Our Expertise Covers The Following Conditions And Problems:
Sport Injuries constitute a major part of our lives as we get more active. This is a broad term commonly used to include injuries occurring during sports or play. Some of these injuries are caused by poor or lack of warm ups before exercise, poor and/or improper exercise gear or surfaces, muscle inflexibility due to poor stretches. Sport Injuries affect the musculoskeletal systems: bones, muscles, tendon, ligaments, and associated soft tissues, and are often classified as acute or chronic. Examples are the sprains and strains, bruises, joint injuries, shin splints, tennis elbow, golfer’s elbow, dislocation, skier’s thumb, tendon injuries, tailbone injuries, turf toes, etc
There are multiple causes of neck pain. Neck pain may be due to trauma, poor posture, muscular tension, wear and tear due to the ageing process or an old injury, etc. Neck pain can sometimes be localised or referred to the shoulder, elbow, wrist and the fingers if there is any nerve irritation.
This happens in rear-end car collision when the head is violently snapped backward and forward. The muscles, ligaments and other facets joints of the spine can be affected. The severity of injury depends on the speed at the point of impact.
Muscle tension can lead to headaches around the base of the skull (occipital headache). This often leads to pain at the forehead due to the irritation of the nerve. This latter can also be caused by bad posture, muscle tension, viral infection, etc
This may be congenital (form birth) or acquired. Common postural problems of the spine are secondary to poor habits and effect can manifest itself in the upper and lower limbs. Poor postural habits such as the following may lead to postural problems:
- Slouching while sitting (at home, in the office, or in school)
- Prolonged sitting (such as working at the computer)
- clenching the jaw
- poor workstations and practises
- Poor sleeping positions
Low Back Pain
Sizeable percentage of the population will develop back pain in their lifetime. The cost of low back pain to the sufferer is unquantifiable; to the employer or self-employed, there is loss of productive days as a result of sick days, with some patients developing other condition if it gets chronic. Nobody is immune to back pain. Back pain occurs with increasing age, and more common in those who are less active and less fit. Another factor is cigarette smoking, etc. Other risk factors are:
- Occupational Risk factor
- Medical History
Low back pain can occur with other conditions in men and women. Such diseases are scoliosis, kidney infection, endometriosis, infections, pregnancy, etc. Low back problems with the associated problems are preventable and treatable.
Discs are shock absorbers in the spine and frequently damaged over time due to advancing age, old injury, poor posture, and wear and tear. Herniated disc can compress the nerve endings with resulting pain and numbness in one or both legs. Healthy lifestyle, strong spinal muscles, and a good posture prevent back and disc problems.
Upper and lower limb joint problems: ankle, knee, hip, shoulder, etc are common soft tissue problems associated with sports injuries, wear and tear, falls, etc. Some intervention includes muscle strengthening exercises, joint mobility programs, injury prevention advice, joint support and stabilization.
Balance and Mobility Problems
Poor balance and mobility constitute one of the major causes of falls in patients. Decrease in balance and impaired mobility can be due to:
- Musculoskeletal problems
- Neurological conditions
- Visual impairment
- Other unresolved health problems
- Inappropriate Footwear
- Defective or inappropriate walking aid, etc
Assessment identifies possible cause(s) with a view to improving patients’ balance and mobility through specific exercises and rehabilitation of the underlying problems.
Poor gait affects adult and children due to multiple medical and surgical conditions. Causes of poor gait are:
- Orthopaedic problems
- Neurological conditions (Parkinson’s disease, stroke, multiple sclerosis, etc)
- Advancing age
- Delayed development in children
- Old injury/fractures
- Spinal Problems (back, neck)
- Joint Problems, etc
Objectives of gait assessment are to identify possible cause (s) and treat, prevent further deterioration and minimise secondary effects of poor gait, relieve pain, improve function, and promote patient’s safety.
Biomechanical Screening & Assessment
Biomechanics refers to the internal and external forces exerted on the human skeleton by the muscles and gravity. Inappropriate internal/external forces on the musculoskeletal system can predispose to trauma, cause injuries to recur, impede peak performance during sports and play, trigger previously latent injuries, aggravate and accelerate joint wear and tear. Poor biomechanics can lead to pain anywhere in the body. Examples of such problems are:
- Knee pain (anterior knee pain/chondromalacia patella, Osgood Schlatter, etc)
- Hip pain
- Achilles Tendinopathy
- Muscle strains and sprains
- Low back pain (recurring and chronic)
- Heel Pain (plantarfasciitis) and Sever’s disease (in children)
- Bunions/toe pain
- Metatarsalgia (ball of foot pain)
- Halux limitus (stiff big toe)
- Postural Problems
- Shin Splints (Medial Tibial Pain)
- Stress Fractures
- Pes Planus
- Pes Cavus
- Anterior Knee Pain
- Morton's Neuoroma
- Osgood Shlatter's Syndrome
- Halux Rigidus
- Diabetic Neuropathy
- Limb Length Discrepancy
- Morton's/Claw/Hammer Toes
- Core Muscle Instability
- Facet/Sacro Iliac Joint Problems
- "Growing Pains" in children
- Nagging/Recurring Sports Injuries
- High BMI
- Rheumatological Conditions
- Osteo/Rheumatoid Arthritis
- Charcot-Marie Syndrome/Deformities
- Neurological/Orthopaedic/Paediatric Disorders
- Posterior Tibial Syndrome
- Chondromalacia Patella
- Post-Stroke (Cva) Attack
Biomechanical assessment identifies possible areas of excessive forces on the joints. Our treatment plan put in place considers individual’s lifestyle, activity level, age, and existing medical history.
Women's Health Issues
Women’s health issues like incontinence, rectus diastases, pregnancy-related back/pelvic/sacro-iliac joint pain, weak abdominal muscles, etc are some conditions seen and treated by Physiotherapists with expertise in women’s health Many of these conditions are annoying and embarrassing for the sufferers to discuss with their healthcare professionals at times. This is makes it imperative to not only treat the patient’s condition, but patient’s care is holistic incorporating the emotional and psychological well being of the individual using the necessary modalities, advice and self help tips, and exercises.
Foot deformities as the name implies affect predominantly your foot. Unfortunately, the effects of foot deformities manifest all over the body. If your foot hurts, your whole body hurts. Some of the foot deformities commonly seen with its secondary effects are as follows:
- Pes Planus (Flat Feet)
- Pes Cavus (High Arch)
- Heel Pain (PlantarFasciitis)
- Arch Strain
- Tibialis Posterior Syndrome
- Morton’s Neuroma
- Freiberg’s Disease
- Achilles Tendinopathy
- Patellofemoral Syndrome
- Halux Limitus and Rigidus (stiff big toe), etc
These foot deformities may cause pain in the knee, hip, and ankle joints, poor posture, shin splints, back pain, tight muscles, and painful tensor fascia.
Orthotics and Medical Footwear
Foot Orthoses are supportive medical devices used by patients of all age groups for following reasons:
- Injury prevention
- Treating foot problems : flat feet, high arch, shin splint, heel pain, halux limitus, metatarsalgia (ball of foot pain), Achilles tendonitis, etc
- Treating biomechanical Pain : joints’ pain, back pain, children’s foot and biomechanical pain, limb length discrepancies, Morton’s Neuroma, Arch Strain, etc by modifying forces on the skeletal system
- Improving Function at work, play, and sports
- Preventing complications associated with chronic conditions like Diabetes and vascular problems
Medical footwear may be customised, generic, or modular prescribed for preventing complications associated with chronic diseases like Diabetes, Peripheral Vascular Diseases, and other at-risk feet where there is risk of ulcerations and amputations
Medical Footwear is also prescribed in the following instances:
- Foot deformities (after a medical event like stroke, Multiple Sclerosis, Motor Neurone Disease)
- Foot with toe deformities-hammer toes, mallet toes, bunions, poor sensations, callus, Haglund’s deformity, Heel fissures, Corns, etc
- Severe foot deformities with limb length discrepancy and other changes post-op
- -Poor balance secondary to inappropriate footwear
- Foot drop due to nerve endings damage or diabetic neuropathy
- Excessively sensitive feet (with risk of damage using off-the-shelf shoes).
- Foot deformities in children with neurological problems like Down’s syndrome, Cerebral Palsy, Autism, etc
Diabetic Foot Assessment
This is a routine clinical assessment that is a MUST for all diabetics, patients with peripheral vascular diseases, and other patients with compromised foot sensation.
- Approriate footwear
- Self Management and foot self-care
- Foothealth screening
- Health information/education on foot hygiene, ulcerations, amputation, neuropathy, etc
- Disease Management and physical activity
Repetitive Motion Injuries (RMI)
Repetitive Motion Injuries are commonly occurring problems. Examples are Tendinitis and Bursitis. The former is the inflammation of the tendon. Bursitis is the inflammation of the sac-like structures between bones and the tendons where the likelihood of friction is.
Tendinitis is a common injury in sports-foot (Achilles tendinitis); knee joint (patella tendinitis); Elbow (tennis elbow), shoulder joints, and the biceps muscles.
Bursitis occurs around the elbow, knee, and hip joints due to trauma and repetitive motion.
Repetitive Motion Injuries occur in workers involved in repetitive work activities as part of their work routine. For example, factory line workers, computer analysts and users, musicians, painters/decorators, artists, etc.
There is an increase in the occurrence of RMI with the increase in the use of social media and mobile technology secondary to texting, instant messaging, etc.
Other causes of repetitive motion injuries apart from trauma and repetitive activity are systemic conditions like gout, rheumatoid arthritis, etc)
Paediatric Musculoskeletal Problems
Paediatric musculoskeletal problems include sprains, strains, and other soft tissue injuries associated with physical activities. There are other conditions specifically associated with children like SUFE, Sever’s disease, Osgood Schlatter diseases, low back pain, Scheuermann’s disease, hypermobility Syndrome, anterior knee pain, juvenile arthritis, scoliosis, etc. These are problems affecting children that requires the expertise of a Specialist Paediatric Chartered Physiotherapist.
Degenerative and Inflammatory Diseases
The term degenerative diseases refer to changes in the spine and joint. With age, the discs in the spine and cartilage in the joints that serve as shock absorbers and buffer between the bones dry out and shrink. This narrows the space between vertebrae and the joints, and bone spurs may develop. In some cases, the bone spurs can pinch a nerve root-causing pain, weakness or numbness. Osteoarthritis is the most common degenerative joint disease affecting the spine and the peripheral joints (hips, knees, etc).
Management includes pain reduction, joint protection, maintaining muscle strength and joint range of motion.
Inflammatory joint disease like rheumatoid arthritis affects the smallest joints in the hand and feet. Unlike the degenerative wear and tear, it affects the lining (synovial membrane) of the joints, causing painful swelling that can result in bone erosion and joint deformity. Rheumatoid arthritis is an autoimmune systemic disease that can affect other organs/systems in the body.
Manual therapy involves provision of soft tissue massage for tight and unresponsive muscles. It also includes gentle movement manoeuvres with mobilisation techniques for stiff facet joints (spine) and peripheral joints (knees, hip, ankle, foot, and elbow).
Pre and Post-Operative Care
Pre and Post-op care for joints’ replacements (hip, knee, etc), ligaments’ repair (anterior cruciate, medial and lateral collateral, etc), Disc and Back operations, arthroscopies, etc provided to enhance recovery, and improve function. Post-operative care not only relieves pain and discomfort, it also enhances your chances of getting back to work, play, and sports close to your pre-injury level.
Neurological rehabilitation for conditions like stroke, multiple sclerosis, Parkinson’s disease, age-related conditions helps to restore function and promote independence.
Injury Rehabilitation after sport tissue injuries is essential for the following reasons:
- Reduce risk of injuries
- Prevent chronic injuries
- Prevent scar tissue build up
- Enhance proper healing
- Confidence building for the active person
- Self Management (exercise, etc)
Ergonomic assessment is workplace assessment. It is all about making your workplace suitable for you (and not making you suitable to your workplace)
It covers the following elements:
- Visual Display Unit Assessment
- Workstation assessment
- Risk Assessment and analysis
- Hazard Identification
- Injury Likelihood Assessment and reduction in the workplace
- Workplace and Industry specific assessment
- Back Care Program in the workplace
- Return to work assessment
- Manual Handling Training
Ergonomically suitable workplace is a conducive environment with low absenteeism rate, low staff turnover, high productivity, and reduced sick days.
After every injury, certain amount of deconditioning takes place. Physical conditioning is focusing on returning individuals back to their pre-injury level. For those who have not been active and planning to take on physical activities, it is about advising and teaching them progressive physical training.
Taping provides support for injured soft tissues and joints, allowing them time to heal and recover. The use of different types of tape allows the active individual to go back to sports earlier minimising the risk of injury.
We provide medical reports for your insurance companies following an episode of care.
We provide supporting services-Occupational Therapy Services, Speech and Language Therapy, Etc through other members of the Multidisciplinary Team.