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What’s the Best Treatment For Scoliosis? I Rehab Malaysia

What's the Best Treatment For Scoliosis? I Rehab Malaysia
What's the Best Treatment For Scoliosis? I Rehab Malaysia
Synapse Physiotherapy

Introduction

Scoliosis is an abnormal lateral curvature of the spine, most often diagnosed in childhood or early adolescence. Normally, the spine’s curves occur at the cervical, thoracic, and lumbar regions in the sagittal plane. These natural curves position the head over the pelvis and act as shock absorbers to distribute mechanical stress during movement. Scoliosis, however, involves a spinal curvature primarily in the coronal (frontal) plane. While the degree of curvature is measured on the coronal plane, scoliosis is a complex, three-dimensional problem affecting the coronal, sagittal, and axial planes.

 

The coronal plane is a vertical plane from head to foot, parallel to the shoulders, dividing the body into anterior (front) and posterior (back) sections. The sagittal plane divides the body into right and left halves, while the axial plane is parallel to the ground and at right angles to both the coronal and sagittal planes.

 

Scoliosis is defined by the Cobb’s angle of spine curvature in the coronal plane and is often accompanied by vertebral rotation in the transverse plane and hypokyphosis (reduced curvature) in the sagittal plane. These abnormalities in the spine, costal-vertebral joints, and rib cage produce a ‘convex’ and ‘concave’ hemithorax. As scoliosis becomes more pronounced, vertebral rotation increases, leading to torsion-scoliosis, which causes a prominent hump known as a gibbus.

 

In Malaysia, rehabilitation services are highly professional and well-equipped to treat scoliosis conditions.

Sign and Symptoms 

 

Several signs may indicate the possibility of scoliosis, including a sideways curvature of the spine, sideways body posture, one shoulder being higher than the other, clothes not hanging properly, local muscular aches, and local ligament pain. A major concern in progressive severe scoliosis is decreasing pulmonary function. In one study, about 23 percent of patients with idiopathic scoliosis presented with back pain at the time of initial diagnosis. Idiopathic scoliosis may also affect pulmonary function due to changes in the shape and size of the thorax. Recent reports on pulmonary function testing in patients with mild to moderate idiopathic scoliosis showed diminished pulmonary function, with greater impairment observed in severe cases of spinal deformity, proximally-located curvature, and older patients.

Diagnosis 

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

Management 

Management of scoliosis depends on the severity of the curvature, measured by the Cobb angle, and the age of the patient.

Observation 

For mild scoliosis, which is defined as a Cobb angle of less than 20 degrees, observation is typically recommended, especially in growing children and adolescents. Regular follow-up visits every 4-6 months are essential to monitor the progression of the curve. If the curve does not worsen, no further treatment may be necessary.

Physiotherapy 

Physiotherapy can be particularly beneficial for managing mild to moderate scoliosis, defined as a Cobb angle of less than 20 degrees, or in some cases, up to 30 degrees. Physiotherapy aims to manage symptoms, improve posture, and strengthen the muscles that support the spine. Specific exercises tailored to the individual’s condition can help reduce the progression of the curve and enhance overall spinal function. By focusing on muscle balance, flexibility, and core strength, physiotherapy not only addresses the curvature but also promotes better posture and alignment, contributing to the patient’s overall well-being and quality of life.

Brace 

For moderate scoliosis, especially in growing children and adolescents, orthotic specialists provide braces designed to prevent further curvature. These braces are tailored to fit each patient and are regularly adjusted to ensure effectiveness. By applying gentle pressure to the spine, braces help to maintain proper alignment and minimize the progression of the curve during periods of rapid growth. Regular monitoring and adjustments by healthcare professionals ensure that the brace continues to fit correctly and functions as intended, promoting optimal outcomes in scoliosis management.

 

The most common type of brace used for scoliosis is made of plastic and is contoured to conform to the body, such as the Milwaukee brace. This type of brace is designed to be nearly invisible under clothing, fitting snugly under the arms and around the rib cage, lower back, and hips. Most braces are worn day and night, and their effectiveness increases with the number of hours worn each day. Children who wear braces can usually participate in most activities with few restrictions. If necessary, the brace can be removed for sports or other physical activities.

 

Braces are typically removed once bone growth has ceased, which usually happens around two years after girls start menstruating, when boys begin shaving daily, or when there are no further changes in height. In general, congenital scoliotic curves are not flexible and are resistant to correction with bracing. Therefore, braces are mainly used to prevent the progression of secondary curves that develop above and below the congenital curve, which can cause imbalance. In these cases, braces may be worn until skeletal maturity is reached.

Surgery 

Severe scoliosis typically progresses over time, and a specialist may suggest scoliosis surgery to reduce the severity of the spinal curve and prevent further worsening. The most common type of scoliosis surgery is spinal fusion. In this procedure, two or more vertebrae are fused together so they cannot move independently. Pieces of bone or a bone-like material are placed between the vertebrae, and metal rods, hooks, screws, or wires are used to hold that part of the spine straight and still while the old and new bone material fuses together. This stabilizes the spine and corrects the curvature to a more manageable degree.

Frequently Asked Questions (FAQs)

1. What is scoliosis?

Scoliosis is a condition where the spine curves sideways, often forming an “S” or “C” shape. It can occur at any age but is most commonly diagnosed during adolescence.

2. What are the symptoms of scoliosis?

Common symptoms include uneven shoulders, one shoulder blade more prominent than the other, uneven waist, and one hip higher than the other. Some people may also experience back pain or discomfort.

3. How is scoliosis diagnosed?

Scoliosis is diagnosed through physical exams and imaging tests like X-rays, which help determine the severity and angle of the spinal curve.

4. What are the non-surgical treatment options for scoliosis?

Non-surgical treatments include physical therapy, bracing, and exercises to strengthen the muscles around the spine and improve posture.

5. When is surgery recommended for scoliosis?

Surgery is typically recommended for severe cases where the spinal curve is greater than 40-50 degrees or if the condition is causing significant pain, functional limitations, or respiratory issues.

Conclusion

The best treatment for scoliosis depends on the Cobb angle and the severity of the patient’s condition. Typically, conservative treatments are recommended initially to prevent progression until surgery becomes necessary. At Synapse Physiotherapy, we offer professional scoliosis treatments tailored to individual needs, including physiotherapy and possibly bracing. These therapies aim to manage symptoms, improve posture, and strengthen supporting muscles to stabilize the spine and reduce curvature progression. If the condition progresses to a severe degree, surgery may be recommended to correct the spinal deformity and prevent further complications.

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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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Understanding Slipped Disc: Causes, Symptoms, and Treatment Options

physiotherapy for slip disc
physiotherapy for slip disc
Back & Neck Pain, Synapse Physiotherapy

Introduction

If you are looking for physiotherapy for a slipped disc, you can come over to Synapse Physiotherapy for a comprehensive physical assessment for your condition. Our experienced physiotherapist will be able to help you get back to your peak performance. In this article, we will be discussing what slipped disc is, the associated causes and treatment strategies available.

 

 Slipped disc (layman’s term), is also known as a herniated disc, disc prolapse, or a ruptured disc. It refers to a condition whereby portions of an abnormal, injured or degenerated disc have protruded against an adjacent nerve tissue. Slipped disc is a common spinal condition that can cause significant pain and discomfort. The most frequently affected area is in the lower back and cervical level (neck). However, any disc can rupture and become herniated, therefore exposing the spinal nerves and spinal cord to this vulnerability.

 

To further understand this condition, let’s dive deeper into the anatomy as well as the mechanism of injury. Discs are protective shock absorbing pads between the vertebrae of the spine. Technically the disc does not slip like how we think it does, what actually happens is that the inner layer of the intervertebral disc may either bulge, split, or rupture. This causes the cartilage surrounding the disc to herniate and allow the central gel portion of the disc to push into the surrounding nerve tissues. Often, it may compress nearby nerves and cause symptoms such as back pain, sciatica, and weakness in the limbs. Understanding the causes, symptoms, and treatment options for slipped disc is crucial for effectively managing this condition and promoting recovery. There are certain risk factors that will further increase the likelihood of suffering from a slipped disc.

These risk factors include:

  • Ageing as it is associated with degeneration and loss of elasticity of the discs and supporting structures.
  • Injury from improper lifting, especially if accompanied by twisting or turning.
  • Excessive strain associated with physical activities.
  • Sudden forceful acute trauma.

Causes of Slip Disc:

Slipped disc can result from various factors, including:

1. Age-related Degeneration: 

The natural ageing process can lead to wear and tear of the spinal discs, causing them to lose hydration, elasticity, and structural integrity over time. This age-related degeneration increases the risk of disc herniation.

 2. Trauma or Injury:

 Sudden trauma or repetitive stress on the spine, such as heavy lifting, twisting motions, or sports-related injuries, can cause the outer layer of a spinal disc to tear or rupture, leading to disc herniation.

 3. Poor Posture: 

Maintaining poor posture, such as prolonged sitting, slouching, or improper lifting techniques, can place excessive strain on the spinal discs and increase the risk of disc herniation. 

4. Genetic Factors:

 Genetic predisposition may play a role in the development of slipped disc, as certain individuals may inherit traits that make them more susceptible to disc degeneration and herniation.

Symptoms of Slipped Disc:

The symptoms of slipped disc vary depending on the location and severity of the herniation but may include:

1. Back/Neck Pain: 

Persistent or sharp pain in the lower back or neck, often worsened by movement or prolonged sitting.

2. Radiating Pain:

 Pain that radiates down the leg (sciatica) or arm, following the path of the affected nerve root. This pain may be accompanied by numbness, tingling, or weakness in the affected limb.

3. Muscle Weakness: 

Weakness or loss of muscle function in the legs or arms, making it difficult to perform certain activities or maintain balance.

4. Nerve Compression: 

Compression of spinal nerves may lead to symptoms such as difficulty in walking, changes in bowel or bladder function, and loss of sensation in the groin. These might require medical attention. 

 

Treatment Options for Slip Disc:

While slipped discs can cause significant discomfort, many individuals find relief with conservative treatment measures. Common treatment options include:

1. Rest and Activity Modification: 

Resting the affected area and avoiding activities that exacerbate symptoms, such as heavy lifting or prolonged sitting, can help alleviate pain and prevent further aggravation of the herniated disc.

2. Pain Management:

 Over-the-counter or prescription medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, or pain relievers, may be used to alleviate pain and inflammation associated with slipped discs.

3. Physical Therapy:

 Physical therapy exercises and techniques, including stretching, strengthening, and core stabilisation exercises, can help improve spinal alignment, alleviate pressure on the affected disc, and strengthen supporting muscles to prevent future injury.

4. Heat and Cold Therapy: 

Applying heat or cold packs to the affected area can help reduce inflammation, alleviate pain, and promote relaxation of tense muscles. Alternating between heat and cold therapy may provide additional relief.

5. Epidural Steroid Injections: 

In cases of severe pain or inflammation, epidural steroid injections may be recommended to deliver anti-inflammatory medication directly into the affected area of the spine, providing targeted relief.

6. Chiropractic Care: 

Chiropractic adjustments and spinal manipulation techniques may help realign the spine, reduce pressure on the affected disc, and alleviate symptoms associated with slipped disc.

7. Acupuncture: 

Acupuncture, an ancient Chinese healing practice involving the insertion of thin needles into specific points on the body, may help relieve pain and improve symptoms, associated with slipped discs, by stimulating nerve function and promoting natural healing.

8. Surgery:

In rare cases where conservative treatments fail to provide relief or symptoms worsen over time, surgical intervention may be considered. Surgical options include discectomy (removal of the herniated disc) or spinal fusion (joining adjacent vertebrae to stabilise the spine). 

Prevention and Management Strategies:

While slipped disc cannot always be prevented, adopting healthy lifestyle habits and practising proper body mechanics can help reduce the risk of disc herniation.

1. Maintain a Healthy Weight:

Excess weight places added strain on the spine and increases the risk of disc degeneration and herniation. Maintain a healthy weight through regular exercise and a balanced diet rich in nutrients.

2. Practise Good Posture: 

Maintain proper posture when sitting, standing, and lifting heavy objects to reduce stress on the spine and supporting structures.

3. Exercise Regularly: 

Engage in regular physical activity to strengthen the muscles of the back, abdomen, and legs, which provide support and stability for the spine.

4. Use Proper Lifting Techniques: 

When lifting objects, bend the knees, keep the back straight, and use the legs to lift the load. Avoid twisting the spine while lifting to prevent injury.

5. Stay Hydrated: 

Drink plenty of water to maintain hydration and promote the elasticity and shock-absorbing properties of spinal discs. 

6. Quit Smoking: 

Smoking can impair blood flow to the spinal discs, leading to decreased nutrient delivery and increased risk of disc degeneration. Quitting smoking can improve spinal health and reduce the risk of slipped discs.

Frequently Asked Questions (FAQs)

1. What is a slipped disc, and what causes it?

A slipped disc, also known as a herniated disc, occurs when the soft inner gel of a spinal disc protrudes through its outer layer. This can be caused by ageing, improper lifting, repetitive motions, or trauma to the spine. Factors like obesity, sedentary lifestyle, and genetic predisposition can also increase the risk.

2. What are the common symptoms of a slipped disc?

Symptoms of a slipped disc can include severe back pain, pain radiating to the arms or legs, numbness or tingling, muscle weakness, and difficulty moving or performing daily activities. The symptoms vary depending on the location and severity of the herniation.

3. How is a slipped disc diagnosed?

A slipped disc is diagnosed through a combination of medical history, physical examination, and imaging tests such as X-rays, MRI, or CT scans. These diagnostic tools help to confirm the presence of a herniated disc and determine its exact location and severity.

4. What are the treatment options for a slipped disc?

Treatment options for a slipped disc include conservative methods such as rest, physical therapy, pain medications, and anti-inflammatory drugs. In more severe cases, epidural steroid injections or surgical interventions like discectomy or spinal fusion may be necessary. The treatment plan depends on the severity of the symptoms and the patient’s overall health.

5. Can a slipped disc be prevented?

While not all slipped discs can be prevented, certain lifestyle changes can reduce the risk. These include maintaining a healthy weight, practising good posture, engaging in regular exercise to strengthen the back and core muscles, avoiding heavy lifting, and using proper techniques when lifting objects. Additionally, quitting smoking and managing stress can contribute to overall spinal health.

Conclusion

In conclusion, slipped disc is a common spinal condition that can cause significant pain and discomfort, but with proper treatment and management strategies, many individuals can find relief and regain function. By understanding the causes, recognising the symptoms, and implementing appropriate treatment measures, individuals can take proactive steps to manage slipped disc effectively and promote spinal health and well-being.

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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After Childbirth Rehabilitation I Physiotherapy Cyberjaya

After Childbirth Rehabilitation I Physiotherapy Cyberjaya
After Childbirth Rehabilitation I Physiotherapy Cyberjaya
Synapse Physiotherapy

The Importance of Physiotherapy Rehabilitation After Childbirth

Childbirth is a profound experience that brings significant changes to a woman’s body. For example: the centre of gravity changes, there is more pressure on the organs and there is increased weight to be carried. The physical demands of pregnancy and delivery in a relatively short period of time can lead to a variety of postpartum issues, including muscle weakness, back pain, pelvic floor dysfunction, and urinary incontinence.

 

When the body goes through these changes, the posture and the way the body moves change, as the weight going through the joints increases, and the muscle, ligaments, and soft tissues get more flexible and elastic to allow the pelvis to stretch and accommodate the foetus. All of these changes happen due to hormonal changes and they are a very important part of the pregnancy. Therefore due to these changes, over two-thirds of pregnant women experience back pain, one fifth experience pelvic pain, and over 40% experience urinary incontinence in their first pregnancy.

 

Physiotherapy rehabilitation after childbirth, often referred to as postnatal or postpartum physiotherapy, plays a crucial role in helping new mothers recover, regain strength, and return to their daily activities and exercise routines safely. It is within the scope of practice of a physiotherapist to properly assess, treat and educate pregnant women in effective and safe exercises that have been shown to decrease back pain, pelvic pain, and urinary incontinence throughout their pregnancy and postpartum. The goal of this program would be to offer women improved prenatal and postnatal fitness that would lead to a healthier and easier pregnancy journey and delivery.

 

Seeing a physiotherapist who specialises in pregnancy and postpartum for the right treatment and guidance to prevent and treat these issues is key. If you are looking for physiotherapy services in Cyberjaya, look no further than our very own Synapse Physiotherapy Cyberjaya branch. Our expert physiotherapists will be able to help you with all your prenatal and postnatal needs.

Here’s an overview of why postnatal physiotherapy is essential and the benefits it offers.

 

1. Pelvic Floor Rehabilitation 

One of the most important aspects of postnatal physiotherapy is pelvic floor rehabilitation. During pregnancy and childbirth, the pelvic floor muscles endure significant stress and stretching. This can result in conditions such as pelvic organ prolapse, urinary incontinence, and pelvic pain. Postnatal physiotherapy focuses on restoring the strength and function of these muscles through tailored exercises and techniques.

 

A physiotherapist can guide new mothers through pelvic floor exercises, commonly known as Kegels, and more advanced rehabilitation techniques. These exercises help to improve muscle tone, enhance support for pelvic organs, and reduce symptoms of incontinence. Early intervention and proper guidance are crucial in preventing long-term pelvic floor issues.

 

2. Core Stability and Abdominal Recovery

 Pregnancy causes the abdominal muscles to stretch and weaken, often leading to a condition known as diastasis recti, where the abdominal muscles separate. This can compromise core stability and lead to back pain and postural issues. Postnatal physiotherapy addresses these concerns by providing exercises aimed at gradually re-strengthening the abdominal muscles and restoring core stability.

 

A physiotherapist will assess the extent of diastasis recti and develop a personalised exercise program that includes gentle, progressive exercises to close the gap and improve muscle function. Proper core rehabilitation not only enhances physical appearance but also supports overall body mechanics and reduces the risk of injury.

 

3. Pain Management and Musculoskeletal Health

Many new mothers experience pain in various parts of the body, including the lower back, hips, and shoulders, due to the physical demands of caring for a newborn and the changes during pregnancy and childbirth. Postnatal physiotherapy can help manage and alleviate this pain through a combination of manual therapy, exercises, and ergonomic advice.

 

Physiotherapists provide techniques to address specific pain points, improve posture, and recommend safe ways to perform daily activities such as lifting and feeding the baby. This holistic approach ensures that new mothers can carry out their responsibilities with less discomfort and a lower risk of developing chronic pain conditions.

 

4. Safe Return to Exercise and Activity

Returning to pre-pregnancy exercise routines or starting new fitness activities should be approached with caution to prevent injury and ensure adequate recovery. Postnatal physiotherapists can create personalised exercise plans that consider the individual’s delivery method, physical condition, and recovery progress.

 

These plans typically start with low-impact exercises focusing on rebuilding strength, flexibility, and endurance. As the body heals and strengthens, the intensity and complexity of the exercises can be gradually increased. Physiotherapists also provide guidance on when and how to safely resume more strenuous activities, helping new mothers regain their fitness and confidence.

 

5. Emotional and Mental Well-being

The postpartum period can be emotionally challenging, with many women experiencing mood swings, anxiety, or postpartum depression. While physiotherapy primarily addresses physical health, it also contributes to emotional and mental well-being. Regular physical activity and exercise have been shown to improve mood, reduce stress, and enhance overall mental health.

 

Physiotherapists offer support and encouragement, helping new mothers feel more empowered and in control of their recovery process. The structured routine of physiotherapy sessions can also provide a sense of normalcy and progress during a time of significant change.

Frequently Asked Questions (FAQs)

1. What is after childbirth rehabilitation?

After childbirth rehabilitation is a specialised physiotherapy program designed to help new mothers recover and regain strength after delivery. It focuses on pelvic floor health, core stability, and overall physical wellness.

2. When should I start after childbirth rehabilitation?

You can start rehabilitation as soon as you feel ready and your doctor has given you the go-ahead. Typically, it’s recommended to begin within the first few weeks post-delivery, but it can also be beneficial months or even years later.

3. How long does after childbirth rehabilitation take?

The duration of the program varies based on individual needs and recovery progress. Some mothers may see significant improvement within a few weeks, while others may require several months of therapy.

4. What exercises are included in the rehabilitation program?

The program includes a range of exercises such as pelvic floor strengthening, core stability workouts, gentle stretching, and functional movements tailored to your specific needs and recovery stage.

5. Is after childbirth rehabilitation covered by insurance?

Coverage for physiotherapy services varies by insurance provider and policy. It’s best to check with your insurance company to determine if after childbirth rehabilitation is included in your plan.

Conclusion

Postnatal physiotherapy rehabilitation is a vital component of postpartum care, offering comprehensive support for physical recovery and overall well-being. By focusing on pelvic floor health, core stability, pain management, safe return to exercise, and emotional support, physiotherapy helps new mothers navigate the challenges of the postpartum period more effectively. Investing in postnatal physiotherapy can lead to a healthier, stronger, and more confident return to daily life and physical activity.

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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Specialties Of Synapse Physiotherapy Cyberjaya

physiotherapy cyberjaya
physiotherapy cyberjaya
Synapse Physiotherapy

Introduction 

Located in the heart of Cyberjaya City, Synapse Physiotherapy Cyberjaya stands out as a premier destination for physiotherapy and rehabilitation services in Selangor. Established in 2020, this state-of-the-art clinic has quickly become a leading provider of physiotherapy services in the area, offering a wide range of specialised treatments to cater to diverse patient needs.

 Services Offered 

At Synapse Physiotherapy Cyberjaya, patients have access to a comprehensive range of services, including:

– Physiotherapy

Strength training and conditioning

– Post-surgery rehabilitation

– Dry needling

– Home physiotherapy

– Shockwave therapy

– Ultrasound therapy

– Virtual Reality (VR) rehabilitation

TECAR therapy

With a team of five qualified physiotherapists, each bringing a unique background and expertise to the table, Synapse Physiotherapy Cyberjaya ensures personalised care tailored to individual patient requirements. Collectively, the team boasts 10 years of experience in the field, providing patients with the highest standard of care and expertise. 

 

State-of-the-Art Facility

 The clinic’s modern and accessible facility is located on the ground floor, offering wheelchair access and amenities to ensure a comfortable and convenient experience for all patients. The clinic’s prime location in Cyberjaya City makes it easily accessible for residents and visitors alike, further enhancing its appeal as a top choice for physiotherapy services in the region.

Why Choose Synapse Physiotherapy Cyberjaya? 

– Experienced and qualified physiotherapy team

– Comprehensive range of specialised services

– State-of-the-art facility with wheelchair access

– Convenient location in the heart of Cyberjaya City 

 Contact Information

For those living in Cyberjaya or anywhere nearby and are interested in scheduling an appointment or learning more about the services offered at Synapse Physiotherapy Cyberjaya, the clinic can be reached at:

Phone: 0383223000

Take the first step towards better health and wellness by choosing Synapse Physiotherapy Cyberjaya for all your physiotherapy and rehabilitation needs. Experience the difference that personalised care and expertise can make in your journey towards recovery and optimal health

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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Scoliosis and Bracing Treatment I Physiotherapy Ampang

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

Introduction 

 

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

Type of scoliosis 

 

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

 

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

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

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

Sign and symptoms 

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

Complication 

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

Diagnosis

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

Treatment

Observation 

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

Role of physiotherapy 

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

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

Bracing

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

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

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

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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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Ice Packs vs. Warm Compresses: Choosing the Right Therapy for Pain Relief

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

Injuries are an unfortunate reality of life, whether they occur during sports activities, daily routines, or accidents. Understanding the mechanisms behind these injuries is crucial for effective treatment and prevention. Physiotherapy, as a holistic approach to rehabilitation, plays a pivotal role in restoring function, reducing pain, and enhancing quality of life for individuals affected by various types of injuries. Here at Synapse Physiotherapy, we are able to provide a holistic treatment to manage your injuries as well as educate you on how to manage your pain. 

Injuries can result from a myriad of mechanisms, each affecting the body differently. Some common mechanisms include 

Trauma

Traumatic injuries occur due to sudden force or impact on the body. This includes falls, collisions, and accidents. Trauma can lead to fractures, sprains, strains, dislocations, and soft tissue injuries.

Overuse 

Overuse injuries develop gradually over time due to repetitive motions or prolonged stress on a particular part of the body. These injuries are common in athletes and individuals engaged in repetitive work activities. Examples include tendonitis, stress fractures, and carpal tunnel syndrome.

Poor Biomechanics

Improper movement patterns or biomechanics can put undue stress on muscles, joints, and ligaments, leading to injury. Poor posture, muscle imbalances, and faulty movement patterns can contribute to conditions such as low back pain, neck pain, and joint dysfunction.

Degenerative Changes 

With age, the body undergoes natural degenerative changes, such as joint wear and tear, cartilage degeneration, and loss of muscle mass. These changes increase the risk of injuries such as osteoarthritis, degenerative disc disease, and tendon degeneration.

 

Physiotherapy can help in restoring movement, function, and overall well-being. It encompasses various techniques and modalities tailored to individual needs. 

 

Here’s how physiotherapy can help in different stages of injury 

1. Assessment and Diagnosis 

Physiotherapists conduct comprehensive assessments to identify the underlying causes and contributing factors of injuries. They use various diagnostic tools and tests to develop personalised treatment plans.

2. Pain Management 

Pain is a common symptom associated with injuries. Physiotherapy utilises modalities such as manual therapy, electrotherapy, and therapeutic exercises to alleviate pain and improve tissue healing.

 

3. Rehabilitation 

Physiotherapists design rehabilitation programs focusing on restoring strength, flexibility, balance, and coordination. These programs may include therapeutic exercises, functional training, and proprioceptive activities to improve movement patterns and prevent re-injuries. 

 

4. Manual Therapy 

Hands-on techniques such as joint mobilisation, soft tissue mobilisation, and manipulation are integral components of physiotherapy. Manual therapy helps restore joint mobility, reduce muscle tension, and improve tissue flexibility.

 

5. Education and Prevention 

Physiotherapists educate patients about proper body mechanics, ergonomics, and injury prevention strategies. By empowering individuals with knowledge and skills, physiotherapy helps prevent future injuries and promotes long-term health.

 

6. Return to Activity 

For athletes and active individuals, physiotherapy plays a crucial role in facilitating a safe return to sports and activities. Physiotherapists work closely with patients to gradually reintroduce physical activity, monitor progress, and prevent setbacks.

 

Understanding the mechanisms of injury is essential for effective treatment and prevention strategies. Physiotherapy, with its comprehensive approach to rehabilitation, addresses the underlying causes of injuries and promotes optimal recovery. By combining hands-on techniques, therapeutic exercises, and patient education, physiotherapy empowers individuals to regain function, manage pain, and lead active, fulfilling lives.

When it comes to managing pain, inflammation and injuries, ice packs and warm compresses are two of the most commonly used home remedies. But which one is more effective? The choice between ice and heat therapy depends on the type of injury, the stage of healing, and the individual’s preference. Let’s delve into the differences between ice packs and warm compresses and explore when each therapy is most appropriate for relieving pain.

 

Ice Packs

How They Work

Ice packs, typically made of gel or frozen water, work by constricting blood vessels and reducing blood flow to the affected area. This constriction helps alleviate inflammation, numb the area, and temporarily dull pain sensations. While inflammation is the body’s natural way to try to protect part of the body that has injury or infection, inflammation can also delay actual healing. A cold compress will be able to expedite healing and pain by reducing inflammation.

When to Use 

Ice therapy is particularly effective for acute injuries, such as sprains, strains, bruises, and acute inflammation. Applying ice within the first 48 hours of injury helps minimise swelling, bruising, and pain. It’s also beneficial after intense physical activity to soothe sore muscles and prevent inflammation. 

Application

Place a cloth-covered ice pack on the affected area for 10 to 20 minutes at a time, allowing the skin to return to normal temperature between applications. Avoid applying ice directly to the skin to prevent ice burn and use caution with individuals who have circulatory issues or sensory impairments. 

Top benefits of icing

Applying ice to an injury restricts blood flow to the area, this can result in slowing or stopping the bleeding, reducing swelling and inflammation, preventing or limiting bruising, and providing some pain relief. All these can help an individual to recover from a surgery, soothe injured muscles, joints and tissues, or after a rehab session at the gym and for general pain relief.

 

Warm Compresses

How They Work

Warm compresses, typically moist heat packs or warm towels, work by increasing blood flow and promoting relaxation of muscles and tissues. The heat helps soothe stiffness, alleviate muscle tension, and improve flexibility, leading to pain relief and enhanced mobility. The increased blood circulation to tissues will ease muscle and tendon soreness and accelerate the healing process by delivering nutrients to the injured area.

When to Use

Warm compresses are best suited for chronic conditions. They can also be beneficial for promoting relaxation and relieving all sorts of cramps. Heat therapy is most effective once inflammation has subsided, typically 48 hours after injury or during the recovery phase. Some of the conditions that can use a warm compress are muscle spasms and aches, muscle injury, neck stiffness, upper and lower back pain, stiff, tender or swollen joints, tension headaches, sinus congestion, and menstrual cramps. 

When not to use

Although warm compress has a wide range of benefits, there are some situations where you should not use it.

 

  • When swelling or inflammation is present, because heat will increase blood flow to the area and make the inflammation worse.
  • For acute injuries because heat can slow healing.
  • When injuries feel warm to the touch because it might indicate an infection.
  • Deep vein thrombosis is a contraindication as heat will increase swelling or force the dislodgement of a blood clot.
  • Open wounds or wounds that are still bleeding.
  • Skin conditions like eczema and psoriasis.
  • Immediately after vigorous exercise.
  • Medical conditions like diabetes as skin sensation may be reduced. 

Application

 Apply a warm compress to the affected area for 15 to 20 minutes at a time, repeating as needed throughout the day. Be cautious not to overheat the compress to avoid burns, and use a barrier such as a cloth or towel between the skin and the heat source to prevent skin damage. 

Choosing the Right Therapy

For acute injuries with swelling, inflammation, and pain, ice therapy is recommended within the first 48 hours to reduce swelling and numb pain. For chronic conditions characterised by stiffness, muscle tension, and ongoing pain, warm compresses provide soothing relief and promote muscle relaxation. 

Personal Preference

 Some individuals may prefer the sensation of cold therapy, while others find warmth more comforting. Experiment with both ice packs and warm compresses to determine which therapy works best for you. 

Combination Therapy

In some cases, alternating between ice packs and warm compresses, known as contrast therapy, can provide additional benefits by promoting circulation, reducing muscle spasms, and enhancing tissue healing. However, consult with a healthcare professional before implementing contrast therapy, especially if you have underlying health conditions or concerns.

In conclusion, ice packs and warm compresses are valuable tools in managing pain and inflammation, each offering unique benefits depending on the type of injury and individual preferences. Whether soothing acute injuries with ice therapy or relieving chronic conditions with warmth, incorporating these simple home remedies into your pain management routine can greatly contribute to improved comfort, mobility, and overall well-being. 

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

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

Introduction 

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

 Acupuncture

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

Dry needling 

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

Benefits 

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

Pain Relief

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

Improved Range of Motion

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

Muscle Relaxation

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

Enhanced Healing

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

Complementary Treatment

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

Reduced Dependence on Medications

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

Improved Quality of Life 

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

Acupuncture 

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

Pain Relief

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

Stress Reduction and Relaxation

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

Improved Mood and Mental Health

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

Enhanced Immune Function

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

Better Digestive Health

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

Hormonal Balance

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

Support for Chronic Conditions

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

Complementary Cancer Care

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

 

 

Technique 

 

Dry needling

Assessment

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

Locating Trigger Points

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

Insertion of Needles

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

Stimulation

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

Response and Monitoring

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

Aftercare

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

Acupuncture 

Consultation and Assessment

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

Point Selection

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

Needle Insertion

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

Needle Manipulation

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

Needle Retention

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

Removal of Needles

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

Follow-Up and Recommendations

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

Differences 

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

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

 

Which is better for you?

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

 

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

 

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Back & Neck Pain

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

Sports Injuries

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

Work Desk Injuries​

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

Pre-Post-Surgical Conditions

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

Scoliosis & Postural Abnormalities

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

Neurological Conditions

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

Osteoarthritis & Rheumatism

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

Conditions Relating To Elderly

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

Home Physiotherapy

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

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

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

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

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

Properties of Water 

Hydrostatic pressure 

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

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

 

The conditions helps by hydrotherapy 

Chronic pain 

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

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

Neurological conditions

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

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

Cardiovascular condition

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

Musculoskeletal injuries

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

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

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

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

Post-operation

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

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

Pediatric condition

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

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

How long for a session

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

What happens during the first session

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

How many session is needed

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

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

 

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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Scoliosis I Tips to Help Your Child Develop Good Posture

Scoliosis & Postural Abnormalities, Synapse Physiotherapy

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

 

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




Ways to improve teenagers’ good posture

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

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

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

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

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

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

Diagnosis 

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

Sign and symptom 

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

Treatments Goal  

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

Treatments  

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

 

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

 

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Back & Neck Pain

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

Sports Injuries

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

Work Desk Injuries​

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

Pre-Post-Surgical Conditions

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

Scoliosis & Postural Abnormalities

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

Neurological Conditions

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

Osteoarthritis & Rheumatism

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

Conditions Relating To Elderly

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

Home Physiotherapy

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

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

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

 

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

Understanding Stroke:

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

 

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

 

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

 

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

 

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

 

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

 

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

 

Some of the symptoms of stroke include:

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

 

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

 

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

 

  • Trouble walking. Loss of balance and coordination.

 

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

 

Multidisciplinary Approach to Rehabilitation:

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

 

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

 

Key Components of Stroke Rehabilitation:

 

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

 

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

 

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

 

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

 

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

Advancements in Stroke Rehabilitation:

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

Challenges and Future Directions:

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

 

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

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



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Back & Neck Pain

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

Sports Injuries

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

Work Desk Injuries​

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

Pre-Post-Surgical Conditions

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

Scoliosis & Postural Abnormalities

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

Neurological Conditions

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

Osteoarthritis & Rheumatism

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

Conditions Relating To Elderly

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

Home Physiotherapy

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