treatment instructions provided for home care.

Conclusion

In conclusion, if you’re in need of effective treatment for chronic pains or injuries such as plantar fasciitis, tennis elbow, shoulder tendinopathies, or slow-healing fractures, don’t hesitate to explore shockwave therapy at your nearby physiotherapy center. Synapse offers this service, providing access to state-of-the-art treatment modalities that can significantly improve your quality of life and accelerate your recovery. With the benefits of shockwave therapy, you can confidently address your musculoskeletal concerns and embark on a path toward enhanced well-being and mobility.

Share This :

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 Can a Sports Massage Help With? I Physiotherapy Near Me

Sports Massage
Sports Massage
Sports Injuries, Synapse Physiotherapy

Introduction

Sports massage, a specialised form of massage therapy tailored to athletes and physically active individuals, offers numerous benefits that extend beyond relaxation. Designed to address the unique needs of those engaged in regular physical activity, sports massage can enhance performance, aid recovery, and prevent injuries. Sports massage plays a crucial role in keeping the body in optimal condition, preventing mobility loss and restoring functionality to injured muscles. It is particularly beneficial for athletes and individuals engaged in intense physical activities. This form of massage therapy in physiotherapy aims to both prevent and treat sports-related injuries, enhance athletic performance, improve flexibility and efficiency of movement, and facilitate recovery from strenuous activities by alleviating pressure from congestion and metabolic irritants. Sports massage is highly specialised, addressing the unique needs of those involved in sports and fitness activities.

 

It is undeniable that sports massage plays a crucial role in injury prevention and rehabilitation. Physiotherapists and sports medicine professionals will work closely with athletes and sportsmen to address specific injuries and aid in the recovery process. This ensures a holistic approach to athlete care.

 

Here, we delve into the various ways sports massage can help athletes and active individuals alike.

1. Maintaining Body Condition and Preventing Injuries

Sports massage helps maintain the body in better condition by preventing injuries and loss of mobility. By focusing on areas subjected to high stress and strain during athletic performance, it helps to keep muscles flexible and functioning properly. This proactive approach reduces the risk of strains, sprains, and other common sports-related injuries.

2. Enhanced Recovery and Mobility Restoration

Sports massage aids in the recovery and restoration of mobility to injured muscle tissue. By targeting specific muscle groups associated with particular sports or activities, it promotes healing and repair. The increased circulation resulting from massage delivers more nutrients to vascular tissues, enhancing the body’s natural healing processes. Athletes often experience improved performance as a result of regular sports massage. By promoting relaxation and reducing muscle tension, sports massage helps to improve flexibility, agility, and overall athletic performance. The increased range of motion and decreased muscle stiffness allow athletes to move more freely and efficiently, contributing to better performance in their respective sports.

 

For athletes recovering from injuries, sports massage is an integral part of the rehabilitation process. Specific massage techniques can help reduce scar tissue, improve flexibility, and promote the healing of injured muscles and tendons. Regular massage therapy can expedite the recovery process, allowing athletes to return to their training and competition routines more quickly and safely.

3. Performance Boost and Career Longevity

Regular sports massage can boost performance and extend the overall life of an athlete’s career. By reducing muscle tension, improving circulation, and promoting relaxation, athletes can achieve better flexibility and efficiency of movement. This leads to improved performance and a longer, healthier career.

4. Stress and Tension Relief

Sports massage effectively releases and reduces tension in the muscles, helping to relax the body. Techniques such as deep tissue massage, stretching, and trigger point therapy are utilised to address muscle tension and pain. The intensity of the massage can be tailored to the athlete’s tolerance, ensuring that it is both effective and comfortable. Sports massage can effectively reduce muscle tension and alleviate pain. Techniques such as deep tissue massage, trigger point therapy, and myofascial release target specific areas of tension, helping to relax tight muscles and relieve discomfort. This reduction in muscle tension not only improves overall comfort but also enhances flexibility and range of motion, essential for optimal athletic performance.

5. Waste Product Removal and Circulation Improvement

During high-intensity activities, metabolic waste products such as lactic acid can build up in the muscles, causing soreness and fatigue. Sports massage enhances circulation, which helps remove these waste products and improves overall muscle function. This improved circulation also delivers more oxygen and nutrients to the muscles, facilitating better recovery and performance.

6. Preventing Overuse Injuries

Athletes prone to overuse injuries benefit greatly from sports massage between training sessions. Allowing muscles to relax and recover fully before the next session reduces the risk of chronic injuries caused by repetitive strain. This ensures that athletes can maintain a consistent training schedule without the setbacks of injury. Regular sports massage can play a crucial role in preventing injuries. By addressing areas of muscle tightness and imbalance, sports massage helps to maintain proper muscle function and alignment. This proactive approach reduces the likelihood of strains, sprains, and other common sports-related injuries. Additionally, massage therapists can identify potential problem areas before they develop into more serious issues, allowing for timely intervention and preventive care.

7. Integration into Training Regimens

Sports massage is often integrated into an athlete’s training regimen. It can be performed before an event as part of a warm-up routine or after to aid recovery. The frequency of sports massage sessions depends on the athlete’s training schedule and specific needs, making it a flexible and essential component of their overall training and recovery plan.

8. Psychological Benefits

The psychological benefits of sports massage should not be overlooked. The calming and relaxing effects of massage can help reduce stress and anxiety, which are common among athletes facing high-pressure situations. This mental relaxation can lead to improved focus and concentration, essential for peak performance. Moreover, the increased sense of well-being and reduced mental fatigue contribute to an overall positive mindset, enhancing an athlete’s ability to cope with the demands of their sport.

9. Enhanced Sleep Quality

Good quality sleep is vital for athletic performance and recovery. Sports massage can improve sleep quality by promoting relaxation and reducing stress. The physical and mental relaxation achieved through massage therapy can help athletes fall asleep more easily and enjoy deeper, more restorative sleep. This improved sleep quality aids in muscle recovery, energy restoration, and overall athletic performance.

Frequently Asked Questions (FAQs)

Sports massages can improve flexibility, reduce muscle soreness, enhance circulation, speed up recovery times, and help prevent injuries by maintaining muscle health and mobility.

The frequency of sports massages can vary depending on your physical activity level and goals. Generally, athletes benefit from a massage every one to two weeks, but it may be more frequent during intensive training periods.

Yes, sports massage can be an effective part of managing chronic pain. It helps alleviate pain by reducing muscle tension and increasing blood flow to affected areas, which aids in healing and reduces discomfort.

During your first session, expect a consultation about your health history and goals for the massage. The massage itself may focus on specific areas of tension or pain and involve techniques like kneading, stroking, and applying pressure.

Look for a licensed massage therapist with specialised training in sports therapy. Checking local physiotherapy clinics, sports centres, or professional associations can help you find qualified practitioners in your area.

Conclusion

Sports massage is an invaluable tool for athletes and active individuals looking to maintain optimal physical condition, prevent injuries, and enhance performance. By addressing the specific demands of athletic activities, sports massage provides a comprehensive approach to physical and mental well-being. Incorporating sports massage into a regular training routine can help athletes achieve their fitness goals, extend their careers, and maintain a healthy, active lifestyle.

Produced by MYSense

Share This :

Back & Neck Pain

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

Sports Injuries

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

Work Desk Injuries​

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

Pre-Post-Surgical Conditions

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

Scoliosis & Postural Abnormalities

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

Neurological Conditions

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

Osteoarthritis & Rheumatism

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

Conditions Relating To Elderly

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

Home Physiotherapy

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

Physiotherapy Near Me
Physiotherapy Near Me
Synapse Physiotherapy

Introduction

Physiotherapy is a cornerstone in the management and rehabilitation of various injuries, chronic conditions, and post-surgical recovery. If you suffer from an injury or a condition that causes pain or affects your functional mobility, your doctor will recommend physiotherapy treatments as a solution.

However, one of the most common questions patients have is: “How often should I have physiotherapy treatments?” The answer is not one-size-fits-all and depends on multiple factors, including the nature of the condition being treated, the patient’s overall health, and the goals of the therapy.

Search for physiotherapy near you and locate the nearest Synapse Physiotherapy to you. Our expert physiotherapists will be able to answer all your concerns and tailor a treatment program that suits your needs and lifestyle.

 

 During your first visit, the physiotherapist will evaluate your condition with your medical history, lifestyle questions, level of pain, and areas of affliction. This information will help the physiotherapist to accurately diagnose you and understand how your condition is affecting your life. They will also test your strength and motor functions, assessing your limitations to get a clear understanding of your symptoms.

Once your physiotherapist completes their assessment, they will discuss a treatment plan that best suits you and your needs. During this discussion, they will outline what steps that should be taken and how often you should follow up with your treatment. The frequency of your sessions will be contingent on the severity of your diagnosis, your personalised plan based on yours schedule and lifestyle as well as your progress during each session.

 

Here, we delve into these considerations to provide a comprehensive understanding of physiotherapy treatment frequency.

1. Nature of the Condition

Acute Injuries: For recent injuries such as sprains, strains, or sports-related injuries, physiotherapy sessions may start off more frequent. Typically, sessions could be scheduled two to three times a week. This frequency helps in managing pain, reducing inflammation, and starting the rehabilitation process promptly to prevent further damage.

 

Chronic Conditions: Conditions like arthritis, chronic back pain, or long-standing musculoskeletal issues might require ongoing physiotherapy. Regular physiotherapy sessions should be a cornerstone of your management plan in regards to your chronic condition. Initially, frequent sessions (twice a week) might be necessary, but as the condition stabilises and the patient learns self-management techniques to manage pain at home and the correct exercise technique, the frequency could reduce to once a week or even biweekly.

 

Post-Surgical Rehabilitation: After surgeries such as joint replacements or ligament repairs, intensive physiotherapy is crucial and will require more frequent visits. Early phases may require sessions three times a week to better assess and monitor the patient’s progress, gradually decreasing as the patient regains strength and mobility. This also gives the physiotherapist an opportunity for altering the course of treatment whenever necessary in order to see the best results.

2. Patient's Overall Health

The patient’s age, general health, and fitness level play a significant role in determining the frequency of physiotherapy sessions. Younger, healthier individuals might recover faster and therefore need fewer sessions over a shorter period. Conversely, older adults or those with other health conditions may require a more prolonged and consistent therapy schedule to see significant improvements.

 

Therefore, it is important to stay consistent as physiotherapy requires steady effort which will lead to lasting results. For example: soft tissue injuries typically take 6-8 weeks to heal. Other conditions may require more patience and persistence in your treatment plan.

 

Stopping your treatment plan prematurely has a high risk of setting you up to square one again and is a common occurrence among patients who stop their treatment plan early. The risk of re-injury is high and often will lead to additional injuries, causing you to start your physiotherapy from the beginning again.

3. Goals of Therapy

Pain Management: For patients whose primary goal is pain relief, the frequency of visits might initially be higher. Techniques such as manual therapy, heat/cold application, and ultrasound might be used frequently to manage symptoms effectively.

 

Rehabilitation and Strengthening: For those aiming to rebuild strength, improve mobility, and return to regular activities, the frequency may start high and gradually taper off. The physiotherapist will often incorporate exercises that patients can do at home, reducing the need for frequent visits over time.

 

Maintenance and Prevention: Once the initial treatment goals are achieved, some patients might continue physiotherapy on a maintenance basis. This could mean monthly visits to keep up the progress, prevent relapse, and address any new issues that arise.

4. Adaptability and Progress

A key aspect of physiotherapy is its adaptability. Treatment plans are often reviewed and adjusted based on the patient’s progress. If a patient is showing significant improvement, the physiotherapist might reduce the frequency of sessions. Conversely, if progress is slow, more frequent sessions might be necessary. Open communication with the physiotherapist is crucial to ensure that the treatment plan remains effective and aligned with the patient’s needs.

Frequently Asked Questions (FAQs)

Learn how your condition’s severity, recovery goals, and therapist’s recommendations influence how often you should attend physiotherapy.

Explore whether increasing the frequency of your sessions can actually speed up your healing process or if it might lead to overexertion.

Understand the recommended frequency of physiotherapy visits for managing long-term pain conditions and improving quality of life.

Find out how your treatment plan might evolve as you progress and what signs indicate a need to adjust the frequency of your sessions.

Get tips on exercises and activities that can complement your sessions and potentially reduce the number of visits needed.

Conclusion

There is no universal answer to how often one should have physiotherapy treatments. The frequency depends on the individual’s condition, health status, therapy goals, and how they respond to treatment. It’s essential to work closely with a qualified physiotherapist who can tailor a treatment plan specific to your needs and adjust it as necessary. Regular assessments and open communication will ensure the most effective rehabilitation and optimal recovery.

 

 By understanding these factors, patients can have a clearer expectation of their physiotherapy journey and work towards achieving their health goals efficiently.

Produced by MYSense

Share This :

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.
Posted on

Dry Needling vs Acupuncture I Benefits and Functions

Dry Needling vs Acupuncture I Benefits and Functions
Dry Needling vs Acupuncture I Benefits and Functions
Synapse Physiotherapy

Introduction

There is often confusion between dry needling and acupuncture within the general public. Many individuals are uncertain about the specific purposes and appropriate contexts for each treatment, leading to the mistaken belief that dry needling and acupuncture are identical. However, while both practices involve the insertion of thin needles into the body, they differ significantly in their techniques, philosophies, and intended outcomes. “Dry Needling vs. Acupuncture” frequently becomes a topic of discussion among people.

Acupuncture 

Acupuncture, a fundamental aspect of Traditional Chinese Medicine (TCM), has been practiced for thousands of years as a holistic healthcare system. TCM is a comprehensive approach to wellness that includes methods for the prevention, diagnosis, and treatment of ailments. Central to TCM philosophy is the concept of qi, the body’s vital energy, which is believed to flow along specific pathways called meridians. Balanced qi signifies overall well-being, encompassing spiritual, emotional, and physical health, while imbalances may lead to illness. Blockages in qi can disrupt the equilibrium between yin and yang, the opposing yet interconnected principles in Chinese philosophy. TCM employs various strategies to restore harmony between yin and yang, with acupuncture being a prominent method.

Acupuncturists identify over 2,000 acupuncture points connected by meridians and they use this technique to alleviate blocked or stagnant qi, thereby promoting its free flow and enhancing health. The practice involves inserting fine needles into specific points along the meridians, which are then activated by manual manipulation or electrical stimulation by the practitioner.

Dry needling 

The term “dry needling” was coined to distinguish the technique from traditional acupuncture and wet needling (injections). The term underscores the absence of injectable substances. In the late 20th and early 21st centuries, dry needling began to be widely adopted by physiotherapists and other musculoskeletal health professionals, particularly in Western countries. This adoption was facilitated by growing evidence of its effectiveness for treating musculoskeletal pain and dysfunction. Dry needling involves inserting thin monofilament needles, similar to those used in acupuncture, but without any injection. This technique is often employed to treat muscles, ligaments, tendons, subcutaneous fascia, scar tissue, peripheral nerves, and neurovascular bundles to address various neuromusculoskeletal pain syndromes. Notably, the definition of dry needling has been refined by organizations such as the National Physical Therapy Association and several State Boards of Physical Therapy. According to their updated guidelines, dry needling specifically involves inserting needles into nodules within taut bands of muscle, commonly known as ‘trigger points’ or ‘myofascial trigger points’ (MTrPs).

Technique 

  • Acupuncture 

During an acupuncture session, the practitioner begins with a thorough consultation to understand the patient’s medical history and current symptoms, followed by a diagnosis based on TCM principles, including pulse and tongue examination. Once a diagnosis is made, the patient is positioned comfortably, and the practitioner selects appropriate acupuncture points along the body’s meridians. The needles are inserted at precise angles and depths, and the practitioner may manually manipulate them to elicit the desired therapeutic sensation, known as “De Qi,” which can feel like a dull ache, tingling, or heaviness. Needles are typically left in place for 15 to 30 minutes.

Various techniques may be employed to enhance the treatment’s effectiveness, such as tonification to strengthen energy, sedation to calm excess energy, and balanced techniques combining both. Additional methods like electroacupuncture, where mild electrical currents are applied to the needles, moxibustion (burning dried mugwort near the skin or on the needle), cupping (using suction cups to stimulate points), and auricular acupuncture (focusing on ear points) can also be used. After the needles are removed, the practitioner checks for any adverse reactions and advises the patient on aftercare and follow-up treatments.

  • Dry needling 

Performing Trigger Point Dry Needling (TDN) requires a meticulous approach to ensure both safety and effectiveness. The procedure begins with a comprehensive examination to identify specific neuromuscular impairments and trigger points, using palpation and patient feedback for precise localization within taut bands of muscle. It is crucial to prioritize patient safety by confirming the absence of contraindications to TDN, obtaining informed consent, and providing a detailed explanation of potential adverse effects. Adherence to clean needle technique and universal precautions is essential, including wearing gloves, thorough skin cleaning with an antiseptic solution, and using single-use, sterile filiform needles to minimize infection risks.

During the dry needling procedure, several techniques are employed. Direct needling techniques, such as the Piston Technique (quick in-and-out insertion), Sparrow Pecking Technique (slow advancement into the trigger point), and Twisting Technique (gentle rotation or movement within the trigger point), are used to elicit a local twitch response (LTR) and release tension in the muscles. Non-trigger point needling involves inserting needles around the trigger point to influence neural pathways and alleviate pain. Electroacupuncture may also be utilized, applying electrical stimulation to the needles to enhance therapeutic effects, with adjustments based on the patient’s response.

After completing the needling process, the needle is promptly removed after eliciting a twitch response, and proper disposal is ensured. Continuous monitoring for adverse reactions or side effects is necessary, along with reassessment of neuromuscular impairments and pain levels. Additional therapeutic interventions, such as stretching, exercise, or manual therapy, may be integrated to optimize outcomes. Patients receive instructions for home care, including self-care techniques to support healing and prevent recurrence.

Documentation of the procedure, including needling locations, patient responses, and any adverse effects, is vital. Follow-up appointments are scheduled to monitor progress and adjust treatment as needed. 

Practitioner

  • Acupuncture 

In Malaysia, the practice of acupuncture is regulated under the Traditional and Complementary Medicine Act 2016 (Act 775), administered by the Traditional and Complementary Medicine Division of the Ministry of Health. To practice acupuncture, individuals must graduate from a recognized program in acupuncture or Traditional Chinese Medicine (TCM) from an accredited institution. They must obtain certification from the Ministry after passing the licensing examination. 

  • Dry needling 

In Malaysia, the practice of dry needling is typically conducted by licensed healthcare professionals under the framework of the Traditional and Complementary Medicine Act 2016 (Act 775), overseen by the Traditional and Complementary Medicine Division of the Ministry of Health. Healthcare providers eligible to perform dry needling include medical doctors, physiotherapists, and other qualified professionals who have undergone specific training and certification in dry needling techniques recognized by the Ministry.

All the practitioners must adhere to professional standards and guidelines established by their respective regulatory bodies. They are required to practice within the scope of their licensed profession, maintain their certification through ongoing professional development, and work in licensed centers or clinics. Compliance with all regulatory requirements, including licensing and renewal, is necessary to ensure safe and legal practice of dry needling in Malaysia. You may find a certified practitioner when you need these services. 

When to choose dry needling or acupuncture? 

Acupuncture 

Acupuncture offers a wide range of benefits, making it a popular choice for both holistic and complementary medical care. It is well-known for its effectiveness in alleviating pain, including conditions like back pain, neck pain, osteoarthritis, migraines, and menstrual cramps. Acupuncture works by reducing inflammation, releasing endorphins (the body’s natural painkillers), and regulating the nervous system’s pain response.

Additionally, acupuncture sessions are typically relaxing, helping to regulate the body’s stress response and promote relaxation. Many individuals also experience improvements in sleep quality after treatment, as acupuncture can help reduce feelings of anxiety and tension.

Beyond pain relief and stress reduction, acupuncture has positive effects on mood and mental well-being. It can regulate neurotransmitters such as serotonin and dopamine, making it beneficial for conditions like depression, anxiety, and PTSD.

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

For digestive health, acupuncture can 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.

In terms of hormonal balance, acupuncture may help regulate imbalances associated with conditions like 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.

Acupuncture also provides relief and support for chronic conditions, including autoimmune disorders, fibromyalgia, chronic fatigue syndrome, and neuropathic pain. While not a cure, acupuncture can help manage symptoms and improve overall quality of life.

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

Overall, acupuncture offers a holistic approach to health and well-being, addressing both physical and emotional aspects to promote optimal health.

Dry needling 

Dry needling offers several significant benefits, primarily focused on pain relief and improved musculoskeletal function. One of its key advantages is pain relief, as it targets trigger points and releases muscle tension, providing relief for conditions such as muscle strains, tension headaches, fibromyalgia, and lower back pain. This technique also enhances range of motion and flexibility by releasing tight muscles and trigger points, which can restrict movement. This benefit is particularly valuable for athletes and individuals recovering from injuries.

Moreover, dry needling promotes muscle relaxation by triggering the release of endorphins, natural pain-relieving chemicals that reduce muscle spasms and stiffness, thus improving comfort and mobility.  Additionally, by increasing blood flow to targeted areas, dry needling facilitates the delivery of oxygen and nutrients to injured tissues, promoting faster healing and recovery. It also breaks up scar tissue and adhesions, which can inhibit movement and contribute to chronic pain. Dry needling can be used as part of a comprehensive treatment plan for musculoskeletal conditions, complementing therapies such as physical therapy and exercise by addressing muscle imbalances and dysfunctions, thereby improving treatment outcomes.

Furthermore, dry needling provides a drug-free alternative for individuals seeking to avoid or reduce pain medication usage, potentially lessening dependence on medications and their associated side effects. Finally, by effectively managing pain and improving mobility, dry needling enhances overall quality of life and well-being for those suffering from chronic pain and musculoskeletal dysfunction

Frequently Asked Questions (FAQs)

1. What are the key differences between dry needling and acupuncture?

Dry needling is a technique primarily focused on treating musculoskeletal pain and dysfunction by targeting trigger points within muscles using thin needles. It aims to alleviate muscle tension, improve range of motion, and promote healing without the use of injectable substances. Acupuncture, on the other hand, is a holistic healthcare practice rooted in Traditional Chinese Medicine (TCM). It involves the insertion of needles at specific points along the body’s meridians to balance the flow of qi (vital energy) and address a wide range of physical, emotional, and spiritual ailments.

2. How do I determine whether dry needling or acupuncture is suitable for my condition?

The choice between dry needling and acupuncture depends on the nature of your condition and your treatment goals. If you’re experiencing musculoskeletal pain or dysfunction, such as muscle strains, tension headaches, or limited range of motion, dry needling may be more appropriate, especially if you’re seeking localized pain relief and improved muscle function. However, if you’re looking for a comprehensive approach to health and wellness or have broader health concerns beyond musculoskeletal issues, acupuncture with a licensed acupuncturist may be a better fit.

3. Is dry needling painful?

Dry needling involves the insertion of thin needles into trigger points within muscles, which may cause discomfort or a sensation similar to a muscle cramp. However, many individuals find the discomfort to be minimal and temporary, lasting only during the insertion of the needle or when the trigger point is stimulated. The goal of dry needling is to alleviate pain and tension, so any discomfort experienced during the procedure is typically short-lived and outweighed by the potential benefits of pain relief and improved muscle function.

4. How many sessions of dry needling or acupuncture are typically needed to see results?

The number of sessions required to see results from dry needling or acupuncture varies depending on factors such as the severity and chronicity of the condition, individual response to treatment, and treatment goals. Some individuals may experience significant improvement after just one session, while others may require multiple sessions spread out over several weeks to achieve optimal results. Your healthcare provider will work with you to develop a personalized treatment plan based on your specific needs and response to treatment.

5. Are there any potential side effects or risks associated with dry needling or acupuncture?

Both dry needling and acupuncture are generally safe when performed by trained and experienced practitioners using sterile needles and adhering to proper hygiene protocols. However, as with any medical procedure, there are potential risks and side effects to consider. Common side effects may include temporary soreness, bruising, or minor bleeding at the insertion site. In rare cases, more serious complications such as infection or nerve injury may occur, although these are uncommon when performed by qualified professionals. It’s essential to discuss any concerns or pre-existing medical conditions with your healthcare provider before undergoing dry needling or acupuncture to ensure safety and minimize potential risks.

Conclusion

In summary, for musculoskeletal injuries, individuals may find that dry needling, performed by a physiotherapist, is more effective due to its specific focus on trigger points and muscle tension. However, if they are looking for a broader approach to health or have additional health concerns beyond the musculoskeletal system, acupuncture with a licensed acupuncturist may be a more suitable choice. If you’re interested in exploring the benefits of dry needling, we encourage you to consider this option with a skilled and professional physiotherapist. At Synapse Physiotherapy, we provide specialized dry-needling services tailored to address your specific needs whenever necessary. Our team is dedicated to helping you achieve improved pain relief, enhanced range of motion, and overall better musculoskeletal function through this effective treatment method.

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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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5 Reasons Causing Your Back Pain- Physiotherapy Kuala Lumpur

5 Reasons Causing Your Back Pain- Physiotherapy Kuala Lumpur
5 Reasons Causing Your Back Pain- Physiotherapy Kuala Lumpur
Back & Neck Pain, Synapse Physiotherapy

Introduction

Low back pain (LBP), defined as pain occurring in the region between the lower rib margin and upper thighs, is most commonly encountered in its non-specific form, where no identifiable pathology is present. This pain can be categorised into three types based on duration. Acute low back pain lasts less than six weeks and typically results from injury or strain, often resolving with rest, physical therapy, and over-the-counter pain relief. Sub-acute low back pain persists between six and twelve weeks, necessitating more intensive treatments such as targeted exercise and potentially prescription medications. Chronic low back pain, lasting twelve weeks or longer, can significantly impact quality of life and demands a comprehensive, multidisciplinary treatment approach, including physiotherapy, pain management, psychological support, and sometimes surgical interventions. Chronic LBP is particularly burdensome, accounting for over 80% of healthcare costs related to back pain, with about one-third of patients experiencing persistent moderate pain a year after an acute episode. Physiotherapy is often the first line of treatment for low back pain, regardless of its duration or underlying cause. As a non-invasive approach, physiotherapy aims to alleviate pain, improve function, and prevent future episodes. It typically involves a combination of exercises to strengthen the back muscles, improve flexibility, and enhance overall physical fitness.

Improper posture and body mechanics

For those experiencing low back pain and seeking treatment, physiotherapy is often recommended as the first line of defense. To find a physiotherapist in your area, such as in Kuala Lumpur, you can perform a quick online search using terms like “physiotherapy Kuala Lumpur.” This will help you locate clinics and professionals who specialise in treating low back pain

Improper posture 

Incorrect posture can lead to stress in various parts of the body, including muscle tissue, spinal joints (lumbar facets), and discs. If not corrected, this stress can accumulate, gradually weakening these structures. For instance, prolonged hunching while standing or sitting strains the back, core, and abdominal muscles, leading to pain, reduced blood supply, and eventual stiffness and weakness in the trunk and lower back. An unsupported sitting position causes a slight forward bend in the spine, which over time can load the lower spinal discs and potentially lead to herniation. Additionally, working or reading while lying on your belly can cause excessive backward bending of the lower back and hips, disrupting the natural curve of the spine. Correcting posture in daily activities are crucial to preventing these issues and maintaining spinal health.

Proper posture


  • Walking 

When walking, maintaining proper posture is crucial for spinal health and overall comfort. It’s essential to look straight ahead and keep the head balanced above the spine, avoiding tilting or excessive bending. Keep the spine straight and shoulders relaxed to minimise tension in the neck and upper back. When stepping, aim to land on the heel first and then gently roll forward to push off from the front of the foot, promoting a smooth and efficient stride. Additionally, incorporating a gentle spinal rotation with each step by reaching the opposite arm forward helps to engage the core muscles and promote balanced movement.

  • Sitting 

When sitting and working for extended periods, it’s essential to maintain proper posture to support spinal health and prevent discomfort. Sit with your back firmly against the chair, ensuring your head stays aligned over your spine, and your shoulders are relaxed and rolled back. Keep your arms bent at a 75 to 90-degree angle at the elbows to reduce strain on the shoulders and neck. Position your legs hip-distance apart with both feet flat on the floor; if your feet don’t reach, use a footrest for support. To maintain the natural curve of the lower back, place a small pillow or rolled-up towel behind your lower back for lumbar support. Additionally, aim to stand up and walk a short distance every hour to relieve pressure on the spinal discs and promote circulation. These adjustments can help alleviate strain and discomfort during prolonged periods of sitting.

Improper body mechanics during lifting 

 Improper lifting techniques can also cause lumbar disc herniation, resulting in lower back pain that radiates into the legs through nearby spinal nerves. This is because improper lifting techniques can significantly place excessive strain on the spine and surrounding muscles. When lifting with a rounded back or by bending at the waist instead of the knees, the load on the lumbar spine increases, which can compress intervertebral discs and stress the spinal joints. This can lead to disc herniation, where the discs bulge or rupture and press on nearby spinal nerves, causing sharp pain, numbness, or tingling that can radiate from the lower back down to the legs. Additionally, improper lifting can overstretch or tear lower back muscles and ligaments, resulting in inflammation, pain, and muscle spasms that limit mobility. It also places uneven stress on the spinal joints, leading to misalignment and increased wear and tear over time, causing pain and stiffness. Furthermore, incorrect techniques often fail to engage the core muscles adequately, reducing spinal stability and increasing the risk of injury. 

Proper lifting technique 

When lifting a heavy object from the floor, it’s crucial to maintain proper form to protect your back. Start by squatting down in front of the object while keeping your back straight and bending your knees. As you grasp the object, hold it close to your chest to minimise strain on your back. Then, straighten your knees to stand up slowly, using the strength of your legs to lift the object rather than relying solely on your back muscles.

For lighter objects, a technique known as the golfer’s lift can be beneficial, especially for repetitive lifting tasks. Begin by taking support from a nearby table or counter with one hand. Keeping your back straight, bend down at your hip and raise one leg backward for counterbalance. Use your free hand to lift the object from the ground. This technique helps distribute the load more evenly and reduces the strain on your lower back, making it a safer option for lifting lighter items.

Traumatic event 

There are various ways in which one can injure their back, ranging from minor strains that heal relatively quickly to more severe injuries resulting in chronic pain. Activities like a strenuous day at work, sudden movements, or accidents can often lead to strains or sprains of the muscles and ligaments in the back. Most stress associated with actions like bending, twisting, or lifting heavy objects is concentrated at the lower part of the spine, making this area particularly vulnerable to injury, especially in individuals with weak muscles due to a sedentary lifestyle. A back strain typically occurs when the muscles surrounding the spine are stretched too far, and/or are moved in a way that causes tiny tears in the tissue. This can result in microscopic bleeding into the muscle, leading to swelling and painful muscle spasms. The injured muscles are often tender to  touch, and pain and spasms serve as signals that the muscle needs protection and rest to heal. During the acute phase of pain, it’s essential to avoid using the injured muscles and aid in their recovery through rest, applying hot and/or cold packs, and possibly gentle massages to ease spasms.

The specific damage resulting from a strained back can vary widely. It may involve injury to the muscles that support and move the spinal column, partial tearing of ligaments connecting the vertebral bodies or forming capsules around facet joints, or even a mild case of a slipped intervertebral disc contributing to the pain. Understanding the nature of the injury is crucial for determining the appropriate treatment and rehabilitation to promote healing and prevent further damage.

Aging 

Disc degeneration is a natural part of aging, where the jelly-like discs between the vertebrae lose their cushioning ability, leading to bones rubbing against each other and causing back pain. Another age-related issue is spinal narrowing, known as spinal stenosis, where the shrinking spinal column compresses the nerves passing through, resulting in pain. Osteoarthritis, which is common in older adults, results from the gradual wear and tear of cartilage over time, leading to joint stiffness and pain. Additionally, weakened muscles and bones are prevalent in older individuals, contributing to decreased support and stability for the spine, further exacerbating back issues.

Muscle deconditioning 

Muscle atrophy, the loss of muscle mass and strength, can be a significant contributor to back pain. Muscles play a crucial role in supporting the spine and maintaining proper posture. When muscles weaken due to atrophy, they become less effective in providing support to the spine, leading to increased stress on the spinal structures, including the discs and joints. This heightened stress can result in discomfort and pain in the back. Additionally, weakened muscles contribute to reduced stability of the spine during movement and activities, making it more vulnerable to injury or strain. Compensatory movements by other muscles to maintain balance can lead to imbalances and uneven distribution of forces, potentially causing further strain and pain. Moreover, muscle atrophy can limit flexibility and range of motion in the back, resulting in stiffness and difficulty performing daily activities, which may exacerbate discomfort and pain.

Frequently Asked Questions (FAQs)

1. What are skeletal irregularities, and how do they cause back pain?

Skeletal irregularities such as scoliosis (an abnormal curvature of the spine), kyphosis, or lordosis can cause an uneven distribution of weight and strain on the spine, leading to chronic back pain.

2. How can osteoporosis lead to back pain?

Osteoporosis weakens bones, making them more susceptible to fractures. Vertebral fractures, also known as compression fractures, can occur in the spine and cause significant back pain.

3. How can physiotherapy help alleviate back pain caused by these conditions?

Physiotherapy can help alleviate back pain through a combination of treatments such as manual therapy, therapeutic exercises, posture correction, and education on body mechanics. These interventions aim to reduce pain, improve mobility, and prevent further injury.

4. What should I expect during a physiotherapy session for back pain?

During a physiotherapy session, the therapist will conduct an assessment to determine the cause of your back pain. Treatment may include manual therapy, exercises to strengthen and stretch the back muscles, posture training, and modalities such as heat, ice, or electrical stimulation to reduce pain and inflammation.

5. Can lifestyle changes help prevent back pain?

Yes, lifestyle changes such as maintaining a healthy weight, practicing good posture, using proper techniques when lifting, staying active with regular exercise, and avoiding prolonged sitting or standing can help prevent back pain.

Is physiotherapy effective for chronic back pain?

 

Physiotherapy is often effective for managing chronic back pain by providing pain relief, improving function, and helping patients develop strategies to manage their condition long-term. A tailored treatment plan can address the specific causes of chronic pain and enhance quality of life.

Conclusion

In conclusion, when experiencing back pain, it’s crucial to seek help from a physiotherapist promptly. Identifying the underlying cause of the pain early on allows for appropriate action to prevent more serious issues from developing. Synapse Physiotherapy stands as a reliable choice for addressing back pain, offering tailored treatments aimed at alleviating discomfort, promoting healing, and restoring optimal function. With the expertise of a physiotherapist, individuals can receive personalized care and guidance to effectively manage their condition and improve their overall spinal health. Don’t delay seeking assistance when experiencing back pain—choose Synapse Physiotherapy for comprehensive and effective treatment.

Share This :

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.
Posted on

Golf Injuries – Chiropractor or Physiotherapist come first?

Golf Injuries - Chiropractor or Physiotherapist come first
Golf Injuries - Chiropractor or Physiotherapist come first
Sports Injuries, Synapse Physiotherapy

Introduction

Golf has gained immense popularity across all genders and age groups, from beginners to professionals. Despite its appearance as a simple game of hitting a stationary object into a wide-open space, golf demands significant practice, effort, skill, and perseverance to excel.

While golf is often seen as a low-risk sport due to its lack of direct contact, many young golfers, especially those with poor technique, experience acute or overuse injuries. The explosive nature of the swing can impose considerable stress on the body, leading to injuries among professional golfers at some point in their careers. Several factors contribute to common golf swing injuries. About 80% of reported golf injuries result from overuse or excessive practice. These injuries are often due to factors like inflexibility, inadequate conditioning, excessive play, poor swing mechanics, ground impact forces, and irregular play.

The remaining 20% of golf injuries result from traumatic force and accidents. Acute injuries typically stem from a single, traumatic event, such as hitting the ground or a submerged tree root in a sand trap. Overuse injuries are more subtle and develop over time, often due to the strain placed on the back and shoulders during swings. The back, shoulder, and elbow are the most commonly injured areas.

Physiotherapy and chiropractic care can aid in golf-related injuries, offering tailored treatment based on the specific areas affected by golf-related strains. You can search for physiotherapy or chiropractic in KL to address your condition. 

The most common golf  injuries

Low back pain 

An estimated 30 percent of golfers, particularly beginners, will experience some form of low back pain. Injuries can vary from overuse-related back pain to muscle tears and spinal disc injuries. The rotational stresses of the swing can exert significant pressure on the spine and muscles. Coupled with spending four to five hours in a bent-over stance, repeating the same motion hundreds of times, it’s understandable why golf can lead to minor back strains that may escalate into severe injuries. Additionally, elderly golfers are at risk of degenerative disc disease and fractures.

Knee injuries 

Knee pain often arises due to the strain exerted on a weak knee while stabilising the rotation of the hip axis at the start of the swing. In right-handed golfers, it’s typically the left knee that is affected, and vice versa. Excessive force on the knee can lead to ligament tears, while incorrect knee positioning may cause falls. Individuals with arthritis may experience more knee issues due to the degenerative nature of the disease, which gradually wears away joint cartilage.

Several factors contribute to the degree of knee pain experienced, including the golf course layout, ground surface, hole design, golfer’s weight, and age. Elderly or obese golfers are at a higher risk of developing severe knee injuries, such as ligament wear and tear.

Elbow injuries 

Tendinitis, characterised by irritation and inflammation of tendon tissue, is a common condition affecting the elbow. When the outer tendon is injured, it’s often referred to as ‘tennis elbow,’ whereas injury to the inner tendon is termed ‘golfer’s elbow.’ Golfer’s elbow is prevalent in the right elbow of right-handed golfers who overuse or over-practice, leading to chronic inflammation and severe pain. Tennis elbow, on the other hand, typically occurs due to repetitive motions of the wrist and arm and is commonly found in the left elbow of right-handed golfers, especially beginners.

Interestingly, golfers tend to suffer more from tennis elbow than golfer’s elbow. The risk of tendinitis increases with age and is higher in individuals who regularly perform activities involving repetitive movements stressing susceptible tendons, such as hitting golf balls. Improper swing mechanics can further aggravate these injuries. Treatment involves resting the injured tendon, reducing inflammation, and promoting muscle strength while correcting swing mechanics. Fortunately, tendinitis usually resolves with proper treatment.

Moreover, the repetitive motions and high speed of the golf swing poses a high risk for wrist injuries. Pain and tenderness on the top of the wrist, often experienced at the top of the backswing and at impact, are common symptoms. Tendinitis, or swelling of the tendons responsible for wrist movement, is the most common golf-related wrist injury.

Wrist injuries

Wrist injuries in golf are rare but can have significant consequences for avid, competitive, or professional players, given the importance of hand and wrist function in the game. The majority of golf-related wrist injuries are overuse injuries affecting the flexor or extensor tendons, with the left wrist (in right-handed golfers) being the most commonly affected area. Analysis of the golf swing reveals excessive motion of the left wrist (in right-handed golfers), along with a catapulting function, contributing to the vulnerability of the left wrist to injury. Hyperextension and radial deviation of the right wrist can lead to impingement syndrome, while injuries may also occur during impact in the swing phase.

Most golf-induced wrist overuse syndromes can be successfully treated without surgery, although recovery may necessitate an extended break from golfing. Many wrist problems in golfers are linked to factors such as a strong grip (left hand positioned clockwise on the golf club handle), overgripping, using golf club grips in poor condition, or employing improper swing techniques. The most common bony wrist injury is a fracture of the hook of the hamate, causing chronic ulnar-sided wrist pain, often diagnosed late or left untreated. Properly fitted golf clubs, correct swing technique, and awareness of potential hazards can help prevent such injuries

Shoulder injuries

Shoulder injuries are common among golfers due to the unique stresses placed on each shoulder during the swing. Unlike many other sports, in golf, each shoulder is in opposition during the swing, with the forward shoulder stretching across the body while the trailing shoulder is raised and rotated. This leads to distinct complications in each shoulder.

Moreover, the rotator cuff muscles endure significant stress as they play a crucial role in providing power and control during the swing. The leading, non-dominant shoulder is particularly susceptible to injury, often experiencing extreme positioning during the backswing, leading to impingement or pinching of the rotator cuff. This can result in inflammation and tears in the rotator cuff, as well as stress on the shoulder joint, potentially causing tears in the labrum, a stabilising structure in the shoulder.

Pain may manifest in the shoulder or upper arm during the different phases of the golf swing or after play, particularly when the arms are raised overhead or at night. Shoulder injuries can arise from various factors, including poor swing mechanics, mis-hits, or overuse. Golfers may develop tendonitis and rotator cuff tears due to a combination of improper techniques and the repetitive nature of the golf swing. 

How to prevent golf injuries 

To reduce the likelihood of golf-related injuries, it’s essential to incorporate various preventive measures into your routine. Beginning with a proper warm-up and stretching regimen before each round can significantly decrease the risk of overuse injuries. Simple activities like taking a brisk walk and focusing on stretching key areas such as the lower back, hips, legs, and shoulders can help prepare the body for the demands of golf. As the season progresses, gradually increasing the length and intensity of play can prevent overuse injuries and improve overall conditioning. Core muscle strengthening exercises, like planks, are particularly beneficial for enhancing swing mechanics and reducing the risk of back pain. Seeking instruction from a teaching professional not only refines technique but also enhances the enjoyment of the game while minimising the risks of injuries

Furthermore, preventing common golf injuries involves refining swing mechanics through proper instruction and participating in golf-specific conditioning programs. Investing in properly fitted equipment, such as lightweight clubs, can reduce strain on the body and decrease the likelihood of injury. Additionally, avoiding prolonged practice sessions without adequate rest can help prevent overuse injuries and maintain optimal performance on the course. By incorporating these strategies into your golf routine, you can enjoy the game while minimising the risk of injuries that may hinder your performance and overall enjoyment.

How physiotherapy helps in golf injuries 

Selected treatment entirely depends on type of injuries, severity and related signs and symptoms. Physiotherapy serves as a vital component in both the rehabilitation and prevention of golf-related injuries. Through a comprehensive assessment, physiotherapists diagnose biomechanical issues and muscle imbalances that may contribute to injuries, guiding treatment plans accordingly. Techniques such as manual therapy and therapeutic exercises are employed to manage pain, reduce inflammation, and restore range of motion and flexibility essential for proper swing mechanics. Strength and conditioning programs target specific muscle groups crucial for golf performance, while core stabilisation exercises enhance balance and power transfer during swings. Physiotherapists conduct biomechanical analyses to identify faulty movement patterns, offering corrective strategies to optimise mechanics and prevent injuries. Education on warm-up routines, posture, and equipment selection, coupled with gradual return-to-play protocols, empowers golfers to minimise injury risks. Through a combination of hands-on techniques and tailored interventions, physiotherapy not only aids in injury recovery but also enhances performance and promotes longevity in the sport.

Frequently Asked Questions (FAQs)

1. How do chiropractors and physiotherapists treat golf injuries differently?

Chiropractors focus primarily on the diagnosis, treatment, and prevention of mechanical disorders of the musculoskeletal system, especially the spine. Their treatments often involve spinal adjustments and manipulation to improve alignment, relieve pain, and support the body’s natural healing abilities.

Physiotherapists assess and treat a wide range of conditions that affect the physical function of patients. Their approach is more holistic, encompassing manual therapy, exercises to strengthen and stabilize, and modalities to reduce pain and facilitate movement.

2. Which professional should I see first for a golf injury?

The choice between a chiropractor and a physiotherapist can depend on the nature and severity of your injury. If your injury is related to joint alignment or back issues, a chiropractor might be the right first choice. For muscle injuries, strains, or issues that require rehabilitation exercises, a physiotherapist could be more beneficial.

3. Can I see both a chiropractor and a physiotherapist for my golf injury?

Yes, many people benefit from a multidisciplinary approach to treat golf injuries. A chiropractor can help with spinal alignment and joint function, while a physiotherapist can assist with muscle recovery, strength, and flexibility. Collaborative care often leads to better outcomes.

4. What should I expect during my first visit to a chiropractor or physiotherapist for a golf injury?

During your first visit, both professionals will likely conduct a comprehensive assessment that includes your health history, a physical examination, and possibly diagnostic tests. They will ask about your injury, how it occurred, and your symptoms. Treatment plans will be discussed and initiated based on your specific needs.

5. How can I prevent golf injuries in the future?

Preventing golf injuries involves proper warm-up and cool-down routines, maintaining good physical fitness, using correct technique, and possibly modifying your equipment. Both chiropractors and physiotherapists can provide guidance on prevention strategies tailored to your specific health needs and golfing style.

Conclusion

In conclusion, golf demands a level of athletic prowess often underestimated, leading to injuries stemming from inadequate conditioning, insufficient warm-up, flawed technique, and improper practice habits. However, through consistent conditioning, technique refinement, diligent warm-ups, and structured practice routines, golfers can experience notable enhancements in performance and a significant reduction in injury occurrence. Working closely with a physiotherapist can further support golfers in achieving these goals by providing tailored conditioning programs, technique refinement guidance, and effective treatment for any injuries that may arise. By prioritising these aspects of physical preparation and care, golfers can enjoy the sport more fully while minimising the risk of injury-related setbacks.

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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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Relieve Knee/Hip/Shoulder Pain I Physiotherapy Malaysia

Relieve Knee/Hip/Shoulder Pain I Physiotherapy Malaysia
Relieve Knee/Hip/Shoulder Pain I Physiotherapy Malaysia
Synapse Physiotherapy

Introduction

Joint pain refers to discomfort affecting one or more of your body’s joints. A joint is the point where the ends of two or more bones meet, such as the hip joint where the thigh bone connects to the pelvis. This type of discomfort is commonly experienced in the shoulders, hips, or knees. The pain can be constant or intermittent, and joints may feel stiff, achy, or sore. Some individuals report a burning, throbbing, or “grating” sensation. Often, joints feel stiff in the morning but improve with movement and activity, although excessive activity might exacerbate the pain. Joint pain can impair joint function and limit your ability to perform everyday tasks, severely affecting your quality of life. Treatment should aim not only at alleviating pain but also at enabling you to resume daily activities and live life to the fullest. When experiencing this type of pain, you may seek help from physiotherapy in Malaysia to receive treatment. Physiotherapy plays an important role in managing and treating knee, hip, and shoulder pain.

Knee pain 

Causes 

Knee pain can result from various types of injuries, including strains, sprains, ligament tears (such as ACL injuries), cartilage tears, or fractures. These injuries might occur from improper landing, falls, twisting the knee, or impact injuries like being hit on the knee. Swelling around the injured area is the primary source of pain.

Factors such as aging, being overweight, and engaging in intense, repetitive exercise can also contribute to knee pain.As you age, the bones and joints in your hips, knees, and feet begin to degenerate, becoming weaker. This degeneration can lead to knee pain, swelling, and injury. Being obese places additional pressure on the knees, which can result in swelling and pain.

Overuse injuries, often caused by activities like running, jumping, or other exercises that put repeated pressure on the knee, can develop over time. This condition is sometimes referred to as “runner’s knee.” Patellar tendinitis involves inflammation of the tendon connecting the kneecap to the shinbone. Tendons are tough bands of tissue that connect muscles to bones, and overexertion can lead to their inflammation and soreness. This condition, also known as “jumper’s knee,” is frequently caused by repetitive jumping activities, such as in basketball. IT (iliotibial) band syndrome occurs when the iliotibial band, a tough tissue running from the hip to the outer knee, becomes inflamed due to excessive activity. This causes pain on the outer side of the knee and is common among runners, particularly when running downhill. Then, osteoarthritis, also known as the “wear and tear” type of arthritis, breaks down the cartilage in the knee. It is a leading cause of knee pain in people over 50. This condition causes the knee joint to ache or swell during activity, and the affected joints can also be stiff in the morning.

Symptoms 

You may experience knee pain, especially when bending or straightening the knee, such as when going down the stairs.Swelling, difficulty bearing weight on the knee, and trouble moving the knee are also common. Additionally, you might encounter knee buckling or “locking.”

Treatments 

Cryotherapy, also known as cold therapy, involves the local or general application of low temperatures in medical treatment. It is used to treat various types of tissue damage, medically referred to as lesions.

Hydrotherapy, also known as hydropathy or water cure, uses water for pain relief and treatment. Its therapeutic purpose is to stimulate blood circulation and alleviate disease symptoms.

Manual therapy is a physical treatment provided by a physiotherapist. It focuses on treating musculoskeletal pain and disability through techniques such as kneading and manipulating muscles and joints to improve mobility.

Electrotherapy uses electrical energy as a medical treatment. It is applied in physical therapy to relax muscle spasms, prevent and slow disuse atrophy, increase local blood circulation, and aid in muscle rehabilitation and education through electrical muscle stimulation. Electrotherapy is also effective in managing acute post-traumatic and post-surgical pain, stimulating muscles immediately after surgery to prevent venous thrombosis, promoting wound healing, and aiding in drug delivery. Common forms of electrotherapy include TENS, IFT, and UST.

Exercise therapy is a regimen of physical activities designed and prescribed to achieve specific therapeutic goals, primarily aimed at restoring normal musculoskeletal function. This treatment helps reduce pain from injury or disease through neuro-education, gait training, and therapeutic exercises. It includes various physical activities such as quadriceps strengthening, VMO (vastus medialis oblique) exercises, muscle strengthening, resistance exercises, and assistive exercises.

Hip Pain 

Causes

Hip pain can result from a variety of conditions, including arthritis, hip injuries such as fractures, labral tears, and dislocations, as well as bursitis and structural issues. Athletes who engage in activities involving extensive hip movements, like dancers and gymnasts, are particularly susceptible to hip injuries and the associated pain.

Arthritis, a common cause of hip pain, leads to inflammation and discomfort in the joints, resulting in symptoms such as pain, swelling, and stiffness. Types of arthritis that can affect the hips include osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis.

Bursitis, characterised by painful swelling of the bursa—a fluid-filled sac that cushions bones and other tissues—can also cause hip pain. Irritation and swelling of the hip bursa, known as hip bursitis, commonly occur in two forms: iliopectineal bursitis and trochanteric bursitis.

Hip injuries, often caused by repetitive strain, sports-related activities, or traumatic incidents like falls or accidents, can result in significant hip pain. Common injuries associated with hip pain include muscle strains (especially hip flexor strains), iliotibial band syndrome, hip labral tears, bone fractures, and hip dislocations.

Some individuals are born with structural abnormalities affecting the shape of their hips, which can lead to hip pain either in childhood or later in life. These conditions include femoroacetabular impingement (FAI or hip impingement) and developmental dysplasia of the hip (DDH).

Overall, the causes of hip pain are diverse and can affect people of all ages, from athletes to those with congenital conditions, impacting their daily activities and quality of life.

Symptoms 

Hip pain can manifest in several ways. It may be felt close to the surface, above or around your hip, which typically indicates issues with muscles, tendons, or ligaments. Alternatively, deeper pain inside the hip joint suggests problems with bones or cartilage. Sometimes, hip pain can radiate to other areas such as your lower back or groin.

The pain may be intermittent, worsening with movement or activity like walking but improving with rest. Some individuals experience variations in pain throughout the day, possibly feeling more discomfort in the morning upon waking. Hip pain at night is also common, particularly if lying on the same side as the affected hip.

Treatments 

Physiotherapy treatments for hip pain are diverse and tailored to the specific cause of the discomfort. These treatments often include hydrotherapy, which involves exercises and activities performed in the water to alleviate pain and enhance mobility. Massage therapy is also utilised to manually manipulate muscles around the hip, reducing tension and improving circulation for healing. Core stability exercises are crucial for strengthening the muscles surrounding the abdomen, lower back, and pelvis to bolster stability and support for the hip joint. Taping techniques can be applied to provide support, alleviate pain, and promote proper movement patterns. Personalised exercise programs are designed to enhance strength, flexibility, and range of motion in the hip joint. Additionally, electrotherapy (such as TENS and ultrasound therapy) which utilizes electrical energy for pain relief, muscle relaxation, and stimulation, is often employed to manage hip pain effectively. These comprehensive physiotherapy approaches aim to reduce pain, improve hip function, and enhance overall quality of life for individuals suffering from hip discomfort.

Shoulder pain 

Causes 

Shoulder problems can be categorized into four main types, each with its own distinct characteristics and causes. First, tendon issues such as bursitis or tendinitis are common, affecting the small fluid-filled sacs (bursae) that cushion joints like the shoulder. These conditions can cause inflammation and pain, particularly with overhead activities. Tendon tears, either partial or complete, often result from acute injuries or degenerative changes due to aging or overuse, affecting tendons like those of the rotator cuff or biceps.

Shoulder impingement occurs when the acromion (top of the shoulder blade) compresses the rotator cuff tendons and bursa during arm movements, leading to bursitis and tendinitis. This can cause significant pain and limit movement. Instability of the shoulder joint can result from acute injuries, causing the upper arm bone to partially (subluxation) or completely (dislocation) come out of the socket. Chronic instability can lead to recurrent dislocations, increasing the risk of arthritis and causing pain and unsteadiness with arm movements.

Less common causes of shoulder pain include tumors, infections, and nerve-related issues. Arthritis, especially osteoarthritis, is a prevalent cause of shoulder pain, typically developing with age and characterized by pain and stiffness that worsen over time. Avoiding shoulder movements to ease arthritis pain can lead to further stiffness and reduced mobility, exacerbating discomfort.

Symptoms

Shoulder pain can manifest in various ways depending on its underlying cause. Whether in motion or at rest, common symptoms include weakness, aching or throbbing sensations, stiffness, soreness, and popping sounds. Severe shoulder pain typically resulting from an injury may present with sudden onset, sharp stabbing pain, and a limited ability to move the arm. Other signs of severe shoulder pain include swelling, bruising, persistent pain that worsens over time, and discomfort that disrupts sleep or wakes you up at night.

Treatments 

Physiotherapy for shoulder pain involves a comprehensive range of treatments aimed at alleviating pain, restoring mobility, and improving the function of the shoulder joint. A typical physiotherapy regimen includes manual therapy techniques such as joint mobilisations to improve range of motion and soft tissue mobilisations to reduce muscle tension. Strengthening exercises target the muscles around the shoulder, including the rotator cuff and scapular stabilizers, while stretching exercises enhance flexibility and reduce stiffness. Modalities such as heat or cold therapy, and electrotherapy like TENS or ultrasound, are used to manage pain and inflammation. Physiotherapists also provide education on posture correction, activity modification, and home exercise programs to empower patients in managing their shoulder pain effectively. Using a combination of these approaches, physiotherapy aims to optimize shoulder function, decrease pain, and improve the overall quality of life for individuals suffering from shoulder pain.

Frequently Asked Questions (FAQs)

1. Can physiotherapy provide a permanent solution to joint pain?

While physiotherapy can significantly reduce joint pain and improve function, the permanency of results can vary depending on the underlying cause. For some chronic conditions, ongoing treatment may be necessary to maintain benefits.

2. How long does it typically take to see improvements from physiotherapy for joint pain?

Improvements can be seen as early as a few sessions, but it typically takes several weeks of consistent treatment to achieve significant pain relief and functional improvement. The exact duration depends on the severity and nature of the condition.

3. Do I need a referral from a doctor to see a physiotherapist for my joint pain?

In Malaysia, you do not typically need a referral from a doctor to consult a physiotherapist. However, having a referral can be helpful as it provides the therapist with valuable information about your medical history and the specifics of your condition.

4. What causes pain in the knees, hips, and shoulders?

Pain in these joints can be caused by a variety of factors including injuries, arthritis, repetitive stress, overuse, and age-related wear and tear. Specific conditions like bursitis, tendonitis, and mechanical issues also contribute to joint pain.

5. How can physiotherapy help relieve pain in the knee, hip, and shoulder?

Physiotherapy helps by using techniques such as manual therapy, exercises, and modalities like ultrasound or electrical stimulation. These methods improve mobility, strengthen muscles around the joints, reduce inflammation, and alleviate pain.

Conclusion

In conclusion, physiotherapy stands out as one of the most effective conservative treatments for various joint pain problems. Using a combination of manual therapy, exercise programs, and therapeutic modalities, physiotherapy aims to alleviate pain, improve joint function, and enhance overall quality of life. Physiotherapy also provides personalized care for conditions like shoulder, back, or knee pain, addressing the root cause and promoting long-term healing. For those seeking relief from joint pain, exploring physiotherapy, Synapse Physiotherapy can provide a comprehensive and tailored approach to recovery.

Share This :

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.