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Physios are able to help with a wide range of ailments and physical problems. There are four main areas that they work on: musculoskeletal, neuromuscular, cardiovascular, respiratory. Musculoskeletal refers to the bones, joints and soft tissue in the body. Neuromuscular is the brain and the nervous system, cardiovascular is the heart and blood circulation, and respiratory refers to any part of the body which are used to help you to breathe, such as the windpipe and lungs. Some physio clinics in Toa Payoh are able to help in these areas:
• Mental health
• Intensive care
• Long-term conditions
• Orthopaedics and trauma
• Workplace health
• Elderly care
• Education and health care promotion
• Womens problems
Once the physiotherapist has seen the effects of repeated movements on your pain picture and tested the neurological status of your affected body part they will have a more detailed idea of which structures need more detailed examination to clarify the exact nature of the problem. It is time for the individual muscles, joints and ligaments to be stressed to assess their reaction and add to the understanding of what is going on. The physio may just feel and grip the area firmly first to get an idea of the state of the tissues. Are they very sensitive? Is there muscle spasm, thickened tissues, or pain?
During your physiotherapy session the therapist will often put you on your side and move your spine backwards and forwards as they feel the movement occurring between the individual spinal levels. After this you may be placed on your front as the physiotherapist palpates (prods and pokes) your spinal levels with varying degrees of force but often quite firmly to see if any particular level reacts by bringing on the pain you normally complain of. All the tests for pain in your neck, back, elbow, knee or ankles will help diagnose the issue.
What’s the right price to pay for a physiotherapists help in Toa Payoh?
Cervical spine pain and disability is one of the commonest problems for which people consult a physiotherapist. The first part of the examination is to find out the cause of onset of the pain and how it has behaved since then. The cause of the pain is clear in about half of all cases but the rest can give no good idea why the pain came on. Where the pain is and how it behaves gives indications to the physio about where the underlying pathology might be found and what treatment approach might be
The first investigation of the physiotherapist will be into the location and kind of pain. It is vital to understand if the pain is specific to one spot or whether it also affects other parts of the body. For example, if the pain is intense and specific the physiotherapist would surmise that the cause may be poor posture or a kind of degenerative problem; on the other hand, a referred pain may suggest a pinched nerve or a problem elsewhere.
Because neck pain could be an indicator of various pathologies the physio will ask all the special questions such as general health, past medical history, weight loss, bladder and bowel control, quality of appetite and sleep and medication usage. The objective examination begins by getting the patient to take their upper body clothes off and looking at the posture of the trunk, neck, shoulders and arms. A humped thoracic spine with rounded shoulders and a poking chin are a common postural abnormality which can lead to pain.
Cervical ranges of movement are tested to elicit important information about what is going on in the neck. The response to movement testing will help the physio understand the kind of neck pain problem and how to start treating it. Cervical rotation, flexion, extension, side flexion and retraction are all assessed to try to pinpoint the problem. Muscle strength, sensation and reflexes are tested to ascertain that the nerve conduction to the arms is working well.
Manual therapists such as physiotherapists learn mobilization techniques and to assess the spinal joints manual palpation of the cervical spine is used. Using their thumbs or the heel of the hand, the physio presses down on the spinal processes or side joints of the cervical spine. This allows some specific conclusions to be drawn when the pain symptoms come on at one particular spinal level and not another. Treatment will be aimed at these levels.
Mobilization techniques are a core manual skill for physiotherapists and abnormal joint mechanics, known as dysfunctions, can be identified by palpation of the main spinal and facet joints by the physio. Treatment can use repetitive small movements to relieve pain an encourage normal motion, to more forceful manipulations which take the joints beyond their typical ranges and restore movement. Any increases in movement gained by treatment is maintained by home exercises.
Typical physio treatments are exercise programmes, nerve mobilizing techniques, correction of poor posture, pacing technique, trunk segmental mobilization and strengthening of the deep flexor muscles of the cervical spine. Nerve root compression of a cervical nerve root can cause severe arm pain, loss of sleep and distress from a cervical slipped disc. Cervical traction can decrease the pressure on the affected segment and reduce pain enough to allow recovery to start, either by physio treatment or autotraction from a home traction kit.
Injuries are a part of our lives, but there is no reason to make it an impediment. One should always be ready to bounce back and face the challenges. Medications are often recommended by doctors for the pain but, if one is to get any long term relief, they need to be treated appropriately, so physiotherapy is the best option for that. After all, it works the bones and muscles and helps it to go back to its previous form.
Here are ten reasons to help you try out physiotherapy,
1. Sports injuries: Sportsmen are born fighters but some injuries can be so major that it can threaten their career. Trying out physiotherapy helps to relax the bones and muscles like few other things can and allows the person to achieve mobility much faster.
2. During Pregnancy: Since women have to change their postures drastically over the course of a few months and the additional weight often plays havoc with their lower back, it is best to try out physiotherapy to relive the pain, without having to take any medicines that might be harmful for the baby.
3. Weight management: So many of us have insecurities with our bodies and are fighting with weight issues. Physiotherapy can relax and work the muscles much more when regular exercises seems to fail. It also improves digestion, and helps to assimilate the food better rather than allowing it to be stored in the body as fat.
4. Chronic Pain: There are lots of pain that are often unaccounted for. We blame it on old age and arthritis and other unexplained factors. Instead of opting for unnecessary medicines, physiotherapy exercises have been known to provide long standing relief in most cases.
5. Before or after surgery: Certain musculoskeletal issues have to be taken care of before a surgery, or after it for quick and efficient recovery. Physiotherapy is the best option to do it, without having to try out medicines that might have side effects or which the patient might not be able to take in due to their condition.
6. Curing Sleep Apnea: Most of us have breathing troubles like sleeping apnea and excessive snoring that mainly happens due to breathing problems. Physiotherapy can help to widen the channels and help in better sleep by relaxing the body as a whole. For similar reasons, it is very helpful for curing asthma as well.
There are lot of Physiotherapy clinics everywhere, which are committed towards making the recovery process smoother for their patients and clients. 360 Degree Movement is the new destination for those looking forward to getting a fit body and enhanced mobility with affordable rates and positive results. With fully certified physiotherapists and access to the best infrastructure, there are provisions for Physiotherapy, Acupuncture, Pilates and Reflexology. There is also a Shoulder Clinic and Sports Injury Clinic. All of this contributes to an all-round and holistic approach to treating pain and other bone and muscles problems, with specialized advice from the therapists.