Musculoskeletal physiotherapy addresses and treats disorders and dysfunction of the bones, joints, muscles, tendons, ligaments and nerves. These disorders may be caused by disease, injury, overuse, poor biomechanics, imbalances, stress, pregnancy, inactivity or surgery.

Our goal is to help an individual to achieve full physical function to return to daily activities and sport as soon as possible.

Here at Rehab Concept, we greatly believe that education, together with return to early movement and exercise are the key components of a rehabilitation process. We also utilise the following adjunct modalities to aid in a client’s rehabilitation journey:

• Manual therapy including mobilisation / manipulation of spinal and peripheral joints
• Neural mobilisation
• Soft tissue massage including trigger point therapy, myofascial release, remedial massage
• Stretching
• Strength and conditioning
• Kinesio taping of joints or soft tissue
• Electrotherapy
• Exercise prescription / functional rehabilitation
• Pilates and core strength
• Postural retraining and advice
• Advice and exercise prescription for injury prevention

Our team of experienced musculoskeletal physiotherapists use these array of techniques to help to: reduce inflammation; relieve pain; facilitate healing; minimise scar tissue; restore mobility, strength and stability; correct imbalances and re-educate movement patterns. Based on your individual needs, your physiotherapist will be able to assess and appropriately prescribe a treatment plan to restore and maximise full function.

COMMON CONDITIONS TREATED WITH PHYSIOTHERAPY

• Injuries or Pain
• Neck/Back Pain
• Cervicogenic Headaches
• Temporal Mandibular Joint Pain (TMJ)
• Radiculopathies (nerve pain)
• Tennis/Golfers Elbow (pain on the outside or inside of your elbow)
• Ankle sprain
• Plantar fasciitis and other foot related pain
• Knee pain
• Patella Tendinitis (Jumper’s Knee)
• Shoulder impingement and rotator cuff injuries

Commonly Treated Post Surgical Conditions:

• Ligament repairs (eg ACL)
• Meniscus repairs
• Tendon repairs (eg Rotator cuff/Achilles Tendon)
• Labral repairs (Hip & shoulder)
• UL and LL fractures
• Back surgery (eg Vertebroplasty, spinal laminectomy, spinal fusion)

Neuro-physiotherapy is a specialized area of physiotherapy focusing on assessing and treating people with movement, pain, and functional disorders that originated from injury or disease to the brain, spinal cord, nerves, and the neuromuscular system. The common neurological diseases and disorders that we see includes : Stroke, Parkinson’s Disease, Multiple Sclerosis, nerve injuries with loss of movement and sensation, neurogenic pain disorders. Our aim is to improve quality of life by maximizing your movement potential.

PHYSICAL SYMPTOMS OF NEUROLOGICAL PROBLEMS THAT A NEURO-PT CAN HELP TO ASSESS AND MANAGE INCLUDE:

• Partial or complete paralysis
• Balance problems, abnormal gait/walking
• Muscle weakness, loss of movement, loss of ability to perform certain activities
• Partial or complete loss of sensation
• Unexplained pain

WHAT CAN YOU BENEFIT FROM SEEING A NEURO-PT?

• Improved posture and movements (like walking, moving in/out of bed, toileting, etc).
• Better balance and coordination.
• Improved movement of different parts of the body.
• Regain/optimize functional abilities in work, play, and daily activities.
• Regain strength and normalising tension in affected muscles.
• Management of neurological pains.
• Optimized independence and quality of life.

Sports injuries are different from general everyday injuries as athletes typically require high-level performance and demand placed upon their body, which stresses their muscles, joints and bones to the limit. This is where sports physiotherapists can come in the picture to help in the prevention and management of injuries resulting from sports and exercise participation.

Sports physiotherapy is for active people and athletes of all skill levels, in all sports and allows them to recover from sporting injuries. Our sports physiotherapist will do evaluation and assessment followed by an individualized, evidence-based treatment program so that they can return to sports safely.

SPORTS RELATED CONDITIONS THAT WE TREAT ARE:

• Ankle sprain
• Shin splint
• Meniscus injury
• ACL injury
• Hamstring strain
• ITB syndrome
• Shoulder impingement
• Back pain related to sports

Geriatric Physiotherapy or Geriatric rehabilitation is a branch of physiotherapy that deals with managing physical problems in elderly people. It mainly focuses on conditions that elderly people face, such as arthritis, osteoporosis, cancer, joint replacements, walking, and balance disorders. Geri-PTs also have the skills and expertise needed to manage age-related neurological disorders, such as stroke, Parkinson’s Disease, and Alzheimer’s disease.

Geri-PTs will develop customized programs to reduce pain, restore mobility, and make daily activities easier. Our aim is to prevent deterioration and restore activity levels, as well as keeping the seniors happy and moving freely.

PROBLEMS THAT A GERI-PT CAN HELP TO ASSESS AND MANAGE INCLUDE:

• Falls, and falls-related injuries (eg. Hip fractures)
• Balance problems, abnormal gait/walking.
• Muscle weakness (due to either illness, or inactivity)
• Loss of ability to move and perform physical activities.
• Injury and chronic pain that affects how you function every day.

WHAT CAN YOU BENEFIT FROM SEEING A NEURO-PT?

• Improved posture and movements like walking, moving in/out of bed, and self-care activities.
• Better balance and coordination.
• Regain and improve strength and movement in different parts of the body
• Regain functional ability to wok, play, and perform daily activities.
• Management of pains.
• Slow down physical deterioration and optimizing physical independence.
• Better quality of life.

Vestibular Rehabilitation Therapy (VRT) refers to the assessment and treatment of vertigo, dizziness and balance disorders. Our assessment looks at balance, mobility, and oculomotor function (eye movement).

TREATMENT CAN FOCUS ON:

• Improving balance and safety with mobility
• Improving tolerance for motions
• Improving adaptive responses to sensory input
• Visual-motor exercises (eye exercises)

REPOSITIONING MANOEUVRES

A specialized form of VRT is available to treat benign paroxysmal positional vertigo (BPPV). This treatment is often referred to as the Epley manoeuvre and involves a series of specifically patterned head and trunk movements to move tiny displaced calcium particles to a place in the inner ear where they can’t cause symptoms.

HOME-BASED EXERCISE

Home exercises are often a vital part of treatment. Our therapist, after carrying out an assessment would then develop a rehab program specifically for you. This would include eye exercises, balance and habituation exercises to retrain your balance systems, to teach your brain to get used to movements again.

WHO CAN BENEFIT?

Patients experiencing vestibular problems will typically complain of some or all (of) the following symptoms:

• dizziness
• loss of balance
• vision problems
• nausea
• fatigue
• decreased strength
• lack of endurance
• problems with concentration

Someone experiencing constant falls or complains of the room or the world moving around them would benefit from vestibular rehabilitation therapy. Some of the more common causes of vertigo would be BPPV, a viral infection, a head injury or long-term bedrest/immobility.

HOW LONG DOES VESTIBULAR REHAB TAKE?

Common problems, like BPPV, only require a small number of sessions. In moderate situations, like vestibular neuritis, labyrinthitis or Meniere’s disease, VRT typically lasts 6-12 weeks.

*A doctor’s clearance is required to start vestibular training*

Congratulations mommy-to-be and new moms! As you read this, you might be wondering is Prenatal/Postnatal Rehabilitation for you?

Pregnancy places great physical demand on a woman’s body. As the baby grows, the body increasingly experiences higher load from the expanding uterus, spine curvature and muscle length start to undergo changes. Hormonal changes also lead to changes in soft tissues flexibility, affecting one’s posture. These lead to 50% of pregnant women experiencing back pain.

OTHER COMMON COMPLAINTS INCLUDE:

• carpal tunnel syndrome
• neck pain
• hip pain
• pelvis pain
• knee pain
• urinary incontinence

PRENATAL REHABILITATION is a series of exercises adapted to suit the needs of pregnant women. It is highly recommended for pregnant moms to alleviate their body aches and discomfort , as well as preparing the body for childbirth. Prenatal rehabilitation under the supervision of a certified therapist allows expecting moms to workout safely, strengthen the body in preparation for childbirth and prevent complications after childbirth.

After childbirth, the body again goes through a series of changes. Common problems after childbirth include:

• Back pain
• Unresolved post-baby belly pooch called diastasis recti
• Discomfort after C-section due to scarring
• Urinary incontinence
• Neck & Shoulder pain from carrying baby
• Carpal tunnel syndrome
• De Quervain’s Syndrome

POSTNATAL REHABILITATION helps new moms in managing these problems. The exercises help new moms to strengthen weak muscles resulting from hormonal and postural changes, restore fitness and feel physically ready to keep up with child care. Meanwhile, specific exercises such as pelvic floor rehabilitation helps to strengthen pelvic floor muscles to manage urinary stress incontinence.

IN REHAB CONCEPT, PRENATAL AND POSTNATAL REHABILITATION MAY INCLUDE:

• Manual therapy
• Postural correction
• Pilates exercises
• Home exercise program specific to your condition, and
• Most importantly, education and support to get you through your pregnancy and motherhood.

Speak to us to find out more about Prenatal/Postnatal rehabilitation.

The Temporomandibular Joint (TMJ) in the jaw is the most used joint in the body. We use it when eating, talking, breathing and when using our face to express feelings and emotions. TMJ dysfunction is simply when things go wrong with this important joint.

Some people with TMJ dysfunction experience jaw pain or tenderness, but not all. The most common symptoms include:

• Clicking or popping or grinding of the jaw (when moving),
• Restricted opening of the jaw, and/or
• An inability to fully clench the jaw
• Headaches

People with this condition clench or grind their teeth and also quite often suffer headaches, ear pain dizziness and upper neck and facial pain. Tinnitus or ear ringing can also be associated with TMJ dysfunction.

There are many potential causes of TMJ disorders, including nocturnal grinding of teeth (bruxism), poor bite (under- or over-bite), or upper cervical joint dysfunctions. Orthodontic treatment (e.g. from prolonged mouth opening) or removal of wisdom teeth can also contribute to TMJ dysfunction.

WHAT CAN PHYSIOTHERAPY DO TO HELP?

Physiotherapy treatment for TMJ dysfunctions aims to help with pain relief, minimize stiffness in the jaw, and to restore normal function and mobility.

The TMJ exercises and treatment prescribed following a thorough TMJ assessment may include:

• Posture improvement and neck treatment
• Relaxation exercises; Passive, active-assisted, or active exercises ; TMJ stabilisation exercises
• Muscle lengthening or massage
• Joint mobilisation

Dry needling is a form of therapy that use a fine needle which is inserted into the muscles and trigger points in order to stimulate a healing response. It is use to treat musculoskeletal conditions based on evidence based practice in modern Western medicine. The needle was inserted direct into the muscle and there is NO electrical stimulation required. The decision of doing dry needling treatment on a patient is based on our physiotherapy assessment. It does not come as individual treatment but will be part of physiotherapy management during your physiotherapy session.

THIS TREATMENT HELP PATIENT BY:

• reduced pain
• improved muscle flexibility (reduce muscle tightness)
• reduced muscle cramp
• Enhanced muscle performance for active exercises

MLD is a gentle, non invasive technique which the skin is stretched and torqued in a specific manner, based on scientific, physiological principles that have proven to encourage lymph flow (Vodder’s School).

CONDITIONS THAT CAN BE BENEFIT FOR MLD IN REHAB CONCEPT ARE:

• Lymphoedema at arm after breast cancer surgery
• Gynecological disorders: Mastitis or block milk duct
• Orthopedics/Surgical/Trauma-related disorders: eg fracture, post soft tissue surgery, chronic edema post soft tissue injury (soft tissue include – muscles, ligaments, tendons, fascia, cartilage, meniscus)

Other than treating patients in our clinic, we also make it a point to raise awareness and to educate the importance of health and prevention to the public through educational talks in various settings such as corporate companies, schools and organization.

SOME OF THE COMMON EDUCATIONAL TALK TOPICS ARE:

• Common sports injuries and prevention
• Office & Site workplace ergonomics
• Stretching at work
• Running injuries
• Stress management
• Career talk for students