Tag: physiotherapy ampang

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Ultrasound Therapy Benefits | Synapse Physiotherapy Ampang

physiotherapy ampang

Ultrasound Therapy Benefits | Synapse Physiotherapy Ampang

admin

October 16, 2024

physiotherapy ampang
Synapse Physiotherapy

Ultrasound Therapy in Physiotherapy: Applications and Benefits

Ultrasound therapy is a widely used modality in physiotherapy that leverages high-frequency sound waves to promote healing and reduce pain in various musculoskeletal conditions. Developed in the mid-20th century, it remains a popular tool in rehabilitation due to its non-invasive nature and ability to treat deep tissues.

If you are looking for ultrasound therapy for your injuries, head over to Synapse Physiotherapy Ampang. We have a variety of tools that can help with your injuries and our expert physiotherapist will be able to give you a comprehensive assessment and tailor your treatment to your needs. Here’s an overview of how ultrasound therapy is used in physiotherapy, its applications, mechanisms, and benefits.

What is Ultrasound Therapy?

Ultrasound therapy uses sound waves at frequencies typically ranging from 1 MHz to 3 MHz, which are emitted through a transducer (head) that is moved over the skin. These sound waves penetrate the skin, creating mechanical vibrations in the tissues. Depending on the desired therapeutic effect, the ultrasound can be applied in continuous or pulsed modes.

  • Continuous ultrasound  is used primarily for its deep heating effects.
  •  Pulsed ultrasound minimises heating, focusing more on mechanical effects that promote tissue repair.

 A gel is usually applied to the skin to ensure optimal transmission of sound waves, preventing the reflection of waves from the skin surface.

Mechanism of Action

 Ultrasound therapy works through two primary mechanisms:

  1. Thermal Effects: When continuous ultrasound is applied, it generates deep heat in tissues such as muscles, tendons, ligaments, and joints. The heat increases blood flow, improves tissue extensibility, reduces muscle spasms, and alleviates pain. This deep heating is often beneficial for chronic conditions where stiffness and limited range of motion are present.
  2. Non-Thermal (Mechanical) Effects: Pulsed ultrasound is favoured for its non-thermal effects, which include stimulating cell repair, reducing inflammation, and improving tissue regeneration. This is achieved through a process known as cavitation (the formation of tiny gas bubbles) and microstreaming (microscopic fluid movements), which enhances cellular activity and promotes the healing of soft tissues.

Applications of Ultrasound Therapy in Physiotherapy

 1. Tissue Healing and Repair:

  •   Soft tissue injuries: Ultrasound is frequently used to treat sprains, strains, ligament injuries, and tendonitis. The mechanical effects help accelerate tissue repair, reduce scar tissue formation, and enhance the quality of healing.
  •  Post-surgical recovery: After surgeries, especially orthopaedic procedures, ultrasound can assist in minimising adhesions (bands of scar tissue) and improving the flexibility of tissues, speeding up rehabilitation.

2. Pain Relief:

  •  Musculoskeletal conditions: Conditions such as bursitis, myofascial pain syndrome, and osteoarthritis benefit from ultrasound therapy due to its ability to reduce pain by increasing blood flow and decreasing muscle stiffness.
  •  Nerve pain: Ultrasound can be applied to reduce inflammation around nerves, providing relief in conditions like sciatica, carpal tunnel syndrome, and nerve entrapment syndromes.

 3. Scar Tissue Breakdown:

  •  In chronic injuries or following surgery, ultrasound therapy helps break down adhesions and scar tissue that can limit mobility. The heat generated by continuous ultrasound softens the scar tissue, making it easier to mobilise during manual therapy.

4. Joint Contractures:

  • Conditions such as frozen shoulder or joint contractures following injury benefit from the deep heating effects of ultrasound. The improved elasticity of connective tissues allows for a greater range of motion and enhanced flexibility.

5. Tendonitis and Bursitis:

  •  In cases of tendonitis (inflammation of a tendon) or bursitis (inflammation of the fluid-filled sacs around joints), ultrasound therapy helps reduce inflammation, relieve pain, and improve mobility.

6. Edema Reduction:

  •  For patients dealing with localised swelling or edema due to injury, ultrasound can assist in reducing fluid accumulation by promoting lymphatic drainage and increasing circulation to the area.

Benefits of Ultrasound Therapy

  • Non-invasive treatment: Ultrasound therapy provides a non-surgical option for pain relief and tissue healing.
  • Deep tissue penetration: It can reach tissues that are otherwise difficult to target with other superficial modalities like hot packs.
  • Reduced reliance on medication: By offering a non-pharmaceutical option for pain management, ultrasound therapy helps patients reduce their dependence on pain-relief medications.
  • Enhanced range of motion: The ability of ultrasound to increase tissue elasticity allows for greater movement and improved flexibility.
  • Minimises inflammation and speeds up recovery: The mechanical effects of ultrasound assist in breaking down inflammatory processes, accelerating the overall recovery timeline.

Precautions and Contraindications

Though ultrasound therapy is widely used, it is important to note some precautions and contraindications:

  • Not suitable for certain areas: Ultrasound should not be applied over the eyes, heart, reproductive organs, or areas with cancerous growths.
  • Avoid use over fractures: While ultrasound can accelerate bone healing, it should be used with caution on fresh fractures due to the potential for pain from the vibrations.
  • Pacemakers and implants: Care should be taken to avoid applying ultrasound over areas near implanted devices like pacemakers.

The number of ultrasound therapy sessions needed depends on several factors, including the type and severity of the condition, the patient’s response to treatment, and the specific goals of the therapy. On average, most patients require 6 to 12 sessions for noticeable improvement. However, this can vary based on the following:

Factors Influencing the Number of Sessions:

  1. Condition Type and Severity:
  •   Acute injuries (e.g., recent sprains or strains): These may respond well to treatment within 6–8 sessions, as ultrasound can speed up tissue healing and reduce inflammation.
  • Chronic conditions (e.g., osteoarthritis or long-term tendonitis): These often require more frequent and longer-term treatment, typically 8–12 sessions or more, as chronic issues take longer to heal.
  1. Frequency of Treatment:
  • Typical frequency: Ultrasound therapy is often applied 2–3 times a week, depending on the condition and patient’s tolerance.
  • Acute cases: Some physiotherapists may recommend daily sessions initially for acute injuries, followed by a reduction in frequency as healing progresses.
  1. Response to Treatment:
  • Some patients experience rapid relief and healing after just a few sessions, while others might take longer depending on their healing capacity and how their body responds to the therapy.
  1. Other Therapies Used in Combination:
  • Ultrasound is often used alongside other physiotherapy techniques, such as manual therapy, stretching, or exercises. The number of sessions may depend on how well ultrasound complements these other treatments.

 General Guidelines:

  • Minor to moderate injuries: approximately 6–8 sessions.
  • Severe or chronic conditions: 8–12 sessions or more.

 It’s essential to note that progress is often reassessed after a few sessions, and the treatment plan may be adjusted accordingly.

Frequently Asked Questions (FAQs)

Ultrasound therapy is used for various conditions, including sprains, strains, tendonitis, bursitis, osteoarthritis, myofascial pain syndrome, nerve pain, and post-surgical recovery. It helps reduce pain, inflammation, and improve mobility by promoting tissue repair and reducing scar tissue.

Ultrasound therapy works by emitting high-frequency sound waves that penetrate tissues to create thermal and mechanical effects. The thermal effect increases blood flow and reduces stiffness, while the mechanical effect promotes cellular repair and reduces inflammation, aiding healing.

Typically, an ultrasound therapy session lasts about 5 to 10 minutes, though the duration may vary based on the treated area and the specific condition. Your physiotherapist will determine the exact time needed per session.

The number of sessions varies depending on the condition and its severity. Acute injuries may require 6–8 sessions, while chronic conditions might need 8–12 or more. Most patients see progress after a few treatments.

Ultrasound therapy is generally safe but should be avoided over certain areas like the eyes, heart, reproductive organs, or areas with tumours. It should also be used with caution near pacemakers and on recent fractures. A licensed physiotherapist will assess if it’s suitable for you.

Conclusion

Ultrasound therapy in physiotherapy is a versatile and effective tool for treating a wide range of musculoskeletal conditions. Its ability to reduce pain, promote tissue healing, and enhance mobility makes it a staple in rehabilitation programs. As with any therapeutic intervention, its use should be tailored to the individual patient’s needs, guided by a trained physiotherapist to maximise benefits and minimise risks.

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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 Can I Relieve Pain in My Neck I Physiotherapy Ampang

physiotherapy ampang

How Can I Relieve Pain in My Neck I Physiotherapy Ampang

admin

June 18, 2024

physiotherapy ampang
Back & Neck Pain, Synapse Physiotherapy

Introduction

Waking up with a stiff neck is a frustrating and uncomfortable way to start your day. Neck pain is a common issue affecting about 10% of the population at any given time. If you’re suffering from neck pain and seeking physiotherapy in Ampang, visit Synapse Physiotherapy Jalan Ampang for a thorough assessment and customised treatment plan. Let our expert physiotherapists help you achieve a pain-free life. This guide explores neck pain and how physiotherapy can help.

Understanding Neck Pain

Neck pain is a prevalent issue that can severely affect your quality of life. Understanding its causes and symptoms is crucial to managing and alleviating the pain effectively.

Causes of Neck Pain

Before diving into physiotherapy solutions, it’s essential to understand the common causes of neck pain:

 

  1. Muscle Strain: Often due to overuse, such as prolonged periods of poor posture while working in front of a computer. Simple activities like reading in bed or clenching your jaw can also strain neck muscles.
  2. Injury: Whiplash or other traumatic injuries can cause significant neck pain. These injuries often result from sudden jerks or accidents, leading to soft tissue damage.
  3. Degenerative Diseases: Conditions like osteoarthritis and spinal stenosis gradually wear down the structures in your neck, causing chronic pain.
  4. Poor Posture: Consistently holding the neck in awkward positions, such as hunching over a smartphone, can lead to pain. Over time, poor posture can alter the spine’s natural alignment.
  5. Herniated Cervical Disc: A condition where a disc in the spine is damaged and presses on a nerve, leading to severe pain and discomfort.

Symptoms of Neck Pain

Recognizing the symptoms of neck pain can help you seek appropriate treatment:

    • 1. Tight muscles or muscle spasms
    • 2. Inability to move your head, or a decreased range of motion
    • 3. Pain that worsens when holding your head in one position for a prolonged period
    • 4. A tingling or numbing sensation in your neck, arms, or shoulders
    • 5. Persistent headache
    • 6. Nausea, vomiting, and sensitivity to light
    • 7. Low energy or intense fatigue

Physiotherapy Techniques for Neck Pain

Physiotherapy offers a range of techniques designed to alleviate neck pain effectively. Here are some of the most effective methods:

Manual Therapy

Manual therapy involves hands-on techniques to manipulate the muscles and joints. These techniques are aimed at reducing pain and improving mobility:

  1. Massage Therapy: Reduces muscle tension and improves blood flow. By targeting tight areas, massage therapy can relieve pain and promote relaxation.
  2. Joint Mobilisation: Gentle movements of the joints to increase range of motion and reduce stiffness. This technique can be particularly effective for arthritis sufferers.
  3. Myofascial Release: Focuses on releasing tension in the connective tissues surrounding the muscles. This can improve flexibility and reduce pain in the affected areas.

Therapeutic Exercises

Exercises are the cornerstone of physiotherapy, helping to strengthen muscles and improve flexibility. Key exercises include:

  1. Neck Stretches:
  2. Chin Tucks: Sit or stand up straight. Pull your chin straight back, creating a double chin. Hold for 5 seconds and repeat 10 times. This exercise helps strengthen the muscles that pull the head back into alignment over the shoulders.
  3. Upper Trapezius Stretch: Sit on one hand, tilt your head away from that hand, and use the other hand to gently pull your head further. Hold for 20-30 seconds and switch sides. This stretch targets the upper trapezius muscle, which often becomes tight with neck pain.
  4. Strengthening Exercises:
  5. Isometric Exercises: Press your hand against your forehead while resisting the motion with your neck muscles. Hold for 5 seconds and repeat 10 times. Isometric exercises help build strength without moving the neck.
  6. Scapular Retraction: Squeeze your shoulder blades together and hold for 5 seconds. Repeat 10-15 times. Strengthening the upper back can support better posture and reduce neck strain.

Postural Training

Good posture is vital for preventing and alleviating neck pain. Physiotherapists often teach proper ergonomics and postural habits:

  1. Desk Ergonomics: Ensure your computer screen is at eye level and your chair supports your lower back. Adjust your chair to ensure both feet are supported on the ground. Small changes can make a big difference in reducing strain on your neck.
  2. Postural Awareness: Regularly check and correct your posture throughout the day. Avoid slouching and keep your head aligned with your spine. Simple reminders, such as setting a timer to check your posture, can help develop better habits.

Heat and Cold Therapy

Applying heat can help relax tense muscles and increase blood flow, while cold therapy can reduce inflammation and numb sharp pain. Alternate between heat and cold packs for maximum benefit.

Electrical Stimulation

Transcutaneous electrical nerve stimulation (TENS) units can provide pain relief by sending small electrical impulses to the affected area, reducing pain signals to the brain. This can be particularly helpful for chronic pain conditions.

Lifestyle and Preventive Measures

In addition to physiotherapy, making certain lifestyle adjustments can help manage and prevent neck pain:

 

  1. Regular Exercise: Engage in regular physical activity to keep your muscles strong and flexible. Activities such as swimming, walking, and yoga can be beneficial.
  2. Stress Management: Techniques such as yoga, meditation, and deep breathing can help reduce stress-related muscle tension. Hot baths, showers, massages, and gentle stretching can also ease muscle tension.
  3. Proper Sleep: Ensure your pillow supports your neck adequately. Sleeping on your back or side is generally better for neck health than sleeping on your stomach. Investing in a good pillow can make a significant difference.
  4. Carrying Heavy Loads: Make sure the weight is evenly distributed between both sides of the body. Excess weight on your shoulders can lead to neck strain. Consider using a backpack instead of a single-strap bag to distribute weight more evenly.

Frequently Asked Questions (FAQs)

Neck pain can stem from muscle strain, injury, degenerative diseases like osteoarthritis, poor posture, and conditions such as herniated cervical discs.

Physiotherapy can help alleviate neck pain through manual therapy, targeted exercises, postural training, and lifestyle adjustments designed to strengthen muscles and improve flexibility.

Recommended exercises include neck stretches like chin tucks and upper trapezius stretches, as well as strengthening exercises like isometric exercises and scapular retractions.

Yes, consistently holding the neck in awkward positions due to poor posture can lead to muscle strain and discomfort, contributing to neck pain.

If you have persistent or severe neck pain, consulting a physiotherapist is advisable. They can provide a comprehensive assessment and create a personalised treatment plan to address your specific needs.

Conclusion

Neck pain can significantly impact your quality of life, but physiotherapy offers a range of effective treatments to alleviate pain and improve function. Through manual therapy, targeted exercises, postural training, and lifestyle adjustments, you can manage and prevent neck pain effectively. Don’t let neck pain control your life any longer. If you’re experiencing persistent neck pain, consult with a physiotherapist to develop a personalised treatment plan tailored to your specific needs. Visit Synapse Physiotherapy in Ampang today and take the first step towards a pain-free life.

Produced by MYSense

Tags :

physiotherapy ampang

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 and Bracing Treatment I Physiotherapy Ampang

admin

May 13, 2024

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

Introduction 

 

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

Type of scoliosis 

 

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

 

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

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

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

Sign and symptoms 

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

Complication 

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

Diagnosis

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

Treatment

Observation 

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

Role of physiotherapy 

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

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

Bracing

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

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

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

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physiotherapy ampang

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Back & Neck Pain

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

Sports Injuries

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

Work Desk Injuries​

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

Pre-Post-Surgical Conditions

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

Scoliosis & Postural Abnormalities

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

Neurological Conditions

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

Osteoarthritis & Rheumatism

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

Conditions Relating To Elderly

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

Home Physiotherapy

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

Top 3 Body Pain Problems in Malaysia: Physiotherapy Ampang

admin

April 7, 2024

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

Introduction

Lower Back Pain

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

Neck Pain

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

Knee Osteoarthritis

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

Prevalence

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

Role of Physiotherapy

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

Characteristics 

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

 

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

 

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

Causes 

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

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

Proprioception

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

Muscle Weakness

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

Management 

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

Neuromuscular training

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

Balance training 

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

Mobilization 

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

Taping 

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

Strengthening exercise

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

Associated lesions

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

 

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

 

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

 

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

Frequently Asked Questions (FAQs)

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

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

2. Is physiotherapy effective for chronic neck pain?

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

3. Can physiotherapy prevent the progression of knee osteoarthritis?

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

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

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

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

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

Conclusion

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

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Back & Neck Pain

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

Sports Injuries

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

Work Desk Injuries​

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

Pre-Post-Surgical Conditions

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

Scoliosis & Postural Abnormalities

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

Neurological Conditions

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

Osteoarthritis & Rheumatism

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

Conditions Relating To Elderly

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

Home Physiotherapy

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