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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 Jurong East 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 Jurong East?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.
5 Expert Tips for Avoiding Common Sports Injuries (and the Physiotherapist!)Ankle sprains are on of the most common injuries that occur everyday. In addition there are an alarming amount of individuals who suffer pain in their ankle or have foot problems and have no idea what to do about it or who simply avoid facing the problem. If you have an ankle sprain or ankle injury it is important to act now and seek treatment in order to ensure that no long-term damage is done. In this article you will find out how your physiotherapist can help you heal from an ankle sprain or ankle injury. A sprained ankle means pain and swelling of the ankle joint, which has been caused by the ligaments of the ankle to be torn when an individual has rolled over on their ankle. It is vital that you undergo physiotherapy treatment once you are able to apply pressure, to help you recover from an ankle sprain as quickly as possible. Ankle sprains are common sport injuries, however also happen during everyday activities. An unnatural twisting motion occurs when the foot is placed awkwardly or when the ground is uneven and an unusual and unsuspected amount of pressure is applied to the joint. It can affect any one of the three bones that make up the ankle joint: the tibia, fibula or talus. In addition ankle sprains affect the ligaments that provide connection to the bones and tendons, which connect muscles to the bones. As you can see it is vital that once you are able to apply some slight pressure to your ankle, then your physiotherapist can help you treat the repair of your whole ankle. Depending on your injury, your physiotherapist will engage in hands-on physiotherapy, exercise rehabilitation and hydrotherapy services to treat your sprain or injury. As part of this process, a good physiotherapist will usually undertake the following services during the course of treatment:
- A thorough history taking and examination
- Explanation of your condition
- Goal setting discussion
- A management plan including; education, exercise prescription and postural education (when relevant)
- A hands-on approach to treatment using a variety of techniques including; massage, joint mobilisation and stretches.
- Advising what footwear you should choose. Poor footwear selection is a major factor in developing problems involving the foot and ankle and contributes to an ankle injury. Shoes also need to be correctly fitted to give the necessary support and adequate cushioning. They will need to suit the foot type (eg. narrow or broad), and comfort should not be sacrificed purely for fashion reasons. In addition, getting the right orthotics (inserts which are placed in your shoe to help correct and support arch problems) is vital. Your physiotherapist can supply you with orthotics and a good orthotic in the aftermath of an ankle injury can provide excellent support.
- Discussing overuse of the ankle, in particular conversations around proper stretching, exercise routines and footwear will help you avoid further ankle sprains and an ankle injury.
- Making sure you understand foot mechanics. Poor foot mechanics involves stiffening of the foot and ankle, which results in poor movement and may involve a lax joint and an excessive or collapsed arch. Having poor foot mechanics can increase your chance of foot and ankle pain and injury. One of the ways to overcome this is through stretching exercises designed by your physiotherapist.
- Your physiotherapist can also identify tendon problems, treat plantar fasciitis and assist you in avoiding arthritis in the ankle and foot.