OUR SERVICES

MUSCULOSKELETAL PAIN

What is Pilates exercise?

Pilates exercise is a form of low impact exercise that works on core strength, muscular endurance and flexibility of the body. It is usually performed either on the mat or reformer.



Can I do Pilates exercises after a back surgery?

Yes. Pilates exercise is a low impact exercise and the exercise can be modify to meet the level of your fitness.



How different is Clinical Pilates from normal Pilates?

Clinical Pilates as its name would have suggested that it is use clinically to treat population with spinal conditions. It combines the knowledge of movement pattern dysfunction in spinal disorders such as slipped discs or spinal instability with Pilates exercise principle to help patient regain their core strength and slows down recurrence of low back pain.



Should I join a Pilates class or have an one-on-one session with an instructor?

It is always better to start off with one-on-one session with a Pilates instructor than to join the class straight away. That is crucial for one who already has some form of musculoskeletal pain or injury. However, our Pilates Introductory class is mild and suitable for anyone with no Pilates or exercise background. It is a small class of maximum 8 participants to ensure that you get the necessary adjustment on your posture and form of you movement. Nonetheless, it is advisable that you check with your doctor if you are unsure if you are physically well to perform any form of exercise.



 

SPORTS INJURY

What is sports injury?

Sport injury is defined as any injury that occur due to exercising, recreational sports or athletic activities.



What are the common areas of sports injury?

1. Ankle injuries

2. Lower back injuries

3. Knee injuries​

4. Groin and thigh strain

5. Shoulder injuries



 

POST SURGERIES

What is lymphatic drainage?

Lymphatic massage (Manual lymphatic drainage) is a certified massage technique done by a certified lymphoedema therapist that treats swelling in the body. Other benefits of Lymphatic drainage include:

  1. Reduce swelling due to pregnancy and poor blood circulation
  2. Reduce swelling, lymphoedema, caused by removal of lymph nodes in cancer patients
  3. Improve immune system
  4. Removal of toxic waste in the body
  5. Treats headache
  6. Reduce post liposuction swelling



What is lymphatic system?

Our lymphatic system is another system in the body just as important as our blood circulation. It is made up of a network of varying sizes of lymphatic vessels and lymph nodes throughout our body. The fluid found in the lymphatic system which is known as lymph contains water, fat, waste product, protein and antibodies. Unlike our blood circulation, the function of our lymphatic system is to remove waste product and lymph from the tissue. ​ However, the numbers of lymph nodes, pathway and location of the lymphatic vessels may varies in everyone.



How does lymphoedema develops?

Lymphoedema​ usually develops when the lymphatic system is impaired or when the amount of lymph fluid increased far more than what our lymphatic system can cope. Our lymphatic system can be damaged during operation such as when lymph nodes are removed as in the case of cancer spreading to the lymph node or from radiotherapy subsequently. Unfortunately, our lymph nodes does not regrown. Hence, lymphodema is an incurable condition.



How does lymphatic massage treat lymphoedema?

The massage works by diverting the lymph from an obstructed region of our body to the lymph nodes in another part of the body. Consistency in this massage has shown to promote the growth of the new lymphatic vessels connecting the obstructed region to the other lymph nodes. However, massage alone is not enough in containing lymphoedema. Compression bandaging or application of compression stocking or arm sleeve is necessary in the management of lymphoedema.



VESTIBULAR REHAB

What is Vestibular system?

Vestibular system consist of a vestibular apparatus in our inner ear called the vestibular labyrinth.

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The Vestibular labyrinth picks up the information about our head and body position which the vestibular nerve will then send this information to the brain. The brain interprets the information and sends signal to our eye and postural muscles that maintains our balance and posture.

What is a Vestibular disorder?

A vestibular disorder may occur because of damage to the vestibular system. The damage may be due to aging, head injury, brain injury, medicine or diseases. People who suffers from vestibular disorder will usually experience dizziness or spinning sensation known as vertigo.

Vertigo can greatly impact our daily function as it affects our balance and increases risk of fall.



Different types of Vestibular disorder

  1. Benign paroxysmal positional vertigo (BPPV)
  2. Labyrinthitis
  3. Vestibular neuritis
  4. Ménière’s disease
  5. Secondary endolymphatic hydrops
  6. Perilymph fistula.
  7. Superior canal dehiscence
  8. Acoustic neuroma
  9. Ototoxicity
  10. Enlarged vestibular aqueduct syndrome
  11. Mal de débarquement

BPPV is the most common vestibular disorder accounting for up to 50% of the dizziness in elderly.



What are Physiotherapy management of Vestibular disorder?

Our Physiotherapy will screen with specified questions to help to differentiate the vestibular disorders. The therapist will then perform appropriate vestibular differential tests to determine the diagnosis.

A treatment plan and goal will be discussed with patient followed by the appropriate treatment



 
 

LYMPHATIC DRAINAGE

What is lymphatic drainage?

Lymphatic massage (Manual lymphatic drainage) is a certified massage technique done by a certified lymphoedema therapist that treats swelling in the body. Other benefits of Lymphatic drainage include:

  1. Reduce swelling due to pregnancy and poor blood circulation
  2. Reduce swelling, lymphoedema, caused by removal of lymph nodes in cancer patients
  3. Improve immune system
  4. Removal of toxic waste in the body
  5. Treats headache
  6. Reduce post liposuction swelling



What is lymphatic system?

Our lymphatic system is another system in the body just as important as our blood circulation. It is made up of a network of varying sizes of lymphatic vessels and lymph nodes throughout our body. The fluid found in the lymphatic system which is known as lymph contains water, fat, waste product, protein and antibodies. Unlike our blood circulation, the function of our lymphatic system is to remove waste product and lymph from the tissue. ​ However, the numbers of lymph nodes, pathway and location of the lymphatic vessels may varies in everyone.



How does lymphoedema develops?

Lymphoedema​ usually develops when the lymphatic system is impaired or when the amount of lymph fluid increased far more than what our lymphatic system can cope. Our lymphatic system can be damaged during operation such as when lymph nodes are removed as in the case of cancer spreading to the lymph node or from radiotherapy subsequently. Unfortunately, our lymph nodes does not regrown. Hence, lymphodema is an incurable condition.



How does lymphatic massage treat lymphoedema?

The massage works by diverting the lymph from an obstructed region of our body to the lymph nodes in another part of the body. Consistency in this massage has shown to promote the growth of the new lymphatic vessels connecting the obstructed region to the other lymph nodes. However, massage alone is not enough in containing lymphoedema. Compression bandaging or application of compression stocking or arm sleeve is necessary in the management of lymphoedema.



 

WOMEN'S HEALTH

What are the common surgeries that require Physiotherapy rehabilitation?

Orthopaedic surgeries such as:

  • Spinal surgeries

  • Ligament reconstruction
  • Muscle repair
  • Partial or total joint replacement
  • Fracture stabilibisation

Breast surgery:

  • Mastectomy with or without reconstruction



When can I start my Physiotherapy rehabilitation after a surgery?

Depending on your condition and surgery, physiotherapy rehabilitation usually starts the next day after an operation even while you are still in the hospital. Physiotherapy session may include:

  • Assessment on physical function such as getting out of bed, sit to stand or walking ability
  • Teaching the use of walking aid if needed
  • Simple exercises to improve movement and swelling
  • Advice on RICE (Rest, ice, compress, elevate) to reduce swelling
  • Gentle lymphatic massage to reduce swelling

Upon discharge, Physiotherapy is either conducted at:

  • Home immediately as Home Physiotherapy
  • Outpatient clinic between 2nd to 4th week post surgery depending on patient's wound healing and surgeon's recommendation.

How does Physiotherapy help you?

A treatment plan is decided based on The International Classification of Functioning, Disability and Health (ICF) framework. The framework will factor in not just the patient's health aspect but also the function, level of activity, type of participation, environment and personal factors of the patient which helps the patient reach his/ her rehabilitation goal.

Types of treatment may include but not limited to:

1. Advice on correct posture and movements

2. Advice on use of walking aid or orthotics to offload or support injured area

3. Manual therapy

4. Soft tissue or deep tissue massage

5. Supportive taping

6. Pilates

7. Strengthening and stretching exercises

How long do I need to receive Physiotherapy?

The duration of post surgery Physiotherapy depends on a few factors:

  • Type of surgery
  • Key hole surgery or open surgery
  • Type and number of soft tissues involved or extend of the injury
  • Patient's recovery
  • Pain intensity



 

INCONTINENCE REHAB

What is urinary incontinence?

Urinary incontinence is defined as the involuntary leakage of urine. A condition that is more prevalent in women than men due to pelvic floor muscles weakness. Urine leakage can happen from a cough, lifting heavy object or just physical exertion. This is known as stress urinary incontinence. Urinary leakage or urge to pass urine from the sight of a toilet or from the sound of running water is usually urge urinary incontinence or overactive bladder. It is also possible to have both type of urinary incontinence which is known as mixed urinary incontinence.



What weakens the pelvic floor muscles?

In Women Commonly, the pelvic floor muscle is stretched and weakened during pregnancy by the weight of the baby. This affects the tone of the urethral sphincter, the muscle which controls the retention and release of urine from the bladder. Multiple pregnancies can further weaken this muscle. In Men Patients with prostate cancer or benign prostatic hyperplasia (a non-cancerous enlargement of the prostate) may undergo surgery to remove the gland. The operation may subject them to the risk of damage in the genital nerve or urethra, which in turn can weaken this muscle.



How does continence rehabilitation improve your continence?

Continence rehabilitation is a holistic programme that will assess and treat the possible type of incontinence you may be experiencing. Different type of incontinence will require different type of approach. Our Physiotherapist will be able to assess, diagnose and treat accordingly. The treatments that you may require: 1) Pelvic floor muscles training 2) Lifestyle modification 3) Dietary advice 4) Physical strengthening



Like to know more?

Please read our blog: Oops! I need to go again.



 

PILATES

What is sports injury?

Sport injury is defined as any injury that occur due to exercising, recreational sports or athletic activities.



What are the common areas of sports injury?

1. Ankle injuries

2. Lower back injuries

3. Knee injuries​

4. Groin and thigh strain

5. Shoulder injuries



Stretching on a Mat
 

ELECTROPHYSICAL AGENT 

What is urinary incontinence?

Urinary incontinence is defined as the involuntary leakage of urine. A condition that is more prevalent in women than men due to pelvic floor muscles weakness. Urine leakage can happen from a cough, lifting heavy object or just physical exertion. This is known as stress urinary incontinence. Urinary leakage or urge to pass urine from the sight of a toilet or from the sound of running water is usually urge urinary incontinence or overactive bladder. It is also possible to have both type of urinary incontinence which is known as mixed urinary incontinence.



What weakens the pelvic floor muscles?

In Women Commonly, the pelvic floor muscle is stretched and weakened during pregnancy by the weight of the baby. This affects the tone of the urethral sphincter, the muscle which controls the retention and release of urine from the bladder. Multiple pregnancies can further weaken this muscle. In Men Patients with prostate cancer or benign prostatic hyperplasia (a non-cancerous enlargement of the prostate) may undergo surgery to remove the gland. The operation may subject them to the risk of damage in the genital nerve or urethra, which in turn can weaken this muscle.



How does continence rehabilitation improve your continence?

Continence rehabilitation is a holistic programme that will assess and treat the possible type of incontinence you may be experiencing. Different type of incontinence will require different type of approach. Our Physiotherapist will be able to assess, diagnose and treat accordingly. The treatments that you may require: 1) Pelvic floor muscles training 2) Lifestyle modification 3) Dietary advice 4) Physical strengthening



Like to know more?

Please read our blog: Oops! I need to go again.



Physiotherapist is applying ultrasound t