Shoulder Pain - BMJ Therapy Group Pte Ltd BMJ Therapy Group Pte Ltd Sun, 20 Apr 2025 15:04:47 +0000 en-US hourly 1 https://wordpress.org/?v=6.9 https://bmjtherapy.com/wp-content/uploads/2021/10/favicon.png Shoulder Pain - BMJ Therapy Group Pte Ltd 32 32 Physiotherapy After Discharge: Access Quality Care at BMJ’s New Branch in One@Kentridge NUH https://bmjtherapy.com/physiotherapy-after-discharge-onekentridge-nuh/ https://bmjtherapy.com/physiotherapy-after-discharge-onekentridge-nuh/#respond Sun, 20 Apr 2025 11:54:31 +0000 https://bmjtherapy.com/?p=5410 Physiotherapy is more than just a recovery tool; it’s a lifeline for many after surgery, injury, or long hospital stays. And when it comes to quality physiotherapy services, few providers in Singapore are as trusted as BMJ Physiotherapy. With a longstanding presence in locations like Orchard, Raffles Place, Marine Parade, Tampines, and Kallang Wave @read more

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Physiotherapy is more than just a recovery tool; it’s a lifeline for many after surgery, injury, or long hospital stays. And when it comes to quality physiotherapy services, few providers in Singapore are as trusted as BMJ Physiotherapy. With a longstanding presence in locations like Orchard, Raffles Place, Marine Parade, Tampines, and Kallang Wave @ Singapore Sports Hub, BMJ Physiotherapy has been a key player in the rehabilitation space for years. Now, with the opening of our new clinic at the One@Kentridge, National University Hospital (NUH), BMJ is expanding its reach to the western region of Singapore, ensuring that patients in Jurong, Buona Vista, Holland, Bukit Timah, and Clementi get access to the same high-quality physiotherapy services that have made us a household name.

In a country like Singapore, where healthcare is a priority, physiotherapy is often the next crucial step after medical treatment. Whether you’ve undergone surgery or are managing a chronic condition, physiotherapy is essential for recovery. BMJ Physiotherapy has a history of supporting patients through the rehabilitation process, and now, we’re bringing that care closer to the people who need it most.

Physiotherapist with patient on a exercise machine

The Importance of Physiotherapy After Hospital Discharge

You’ve just had surgery or been hospitalised, and the doctors tell you that the next step is physiotherapy. It might feel like just another thing to add to your list, but physiotherapy is far from an afterthought. It’s one of the most essential parts of your recovery. Singaporeans are renowned for their hardworking nature, often persevering through challenging situations. But when it comes to healing, this isn’t a time to take shortcuts.

Physiotherapy ensures that you recover not only physically, but also regain strength, mobility, and confidence. Whether it’s managing joint pain from knee replacement surgery or improving mobility after a back injury, physiotherapy is essential for a smooth and speedy recovery. It’s not just about the recovery from surgery; it’s about returning to your best self. With BMJ Physiotherapy at NUH, you’re not just another patient — you’re someone we want to help regain your independence and live life on your terms.

Why BMJ Physiotherapy Was Asked to Open a Branch at NUH

Singapore’s healthcare landscape is one of the best in the world, and when it comes to physiotherapy, BMJ Physiotherapy has earned a reputation that is second to none. Our connections with leading orthopaedic surgeons and doctors are extensive, and we have earned their trust through years of providing exceptional care. To better serve the need for quality physiotherapy services in the western part of Singapore arose, the doctors and surgeons suggest that BMJ should open a branch in One@kentridge (NUH),  the medical centre of the National University Hospital.

The reason is simple: BMJ Physiotherapy has a proven track record in providing top-notch care for patients who need rehabilitation after surgery or injuryOrthopaedic surgeons have trusted us to help patients recover fully, and with this strong network of medical professionals behind us, opening a clinic at One@kentridge NUH was a natural next step. For many patients, especially those in the western regions like Jurong, Bukit Timah, and Clementi, this expansion means they no longer need to travel long distances to receive the expert care they deserve.

Our Comprehensive Physiotherapy Services at One@Kentridge NUH

At BMJ Physiotherapy, we provide a full spectrum of services to cater to a variety of needs, ensuring that every patient receives personalised, effective physiotherapy care. From pre-surgery rehabilitation to post-operative recovery, and even treatment for everyday musculoskeletal issues, we’re here to help you recover, regain strength, and live life without limits.

  1. Pre-Operative Physiotherapy: Preparing Your Body for Surgery

While most people focus on post-surgery rehabilitation, pre-operative physiotherapy is equally vital in preparing the body for surgery and facilitating a quicker recovery. Physiotherapy before surgery can help strengthen muscles, improve joint mobility, and optimise movement patterns. This can significantly reduce recovery time and the risk of complications after surgery. Our physiotherapists will guide you through exercises tailored to your specific needs, preparing your body mentally and physically for the procedure. Research shows that patients who engage in preoperative physiotherapy often recover faster and more efficiently than those who do not.

  1. Post-Operative Rehabilitation: Restore Strength and Mobility

After surgery, physiotherapy plays a crucial role in restoring function, flexibility, and strength. Our post-operative rehabilitation programmes are designed to help you regain whole movement and reduce the risk of re-injury. Whether it’s a knee replacement, spinal surgery, or hip surgery, our team will work with you to create a recovery plan that aligns with your goals. This may involve strengthening exercises, mobility training, pain management techniques, and functional recovery training.

  1. Musculoskeletal Conditions (Neck Pain, Back Pain, and More)

Don’t wait for a simple issue, such as neck painshoulder stiffness, or a muscle strain, to become a long-term problem. Physiotherapy is a proven and effective treatment for a wide range of musculoskeletal conditions, including slipped discs, tendonitis, and chronic back pain. Our physiotherapists assess the root cause of your discomfort and develop a targeted treatment plan that might include manual therapy, stretches, strengthening exercises, and posture correction techniques.

Many Singaporeans are accustomed to seeking relief through massage therapy, but physiotherapy is the only treatment endorsed by the Ministry of Health (MOH) in Singapore. It’s a holistic, evidence-based approach to healing that has been proven to be more effective in treating musculoskeletal conditions compared to massage alone. For conditions such as neck pain or muscle strains, consulting a physiotherapist ensures a proper diagnosis and a targeted recovery plan.

  1. Sports Injury Recovery and High-Performance Conditioning

Whether you’re a professional athlete or someone who enjoys running for fitness, sports injuries can happen to anyone. Our Kallang Wave branch specialises in sports conditioning and high-performance physiotherapy, but our NUH clinic is equally equipped to treat sports injuries ranging from sprained ankles to torn ligaments. Our physiotherapists are experienced in rehabilitating athletes of all levels, using techniques like functional rehabilitation, sports massage, taping, and strength training to help you return to your sport safely.

  1. Strengthening and Rehabilitation for Seniors

As we age, maintaining strength and mobility becomes increasingly important to prevent falls and maintain independence. At BMJ Physiotherapy, we offer rehabilitation programmes designed specifically for seniors. These programmes focus on strength-building exercises, balance training, and functional movement to help you stay active and reduce the risk of injury.

For seniors dealing with conditions like arthritis, osteoporosis, or general muscle weakness, physiotherapy can significantly improve quality of life by easing pain, improving joint function, and restoring mobility.

  1. Scoliosis Treatment and Spinal Health

Scoliosis doesn’t just affect children. Many adults in Singapore are also living with scoliosis, often unaware of its impact on their daily lives. BMJ Physiotherapy offers specialised treatment for scoliosis that includes non-invasive solutions aimed at improving posture, managing pain, and maintaining spinal health. Whether you’re a child or an adult, our team is equipped to provide the care you need to alleviate discomfort and live with greater ease.

Physiotherapy: The Only Endorsed Treatment by MOH

Physiotherapy is the only treatment endorsed by the Ministry of Health (MOH) in Singapore for the rehabilitation of musculoskeletal injuries and conditions. Unlike massage therapy or other non-specialised treatments, physiotherapy provides a clinically proven, evidence-based approach to recovery that is specifically designed to address the root causes of pain, weakness, and mobility issues.

Orthopaedic surgeons in Singapore consistently recommend physiotherapy because it not only aids in recovery but also ensures a long-term solution to many conditions. At BMJ Physiotherapy, our team works in close collaboration with your doctors and surgeons to ensure that the latest clinical research and personalised care plans support your rehabilitation journey.

Handling Insurance Claims Independently

At BMJ Physiotherapy, we understand that navigating insurance claims can be a hassle. That’s why we offer the convenience of handling all insurance claims independently. Our team works directly with your insurer to ensure that your physiotherapy sessions are covered, reducing your stress and allowing you to focus on what matters — your recovery. Whether you have private health insurance or a claim through work or other channels, we handle it all so you can get back to full health without unnecessary delays.

two physiotherapists in discussion

 

Why Choose BMJ Physiotherapy?

BMJ Physiotherapy is one of Singapore’s largest and most trusted physiotherapy groups. With clinics across the island — from Orchard and Raffles Place to Marine Parade and Kallang Wave — we’ve built a reputation for delivering high-quality care to every patient. But what sets us apart is the expertise of our team. Many of our physiotherapists are former athletes themselves, so they understand the challenges of recovery from a personal perspective.

We are also well-connected with the medical community, including orthopaedic surgeons and doctors who trust our services and refer their patients to us. The experience and skills of our team, combined with our state-of-the-art facilities and rehabilitation techniques, make BMJ Physiotherapy the go-to choice for those recovering from surgery, sports injuries, or musculoskeletal conditions.

Convenient Location for Patients in the West

For many Singaporeans living in western regions such as Jurong, Buona Vista, Bukit Timah, and Clementi, the opening of BMJ Physiotherapy at One@Kentridge (NUH) is a game-changer. Previously, patients in the West had to travel long distances to our clinics, located in central areas such as Orchard or Raffles Place. Now, they have easy access to the same high-quality care at a location that’s far more convenient.

With our new clinic at One@Kentridge NUH, patients no longer need to sacrifice time or convenience to receive world-class physiotherapy services. Whether you’re dealing with post-surgery recovery, sports injuries, or chronic conditions, our team is here to help you regain strength and mobility, right in the heart of the West.

Conclusion

BMJ Physiotherapy’s new branch at One@kentridge NUH is more than just an expansion — it’s a commitment to providing accessible, high-quality physiotherapy services to patients in the West. Whether you’re recovering from surgery, managing a sports injury, or building strength as you age, we are here to support you every step of the way.

With our expert team, state-of-the-art rehabilitation techniques, and strong ties to the medical community, BMJ Physiotherapy is your trusted partner in recovery. If you’re looking for a physiotherapy clinic that understands your needs and offers personalised care, look no further. Contact us today to schedule an appointment and begin your journey to better health.

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Don’t Suffer in Silence! Top Reasons to See a Physio in Singapore https://bmjtherapy.com/top-reasons-to-see-a-physio-in-singapore/ https://bmjtherapy.com/top-reasons-to-see-a-physio-in-singapore/#respond Wed, 21 Aug 2024 16:28:40 +0000 https://bmjtherapy.com/?p=5182 When to See a Physio In Singapore: 10 Conditions That Need Immediate Attention Have you ever felt a sharp pain shoot through your leg after a badminton rally? Or maybe your back feels like it’s been holding onto yesterday’s stress long after you’ve clocked out of work. These aches and pains are normal, but sometimesread more

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When to See a Physio In Singapore: 10 Conditions That Need Immediate Attention

Have you ever felt a sharp pain shoot through your leg after a badminton rally? Or maybe your back feels like it’s been holding onto yesterday’s stress long after you’ve clocked out of work. These aches and pains are normal, but sometimes they can be more than minor inconveniences.

Here’s the thing: many Singaporeans mistakenly believe that physiotherapy (Physio) is only for serious injuries or requires a doctor’s referral. But that’s not true! Physiotherapy in Singapore is a science-based healthcare profession focused on treating musculoskeletal conditions – that means anything related to your bones, muscles, and joints.

 

The Wonderful World of Physios Singapore: Beyond the Practice

The word “Physio” can actually refer to two things:

  • The practice: Physiotherapy itself, the treatment and rehabilitation of musculoskeletal conditions.
  • The profession: A Physiotherapist, the qualified healthcare professional who delivers physiotherapy care.

So, when you hear someone say “Physio Jane” or “Physio David,” they’re referring to a Physiotherapist named Jane or David!

Becoming a Physiotherapist in Singapore

Being a Physiotherapist is a rewarding career path that allows you to make a real difference in people’s lives. To become a Physiotherapist in Singapore, you’ll need to complete a four-year Bachelor’s degree in Physiotherapy from a recognised university. After graduation, you’ll need to register with the Singapore Physiotherapy Association (SPA) and complete a period of supervised practice before becoming a fully qualified Physiotherapist.

Why You Might Meet a Physio First in the Hospital

While doctors diagnose and manage overall health conditions, Physios are often the first point of contact for patients with musculoskeletal issues in the hospital setting. It is because Physiotherapists are experts in movement and function. They can quickly assess your condition, develop a personalised treatment plan, and help you regain mobility and manage pain immediately. This early intervention from a Physiotherapist can significantly improve your recovery timeline and overall well-being.

So, the next time you hear the word “Physio,” remember that it can refer to both the practice and the dedicated professionals who make it possible!

Physio in Singapore are experts who can help you move better, feel better, and get back to doing the things you love.

Now, you might be wondering, “Isn’t that what TCM is for?” Traditional Chinese medicine (TCM) is a great practice, but physiotherapy takes a different approach. Physiotherapy is evidence-based and uses techniques like manual therapy, exercise programmes, and modalities like ultrasound to promote healing and improve mobility. The good news? Physiotherapy can complement TCM treatments for pain relief and a faster recovery.

So, when should you consider seeing a physiotherapist? Here are 10 signs you shouldn’t ignore:

  1. Sudden and Sharp Pain: Did you take a tumble and sprain your ankle? Or you pulled a muscle reaching for that file on the top shelf. Suppose you’re experiencing sudden and sharp pain that significantly limits your mobility. In that case, a physiotherapist can assess the injury, recommend treatment, and help you get back on your feet (or back on the court!) faster.
  2. Persistent Pain: Aching back keeping you from enjoying your morning jog? Or maybe neck pain is making it hard to concentrate at work? If you’ve been dealing with chronic pain in your neck, back, or joints for more than a few weeks and it’s disrupting your daily life, physiotherapy can help.
  3. Post-Surgery Recovery: Going through surgery can be a big deal, and physiotherapy can play a crucial role in your recovery. After surgeries like knee or shoulder replacements, a physiotherapist can design a personalised exercise program to help you regain strength, flexibility, and range of motion.
  1. Sports Injuries: Whether you’re a weekend warrior or a training athlete, sports injuries are common. Physiotherapists are well equipped to handle common sports injuries like:

* **Tennis Elbow:** Pain on the outside of the elbow from repetitive motions.

* **Runner’s Knee:** Pain around the kneecap caused by overuse.

* **Rotator Cuff Tears:** Injuries to the tendons and muscles surrounding the shoulder joint.

* **Shin Splints:** Pain along the shinbone from repetitive stress.

Physiotherapists can help manage pain, improve function, prevent future injuries, and get you back to your favourite sport.

  1. Limited Mobility: Conditions like arthritis, osteoporosis, or even neurological issues can limit your ability to move freely. Physiotherapy can help improve your:

* **Flexibility:** Allowing for a wider range of motion in your joints.

* **Strength:** Building muscle strength for better stability and support.

* **Balance:** Reducing the risk of falls and improving overall coordination.

This can help you maintain independence and improve your quality of life.

  1. Pre-Surgery Conditioning: Physiotherapy can be incredibly beneficial Before surgery, especially for bones or joints. Strengthening the muscles around the surgical area can lead to a faster and smoother recovery process.
  2. Scoliosis (Adults and Children): Scoliosis is a sideways curvature of the spine. Physiotherapy can help manage scoliosis in both adults and children by:

* **Improving posture:** Exercises to strengthen core muscles and improve spinal alignment.

* **Pain management:** Techniques to alleviate discomfort associated with scoliosis.

* **Breathing exercises:** To improve lung capacity potentially affected by scoliosis.

Early intervention with physiotherapy can help manage and potentially slow the progression of scoliosis.

  1. Balance Issues and Fall Prevention: As we age, balance issues and the risk of falls become more common. Physiotherapy can help improve balance and coordination through exercises and targeted training. It can significantly reduce the risk of falls and potential injuries.
  2. Pre and Postnatal Care: Physiotherapy can be beneficial for both pre and postnatal care. During pregnancy, physiotherapists can help alleviate back pain, improve posture, and prepare for childbirth. After delivery, physiotherapy can help with exercises to regain core strength and address pelvic floor issues.
  3. Repetitive Strain Injuries (RSIs): RSIs are common in people who perform repetitive tasks at work or home. These can cause pain, stiffness, and weakness in muscles and tendons.

Physiotherapy can help manage RSIs by:

* **Identifying the source of the strain:** Assessing your work or home environment and any repetitive motions contributing to the RSI.

* **Providing ergonomic advice:** Recommending proper posture and techniques to minimise strain.

* **Prescribing exercises:** Tailored exercises to strengthen muscles and improve flexibility.

 

Singapore’s Minister Ong Yee Kung Shares Physiotherapy Journey on TikTok

Singapore’s Minister for Health, Mr Ong Yee Kung, offers a glimpse into his postoperative physiotherapy journey through one of his TikTok videos. Following a recent knee surgery, Mr Ong has diligently followed physiotherapy protocols to regain mobility.

@ongyekung

Since my knee surgery, going for rehab has helped me regain my mobility and strength. These exercises can also help seniors prevent frailty.

♬ original sound – Ye Kung Ong – Ye Kung Ong

In one video, Mr Ong ponders a question that resonates with many recovering from surgery or injury: “Are all these exercises strengthening my muscles so that I can gain mobility, Wouldn’t that also apply to all folks?”

This question highlights a key point about physiotherapy—it’s not just for recovering from surgery. Physiotherapy can immensely benefit people of all ages, especially older adults, by maintaining and improving their strength and mobility.

Mr Ong believes that “these exercises will help our seniors maintain the strength that they have, or even improve on the strength.” That aligns perfectly with BMJ’s mission of promoting health and encouraging preventative measures.

The Power of Physio in Singapore: Success Stories

Physiotherapy isn’t just about fancy equipment and technical terms. It’s about real people getting back to doing what they love. Here in Singapore, many people have benefited from physiotherapy in Singapore. Imagine being able to finally ditch the back pain that’s been plaguing you or getting back to your favorite sport injury-free. That’s the power of physiotherapy!

Modern Science to the Rescue: My Shoulder and BMJ Physio

Physio Eric working on his patient.
Physio Eric working on his patient.

Our patient, Sylvia Chan in her own words : “In the past, whenever there were pains and sprains, a visit to the TCM practitioners was the automatic solution. So, imagine my shock when my shoulder decided to wage war on the rest of me after a seemingly harmless resistance band workout! I wasted no time on my regular TCM session. But after two visits, the pain was still having a sinister laugh, and the acupuncture needles and cupping seemed to be more like cheerleaders for the BURNING sensation in my arm. I learned that the worst kind of pain is RESTING pain, whereby one who DO NOTHING also feels pain. Even the ultra-strong painkillers from my GP only reduced the pain by 20%.

I must confess that I was initially sceptical about visiting a physio, thinking, ” Got use meh? “

Enter BMJ physiotherapy and Physio Eric. He poked, prodded, and put my shoulder through its paces like detectives on a mission to find the culprit behind this “electrical fire” situation. You wouldn’t believe it, but physios can practically x-ray patients with their bare hands, pinpointing exactly where the “wires got crossed” in my arm and really getting to the root cause of the pain. Physios are well versed in human anatomy. To relieve pain, it may not precisely be the painful spot they will target; instead, they can determine the muscles causing or affecting the pain spot and work on it. Another misconception I had was about physio exercises, they are not the kind of exercises we do to lose weight or start the day. Physio exercises are “targeted movements’ that physios prescribe for the patient to actualise pain relief by themselves without oral painkillers.
BMJ’s physiotherapy techniques were a delightful blend of manual therapy, detective work, and customised exercise. The burning sensation finally surrendered, and after just three sessions, my arm was back to its pain-free self.

 

BMJ Physiotherapy: Your Trusted Partner in Singapore

At BMJ Physiotherapy, we have a team of highly experienced physiotherapists in Singapore dedicated to helping you move better and feel better. Our founder, a former head of department at Changi Hospital), leads a team with a wealth of knowledge and a passion for helping people. We offer a wide range of services, from sports physiotherapy to geriatric care, and have even been featured in media outlets like MSN!

Conclusion and Call to Action

Remember, physiotherapy is a safe and effective way to manage pain, improve mobility, and prevent future injuries. Unlike some misconceptions, you don’t need a doctor’s referral to see a physiotherapist in Singapore.

Don’t wait for the pain to become your war cry! BMJ Physiotherapy also offers convenient online consultations for a fee of only $20. Our physiotherapists will assess your condition and provide a preliminary diagnosis during this online session. Here are the three possible outcomes:

  1. Minor Injury: If your injury is minor and should heal on its own, our physiotherapists will provide self-care tips to get you back on track.
  2. Physiotherapy Recommended: For injuries that benefit from physiotherapy, we’ll recommend a personalised treatment plan and may suggest scheduling in-person sessions for a faster recovery.
  3. Referral to Doctor: If your injury appears more serious, we will recommend that you see one of our trusted panel doctors for further investigation.

The good news? Physiotherapy fees are claimable under some medical insurance plans. To ensure a smooth claim process, check with your insurer or agent about their specific procedures beforehand.

Take control of your pain today! Schedule your online physiotherapy consultation with BMJ Physiotherapy.

 

 

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Live Life to the Fullest in Kovan With BMJ Physiotherapy https://bmjtherapy.com/live-life-to-the-fullest-in-kovan-with-bmj-physiotherapy/ https://bmjtherapy.com/live-life-to-the-fullest-in-kovan-with-bmj-physiotherapy/#respond Wed, 17 Jul 2024 18:27:02 +0000 https://bmjtherapy.com/?p=5138 Staying Active and Healthy in Kovan/ Ang Mio Kio Kovan is a vibrant community that thrives on movement! Whether exploring the neighbourhood with friends, hitting the local hawker stalls, or jogging around one of the many green landscapes here in one of the best HDB towns, just next door to Ang Mo Kio, staying activeread more

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Staying Active and Healthy in Kovan/ Ang Mio Kio

Kovan is a vibrant community that thrives on movement! Whether exploring the neighbourhood with friends, hitting the local hawker stalls, or jogging around one of the many green landscapes here in one of the best HDB towns, just next door to Ang Mo Kio, staying active is vital to a happy and healthy life. But sometimes, aches and pains can hold us back. That’s where BMJ Kovan Physiotherapy Clinic comes in.

Our team at BMJ Kovan Physiotherapy Clinic is led by Darek Lam, a highly qualified professional who previously oversaw the physiotherapy division at Changi General Hospital. With Darek’s expertise and our presence across 7 clinics in Singapore, including Kovan and Ang Mo Kio, we offer authoritative yet holistic treatments designed to keep you moving and pain-free, saving you from unnecessary medical bills.

Let’s face it—life can throw some physical challenges our way. Long hours at the desk can lead to back pain, while everyday activities like carrying groceries or gardening can cause aches and strains. Here at BMJ Kovan Physiotherapy Clinic, we see everything—from sports injuries and accident sprains to the common aches of sitting too long. If you’re experiencing any of these, don’t hesitate to book an appointment with us. We’re here to help you get back to doing what you love.

Conditions that can help by Physiotherapy

What is Physiotherapy?

Physiotherapy, sometimes called physical therapy, is all about helping your body move and feel its best. Imagine it as an exercise and treatment toolbox specifically designed to ease pain, improve your strength and flexibility, and get you back to doing the activities you love. Physiotherapists are experts in movement and function, and they use a variety of techniques – from hands-on massage and stretches to personalised exercises – to address aches and pains, recover from injuries, and even manage chronic conditions. So, physiotherapy can be a game-changer if you want to get back on your feet after a fall, conquer back pain from long hours at your desk, or move more quickly and confidently!

Orthopaedic surgeons and Singapore’s Ministry of Health both support physiotherapy as a holistic recovery service.

BMJ Kovan Physiotherapy Clinic: More Than Pain Relief

At BMJ Kovan Physiotherapy Clinic, we understand that pain relief is just the beginning. We offer a comprehensive range of physiotherapy services to help you get back to doing what you love. Whether you’re struggling with:

Common Conditions Treated by Physiotherapy in Kovan:

  • Neck and back pain: This can affect anyone, from teenagers with poor posture to office workers hunched over desks all day and even active adults who overdo it at the gym. The pain can feel like a dull ache, a sharp shooting sensation, or even tightness and stiffness that limits your movement. Physiotherapy can help by easing muscle tension, improving flexibility, and strengthening the core muscles that support your spine.
  • Arthritis: This is a common condition, especially as we age, that causes joint inflammation and pain. It can affect any joint but is particularly common in the knees, hips, hands, and spine. Arthritis can make everyday activities like climbing stairs or getting dressed a real struggle. Physiotherapists can help manage the pain and stiffness of arthritis through exercises to improve joint mobility and strength, as well as manual therapy techniques to reduce inflammation.
  • Sports injuries: From weekend warriors to professional athletes, anyone who participates in sports can experience injuries. These can range from sprained ankles and pulled muscles to more serious ligament tears or fractures. Sports injuries can be incredibly frustrating, putting you on the sidelines and preventing you from doing what you love. Physiotherapy provides a safe and effective way to recover from sports injuries, focusing on reducing pain, regaining strength and flexibility, and restoring proper movement patterns to prevent future injuries.
  • Post-surgical recovery: After surgery, it’s crucial to regain strength, flexibility, and range of motion in the affected area. This can be especially challenging after surgeries like joint replacements or knee reconstructions. Physiotherapy plays a vital role in post-surgical recovery by guiding you through safe and appropriate exercises to rebuild strength, improve scar tissue mobility, and restore your full range of movement.
  • Balance and gait problems: Balance and gait issues can affect people of all ages, but they become more common as we age. These problems can increase your risk of falls, leading to severe injuries. Physiotherapists can assess your balance and gait, identify any underlying weaknesses or imbalances, and create a personalised exercise program to improve your stability and coordination, helping you move more confidently and reducing your fall risk.
  • Scoliosis: This is a condition where the spine curves sideways. Scoliosis can occur at any age but is most commonly diagnosed in children and teenagers. While some cases are mild, others can cause significant pain and discomfort. In severe cases, surgery might be necessary. However, physiotherapy can effectively manage scoliosis, especially in milder cases. Our specialised therapists will design a treatment plan to help manage the curve, improve posture, and strengthen the muscles that support the spine, often preventing surgery.
    • Improving overall strength and endurance: Undergoing surgery can be daunting, but with the proactive role of physiotherapy in pre-surgery preparation, you can significantly improve your recovery. Physiotherapy can help your body cope with the stress of surgery and facilitate a quicker return to normal activities.
    • Increasing flexibility: Improved flexibility around the surgical site allows for better post-surgical movement and reduces stiffness.
    • Educating you about post-operative exercises: Physiotherapists can guide you through exercises you can perform after surgery to promote healing and regain strength.
    • Managing pain expectations: Pre-surgical physiotherapy can help you understand and manage pain after surgery, smoothing recovery. By preparing your body before surgery, you’ll be in a better position to heal quickly and return to your daily life easily.

 

Physiotherapy for Seniors in Kovan: Regaining Your Strength and Independence

The senior person receiving physiotherapy treatment

 

Staying Active, Staying Independent: How Kovan Physiotherapy Empowers Seniors

As we age, our bodies change. Daily activities that were once effortless can become more challenging. But this doesn’t mean you must give up your independence or the things you enjoy. Here at Kovan BMJ Physiotherapy, we understand the unique needs of seniors in Kovan. Our experienced therapists can help you regain your strength and mobility, allowing you to live a life filled with activity and purpose.

Key Benefits of Physiotherapy for Seniors:

  • Maintain Your Independence: We design personalised programs to improve strength, flexibility, and balance. This allows you to perform daily tasks like dressing, bathing, and preparing meals more easily, empowering you to live independently for longer. Imagine the satisfaction of tackling your daily routine confidently, knowing you’re in control.
  • Reduce Pain and Stiffness: For seniors, chronic pain and stiffness in joints like the knees, hips, and back are common concerns. Our therapists use various techniques to manage pain and stiffness effectively, including manual therapy, heat/cold therapy, and targeted exercises. This reduces discomfort and allows you to move more freely and participate in activities you enjoy. Picture yourself pain-free and enjoying an evening stroll in the park or spending quality time with loved ones.
  • Improved Balance and Fall Prevention: Falls can devastate seniors, often leading to injuries and declining independence. Physiotherapists conduct thorough assessments to identify any balance deficits or weaknesses. We then design a programme of targeted exercises to improve your balance and coordination, reducing your risk of falling and keeping you safe in your home. Imagine the peace of mind of knowing you can move confidently and navigate your surroundings without fear.

Managing Chronic Conditions:

Many seniors live with chronic conditions like arthritis or osteoporosis. Physiotherapy can be a valuable tool in managing these conditions. Our therapists can help reduce the pain and inflammation associated with these conditions through targeted exercises and manual therapy techniques. Additionally, they can guide you on proper posture and body mechanics to minimise strain and prevent further complications.

Don’t wait until a fall or injury hinders your everyday life. Physiotherapy is a proactive approach to maintaining strength, mobility, and well-being. Let us help you age actively and enjoy the golden years fully. Taking the First Step: Your Kovan Physiotherapy Consultation

Ready to take control of your health and live life to the fullest? Our Kovan Physiotherapy team is here to help! During your initial consultation, we’ll discuss your concerns, perform a physical assessment, and design a personalised treatment plan tailored to your needs. Our sessions are informative and interactive, and you’ll be actively involved in your recovery journey.

Success Stories from Kovan Residents

Here are just a few examples of how Kovan Physiotherapy has helped our neighbours:

  • Mrs Lee: “After sending both my parents to Kovan Physiotherapy for their mobility issues, they’re now walking easily and participating in community activities again!”
  • John: “As a teenager, I was diagnosed with scoliosis. Thanks to the amazing therapists at Kovan Physiotherapy, I avoided surgery through a series of corrective treatments. Now I’m pain-free and active in sports!”
  • Sarah: “My car accident left me with limited mobility. Kovan Physiotherapy helped me regain my strength and confidence, allowing me to return to work and enjoy life.”
  • David: “A sports injury threatened to sideline me for the season. The physiotherapy team at Kovan got me back on the field faster and stronger than ever!”

These are just a few of the many success stories we hear every day. At BMJ Kovan Physiotherapy Clinic, we’re passionate about helping you live a pain-free and active life!

Contact us today to schedule your appointment and start your journey to a healthier, happier you!

 

Kovan Clinic Singapore by BMJ

BMJ @ Kovan & Hougang

BLK 204, HOUGANG ST 21,

KOVAN CITY, #01-103

S530204

Operating Hours:

Mon & Fri: 9:00am – 6:00pm

Tue, Wed & Thurs: 9:00am7:00pm

Sat: 9:00am1:00pm

Sun & PHs: Closed

T: +65 6909 5208 | +65 9181 7290

 

 

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When Massages Do Not Work! https://bmjtherapy.com/when-massages-do-not-work/ https://bmjtherapy.com/when-massages-do-not-work/#comments Wed, 01 Mar 2023 19:53:37 +0000 https://bmjtherapy.com/?p=4343 Massages in Singapore, does it really help? Singaporeans often have aches and pains. Some are caused by their jobs, while accidents, lousy posture, busy lives, and unhealthy habits cause others. Not knowing the best options, many turn to regular massages. In Singapore, massage is one of the most popular ways to pass the time andread more

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Massages in Singapore, does it really help?

Singaporeans often have aches and pains. Some are caused by their jobs, while accidents, lousy posture, busy lives, and unhealthy habits cause others.
Not knowing the best options, many turn to regular massages. In Singapore, massage is one of the most popular ways to pass the time and unwind. Many even flock across the causeway to JB or jet off to Thailand and Indonesia for long massage sessions. Types of massages include Swedish massage, aromatherapy massage, hot stone massage, tuina or deep tissue massage, Japanese shiatsu massage, and foot reflexology. Each massage session lasts 60 to 90 minutes and costs between $120 and $200. The most popular forms of massage in Singapore are deep tissue, relaxing, and foot reflexology.

People who suffer from such occupational pains go to massages regularly to find a solution for their aches and pains, and most of the time, they do not see it after spending a lot of money. They feel some relief for a few days, but some people suffer the after-effects of the aches after “deep kneading” on top of their uncomfortable state. A scientific way to handle occupational pain will be physiotherapy, or physical therapy, better known by its Chinese name, 物理治疗

Deep-tissue massage is not the most enjoyable form of massage. The usual Chinese therapist kneads slowly and applies deep finger pressure to release tension from the deep layers of your muscles and connective tissues. It is easy to see that people flocking to deep tissue massages are looking for a solution—relief from their nagging aches and pains, especially occupational pain. What is occupational pain? Occupational pain can occur in various professions and occupations, typically due to repetitive strain or overuse of particular muscles or joints.

Some occupational Pain only get short term relief with massages in Singapore

Some examples of occupations that may be particularly prone to occupational pain include:

1. Manual labour Jobs, such as those performed by construction workers, factory workers, or warehouse workers, may require lifting heavy objects or performing repetitive motions.

2. People in health care, like nurses and caregivers, may have to lift and move patients, stand for long periods, and do the same tasks repeatedly.

3. Office workers who spend long hours sitting in front of a computer screen or performing tasks with their hands and arms, such as typing or using a mouse.

4. Professional athletes and dancers who use specific muscles or joints too much may have long-term pain.

5. Holding and playing instruments for long periods can hurt and hurt musicians.

6. Hair stylists who spend long hours standing while working with hair styling tools suffer pain in their hands, especially the right thumb, lower back, and feet.

How can physiotherapy help in a way that massage in Singapore cannot?

Individuals in these professions can prevent occupational pain and injury by practising proper ergonomics, taking breaks, and exercising regularly. Physiotherapy and massage in Singapore are both forms of manual therapy that can be beneficial for treating pain and injuries, but they differ in their approach and goals. The effects of massage wear off after a few days, whereas physiotherapy is a form of professional healthcare that optimises movement and function to improve quality of life. Massage in Singapore is a manual therapy primarily focusing on relaxing muscles, reducing tension, and improving circulation. Massage therapists use Swedish, deep tissue, and trigger point therapy to manipulate soft tissues and improve blood circulation. While physiotherapy and massage in Singapore can effectively treat pain and injuries, physiotherapy offers a more comprehensive approach.

Physiotherapists use various techniques and modalities to assess, diagnose, and treat musculoskeletal conditions and injuries. They work with patients to develop individual treatment plans, including:

1. Exercise prescription

 These exercises target tight, weak, or painful muscle regions. These exercises stretch and strengthen tight or weak muscles. In addition, physiotherapist-recommended exercises help restore body mobility.

2. Manual Therapy

Manual therapy is hands-on physiotherapy, mobilising muscles, tendons, and fascia to improve blood flow, relax muscles, and reduce discomfort. Stimulating mechanoreceptors also reduce pain.

3. Education 

Internet access on mobile and computers makes information easily accessible. However, too much or wrong information may overload people with irrelevant information. A physiotherapist can accurately advise and tailor specific recovery processes to relieve musculoskeletal discomfort. 

4. Lifestyle change 

Most musculoskeletal pains are treatable, but poor lifestyle choices cause many. To help you recover, the physiotherapist may recommend lifestyle changes, including an exercise program, home environment changes, and mobility assistance.

The best physiotherapy in Singapore. Manages Pain when massage in Singapore cannot help relieve.

Physiotherapists use therapeutic modalities such as
· Electrical therapy – Using electrical current to relieve pain or activate muscles. Adhesive pads at specified parts of the body transfer electricity from the device to the body. Electrical therapies, including TENS, NMES, and FES may speed up recuperation.
· Ultrasound – Piezo-electric crystals in a probe applicator would vibrate at extremely high frequencies when electricity ran through them. The sound waves target tissues that generate micro-circulation to improve nutrition flow to the targeted area. The applicator head may warm up in acute and chronic illnesses to provide relief.
· Heat/Cold Treatment – Pain is relieved by a warm or cold pack. Warm therapy improves blood circulation and relaxes muscles, whereas cold therapy reduces inflammation, discomfort, and swelling in acute injuries. This therapy provides comforting relief quickly.
· Taping – K-taping or kinesio-taping includes applying stiff or flexible fabric tape to the affected body parts. The tape is not for support but gives the body feedback on bad body moves. The tape may be used for days and endure regular showers.
· Dry Needling—often confused with Traditional Chinese Medicine (TCM) acupuncture—has a distinct objective and therapeutic path. To stimulate muscles, sterile needles are precisely placed into myofascial trigger points. The goal is to make the damaged muscles twitch, enhance blood flow, and reduce discomfort.
Physiotherapists are trained to identify and treat the root cause of a problem rather than just addressing symptoms to help patients achieve long-term pain relief and functional improvement.

Should I see a physiotherapist instead of going for a massage in Singapore?

It can be hard to decide whether to go to a physiotherapist or a massage therapist because both offer manual therapy techniques that can help with pain and improve physical function. However, some key differences between the two professions may help you determine which type of therapy is best for your needs. Here are some reasons why you may want to consider seeing a physiotherapist instead of a massage therapist:

1.    An injury or illness affects your bones, muscles, or joints. It could be a sprained ankle, post-accident recovery, slipped disc or suffering from any form of occupational pain. Therefore, you may benefit from visiting a physiotherapy clinic than a leisure spa. Physiotherapists are trained to diagnose and treat various musculoskeletal conditions and injuries and can develop customised treatment plans to help you recover and regain function.

2. You want to improve your physical function: If you have a goal of improving your physical function, such as improving your balance, increasing your strength, or improving your flexibility, a physiotherapist can help. Physiotherapists create exercise programmes tailored to your specific needs and goals and provide guidance and support to help you achieve your goals.

3. You are seeking long-term pain relief: If you are seeking long-term pain relief, a physiotherapist can help identify and treat the root cause of your pain rather than just addressing the symptoms. Physiotherapists can use a range of therapeutic modalities, such as manual therapy, exercise, and modalities like heat or cold therapy, to help alleviate pain and improve function. You want to prevent future injuries. If you are looking to avoid future injuries, a physiotherapist can help. Physiotherapists can assess your posture, movement patterns, and musculoskeletal health to identify potential areas of weakness or imbalance. They can develop exercise programmes with combined therapy to help you improve your overall physical function and reduce the risk of injury.

4. You are a sportsperson that wishes to perform better while avoiding injury. Physiotherapy helps sportspersons perform better and prevent injuries by identifying risks, providing tailored strength and conditioning programs, rehabilitating injuries, and enhancing overall performance.

 In Singapore, there is this misconception that physiotherapy is only for severe cases such as car accidents and stroke recovery or that doctors must refer the patient to it. Physiotherapy care is now widely available, and you can make an appointment to see a physiotherapist. Physiotherapy is the best form of therapy that Orthopaedic surgeons and the Ministry of Health in Singapore endorse. They recommend physiotherapy as the practical and scientific way to healthy bones, muscles, and joints. In addition, it is easy to get and works well for work-related aches and pains.

Logo of a physiotherapy clinic

 

 

 

 

 

 

 

 

 

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Recovering From Rotator Cuff Repair Surgery https://bmjtherapy.com/recovering-from-rotator-cuff-repair-surgery/ Tue, 29 Jun 2021 05:12:03 +0000 https://bmjtherapy.com/?p=2449 Rotator cuff repair is a commonly performed shoulder surgery for torn rotator cuff tendons. The tendon tear can happen in acute injuries such as falling onto outstretched hands, in contact sports, or it may happen gradually over time in the elderly population. Not all tendon tear needs to be repaired. The body has powerful self-healingread more

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Rotator cuff repair is a commonly performed shoulder surgery for torn rotator cuff tendons. The tendon tear can happen in acute injuries such as falling onto outstretched hands, in contact sports, or it may happen gradually over time in the elderly population.

Not all tendon tear needs to be repaired. The body has powerful self-healing process. Even if the torn tendon does not grow back, other muscles around the shoulder can compensate and the shoulder will still be able to function normally.

Therefore, it is suggested that patients with rotator cuff tendon tear should undergo at least 6 weeks of conservative management before deciding on operation.

Surgery is not magic that restores the normal pain free movement of the shoulder in no time. In fact, the road to recovery after the operation is a painstaking process lasting for several months. It is important for patients and families to understand the amount of time and effort that needs to be dedicated to the rehabilitation process before saying yes to the operation.

How will it feel immediately after the operation?

The shoulder will be in a literal quarantine after the operation for around 6 weeks. An arm sling needs to be worn 24 hours a day to reduce the movement of the arm. This is to minimize the contraction of the muscles that were just operated on. Six weeks is the time that is required for the tendons to heal adequately to sustain muscle contraction again.

Some pain and swelling should be expected around the wound. Medications will be prescribed for pain control. As long as the arm is kept in the arm sling, pain should be minimal. Sleeping, however, could be disturbed as the operated shoulder stops the patients from turning to that side. Lying on the affected side may continue to be uncomfortable for several months.

The patients are allowed to take the arm sling off briefly for some simple exercises of the arm to minimize joint stiffness.

What will happen after 6 weeks?

From 6 weeks onwards it will be the golden time for post-op rehabilitation to regain normal shoulder movement and strength.

The shoulder joint will be very stiff after 6 weeks in the arm sling. This is because a lot of scar tissue has formed around the surgical area as part of body’s recovery process. Our normal body tissue around the shoulder is very flexible to allow big range of movement.

Scar tissue, however, is tougher than normal tissue, and thus will restrict shoulder movements. Therefore, one of the most important part of post-op rehabilitation is to massage and stretch the scar tissue to allow normal range of shoulder movement. This process is usually painful and require the patient to perform daily home exercises to achieve lasting improvement.


If shoulder pain physio rehabilitation is delayed, it will be more difficult to regain normal shoulder movement in later stage as the scar tissue hardens over time.

The time that is required to regain full range of shoulder movement varies between patients from 3 months to 6 months. It depends on many factors such as the extent of injury, extent of operation, and patient’s compliance to exercises.

As the range of movement improves, the next focus of rehabilitation would be regaining the strength of the shoulder muscles. All muscles surrounding the shoulder would have undergone significant deconditioning after months of reduced use. The patients may feel that it takes a lot of effort even to lift the arm. Daily activities such as pouring water and pushing a door could be very difficult in the beginning.

The strengthening, however, needs to start with very gentle contractions and progress very gradually. This is to protect the operation site from re-injury. At this stage, gentle strengthening helps to stimulate recovery, but excessive strengthening may lead to pain and hinder the rehabilitation. Once again, it is important for patients to follow therapist’s prescription of exercises and carry out the home programs with good discipline.

Can I go back to sports after the operation?

With the rehab protocol carefully followed, returning to sports is possible. Singapore physio sessions facilitate this process by providing tailor-made exercise programs according to each individual’s progress and goals. This usually takes around 6 months.

Hopefully, you are reading this before your surgery so that you are now more mentally prepared for the surgery. Setting your expectations so that the surgery and physiotherapy is as smooth as it can be.

If you are reading this after the surgery, it is still not too late to calibrate your goals. Speak to your physiotherapist and doctors to set timeline and goals. The rehabilitation journey is tough and you can do it!

Darek Lam

Senior Principal Physiotherapist


Shirley Le, writes in detail and this shows in her meticulous work with her patients. She constantly upgrades her clinical skills to be at the forefront of her physiotherapy practice.

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My Shoulder Keeps Popping Out! Can Physio Help? https://bmjtherapy.com/my-shoulder-keeps-popping-out-can-physio-help/ Wed, 21 Apr 2021 02:05:42 +0000 https://bmjtherapy.com/?p=2134 Does your shoulder pop in and out of the socket easily? You are not alone. Recurrent shoulder subluxation is common with previous history of shoulder dislocation. And the shoulder joint is the most frequently dislocated joint in the body. Why does the shoulder dislocate so easily? Our shoulder is a ball and socket joint, builtread more

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Does your shoulder pop in and out of the socket easily? You are not alone. Recurrent shoulder subluxation is common with previous history of shoulder dislocation. And the shoulder joint is the most frequently dislocated joint in the body.

Why does the shoulder dislocate so easily?

Our shoulder is a ball and socket joint, built like a joystick. However, our shoulders need to move through a much bigger range than the common joysticks. To achieve this, the socket of the shoulder joint is designed to be small. As a result, the shoulder joint is inherently unstable.

With a relatively unstable socket, the shoulder joint has to rely more on the muscles and ligaments to maintain its stability.  Our shoulder muscles are arranged beautifully around the joint such that it holds the socket in place.  Different muscle group will tighten up in different arm position so that the joint stays intact. For example, when we lift our hand up to a throwing position, the muscles at the front will contract, preventing the shoulder from popping! Try it yourself, feel the muscles contract.

The shoulder is also cleverly held in place by ligaments. They are thick bands of tissue that connects the ball and the socket. They naturally tighten up when the joint is at end range of movement and stops the shoulder joint from going out of the socket.

How does the shoulder pop? And pop again and again?

First-time shoulder dislocation is usually caused by trauma, such as a fall or impact on the shoulder during sports. A shoulder dislocation is defined by the ball of the joint coming completely out of the socket. It usually has to be put back into place by a doctor. Both the muscles and ligaments around the shoulder, and sometimes even the bony structures can be injured during a shoulder dislocation, therefore weakening and overstretching the structures that maintain the stability of the shoulder.

Now you can see, why once a shoulder has dislocated, it is more prone to develop recurrent dislocation and subluxation in the future. Subluxation is a partial dislocation where the ball of the joint comes partially out of the socket. You will be able to relocate the shoulder joint easily in a case of subluxation.

When a few of the shoulder muscles and ligaments are very much weakened, subluxation may occur with small normal day to day movement or impact, such as pulling a heavy door or even reaching for that glass of water.

How can physio help with recurrent dislocation and subluxation?

There are conservative management and surgical management to reduce the risk of future shoulder dislocation and subluxation. In conservative management, physiotherapy for shoulder pain involve using exercises to strengthen the muscles around the shoulder joint to improve the joint stability. The main focus would be the rotator cuff muscles which are the dynamic stabilizers of the shoulder joint.

Be warned! These rotator cuff muscles are commonly ignored in regular gym routines, as they are not our superficial aesthetic muscles. The rotator cuff muscles are located deep inside the shoulder. They are smaller in size but plays the crucial function of stabilizing the shoulder.

While our usual and popular upper-limb resistance exercises such as push-up, chin-up, chest press do require certain level of activation of these muscles, they are not specific enough to target the rotator cuff muscles. In fact, these movements target the more superficial muscles. So exercise type and specificity is very important. Take note that overtraining these superficial muscle can also increased the risk of dislocation and subluxation!

So pick your exercises very carefully. Consult our physiotherapists for the most appropriate and functional physiotherapy treatment exercises.

To strengthen up the rotator cuff muscles, the exercises need to involve rotational movements at various angles of shoulder elevation. The quality of the movement is very important. The exercise program should also be accompanied with specific stretching exercises to minimize muscle imbalances.

The strengthening program, however, should not start immediately after an acute episode of dislocation or subluxation when pain is still present. The shoulder needs to rest to recover from the acute injury first before the strengthening program begins.

Physiotherapy can help to reduce pain after acute injury and we will guide our clients through a tailor-made exercise program for prevention of recurrence.

One caveat is that exercises can only address the active structures, and not the passive structures  i.e the ligaments that maintain shoulder stability. Ligaments that were torn from previous dislocation will largely stay torn and overstretched, and stronger muscles will be able to partially compensate for the loss of stability.

Do I still need Physiotherapy after shoulder surgery?

Different surgical protocols have been developed to repair the active and passive structures injured from shoulder dislocation. However, although surgery can help to regain the stability, physiotherapy is crucial to gain optimal result from the procedure. A structured rehabilitation program must be prescribed to you after the surgery.

Rehabilitation will help to reduce pain and stiffness in the early stage of recovery and regain strength and control of the shoulder. Anyone keen to go for the surgery must be prepared for a post-operative rehabilitation lasting around 6 months.

Darek Lam

Senior Principal Physiotherapist

Shirley Le, writes in detail and this shows in her meticulous work with her patients. She constantly upgrades her clinical skills to be at the forefront of her physiotherapy practice.

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What You Need To Know About Your Rotator Cuff (Shoulder) Injury https://bmjtherapy.com/rotator-cuff-shoulder-injury/ Tue, 20 Apr 2021 05:18:28 +0000 https://bmjtherapy.com/?p=2124 The rotator cuff are shoulder muscles comprising of four small muscles which originate from the shoulder blade and attach onto the tip of the shoulder. They are the deepest muscles of the shoulder and help to stabilize the shoulder joint. They are activated with any shoulder and arm movement and prevent the joint from dislocationread more

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The rotator cuff are shoulder muscles comprising of four small muscles which originate from the shoulder blade and attach onto the tip of the shoulder. They are the deepest muscles of the shoulder and help to stabilize the shoulder joint. They are activated with any shoulder and arm movement and prevent the joint from dislocation while it functions.

Injured or overworked rotator cuff may cause shoulder pain and weakness, and sometimes pain and numbness radiating down the arm.

Rotator cuff injury is also known and can be diagnosed as shoulder impingement syndrome, rotator cuff tendinopathy, rotator cuff tear, and subacromial pain syndrome. They all essentially refer to the rotator cuff type of injury.

How to we diagnose rotator cuff problems?

MRI is a common tool used for diagnosing rotator cuff problems. However, caution is needed to interpret MRI findings. Minor tears of the rotator cuff tendons are a common age-related problem. When we aged, we all develop grey hair right? But ask yourself, does gray hair cause any pain? Certainly not!

Similarly, when we age, our rotator cuff tendons start to have small wear and tears as part of the natural aging. They may appear on your MRI report, but they usually don’t cause any symptoms. Problems only surface when the tear is large. Thus, seeing a tear in the MRI of the shoulder does not mean that it is the cause of the symptoms. It is no absolute indication for surgical repair of the tendon.

In fact, MRI is generally not indicated in the early stage of the condition. A diagnosis can be made based on the symptoms and a basic physical examination in the doctor or physiotherapist’s clinic.

Once the rotator cuff is diagnosed to be the cause of the symptoms, conservative management including medication and physiotherapy are prescribed. MRI is only indicated if 6 weeks of conservative management does not provide relief of the symptoms. Unnecessary MRI taken at early stage of the condition may not change how the condition is managed and create additional anxiety in patients due to commonly found minor tears.

Why do I get rotator cuff problems?

The main culprit of rotator cuff injury is our posture and lifestyle.

Our modern lifestyle creates a lot of muscle imbalances in our body. Firstly, most of us no longer use our upper limbs for heavy duty tasks as frequently as our ancestors once did. We just sit the whole day! This sedentary lifestyle will lead to deconditioning of our upper body and arms strength.

When a weakened muscle is suddenly required to do extra work, it may not be able to tolerate the workload, and thus develops pain. Example of such extra work may be carrying of heavy grocery from panic shopping, spring cleaning during Chinese New Year, or sudden increase of resistance in upper limb exercises.

Hours spent hunched over the desk creates a forward shoulder position which puts the entire arm and shoulder in a biomechanically poor position.  This position tends to stress the rotator cuff muscles a lot whenever we do any overhead tasks!

Many muscular gym-goers get shoulder pain as well, despite doing regular shoulder strengthening exercises. They should be strong right? It all boils down to inappropriate training.  We frequently see many gym-goers focus on strengthening the chest muscles (the aesthetic PECTS) without adequate stretching.  They then find the chest muscles becoming too tight which draws the shoulders forward. At the same time, the muscles on the upper back are neglected (because it is not as aesthetic) which leads to a forward and rounded shoulder position.

So our deskbound office workers and the enthusiastic gym goers both will end up with a poor posture that ultimately put quite a bit of stress on our poor rotator cuff, leading to overuse and injury.

How does physiotherapy help with rotator cuff problems?

Physiotherapists are experts in diagnosing and managing shoulder pain, whether it is from sports injury or daily repetitive overuse. Manual therapy is a good way of releasing the tension in the overworked muscles and provide instant pain relief. However, without identifying the underlying muscle imbalances and posture issues, the pain would recur sooner or later. As part of BMJ physiotherapy session, we will also address the underlying causes by prescribing specific stretching and strengthening exercises.

What is the role of physiotherapy after rotator cuff repair surgery?

Some patients with rotator cuff tear will need to undergo rotator cuff repair surgery. Physiotherapy for shoulder pain is absolutely necessary after the operation to ensure the recovery of the shoulder’s movement and strength. The operated shoulder needs to undergo 4-6 weeks of controlled immobilization after the operation, meaning the movement of the shoulder needs to be minimized. This is to optimize healing at the operated site.

However, immobilization will lead to stiffness and weakness of the shoulder. Surgical scarring also creates pain and stiffness. Physiotherapists make use of manual therapy and exercises to tackle all these problems. The rehabilitation after the operation will take at least 6 months, depending on each individual’s different rate of progression and goals.

In a Nutshell

In summary, rotator cuff injury is often a condition that can be managed conservatively and best when it is treated early at a physiotherapy Singapore clinic. It can be as simple as correcting a poor posture and understanding the biomechanics of the shoulder movement.  With our quick muscle release manual therapy technique, we are often able to achieve pain free movement within a few sessions.

Darek Lam

Senior Principal Physiotherapist

Shirley Le, writes in detail and this shows in her meticulous work with her patients. She constantly upgrades her clinical skills to be at the forefront of her physiotherapy practice.

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Is My Shoulder Frozen? https://bmjtherapy.com/is-my-shoulder-frozen/ Sun, 18 Apr 2021 06:39:56 +0000 https://bmjtherapy.com/?p=2106 Shoulder pain can bother people of any age group or fitness level. A quick visit to Dr. Google may give you scary suggestions like cancer, but most of the time shoulder pain isn’t really that scary. Without a traumatic injury, shoulder pain usually boils down to two common causes – frozen shoulder or rotator cuffread more

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Shoulder pain can bother people of any age group or fitness level. A quick visit to Dr. Google may give you scary suggestions like cancer, but most of the time shoulder pain isn’t really that scary.

Without a traumatic injury, shoulder pain usually boils down to two common causes – frozen shoulder or rotator cuff injury. First and foremost, frozen shoulder most commonly affects people between the ages of 40 and 60, while rotator cuff issues can occur in any age group.

How do I know if I have frozen shoulder?

Symptom-wise, the two (frozen shoulder and rotator cuff injury) may be difficult to differentiate in the early stage, but as time goes by, the differences become more and more prominent. The key difference between the two conditions is the amount of passive shoulder movement available.

Passive shoulder movement refers to how much you can move your shoulder with the help of the other arm or other external force. You can test it by using the unaffected arm to elevate the affected arm or use the unaffected hand to push the affected hand up behind your back. It is important that the affected arm is relaxed as much as possible.

People with frozen shoulder are generally unable to elevate the arm or reach behind the back fully even with the help of the other hand. But people with rotator cuff problems commonly can still achieve normal range of movement, although it may be a little painful.

The diagnosis of frozen shoulder is made based on the symptoms. X-Ray and MRI are not necessary unless to rule out other potential pathology.

With frozen shoulder, many daily activities will be affected, like putting on clothes, showering, reaching up for objects, and carrying things. Unfortunately for ladies, putting on a bra becomes a daily challenge.

Why do I get frozen shoulder?

For some people, a frozen shoulder may be triggered by a minor injury, like a strain from playing sports, or carrying grocery, or doing housework. But for majority of the cases, frozen shoulder occurs without a reason. Its cause is still a mystery to date. But it is known to be more common in people with diabetes.

What to do if I have frozen shoulder?

If you are diagnosed with frozen shoulder, please be reminded that patience is gold. You will likely be living with it for one to two years. The recovery process of frozen shoulder is like a moving sloth. Be assured that it will recover, but it will stubbornly take a sloooooow pace. And sometimes, be prepared that it may have to get worse before it gets better.

A frozen shoulder will have to go through 3 stages – the freezing stage, the frozen stage, and the defrost stage.

The first stage is characterized by pain. Any movement involving the shoulder would be painful. In severe cases, some may experience resting pain and night pain that stops them from falling asleep. Initially, despite the pain, most patients are still able to move the shoulder through large range of movement, but it will become progressively restricted as time goes by.

Some months later, it will progress into the frozen stage, where the pain will gradually reduce but the stiffness will gradually increase. But hope will come around in the third stage, as the condition improves – the intensity of pain decreases, and range of movement improves. The whole process generally takes 1 to 2 years. Those with diabetes usually experience a slower progression due to their impaired healing capacity.

What types of exercises are good for frozen shoulder?

There are numerous exercises advocated for frozen shoulder. Before trying out the exercises, it is important to understand that not all stages of frozen shoulder will benefit from vigorous exercises.

When pain is debilitating in the first stage, the last thing you want to do is to vigorously move the shoulder and push through the pain. This will only aggravate the pain and make life more difficult for yourself. You need to learn to minimize any movement that gives you the pain.

Anti-inflammatory medication may help in some cases. Ask a pharmacist for recommendation for off-the-shelf anti-inflammatory medication. If that does not work, see an orthopaedic doctor. They may help by prescribing stronger anti-inflammatory medication or giving injection directly into the shoulder joint.

Exercises are more beneficial when the condition progresses into the second stage, where limited shoulder movement is the main presentation. The aim of the exercises is to maintain as much range of movement as possible. It is OK to experience some pain when doing the shoulder exercises in this stage, but the pain should be controlled within mild to moderate intensity.

With regular shoulder exercises, patients will be able to minimize the impact of frozen shoulder on daily activities and promote a smooth transition into the third stage.

At the third stage, it is time to use more vigorous exercises to help regain shoulder movement. It is important that patients need to tolerate some pain and push the shoulder into restricted range so that the movement can be improved every week.

How can physiotherapy help with frozen shoulder?

The role of physiotherapy treatment in this whole process is to guide patients through the different stages of frozen shoulder: knowing what not to do, what exercises to do, and when to progress with the exercises.

Physiotherapists also use manual therapy to help reduce pain and improve shoulder movement. In other words, physiotherapy for shoulder pain therapy allows for a smooth and hastened recovery process.

A side note for patients with diabetes – it is of great importance to keep your diabetes under control. This will promote a smooth recovery of frozen shoulder and reduce risk of recurrence in the long run.

Darek Lam

Senior Principal Physiotherapist

Shirley Le, writes in detail and this shows in her meticulous work with her patients. She constantly upgrades her clinical skills to be at the forefront of her physiotherapy practice.

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