tag:blogger.com,1999:blog-85635615327889054412024-03-10T20:20:36.228-07:00AbOut OH ! PhysiOtherapyMISS OH SWEE LING
Manual & SportPhysiotherapist
Bsc(Hons) App.Reh.Physio(UK),MBMAS(UK)
Dip.Sport Injury(Mal),MMPA(Mal)OH ! Physiotherapy Penanghttp://www.blogger.com/profile/09847756595474582265noreply@blogger.comBlogger17125tag:blogger.com,1999:blog-8563561532788905441.post-13193655083876958222013-03-26T23:36:00.000-07:002013-03-26T23:36:08.632-07:00<span lang="">Always believe in continuous professional development, because it is essential to keep the profession to improve and move forward, in order to provide better service to the public. <br />
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Time passed by so fast, and we closed the calendar of 2012, yet I managed to attend 2 interesting workshop which were so interesting and will like to summarised what I had learn in these 2 workshop.<br />
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Shoulder instability and impingement<br />
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Presented by : Mr Wayne Rodger<br />
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Date: 30-31 May 2012<br />
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Venue: Singapore<br />
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Shoulder pain syndrome are very common in racket games such as badminton, squash, and overhead throwing movement e.g, baseball, basketball, handball etc. I always think that shoulder joint is the most complicated joint, and treatment take very long time. That why I intended to attend the shoulder joint cause, to sharpen my knowledge on this condition.<br />
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Mr Rodger presented a very detail and clear explanation on shoulder problem especially shoulder impingement syndrome.<br />
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<span lang="">First of all, to understand in detail what is the structure that provide stability to a shoulder joint, he divided it into 4 types <br />
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Global muscles – the muscle surrounding the shoulder joint, which provide the shoulder’s contour ( humeral torque) and it is for power production.<br />
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Dynamic stabilisers – this is another group of muscle which is to provide the shoulder’s dynamic stability and the major group of the muscles are the shoulder’s rotator cuff. Also must not forget the scapular ( shoulder blade) stability muscle which is equally important as a ‘foundation’ of the shoulder joint.<br />
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Passive controls – these are a group of soft tissue which attach the glenoid and humeral head ( the socket and the ball of the shoulder), which are the capsule and ligament surrounding the shoulder joint.<br />
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Osteological features or bony structure of the shoulder joint. – the shoulder joint is consist of a ball (humeral head) and a socket (glenoid fossa). The concave surface of the glenoid fossa provided a vacuum kind of suction, to suck the humeral head in position, and subsequently, the passive support from the shoulder ligament, capsule, labrum further increase the attachment and the stability of the shoulder joint.<br />
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Shoulder impingement syndrome, simple to say is the condition whereby there are some soft tissue ( commonly rotator cuff tendon or subacromial bursa) being pinched by the bony structure of the glenoid fossa and humeral head, and when there is up to certain extent that there will be a rotator cuff tear after prolong pinching of the tendon.<br />
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Most of the time, we are too concentrate on the injury part, and as usual as a physiotherapist, we will try to speed up the healing of the torn tendon by providing the patient some electro therapy e.g ultrasound, TENS, but forget to look for the reason behind the injury, and resulting in ineffective treatment.<br />
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<span style="font-size: small;"><span lang="">Mr Wayne Rodger emphasis a lot on the stability on the shoulder joint, as well as the scapular (shoulder blade) stability. <br />
We cannot change the passive support or the bony structure of the shoulder joint, but we can do something over the dynamic support of the shoulder joint and scapular.<br />
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<span style="font-size: small;"><span lang="">Picture above showing the relationship of the scapular towards the head of shoulder joint. At the end of one of the scapular angle ( the triangle bone ) which will become the concave surface of the shoulder joint or glenoid fossa that will later attach with the head of the humeral bone ( upper arm bone) and formed shoulder joint.</span></span></dir><div class="separator" style="clear: both; text-align: center;">
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<span style="font-size: small;">The arrow above showing the muscles surrounding the scapular and imagine that, if one of the muscle either tight, or weak, it will amend the position of the scapular bone, as well as the position of the glenoid fossa on the humeral head position, and the dynamic function of the shoulder joint will change, causing some shoulder structure under stress, and <span lang="">resulting in " overuse" injury.</span></span></span></span> </dir><div class="separator" style="clear: both; text-align: center;">
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<span style="font-size: small;"><span lang="">The above 2 pictures indicate the normal shoulder level with good alignment of both side of scapular, and the picture on the R showing the different height of shoulder level, with higher possibility of the muscle imbalance among scapular stability muscle( of course there will be some other reason that causing the indifference of shoulder level such as scoliosis of the thorax spine, which is beyond our discussion.)<br />
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So, to improve the muscle imbalance, we need to strengthen the weak or lengthen muscle, stretch or relax the tight muscle. When the dynamic support are improved, so will be the quality of the shoulder joint movement.<br />
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During the workshop, we were taught on the specific exercises on strengthening the weak muscle and the way to relax the tight muscle, even with self massage with massage ball.<br />
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I did learn a lot from the 2 days workshop, and now, I improved my skill in analysing of the shoulder joint assessment, which helps in my clinical decision on the treatment for patients who suffer from shoulder problem.<br />
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I will praise the workshop as five stars, cause I found that my knowledge and my management on shoulder pain is improved after since the meet up with Mr Roger.</span></span></dir><div class="separator" style="clear: both; text-align: center;">
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<span style="font-size: small;"><span lang="">Did you see any difference in between the 2 shoulder blade when this young man performed the activity by pulling apart the elastic band?<br />
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R shoulder level higher than L side, with the shoulder blade shift more laterally( away from midline, body twisted to Right side more than L side, what is the muscles that is not working well to maintain the shoulder blade(scapular) in centre?<br />
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Dry Needling<br />
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Presented by : Mr Lau<br />
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Date: <br />
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Venue : Island Hospital, Penang<br />
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<span lang="">Dry needling using IMS (intramuscular stimulation) concept. IMS is a type of "dry needling" method using western medicine's understanding of neurophysiology of pain and it is founded by Dr Chan Gunn. He introduced an assessment techniques of identifying underlying muscles which have nerve irritation to treat chronic pain issues.<br />
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It is different from the Traditional Chinese acupuncture which focuses on the pre-mapped out points on the body (or so call acupuncture points) and meridians of energy running through the body.<br />
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IMS is widely used in western world and most of the person who practice these technique will professional such as physiotherapists and doctors, who have proper training in the human anatomy, recognise the muscles of the human body. Most of the time, the practitioner will look for abnormal ‘feeling’ over the body muscle, e.g a taut band over the muscle. When the needle is applied or insert into a taut band of the muscle ( a trigger point which having hyperactivity of the muscle fiber), sometimes, patient will feel a twitch over the muscle, and the needling point can be very sore.<br />
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Commonly patient complained of tired or sleepy, and the muscle will be sore as those as they just finished doing a session of vigorous exercise. </span><br />
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<span lang="">During the course, we were introduced on variable muscles which can be effective in applying needles. The workshop was a practical workshop, and of course, during the workshop, you will not miss the voice of 'ouch' 'ah'.... but, majority of the apprentice, enjoyed being needle.<br />
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Some muscle which I’ve never learn to needle were introduced by Mr Lau and will be much helpful in improving by dry needling skill.</span><br />
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</span>OH ! Physiotherapy Penanghttp://www.blogger.com/profile/09847756595474582265noreply@blogger.com18tag:blogger.com,1999:blog-8563561532788905441.post-56830139393792346822012-04-25T00:50:00.000-07:002012-04-25T00:50:52.252-07:00Dry Needling<div class="separator" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; clear: both; text-align: center;">
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<span lang="EN-GB" style="mso-ansi-language: EN-GB;"><span style="font-family: Calibri;">As a routine, a new member join us need to experience what is the feeling <span style="mso-spacerun: yes;"> </span>of dry needle, so that she can appreciate what is the feeling of a patient who is having dry needling treatment.</span></span></div>
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<span lang="EN-GB" style="mso-ansi-language: EN-GB;">From the expression of Shuhada, the needle causing some ‘ lenguh’ sensation to the area needled, and the feeling last a while even the needle was removed, but the sensation is acceptable for her.</span></div>
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<span lang="EN-GB" style="mso-ansi-language: EN-GB;">The point that the needle inserted on the hand was LI 4 or Large Intestine 4, in Chinese ‘he gu’(</span><span lang="ZH-CN" style="font-family: SimSun; mso-ansi-language: EN-GB; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-fareast-font-family: SimSun; mso-fareast-theme-font: minor-fareast; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;">合谷</span><span lang="ZH-CN" style="mso-ansi-language: EN-GB;"> </span><span lang="EN-GB" style="mso-ansi-language: EN-GB;">). It is a usual point used for pain relieving. It is believed that if you have headache or stomach ache, this point can be press by finger to help relieve pain.</span></div>
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<span lang="EN-GB" style="mso-ansi-language: EN-GB;"><strong>How long are the needles used in dry needling technique?</strong></span></div>
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<span lang="EN-GB" style="mso-ansi-language: EN-GB;">The commonly use acupuncture needles range from 2.5cm(1 cun or 1 inch), 5cm(2 cun or 2inches) to the longest 7.5cm( 3cun or 3 inches). Which types of needles need to use are depend on the body part. If it is over the forearm, bottom of the leg, than 1 inch needle are being used. For deeper or thicker area, example, thigh, low back, the 4cm and 5cm needles are commonly used, and the longest needle (7.5) are used over buttock region, which the fat and muscles are so thick and massive, it can never be reach if we are using the short 1 inch needle.</span></div>
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<span lang="EN-GB" style="mso-ansi-language: EN-GB;"><strong>What exactly the needles can do to a person and how it helps them? </strong></span></div>
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<span lang="EN-GB" style="mso-ansi-language: EN-GB;">Simple to say, when a needle inserted into the body, it traumatised the area and the human body will percept it as an injury, which it will started to bring more blood to the region for repair. When there are more blood circulation over the region, it relax the muscle which is originally tighten up(spasm or cramp feeling) due to injury.</span></div>
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<span lang="EN-GB" style="mso-ansi-language: EN-GB;"><span style="mso-spacerun: yes;"> </span>At the same time, the message of this injury will be convey by our sensory nerve to the spinal cord. The message or the signal of the needle fill the spinal cord sensory area(posterior horn) and causing others signal being blocked to enter into the spinal cord (pain gate mechanism), and it help to reduce the original pain of the patient. When the needle message being further carry up to the brain, it stimulate over an area in the brain, Pituitary to release ‘happy hormone’ such as endorphin and encephalin to increase the pain threshold of a person.</span></div>
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</span> </span></span>OH ! Physiotherapy Penanghttp://www.blogger.com/profile/09847756595474582265noreply@blogger.com11tag:blogger.com,1999:blog-8563561532788905441.post-4356380874150162812011-12-07T21:57:00.000-08:002011-12-07T22:01:48.408-08:00PHYSIOTHERAPY INSTRUMENT MOBILISATION (PIM)<i><b><span class="Apple-style-span" style="color: red; font-family: Times, 'Times New Roman', serif;">6th November 2011, a public holiday which the Muslim in Malaysia were celebrating Hari Raya Qurban, but me and some of my colleugues will have to control our lazy mood, to attend a workshop on Physiotherapy Instrument Mobilisation (PIM).</span></b></i><br />
<i><b><span class="Apple-style-span" style="color: red; font-family: Times, 'Times New Roman', serif;">A drizzling rain in the morning, and I was 10 minutes late to the venue, and the class were already started with some theory about the tecnique, which I manage to catch up later.</span></b></i><br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiomGMRwDr4AlgXneLEB_8AQBV_QdIk8uxXYRIPiwdte_ZE1DLXaP_oViUsy3dgnB-HFdIigMdnoerK_0i86p1oobm_U1tzrXhvxJYemDtI8zbEHJsPe8cv-5ePsjgBr1E5XMDy024nYFk/s1600/DSC05622.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiomGMRwDr4AlgXneLEB_8AQBV_QdIk8uxXYRIPiwdte_ZE1DLXaP_oViUsy3dgnB-HFdIigMdnoerK_0i86p1oobm_U1tzrXhvxJYemDtI8zbEHJsPe8cv-5ePsjgBr1E5XMDy024nYFk/s320/DSC05622.JPG" width="240" /></a> </div><div class="separator" style="clear: both; text-align: center;"><br />
</div><div class="separator" style="clear: both; text-align: center;"></div><div class="separator" style="clear: both;"><b><i><span class="Apple-style-span" style="color: red; font-family: Times, 'Times New Roman', serif;">PIM, a mechanical assisted joint mobilisation utilise a technological instrument and the treatment principal are according to physiotherapy principles, including the concept of physiotherapy model of joint mobilisation and manipulation, Mulligan's concepts of mobilisation with movement and positional faults. According to the speaker, these technique has being accredited by the Australian Physiotherapy Association as complying with their high standards of continuing professional(physiotherapist) development.</span></i></b></div><div class="separator" style="clear: both;"><b><i><span class="Apple-style-span" style="color: red; font-family: Times, 'Times New Roman', serif;">Manual therapy is a hard work - PIM technique using the mobilising device substitutes high velocity and lower forces generated tools, ensuring effective joint mobilisation. One question raised, what would you prefer, an effective dose controlled repeatable reliable 2 second instrument application or 4 sets of grade IV Passive Accessory mobilisations with clinician's thumbs? </span></i></b></div><div class="separator" style="clear: both;"><b><i><span class="Apple-style-span" style="color: red; font-family: Times, 'Times New Roman', serif;">These is very true, because I started practicing since 1996, and in some busy days, my thumb already given me some sign of retirement ( oh no, I am too young to talk about retirement ...), this tools, seems to be a good option for me to rest my thumb's MCP( metacarpal phalangial joint), especially for small joint such as TMJ, cervical, acromio-clavicular, carpal and tarsal joint, very excellent result.</span></i></b></div><div class="separator" style="clear: both;"><b><i><span class="Apple-style-span" style="color: red; font-family: Times, 'Times New Roman', serif;">Furthermore, this instrument mobilisation enable the clinician to give fast and effective manual therapy, saving not only the clinician's thumb, but the energy and time for treating more patients in a day with less fatigue. </span></i></b></div><div class="separator" style="clear: both;"><b><i><span class="Apple-style-span" style="color: red; font-family: Times, 'Times New Roman', serif;">From patient's feedback, PIM is less painful, compared to my fingers (are you sure?), and most of the time, patient no need to expose, with light clothing is desirable, and it showed quite an exciting clinical outcomes, which is what the clinician want.</span></i></b></div><div class="separator" style="clear: both;"><b><i><span class="Apple-style-span" style="color: red; font-family: Times, 'Times New Roman', serif;">Well, overall the workshop was so enjoyable, all the participants kept 'gun' here, 'gun' there, and I gun on my Right wrist's carpal joint, which already given me some problem due to joint mobilisation, and the result was satisfactory, my wrist extension improved after my self treatment.</span></i></b></div><div class="separator" style="clear: both;"><b><i><span class="Apple-style-span" style="color: red; font-family: Times, 'Times New Roman', serif;">Look at our lovely, sweet face and the powerful firing 'gun'....</span></i></b></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiFsI0dL2k_DyvUMUrD_o4puWBbRc1e6EB2n44Kiu9Fm-VJqmnbN9jLReOSjqBZWdDOPIdJ8aTv765Zry0tVLyOSs7Ct3ouXogVKewEGByf5IrxaOERWeAasbdJcZhdO8yoqQnp1XtcJ9M/s1600/DSC_0005.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="265" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiFsI0dL2k_DyvUMUrD_o4puWBbRc1e6EB2n44Kiu9Fm-VJqmnbN9jLReOSjqBZWdDOPIdJ8aTv765Zry0tVLyOSs7Ct3ouXogVKewEGByf5IrxaOERWeAasbdJcZhdO8yoqQnp1XtcJ9M/s400/DSC_0005.JPG" width="400" /></a></div><div class="separator" style="clear: both; text-align: center;"><br />
</div><div class="separator" style="clear: both; text-align: center;"></div><div class="separator" style="clear: both;"><i><b><span class="Apple-style-span" style="color: #cccccc;">squatting, 2nd from left - me....</span></b></i></div><div class="separator" style="clear: both;"><span class="Apple-style-span" style="color: red; font-family: Times, 'Times New Roman', serif;"><i><b>A number of studies have investigated instrument mobilisation for its effectiveness and found it to be equivalent to manual mobilising techniques in reducing pain and improving function in patients. Ongoing research in to the basic science of instrument mobilisation and clinical trials have quantified intervertebral motions, electromyographic and neurophysiological responses to instrument mobilisation. </b></i></span></div><div class="separator" style="clear: both;"><span class="Apple-style-span" style="color: red; font-family: Times, 'Times New Roman', serif;"><i><b>Last and not least, allow me to express my appreciation to Mr Tim Mann and his lovely wife, Pam, who came all the way from Australia to conduct the workshop. Hope to see them soon for --- PIM 2nd part.</b></i></span></div><br />
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</div>OH ! Physiotherapy Penanghttp://www.blogger.com/profile/09847756595474582265noreply@blogger.com10tag:blogger.com,1999:blog-8563561532788905441.post-63758079336340216442011-11-21T21:14:00.000-08:002011-11-21T21:14:05.312-08:00Penang Bridge International Marathon 2011<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhlu_Zn-0U6dJjFzGIkBStkNAGvDbW3hVPmbhI7YwIs7COzQK96OZ_uul1r9BRqXFEOIrJvd6LlzSST17PxsnN-Q2lFQyVVHhKFpkDU5TEO7rUxo0I1KfiUNW8bGmYxt2Ks5Iash6iExfE/s1600/305158_2654586892736_1497720045_32825510_372719859_n.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhlu_Zn-0U6dJjFzGIkBStkNAGvDbW3hVPmbhI7YwIs7COzQK96OZ_uul1r9BRqXFEOIrJvd6LlzSST17PxsnN-Q2lFQyVVHhKFpkDU5TEO7rUxo0I1KfiUNW8bGmYxt2Ks5Iash6iExfE/s320/305158_2654586892736_1497720045_32825510_372719859_n.jpg" width="320" /></a></div><br />
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<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiTZ8-xlW7f08UDh33lI49FrkntgMdp5dVOc_OoS28UDdA59858RwuvdJRUDV2AOtoJB2jYJTQpBojmwCT57nLo1FyifprYYTmRXXzAIgoeIg9dy58ODi6HYTPcQzpa8e6rIwvYz94Dhlw/s1600/392772_2654588492776_1497720045_32825512_80300765_n.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiTZ8-xlW7f08UDh33lI49FrkntgMdp5dVOc_OoS28UDdA59858RwuvdJRUDV2AOtoJB2jYJTQpBojmwCT57nLo1FyifprYYTmRXXzAIgoeIg9dy58ODi6HYTPcQzpa8e6rIwvYz94Dhlw/s320/392772_2654588492776_1497720045_32825512_80300765_n.jpg" width="240" /></a></div>OH ! Physiotherapy Penanghttp://www.blogger.com/profile/09847756595474582265noreply@blogger.com0tag:blogger.com,1999:blog-8563561532788905441.post-37787230100218304002011-08-04T01:28:00.000-07:002011-08-04T09:40:55.135-07:00THE WORKSHOP OF 'DRY NEEDLING FOR MYOFASCIAL PAIN'<div style="color: red; font-family: Verdana,sans-serif;"></div><div class="MsoNormal" style="color: red; font-family: Verdana,sans-serif;"><span style="font-size: small;"><span lang="EN">The workshop of " myofascial pain and dry needling - head/neck/shoulder girdle" at The royal London hospital for integrated medicine hospital.</span></span><br />
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</span></span></div><div class="MsoNormal" style="color: red; font-family: Verdana,sans-serif;"><span style="font-size: small;"><span lang="EN">It was not the first time, but it was a pleasure to meet Dr Robert Gerwin again for his myofascial pain workshop. Dr Robert Gerwin, a Board- Certified neurologist form Washington State, Medical Director of Pain and Rehabilitation Medicine in Bethesda, an associate professor in the Department of Neurology at John Hopkins University School of Medicine. He had the opportunity of training in the diagnosis and management of myofascial pain syndromes under the renowned Dr Janet Travell, and now runs a multidisciplinary pain clinic specialising in this field. </span></span><br />
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<span style="font-size: small;"><span lang="EN">Dr Gerwin is the author of over 30 peer reviewed articles, reviews, book chapters and consensus statements. he reviews articles for over a dozen medical journals. He is on the editorial board of <i>the Journal of Musculoskeletal Pain</i>, co-editor of the book <i>Clinical Mastery</i> <i>in the Treatment of Myofascial Pain, </i>along with Lucy Whyte Ferguson. </span></span></div><div class="MsoNormal" style="color: red; font-family: Verdana,sans-serif;"><br />
</div><div class="MsoNormal" style="color: red; font-family: Verdana,sans-serif;"><span style="font-size: small;"><span lang="EN"></span></span></div><div class="MsoNormal" style="color: red; font-family: Verdana,sans-serif;"><span style="font-size: small;"><span lang="EN">Dr Gerwin demontrasted on a participant during the course.</span></span></div><div class="separator" style="clear: both; color: red; font-family: Verdana,sans-serif; text-align: center;"><span style="font-size: small;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSm8qrahmzAP0uiGpP9fGxmuoDfXFROqxegolL3cleZaeoGiZqr1HgWlxkb-651GYho22_orqF9T7WI60rM2pxzKIwxeQ3vJCQc1jsb_mbZDFYiJQl7mgxch5pBNUO4wWJG8FiBveRD_Q/s1600/IMAG0079.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgSm8qrahmzAP0uiGpP9fGxmuoDfXFROqxegolL3cleZaeoGiZqr1HgWlxkb-651GYho22_orqF9T7WI60rM2pxzKIwxeQ3vJCQc1jsb_mbZDFYiJQl7mgxch5pBNUO4wWJG8FiBveRD_Q/s320/IMAG0079.jpg" width="320" /></a></span></div><div class="MsoNormal" style="color: red; font-family: Verdana,sans-serif;"><br />
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</div><div class="MsoNormal" style="color: red; font-family: Verdana,sans-serif;"><span style="font-size: small;"><span lang="EN">The topic of these workshop was regarding myogenic headache ( headache origin from muscular pain.) and facial pain. </span></span></div><div class="MsoNormal" style="color: red; font-family: Verdana,sans-serif;"><span style="font-size: small;"><span lang="EN">Decades ago, it was believed that, headaches are causes by intercranial pressure pain ( the increase of pressure in the brain), but nowadays, a lot of the medical professional that working on muscles or myofascial, having a revolution thinking that majority of headaches causes by the muscle surrounding the neck and the head.</span></span><br />
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</span></span></div><div class="MsoNormal" style="color: red; font-family: Verdana,sans-serif;"><span style="font-size: small;"><span lang="EN">Headache caused by a trigger point in the sternocleidomastoid muscle( a pair of muscles that located in front of neck) was described by Dr Travell 1955. Dr Janet Travell explained further that headache caused by trigger points in the trapezius muscle, the sternocleidoastoid muscle(both are neck muscle), and the muscles of mastication(muscle surrounding the jaw), and noted the contribution of mechanical stress,including a variety of postural stresses, on the development of trigger points that could lead to headache (Travell J : Mechanical headache. Headache 7:23-29 , 1967).</span></span></div><div class="separator" style="clear: both; color: red; font-family: Verdana,sans-serif; text-align: center;"><span style="font-size: small;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEht_19iaa7CegKGTqPKvUlurs-99SDxp5O3ihQqXlvdqZVppSlek4A-Wr7pm_-OSX0eiekeN45yi0rwdB1lx8-SnndJB-9COVbTcfgklYdjhLA6MbmzSPHcuKtUGx3TuAoFIXsoDcAsFWg/s1600/1.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEht_19iaa7CegKGTqPKvUlurs-99SDxp5O3ihQqXlvdqZVppSlek4A-Wr7pm_-OSX0eiekeN45yi0rwdB1lx8-SnndJB-9COVbTcfgklYdjhLA6MbmzSPHcuKtUGx3TuAoFIXsoDcAsFWg/s1600/1.png" /></a></span></div><div class="MsoNormal" style="color: red; font-family: Verdana,sans-serif;"><br />
</div><div class="MsoNormal" style="color: red; font-family: Verdana,sans-serif;"><span style="font-size: small;"><span lang="EN"></span></span></div><div class="MsoNormal" style="color: red; font-family: Verdana,sans-serif;"><span style="font-size: small;"><span lang="EN">Referred pain pattern from the sternocleidomastoid muscle.</span></span></div><div class="MsoNormal" style="color: red; font-family: Verdana,sans-serif;"><br />
</div><div class="MsoNormal" style="color: red; font-family: Verdana,sans-serif;"><span style="font-size: small;"><span lang="EN">There are evidences shown the involvement of myofascial in headaches. E.g;</span></span></div><div class="MsoNormal" style="color: red; font-family: Verdana,sans-serif;"><span style="font-size: small;"><span lang="EN">Olesen, the first to estimate tenderness in the pericranial muscles during a migraine attack , and found that temporal , masseter( muscle over the face) and neck muscles were tender (Prevalence significance of muscletenderness during common migraine attacks. Headache 21:49-54, 1981) , (Electromyography of pericranial muscles during treatment of spontaneous common migraine attacks. Pain 14:137-147 , 1982) & (Pericranial muscle tenderness and pressure-pain threshold in the temporal region during common. Pain 35:65-70 , 1988).</span></span></div><div class="MsoNormal" style="color: red; font-family: Verdana,sans-serif;"><span style="font-size: small;"><span lang="EN">He also studied pericranial muscle tenderness in chronic tension type headache and correlated lower pressure pain thresholds and increased pericranial electromyographic activity with chronic tension-type headache (Muscular factors are of importance in tension-type headache . Headache 38:10-17 , 1998).</span></span><br />
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</span></span></div><div class="MsoNormal" style="color: red; font-family: Verdana,sans-serif;"><span style="font-size: small;"><span lang="EN">Jensen studied 735 subjects from the general population , and found 22 with chronic tension-type headache. Muscle pressure pain thresholds were lower in person , particularly females, with chronic tension-type headaches, than the general population (Pathophysiological mechanisms of tension-type headache , in Copenhagen : Foreningen af Danske Laegestuderendes Forglag , 1998, p 68).</span></span><br />
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Every time after the workshop is a hard time for me, because I need time to digest all the knowledge which being delivered during the workshop, but, honestly, I really learn a lot, and have no regret to travel all the way from Malaysia to London, UK for it.<br />
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</div>OH ! Physiotherapy Penanghttp://www.blogger.com/profile/09847756595474582265noreply@blogger.com10tag:blogger.com,1999:blog-8563561532788905441.post-63637516544527838282011-06-16T23:22:00.000-07:002011-06-16T23:23:09.683-07:00No time tO excersice ... nO excuse ...... <br />
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<tr><td style="text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg2EPGS1T6pKZAR4y2WF4GDopstuIXuwZ_waiVGmtGHtXyCoVSTfH-__VPeVwLy4PPVRaPt3LKDP_4t98GliDJjP2G6cjpmBtkXhpTXd7JCReJ3kM_T_hOQULMN74Wi_lGZyd-9FHJ5S4Y/s1600/Untitled.png" imageanchor="1" style="margin-left: auto; margin-right: auto;"><img border="0" height="357" i$="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg2EPGS1T6pKZAR4y2WF4GDopstuIXuwZ_waiVGmtGHtXyCoVSTfH-__VPeVwLy4PPVRaPt3LKDP_4t98GliDJjP2G6cjpmBtkXhpTXd7JCReJ3kM_T_hOQULMN74Wi_lGZyd-9FHJ5S4Y/s400/Untitled.png" width="400" /></a></td></tr>
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<tr><td height="39" valign="top"><b><span style="color: red; font-family: Times, "Times New Roman", serif; font-size: x-large;"><u>4 minutes Computer & Desk Stretches </u></span></b><span style="font-family: Arial, Arial; font-size: x-small;"><span style="font-family: Arial, Arial; font-size: x-small;"><span style="color: red; font-family: Times, "Times New Roman", serif; font-size: large;">Sitting at a computer for long periods often causes neck and shoulder stiffness and occasionally lower back pain. </span><br />
<span style="color: red; font-family: Times, "Times New Roman", serif; font-size: large;">Do these stretches every hour or so throughout the day, or whenever you feel stiff. Also, be sure to get up and walk around the office whenever you think of it</span>. </span></span></td></tr>
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</tbody></table> OH ! Physiotherapy Penanghttp://www.blogger.com/profile/09847756595474582265noreply@blogger.com3tag:blogger.com,1999:blog-8563561532788905441.post-33081186682106644562011-05-10T22:39:00.000-07:002011-05-10T22:39:17.911-07:00Flat Feet (Pes Planus)<span style="color: red;"><strong>A true flat foot is rare. Generally, a flat-footed person is only suffering from a functional flat foot caused by excess pronation. Excess Pronation causes the foot's arch to collapse & elongate giving the appearance of a flat foot. A functional flat foot is quite common and generally exhibits symptoms ranging from sore/tired feet to general leg fatigue and body aches.</strong></span><br />
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<span style="color: red;"><strong>VASYLI products are designed to control excess pronation (the common cause of functional flat feet and thereby restoring the foot's arch to normal)</strong></span><br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhWlH4aFIfuK9WCjsKvamGaQJkY8Hna_ChqIYkV47_b70432OghfAG-bw257xgpzlbdo1x5rbrcMwPSerxFt2aU0FL6LRpPSJnb4cwAN5u-O38CceRpKHahjHlS3SzPA0Wc6wIu4mm-dMk/s1600/flat-feet-pain-2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" j8="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhWlH4aFIfuK9WCjsKvamGaQJkY8Hna_ChqIYkV47_b70432OghfAG-bw257xgpzlbdo1x5rbrcMwPSerxFt2aU0FL6LRpPSJnb4cwAN5u-O38CceRpKHahjHlS3SzPA0Wc6wIu4mm-dMk/s1600/flat-feet-pain-2.jpg" /></a></div><br />
<div style="text-align: center;"><strong><span style="color: red; font-family: Times, "Times New Roman", serif;"><u>BALL OF FOOT PAIN 1</u></span></strong></div><div style="text-align: center;"><em><strong><span style="color: red; font-family: Times, "Times New Roman", serif;">(Metatarsalgia)</span></strong></em></div><div style="text-align: center;"><br />
</div><div style="text-align: left;"><span style="color: red; font-family: inherit;"><strong>This condition commonly occurs with women, however many men suffer from pain in the ball of the foot. Sometimes a callous develops in the centre of the foot and footwear may wear out in a similar fashion.</strong></span></div><div style="text-align: left;"><br />
</div><div style="text-align: left;"><strong><span style="color: red;">This condition causes a burning sensation in the ball of the foot and can become very painful. Ball of Foot Pain (Metatarsalgia) commonly occurs from rotation and dropping (plantarflexion) of the metatarsal bones along with excess pronation and weakening of the soft tissue (ligament & muscle) structures.</span></strong></div><div style="text-align: left;"><br />
</div><div style="text-align: left;"><strong><span style="color: red;">VASYLI products align the central three (3) metatarsal shafts using a inbuilt 5mm met raise to correctly position and maintain the Metatarsal bone position. By balancing the weight distribution over the five (5) metatarsal bones, this helps remove excess weight & friction which commonly causes the callous and burning sensation.</span></strong></div><div style="text-align: center;"><br />
</div><div style="text-align: center;"><span style="color: red;"><u><strong>BALL OF FOOT PAIN 2 </strong></u></span></div><div style="text-align: center;"><em><strong><span style="color: red; font-family: Times, "Times New Roman", serif;">(Morton's Neuroma)</span></strong></em></div><div style="text-align: center;"><br />
</div><div style="text-align: center;"><br />
</div><div style="text-align: left;"><strong><span style="color: red;">Commonly assocciated with Metatarsalgia <em>(see previous ccondition</em>), this condition is generally caused by entrapment of the interdigital nerve lying between the third and fourth metatarsal bones. Ball of Foot Pain (Morton's Neuroma) exhibits similar symptoms to Metatarsalgia, but may also cause numbness, tingling and discoloration of the third and fourth (lesser) toes.</span></strong></div><div style="text-align: left;"><br />
</div><div style="text-align: left;"><strong><span style="color: red;">VASYLI products may greatly assist in the early stages of Morton's Neuroma when damage to the nerve sheath is minimal. VASYLI products re-aligns the metatarsal shafts and prevents interdigital nerve jamming. Severe fibrosis of the interdigital nerve may require surgery. However, VASYLI products may prevent further problems post-operatively.</span></strong></div>OH ! Physiotherapy Penanghttp://www.blogger.com/profile/09847756595474582265noreply@blogger.com6tag:blogger.com,1999:blog-8563561532788905441.post-52756590286942837302011-05-09T00:27:00.000-07:002011-05-09T00:27:46.914-07:00Back Pain (Lumbo-Sacral Pain)<span style="color: red; font-family: inherit;"><strong>As the feet roll over and the legs internally rotate the pelvis is forced to tilt forward, resulting in increased curvature of the lower back.</strong></span><br />
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<span style="color: red; font-family: inherit;"><strong>In turn , this causes tightness and stiffness of the lowerback muscles.</strong></span><br />
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<span style="color: red; font-family: inherit;"><strong>VASYLI products help align the body posture by controlling the feet, reducing internal rotation of the legs and forward pelvic tilt, therefore easing lower back pain.</strong></span><br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh7OAzhOJ6MuL_reYuHSZlrlGkVmWtT9WFIQ2_ncsdo52QYuSqZH-J_V18mq5TkrSEIYzUxmf2fZu0ztmePOYyywdzX2p0rE8XdYACO3xwT5EAZsP9eODNOxYJknTrz8fdvDQOR27OrYrY/s1600/spine.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" j8="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh7OAzhOJ6MuL_reYuHSZlrlGkVmWtT9WFIQ2_ncsdo52QYuSqZH-J_V18mq5TkrSEIYzUxmf2fZu0ztmePOYyywdzX2p0rE8XdYACO3xwT5EAZsP9eODNOxYJknTrz8fdvDQOR27OrYrY/s320/spine.jpg" width="294" /></a></div>OH ! Physiotherapy Penanghttp://www.blogger.com/profile/09847756595474582265noreply@blogger.com3tag:blogger.com,1999:blog-8563561532788905441.post-57329639531512570182011-05-09T00:12:00.000-07:002011-05-09T02:13:26.728-07:00Knee Pain (Patello-Femoral Pain)<strong><span style="color: red; font-family: inherit;">This type of knee pain is commonly caused by rolling over of the foot - 'excess pronation'. As the foot rolls over, the lower leg (tibia) internally rotates, putting forces on the knee cap and weakening the muscle structures, causing knee pain.</span></strong><br />
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<span style="color: red; font-family: inherit;"></span></strong><br />
<strong><span style="color: red; font-family: inherit;">By re-aligning the lower limb and preventing the feet from rolling over, VASYLI products reduce internal rotation of the leg and takes away this common cause of knee pain.</span></strong><br />
<div class="separator" style="clear: both; text-align: center;"></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhF0BAH1fuWNApijk6jxF3lnBhqV2GVN1OZp7zqzDgVLl_4WlEfwT4C2ILOx-SXFwNWeqT20-V0SK7UeaIaKffwuPECBWQ7qyjbuS3ESEF8WvqyMJ_NbtGqBRhh1x1l7PJHGtzSHE2J0Jw/s1600/knee-1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="220" j8="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhF0BAH1fuWNApijk6jxF3lnBhqV2GVN1OZp7zqzDgVLl_4WlEfwT4C2ILOx-SXFwNWeqT20-V0SK7UeaIaKffwuPECBWQ7qyjbuS3ESEF8WvqyMJ_NbtGqBRhh1x1l7PJHGtzSHE2J0Jw/s320/knee-1.jpg" width="320" /></a></div><div class="separator" style="clear: both; text-align: center;"><br />
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</div><div class="separator" style="clear: both; text-align: center;"><u><span style="color: red;"><strong>TIRED , ACHING LEGS</strong></span></u></div><div class="separator" style="clear: both; text-align: center;"><br />
</div><div class="separator" style="clear: both; text-align: center;"><span style="color: red;"><strong>Tired/arching legs are commonly caused by strain and stretching (traction) on the calf muscles at the back of the legs. This occurs when the feet roll over ('excess pronation') and the legs rotate internally.</strong></span></div><div class="separator" style="clear: both; text-align: center;"><br />
</div><div class="separator" style="clear: both; text-align: center;"><span style="color: red;"><strong>In turn, this placess stress and strain on the muscle structures of the legs.</strong></span></div><div class="separator" style="clear: both; text-align: center;"><br />
</div><div class="separator" style="clear: both; text-align: center;"><span style="color: red;"><strong>VASYLI products control 'excess pronation' - decreasing internal rotation of the leg and traction stretching on the calf muscles, thereby taking away this common cause of tired/aching legs.</strong></span></div>OH ! Physiotherapy Penanghttp://www.blogger.com/profile/09847756595474582265noreply@blogger.com1tag:blogger.com,1999:blog-8563561532788905441.post-1175157813038140332011-05-08T23:57:00.000-07:002011-05-08T23:57:05.083-07:00Heel Pain (Plantar Fasciitis)<span style="color: red; font-family: "Courier New", Courier, monospace;"><strong>Heel pain is commonly caused by rolling over of the foot ('excess pronation'). As the foot pronates, the arch collapses and the muscles and supporting structures are forced to stretch and elongate. This puts stretch (traction)and strain on the ligaments running from the heel to the toes.</strong></span><br />
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<span style="font-family: Courier New;"><span style="color: red;"><strong>In turn, the heel bone may 'respond' by developing a bony growth right in the centre of the</strong></span> -</span><span style="font-family: Times, "Times New Roman", serif;"><em><strong>the heel spur.</strong></em></span><br />
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<span style="color: red; font-family: Georgia, "Times New Roman", serif;"><strong>VASYLI </strong></span><span style="color: red; font-family: "Courier New", Courier, monospace;"><strong>products re-align the foot , reducing the stetch (traction) forces on the ligament - taking away this common cause of heel pain.</strong></span><br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEivXOdqMR1WusKUweIwepM6KJmMgC3AfjNvzAgXpexUNWxW2KKva1zcImSE_oiX3Dl3DybMGuxK_BLTVsFpdY3kvGb2HfKyt6g5oNyYUBffbU0YF59NX3tQeZVtdKWcNXeQS3zMzBZzXP4/s1600/plantar_fasciitis.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" j8="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEivXOdqMR1WusKUweIwepM6KJmMgC3AfjNvzAgXpexUNWxW2KKva1zcImSE_oiX3Dl3DybMGuxK_BLTVsFpdY3kvGb2HfKyt6g5oNyYUBffbU0YF59NX3tQeZVtdKWcNXeQS3zMzBZzXP4/s1600/plantar_fasciitis.jpg" /></a></div><span style="color: red; font-family: "Courier New", Courier, monospace;"><strong><br />
</strong></span>OH ! Physiotherapy Penanghttp://www.blogger.com/profile/09847756595474582265noreply@blogger.com2tag:blogger.com,1999:blog-8563561532788905441.post-29046615285922632502011-05-08T22:14:00.000-07:002011-05-08T22:17:27.367-07:00Anatomy of the Foot<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEicS_glOgTIT78l3Q5uHtTP7mkLAyWrA_0buaQKJKs_IgDfiOJmet2t63CN-I3qO1Vej6A1J4qhiYATsMvIERzs0ZuzSMtiDddNPAdFtno39EjyLw0Y_5EhYruNq1EYjFnnCDjJ6j2e-SU/s1600/foot_anatomy.gif" imageanchor="1" style="clear: left; cssfloat: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="400" j8="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEicS_glOgTIT78l3Q5uHtTP7mkLAyWrA_0buaQKJKs_IgDfiOJmet2t63CN-I3qO1Vej6A1J4qhiYATsMvIERzs0ZuzSMtiDddNPAdFtno39EjyLw0Y_5EhYruNq1EYjFnnCDjJ6j2e-SU/s400/foot_anatomy.gif" width="375" /></a></div><div style="text-align: left;"><strong><span style="color: red; font-family: Georgia, "Times New Roman", serif; font-size: x-small;">The foot consists of 26 bones. (28 if you include the two sesamoid bones under your 1st metatarsal). The great toe ig generally longest in the most feet, however it is common for the 2nd toe to be longer than the great toe. (this is commonly referred to as 'the greek foot')</span></strong></div><div style="text-align: left;"><span style="font-size: x-small;"><br />
</span></div><div style="text-align: left;"><strong><span style="color: red; font-family: Georgia, "Times New Roman", serif; font-size: x-small;">The main join of concern in biomechanics is the Subtalar Joint which is the joint between the Calcaneus (heel bone) and the Talus.</span></strong></div><div style="text-align: left;"><span style="font-size: x-small;"><br />
</span></div><div style="text-align: left;"><strong><span style="color: red; font-family: Georgia, "Times New Roman", serif;"><span style="font-size: x-small;">The proper function of these joint is crucial to a correct and 'pain-free' gait</span>.</span></strong></div>OH ! Physiotherapy Penanghttp://www.blogger.com/profile/09847756595474582265noreply@blogger.com2tag:blogger.com,1999:blog-8563561532788905441.post-7040498835195903412011-05-08T21:27:00.000-07:002011-05-08T22:05:43.785-07:00VASYLI<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgb9CzgWsO_jXh1cqsuD9HlDCWc6YzmX8GT6FMc3LnwASx2PbpHoYwn0fXGWC40iEynMQ_AtcGx0Z6ow91lCd4EwxgOWOGjI3sOYqsHbhnqjfsWUUaPO18yctZM2cactR-C5X2wnYyI7X0/s1600/vasyli.jpg" imageanchor="1" style="clear: left; cssfloat: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="200" j8="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgb9CzgWsO_jXh1cqsuD9HlDCWc6YzmX8GT6FMc3LnwASx2PbpHoYwn0fXGWC40iEynMQ_AtcGx0Z6ow91lCd4EwxgOWOGjI3sOYqsHbhnqjfsWUUaPO18yctZM2cactR-C5X2wnYyI7X0/s200/vasyli.jpg" width="100" /></a></div><div style="text-align: center;"></div><div style="text-align: center;"><br />
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</div><div style="text-align: center;"><strong><span style="color: red; font-family: Georgia, "Times New Roman", serif;">" In my many years of Podiatry practice I have treated over 50,000 patient. It is my experience and that of other practitioners that many aches and pains occur from poor posture of the foot and leg. I have written this to help you understand the cause of these common complaints and how to provide relief through orthotic treatment. "</span></strong></div><div style="text-align: center;"><br />
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</div><div align="left" style="text-align: center;"><strong><span style="color: red; font-family: Georgia;">The human foot was originally "designed" to travel on soft , natural surfaces like earth and sand. Unfortunately , instead of soft earth , we now spend every day walking and standing on unnatural hard, flat surfaces like pavements and floors.</span></strong></div><div align="left" style="text-align: center;"><br />
</div><div align="left" style="text-align: center;"><strong><span style="color: red; font-family: Georgia;">These surfaces force our feet to roll over to gain ground contact and our arches to flatten. Rolling over of the foot - or 'Excess Pronation' is believed to affect over 50% of the population !</span></strong></div><div align="left" style="text-align: center;"><br />
</div><div align="left" style="text-align: center;"><strong><span style="color: red; font-family: Georgia;">Interestingly, altough the foot rolls inwards, often the shoe will wear excessively on the <u>outside edge of the heel.</u> This is because the foot normally 'lands' on the outside edge first and consequently rolls over causing excess pronation as a compensatory motion.</span></strong></div><div align="left" style="text-align: center;"><br />
</div><div align="left" style="text-align: center;"><strong><span style="color: red; font-family: Georgia;">Just like the tyres on a car, poor alignment of the feet can cause wear the tear to <u>other parts of the body</u>. 'Excess Pronation' often disrupts normal knee function and hip alignment and increases forces on the muscles in the lower back. Subsequently, 'Excess Pronation' can cause a wide range of common complaints.</span></strong></div><div align="left" style="text-align: center;"><br />
</div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjgOlFKRmwmgQNOsA0BjR9HV81G9rtCq4VLYzTcRzM12W-k2EKW2rPSvrNCXGDRG5i5OhZn9E8cFL7sFWpWdQg76kJQlWqcGErCFiGG5-0bqM5pVa-cmcqE-oaESh8CysfbQ11Rd2CEtpo/s1600/pronation.jpg" imageanchor="1" style="clear: left; cssfloat: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="191" j8="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjgOlFKRmwmgQNOsA0BjR9HV81G9rtCq4VLYzTcRzM12W-k2EKW2rPSvrNCXGDRG5i5OhZn9E8cFL7sFWpWdQg76kJQlWqcGErCFiGG5-0bqM5pVa-cmcqE-oaESh8CysfbQ11Rd2CEtpo/s200/pronation.jpg" width="200" /></a></div> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0C6S2l-QegSkT3mIVNtgBG5zNc14ie4i1afV3MmcinOf3PDhdg84HI0ndT0ij5OyUhAljV3m81e2-mTEz-9Xew_A1sFQuWyD9JWff_feTSa7x9ZwNY3KM8t4GN5SIPdxaxrpNmNrM09U/s1600/SubtalarNeutral.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="190" j8="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj0C6S2l-QegSkT3mIVNtgBG5zNc14ie4i1afV3MmcinOf3PDhdg84HI0ndT0ij5OyUhAljV3m81e2-mTEz-9Xew_A1sFQuWyD9JWff_feTSa7x9ZwNY3KM8t4GN5SIPdxaxrpNmNrM09U/s200/SubtalarNeutral.jpg" width="200" /></a><br />
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<div align="left" style="text-align: center;"><strong><span style="color: red; font-family: Georgia;">The answer is to treat the CAUSE of these complaint - not just the symptoms. In other words, by restoring the lower limb's natural angle we can align the feet and body posture to their neutral position and take away the cause of these problems.</span></strong></div><div align="left" style="text-align: center;"><br />
</div><div align="left" style="text-align: center;"><strong><span style="color: red; font-family: Georgia;">VASYLI International manufactures a wide range of unique, patented orthotic footwear & footcare products. VASYLI products are invented by a Podiatrist and the result of many years of biomechanical research. They are specifically designed to re-align the feet to their natural position and to improve body posture, relieving many chronic complaints in the process.</span></strong><br />
<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhCjiqleLzIvVOL3CFVrWGgeZyFu2UjhgMOgi-JfhtCEXtpgxhuurO489TO-ZCgDtM5gylUaxWbOuxEWql8x8LyM0Yd0NmUBfJx5fbH0HE0f9cPqOvaTccCYIRRlcdIvgx9v7ZAqqp3Ank/s1600/Orthotic-Flip-Flop-32.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" j8="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhCjiqleLzIvVOL3CFVrWGgeZyFu2UjhgMOgi-JfhtCEXtpgxhuurO489TO-ZCgDtM5gylUaxWbOuxEWql8x8LyM0Yd0NmUBfJx5fbH0HE0f9cPqOvaTccCYIRRlcdIvgx9v7ZAqqp3Ank/s1600/Orthotic-Flip-Flop-32.jpg" /></a></div></div>OH ! Physiotherapy Penanghttp://www.blogger.com/profile/09847756595474582265noreply@blogger.com0tag:blogger.com,1999:blog-8563561532788905441.post-40530219203550900342011-04-21T01:21:00.000-07:002011-04-21T01:21:52.113-07:00El portátil en casa. Vodafone<iframe height="344" src="http://www.youtube.com/embed/jbV5dGvJWyo?fs=1" frameborder="0" width="425" allowfullscreen=""></iframe>OH ! Physiotherapy Penanghttp://www.blogger.com/profile/09847756595474582265noreply@blogger.com0tag:blogger.com,1999:blog-8563561532788905441.post-64946600379394577202011-04-21T01:17:00.000-07:002011-04-21T01:17:25.527-07:00El portátil en movilidad. Vodafone<iframe height="344" src="http://www.youtube.com/embed/nb9pqqHbPy4?fs=1" frameborder="0" width="425" allowfullscreen=""></iframe>OH ! Physiotherapy Penanghttp://www.blogger.com/profile/09847756595474582265noreply@blogger.com0tag:blogger.com,1999:blog-8563561532788905441.post-55471563372095696282011-03-29T23:57:00.000-07:002011-03-29T23:57:12.269-07:00Myofascial Trigger Points<div align="left"><span style="color: red; font-family: Arial, Helvetica, sans-serif;"></span></div><b><div style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none;"></div><table border="1" cellpadding="7" cellspacing="0" dir="ltr" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; width: 459px;"><tbody>
<tr><td height="76" valign="top"><b><span style="color: red; font-family: Arial, Helvetica, sans-serif;"><u><img border="0" r6="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj-w2QVEH1G17nnBY8qUcrreu79-05_fu_ks7iIGjqJqgSsZqAv1rsMUzzTwWBJ1v5NcbtcYiuv3vPo7VR0c9kjFW4iy4SFkXNyP5Y_ocXaqylPARBwNfJCx8AF8C0-IaqA_HfzzeUH2CQ/s1600/imagesCAG9QDB4.jpg" />Most Common Cause of Chronic Pain and Limited Range of Motion </u></span><br />
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<span style="color: red; font-family: Arial, Helvetica, sans-serif;">Put simply, myofascial trigger points are painful, hyper-irritable areas in muscles that cause pain, stiffness, limited range of motion and sometimes other symptoms. They can refer pain to other parts of the body - sometimes very far from their original location. As a result they are often misdiagnosed. </span></b><span style="color: red; font-family: Arial, Helvetica, sans-serif;">Myofascial trigger points are a very common problem that can lead to severe pain and other puzzling symptoms, which are often misdiagnosed. </span></td></tr>
<tr><td height="76" valign="top"><span style="color: red; font-family: Arial, Helvetica, sans-serif;">Trigger points are always created in certain places in a muscle and always refer pain to the same areas. However, because there are hundreds of muscles in the body, there are hundreds of possible locations for trigger points. Also, trigger points in one muscle tend to create trigger points in other nearby muscles. </span><br />
<span style="color: red; font-family: Arial, Helvetica, sans-serif;">Myofascial trigger points are classified as either active or latent (inactive). Latent ones do not cause pain, but can still reduce range of motion. An active trigger point is easy to recognize by pressing on it, because it feels very painful. Often it is also palpable as a small "knot". </span></td></tr>
<tr><td height="54" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none;" valign="top"><b><span style="color: red; font-family: Arial, Helvetica, sans-serif;"><u>What Causes Trigger Points </u></span></b><div style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none;"><span style="color: red; font-family: Arial, Helvetica, sans-serif;">Repetitive movements and prolonged use of the same muscles are common causes of trigger points. However, a sedentary lifestyle is also a risk factor. As a result pretty much any job can cause trigger points, whether it involves physical labour or prolonged sitting or standing. Poor posture promotes trigger points, but the reverse is also true. </span></div></td></tr>
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<div class="separator" style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none; clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj-w2QVEH1G17nnBY8qUcrreu79-05_fu_ks7iIGjqJqgSsZqAv1rsMUzzTwWBJ1v5NcbtcYiuv3vPo7VR0c9kjFW4iy4SFkXNyP5Y_ocXaqylPARBwNfJCx8AF8C0-IaqA_HfzzeUH2CQ/s1600/imagesCAG9QDB4.jpg" imageanchor="1" style="clear: left; cssfloat: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a></div></b>OH ! Physiotherapy Penanghttp://www.blogger.com/profile/09847756595474582265noreply@blogger.com1tag:blogger.com,1999:blog-8563561532788905441.post-30758757781366834602011-03-29T01:48:00.000-07:002011-03-29T01:59:30.555-07:00Myofascial Trigger Points and Headaches<div align="left"><span style="color: red; font-family: Arial, Helvetica, sans-serif;"></span></div><b><span style="font-family: Arial, Helvetica, sans-serif;"></span></b><br />
<div align="left"><span style="color: red; font-family: Arial, Helvetica, sans-serif;"></span></div><strong><span style="font-family: Arial, Helvetica, sans-serif;"><u><span style="color: red;">Migraines and Tension Headaches May All Have a Common Cause </span></u><span style="color: red;">. </span></span></strong><br />
<strong><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: red;">Headaches are often classified into </span><br />
<span style="color: red;"> migraines, </span><br />
<span style="color: red;"> cluster headaches, </span><br />
<span style="color: red;"> tension headaches and </span><br />
<span style="color: red;"> cervicogenic headaches. </span><br />
<span style="color: red;">Headaches can be very disabling and worrisome, causing fears about a brain tumor or other serious condition. </span><br />
<span style="color: red;">Traditionally these headaches have been thought to have different causes and they are usually treated differently. However, many doctors in US now, believe that myofascial trigger points (hypersensitive areas in muscles) may be a factor in all types of headaches. Even if you don't think you have such trigger points, you may be wrong.</span></span></strong><br />
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<span style="color: red;"></span><b><span style="color: red; font-family: Arial, Helvetica, sans-serif;"><u>Trigger Points and Headaches </u></span></b><br />
<b><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: red;">Many migraineurs have noticed soreness in their scalp or facial muscles and people diagnosed with tension headaches are often aware of having a stiff neck or shoulder trouble, but often the trigger points can be in a muscle you would not associate with headaches at all. </span><br />
<span style="color: red;">The most insidious thing about myofascial trigger points is the way they can refer pain - always in a predictable pattern, but most doctors don't know these patterns. A trigger point in the back, shoulders and chest can manifest as headaches, even in the absence of pain in the affected muscle. </span></span></b><br />
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<b><b><span style="color: red;"><u></u></span></b></b><b><b><u><span style="color: red; font-family: Arial, Helvetica, sans-serif;">Treatment </span></u></b></b><br />
<b><b><span style="font-family: Arial, Helvetica, sans-serif;"><span style="color: red;">Myofascial trigger points are luckily treatable. Studies show that various trigger point treatments can significantly reduce headache frequency, intensity and duration. </span><br />
<span style="color: red;">Once you find the trigger points you can apply acupressure or self-massage into them.</span><br />
<span style="color: red;">In one study trigger point acupuncture proved as effective as the common prophylactic drug metoprolol (a beta blocker) in migraine prevention, but was better tolerated</span></span></b></b><br />
<b><b><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgGQxq62xm73YfxSVYsOiAV8yIQeTca71_TfQlzPgWvCd_P9-iAQ80g87pDl5Zgac7C5Jx0izC_Lg5byzQGfvM4h5Lgie3-YqJ1gRx2pJ4wGk0A3Ws2wnVuXZ9jZ96yG6XaJGUQvAMW-Is/s1600/Untitled.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Arial, Helvetica, sans-serif;"><img border="0" height="188" r6="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgGQxq62xm73YfxSVYsOiAV8yIQeTca71_TfQlzPgWvCd_P9-iAQ80g87pDl5Zgac7C5Jx0izC_Lg5byzQGfvM4h5Lgie3-YqJ1gRx2pJ4wGk0A3Ws2wnVuXZ9jZ96yG6XaJGUQvAMW-Is/s200/Untitled.png" width="200" /></span></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhZzxCpO8-LAzFZIBwNlqAte4TqCIAcgbKNo8kdNzit5WRb8hmMPQ2NDHo0z8-yjpByiklkydZhlCV8YkTT8R06wFA8cQWDlRwapogy2a7tMU-EAVbZmUXIPX1LBVabOMAulSh8_wdDipU/s1600/5.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Arial, Helvetica, sans-serif;"><img border="0" height="200" r6="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhZzxCpO8-LAzFZIBwNlqAte4TqCIAcgbKNo8kdNzit5WRb8hmMPQ2NDHo0z8-yjpByiklkydZhlCV8YkTT8R06wFA8cQWDlRwapogy2a7tMU-EAVbZmUXIPX1LBVabOMAulSh8_wdDipU/s200/5.png" width="180" /></span></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgeMFxrdcYQAXJszHTpGgyUlkNtJRMn3iEtzxcR6DjsPY__S59g4F1R9sim2LTTqVMyJ_dlKKBO0QZdXSP61526u8x0OMdIXktoZZnzs7i4BHyHqnp-LcM7Fi09BQdhlDY3FS0zcfHeM4A/s1600/1.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-family: Arial, Helvetica, sans-serif;"><img border="0" height="200" r6="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgeMFxrdcYQAXJszHTpGgyUlkNtJRMn3iEtzxcR6DjsPY__S59g4F1R9sim2LTTqVMyJ_dlKKBO0QZdXSP61526u8x0OMdIXktoZZnzs7i4BHyHqnp-LcM7Fi09BQdhlDY3FS0zcfHeM4A/s200/1.png" width="169" /></span></a></b></b>OH ! Physiotherapy Penanghttp://www.blogger.com/profile/09847756595474582265noreply@blogger.com2tag:blogger.com,1999:blog-8563561532788905441.post-55742704111451898962011-03-24T20:58:00.000-07:002011-03-29T01:58:56.187-07:00Physiotherapist<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>Who is physiotherapist?</strong></span><br />
<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>-A physiotherapist or physical therapist is a health care professional who specialises in maximising human movement,function and potential.</strong></span><br />
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<strong><span style="font-family: Arial, Helvetica, sans-serif;"></span></strong></div><span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>What is physiotherapist work for?</strong></span><br />
<div style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none;"><span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>-A physiotherapist may work with someone after injury,accident or surgery, so that patinet regain their independence and return to work faster, or may work to prevenr injury for instance with sporting clubs or overuse syndrome in the workplace , such as neck pain or low back pain.</strong></span></div><div style="border-bottom: medium none; border-left: medium none; border-right: medium none; border-top: medium none;"><br />
<strong><span style="font-family: Arial, Helvetica, sans-serif;"></span></strong></div><span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>What is physiotherapy treatment?</strong></span><br />
<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>-Physiotherapy is scientific and evidence-based medical treatment, including a wide range of treatment methods,basically divided into</strong></span><br />
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<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>i) Physical assessment: assessment on physical joint and muscular system's mobility, joint alignment. From the assessment, Physiotherapist develops a clear plan of action for its future management, and estimation of number and frequency of treatments needed and outline actiivities for home and work to help your problem. Relief can be dramatic and long lasting.</strong></span><br />
<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>ii) Manual therapy : hands on treatment e.g. soft tissue manipulation,joint mobilisation , spinal manipulation.</strong></span><br />
<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>iii) Electrotherapy to reduce pain and inflammation; e.g. interferential currect, low frequency current, ultrasound therapy, spinal traction.</strong></span><br />
<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>iv) Exercise therapy ; stretching and strengthening exercises , core muscle stability exercises.</strong></span><br />
<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>v) Education; advice on suitable exercises, foot wear and posture care.</strong></span><br />
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<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>What can patient expect from physiotherapy treatment?</strong></span><br />
<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>-After physiotherapy treatment you should have less pain,feel more mobile,flexible and comfortable in your movements.</strong></span><br />
<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>-Sometimes, there mayeb some mild treatment soreness because physiotherapists may mobilise the stiff joint and moblilisation may stretch on the tight soft tissue, e.g. tendon,ligament,capsule,which may produce after treatment soreness.</strong></span><br />
<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>-However,it may take period of time to recover,because,to loosen the tight joints or tissue with conservative method may need some times.</strong></span><br />
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<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>Conditions for physiotherapist treatment?</strong></span><br />
<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>-Physiotherapist can work with you to achieve better and more cost-effective care. Some of the areas where physiotherapist can help are;</strong></span><br />
<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>-Treating and reduce disomfort in patient who have acute or chronic musculoskeletal pain,</strong></span><br />
<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>Including ::</strong></span><br />
<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>*Low back pain and neck pain.</strong></span><br />
<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>*Joint pain including osteoarrthritis of hip.knee.shoulder,elbow.</strong></span><br />
<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>*Prolapsed intervertebral disc or slip disc,spinal stenosis,sciatica pain.</strong></span><br />
<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>*Cervical or lumbar spondylosis.</strong></span><br />
<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>*Soft tissue injuries e.g. Frozen shoulder,wrist De quervain syndrome, heel pain(plantar fasciitis)</strong></span><br />
<span style="color: #cc0000; font-family: Arial, Helvetica, sans-serif;"><strong>*Sport injuries e.g. shoulder rotator calf injury,tennis elbow,golfer elbow,wrist injury,sprain ankle,others tendinitis and ligament injuries.</strong></span><br />
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<strong><span style="font-family: Arial, Helvetica, sans-serif;"></span></strong></div>OH ! Physiotherapy Penanghttp://www.blogger.com/profile/09847756595474582265noreply@blogger.com6