Shin 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 Shin 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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Shin Pain: Here’s what you need to know to Recognize it early! https://bmjtherapy.com/recognize-shin-pain-early/ Tue, 24 Aug 2021 04:45:14 +0000 https://bmjtherapy.com/?p=2515 Shin splint is pain that is felt along the front of your lower leg, with the pain concentrating between the knee and ankle. The medical term of this condition is referred to as medial tibial stress syndrome (MTSS). Shin splints usually affect people who are involved in moderate to high-levels of physical activities. The chanceread more

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Shin splint is pain that is felt along the front of your lower leg, with the pain concentrating between the knee and ankle. The medical term of this condition is referred to as medial tibial stress syndrome (MTSS).

Shin splints usually affect people who are involved in moderate to high-levels of physical activities. The chance of developing shin splints increases if you participate in strenuous physical activities which require repetitive jumping/ pounding (e.g. sprinting/ long distance running) or start-stop movements like soccer or basketball. The pain can come at the beginning or in the middle of the physical activity.

Shin splint is an accumulative stress injury in the lower limb. The pain is due to the traction and pulling stress to the structure (muscles and bones) around the shin. The repeated impact and pounding stresses the bones and muscles of the lower limb, causing the muscles to swell, increasing pressure against the shin bone. This causes pain and inflammation along the shin bone.

The repeated impact-loading on the lower limb can result in miniature cracks in the bones of the lower limb. If given sufficient rest time, the body would be able to repair the cracks. However, if there is inadequate rest time in between activities, these minute cracks can result in a stress fracture of the affected shin bone.

the runner man injured after running. He is touching on shin that is painful area.

Risk factors for Shin Splints

There are various activities and pre-disposing factors that increase your risk of getting shin splints. These risk factors are as follow:

  • Foot structural issues (e.g. flat foot)
  • Weakness of the hips/ buttock/ lower limb muscles
  • Lack of flexibility in the calves/ hamstrings muscles
  • Poor training methods (sudden increase in mileage/ speed/ downhill running)
  • Too much running on hard surfaces (concrete) or uneven terrain (trail running)
  • Wearing shoes with inadequate cushioning/ support

How can physiotherapy help?

It is very important to differentiate if the pain is coming from the muscle or the bone. Your Singapore physio will ask specific questions to help determine the structures involved. Do try to take note of the pain behavior: does the pain come in at the start and subside after a while? Does the pain come on only in the middle of the run/ activity? Does the pain come and stops you from continuing with your run? Your physiotherapist will analyze all the different contributing factors and treatment would include:

  • Release of the tight and overused muscles of the lower limb
  • Analysis and correction of walking/ running posture
  • Recruitment of specific foot posture/ muscles
  • Activation and strengthening of specific lower limb muscles
  • Recommend the use of suitable foot orthotics if required

How can I help myself and can shin splints be avoided?

Early detection and treatment is key because when shin splints affect the bone, it is considered quite severe. There are also other precautionary steps that you can take to minimize the chance of getting shin splints.

  • Wearing shoes with good insole support when exercising
  • Minimize running/ training on hard or uneven terrains
  • Increase your exercise intensity gradually
  • Warm up and stretch properly before exercising
  • Strengthen your lower limb muscles, particularly the bum, hamstrings and calves muscles
  • Do not try to force and push through the pain during exercise
  • Rest and ice your shin when required after sporting activities

Consider varying the types of exercises done and train different muscle groups each time you exercise. Your workouts should be more varied to prevent overuse to any particular muscle group. You should also stop their exercise if the pain becomes too severe.

How long will it take for me to recover?

Muscle related shin splints usually take 3-6 weeks to recover. Bone related shin splints can take up to 3 months for you to be pain-free.  It is important that you do not rush back into returning to their training immediately. You can consider taking up a non-impact activity so that it does not aggravate your shin splints while they heal, or even when you are starting to return to your sport. If you are a running, try taking up swimming or start an aggressive interval bike training program as a form of cross training to ease back into higher levels of physical training.

However, if your shin splints do not respond to the common treatment methods mentioned above or if you are experiencing any of the symptoms below, it would be advised for you to consult the doctor.

  • Pain in the shin even when at rest/ not exercising
  • A shin that is visibly/ badly swollen

Your doctor might suggest for diagnostic tests like x-rays or imaging scans if they suspect you might be suffering from more serious issues other than shin splints.

If the above symptoms is familiar to you, hit the whatsapp button at the side to speak to our friendly physiotherapist, or if you know someone who is suffering from this, do share with them this article so that we can send them on their way to full recovery.

Vanessa Goh

Principal Physiotherapist


Vanessa Goh, writes with the patients in her mind. The chatty and bubbly physiotherapist brings not only top notch physio treatment and also lots of laughter to her sessions. Happy patients recover faster, its true!

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Waking Up in the Morning is a Pain to my Foot! https://bmjtherapy.com/my-feet-hurt-when-i-wake-up-and-walk/ Sat, 22 May 2021 02:04:21 +0000 https://bmjtherapy.com/?p=2253 Waking Up in the Morning is a Pain to my Foot! While a small minority of us spring out of bed once the alarm rings, most of us dread getting out of bed – who’s with me here? It is a pain to get out of bed in the morning, but what’s worse: when theread more

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Waking Up in the Morning is a Pain to my Foot!

While a small minority of us spring out of bed once the alarm rings, most of us dread getting out of bed – who’s with me here? It is a pain to get out of bed in the morning, but what’s worse: when the heel touches the ground, it shoots pain from the foot right up your spinal cord into the brain and “OUCH” you go!

Waking up in the morning and experiencing pain in your feet when you take those first steps can be a distressing experience. This often-encountered discomfort is frequently associated with a condition known as plantar fasciitis. Understanding why your feet hurt when you wake up and walk is essential to effectively managing and alleviating this issue.

As mentioned above, the culprit is most likely the plantar fascia. It is a thick fibrous band, shaped like a bowstring, that connects the heel to the ball of the foot. Its primary function is to support the foot arch and provide shock absorption when we walk.

It also has a close relationship with the calf muscles through fascial connections, meaning reduced tissue mobility and muscle extensibility of the calves may play a role in the development of plantar fasciitis or plantar fasiopathy.

Heel pain in the morning during the first few steps?

Well, the culprit is most likely the plantarfascia. It is a thick fibrous band, shaped like a bowstring, that connects the heel to the ball of the foot. Its main function is to support the arch of the foot and provide shock absorption when we walk.

It also has a close relationship with the calf muscles through fascial connections – meaning reduced tissue mobility and muscle extensibility of the calves may also contribute to the onset of plantar fasciitis or plantar fasiopathy.

During sleep, our feet naturally rest in a slightly pointed position, known as plantar flexion. This position keeps the plantar fascia and calf muscles shortened for an extended period.
The intense pain experienced during the first few steps in the morning is often due to the abrupt and forceful stretching of the plantar fascia when we put our body weight on it. This sudden stretch can cause discomfort as the tissue adapts to bearing the load. Similarly, standing after prolonged sitting can also trigger this pain due to the sudden need for the fascia to stretch and support the body’s weight.

Why do my feet hurt when I wake up and walk?

Plantar fasciitis is a common repetitive strain injury. Some factors may increase the risk of developing this condition. They include:Plantar fasciitis is often recognised as a repetitive strain injury that can be influenced by various risk factors. Understanding these factors is crucial in both preventing and managing the condition effectively.

  1. Footwear Choices: The type of shoes you wear plays a significant role. Regularly engaging in activities like running, walking in poorly fitted shoes, or lacking adequate arch support can increase your risk. The proper footwear provides essential support and reduces strain on the plantar fascia.
  2. Types of Physical Activity: Your choice of activity can also contribute. Long-distance runners, ballet dancers, and individuals whose jobs involve standing for extended periods are particularly at risk. Additionally, suddenly increasing activity levels, such as going from minimal exercise to intense workouts or long runs, can shock the feet and lead to problems.
  3. Foot Structure: Both high arches and flat feet are risk factors for plantar fasciitis. These feet classifications can alter the distribution of pressure and stress across the foot, making them more susceptible to overuse injuries. However, having a normal arch doesn’t ultimately spare you from the risk, as the condition is often linked to repetitive stress and strain.
  4. Body Weight: Individuals with a BMI greater than 30kg/m² face a significantly higher risk, up to five times more, than those with a BMI under 25kg/m². Higher body weight increases the load on the foot structures, exacerbating the risk of overuse injuries. Therefore, maintaining a healthy body weight can be beneficial in reducing the likelihood of developing plantar fasciitis.
  5. Calf Muscle Flexibility and Mobility: The condition of the calf muscles, which include the gastrocnemius, soleus, and plantaris, is also a key factor. Tightness in these muscles can directly impact the plantar fascia due to their fascial connections. The calf muscles blend into the Achilles tendon, which continues to the plantar fascia. Limited mobility in these tissues can disrupt the efficient energy transfer along the kinetic chain, potentially leading to persistent or recurrent heel pain.

Factors such as inappropriate footwear, specific physical activities, foot structure, body weight, and the flexibility of calf muscles can increase the likelihood of developing plantar fasciitis. Awareness and proactive measures can help prevent this common yet painful condition.

I’ve been having heel pain in the morning for many years; I even have a heel spur!

A bony growth on the heel bone is called a heel spur. occurring in 10–20% of people. It forms due to the calcification of the plantar fascia, indicating a high-load area where the body deposits calcium to manage stress.

Contrary to common belief, the heel spur itself might not be the direct cause of the pain. Surprisingly, the discomfort often arises from the irritation or inflammation of the plantar fascia or other soft tissues surrounding the heel. There are people out with bony spurs who do not have heel pain! Therefore, it does not indicate the need to remove it surgically. Having the bone spur removed surgically does not guarantee the resolution of your pain.

If the loading pattern stays, the spur will grow back again.

Morning Routine to Alleviate Foot Pain

  1. Flex and Point Your Foot: Begin by flexing your foot, pulling your ankle back until you feel a gentle stretch in your calves. Then, point your toes forward to ease the tension. This up-and-down motion (flex and point) should be repeated around 20 times. This exercise helps loosen tight calf muscles connected to the plantar fascia.
  2. Foot and Toe Stretch: Flex your foot and extend your first toe while sitting. This specific movement targets the plantar fascia.Do this stretch three times, holding it for 30 seconds each time. It’s a great way to gently stretch the plantar fascia before putting weight on your feet.

Postural Adjustments: Once you’re on your feet, consider the following strategies throughout the day to manage your pain:

  • Footwear: Opt for thick-soled slippers at home to cushion your heels. Additionally, silicone heel cushions in your shoes can provide extra support and reduce the impact of ground reaction forces on your heels. Ensuring your footwear offers adequate foot support, especially during physical activities, is crucial.
  • *Taping: This can be a temporary but effective method to offload stress from your arch. It supports and can alleviate some of the strain on the plantar fascia.
  • Targeted Exercises: Strengthening specific muscles can help reduce the load on the plantar fascia. Focus on exercises for the foot intrinsics (the small muscles within the foot) and the tibialis posterior (a muscle in your lower leg). Given the plantar fascia’s connection to the calf muscles, stretching the gastrocnemius and soleus muscles is also beneficial. Regular stretching can improve flexibility and reduce tension in these areas.

What is *taping? How can it help the pain in the foot?

Taping, in managing foot pain related to conditions like plantar fasciitis, involves using adhesive tape to provide support, stability, and offload stress from the affected area, specifically the foot arch.

In the case of plantar fasciitis, taping techniques are often aimed at reducing tension on the plantar fascia, which is the thick band of tissue running along the bottom of the foot. The taping method typically involves applying a specific pattern of adhesive tape to the foot to offer additional support to the arch and heel.

The taping technique used for plantar fasciitis aims to limit excessive movement and stress on the plantar fascia, allowing it to rest and heal more effectively. This approach can also help distribute the load across the foot more evenly, reducing discomfort and pain during movement.

There are various taping methods employed by physiotherapists, each serving a slightly different purpose, such as providing arch support, stabilising the foot, or reducing tension on the plantar fascia.

Ideally, you should check in with a physiotherapist, as delaying heel pain treatment can be painful and affect other joints down the kinetic chain. We can provide advice for footwear and teach you taping techniques to help manage the pain. Different foot types may require a slightly different set of exercises. Here is a snapshot of what else physiotherapy treatment can offer:

 

Why do my feet hurt when i wake up and walk? Visit a physiotherapist in Singapore for a proper diagnosis

Shockwave Therapy

Shockwave therapy is an inventive treatment that uses mechanical energy to target areas of injury specifically. In chronic plantar fasciitis, the root cause of pain is often the scarring and hardening of the plantar fascia. This scarring results from repeated micro-injuries at the same spot on the fascia. Shockwave therapy is particularly effective in these scenarios because it helps to break down and soften these scar tissues.

The therapy works by delivering high-energy sound waves to the affected areas. These waves stimulate the body’s natural healing processes, promoting blood flow and regeneration of the damaged tissue. This non-invasive treatment is becoming increasingly popular for its efficacy in treating persistent plantar fascia pain that hasn’t responded to more conventional therapies.

Standing, Walking, and Postural Correction

Another critical aspect of managing plantar fasciitis involves analysing and correcting your posture during various activities, especially while standing and walking. Often, without realising it, how you stand or walk can strain the plantar fascia excessively, exacerbating the condition.

Biomechanical errors, which refer to the body’s incorrect alignment or movement patterns, can arise from various factors, including lifestyle habits, the type of footwear you use, and ingrained postural habits. For instance, wearing high heels or shoes with insufficient arch support can increase the load on the plantar fascia. Similarly, standing with uneven weight distribution or walking with an imbalanced gait can continuously stress the fascia.

A thorough analysis of your standing and walking posture can identify these biomechanical errors. Based on this analysis, specific recommendations can be made to correct these issues. This correction might involve exercises to strengthen particular muscles, changes in footwear, or even orthotic interventions. The goal is to achieve a more balanced, less strain-inducing posture during daily activities, which helps alleviate current pain and is crucial in preventing the recurrence of plantar fasciitis.

Dealing with foot pain when waking up and walking can significantly impact daily activities. Recognising the signs of plantar fasciitis, understanding why the feet hurt in the morning, and implementing appropriate measures such as gentle stretching, proper footwear, orthotics, and physiotherapy can effectively manage and alleviate the discomfort caused by this condition. Consulting with a physiotherapist can provide tailored guidance to address plantar fasciitis and prevent its recurrence, enabling a return to pain-free mornings and improved foot health.

Dr Sharon Wang

Principal Physiotherapist

Dr Sharon Wang, writes from her heart and her personality shines through during her physiotherapy session with her patients. This exercise enthusiast loves a good workout, and you can catch her doing her Yoga to dance routine any day.

Common Questions people ask online and our answers

1. My Feet Hurt When I Wake Up and Walk:

Upon waking and taking those initial steps, the sensation of pain in the feet, particularly in the heel area, is a classic symptom of plantar fasciitis

Plantar fasciitis, characterised by irritation or inflammation of the thick band of tissue that go around the sole and joins the heel bone to the toes, can cause discomfort and stiffness, especially after rest periods like sleeping.

2. Why Do My Feet Hurt When I Wake Up:

The primary reason for experiencing foot pain in the morning is the tightening and shortening of the plantar fascia overnight. During sleep, the feet are relaxed for an extended period. When you stand up after this rest, the sudden stretching of the fascia causes microtears and triggers pain and discomfort. Factors like excessive physical activity, improper footwear, high arches, flat feet, obesity, or tense calf muscles may be a factor in the onset of plantar fasciitis. 

3. Heel Pain in the Morning:

Plantar fasciitis often manifests as intense pain around the heel, mainly the underside. This discomfort is commonly felt with the day’s first steps and can gradually improve as the foot warms up and the tissue becomes more flexible. However, if left unaddressed, the pain may persist and become chronic, affecting daily activities and overall quality of life.

4. Feet Hurt in the Morning:

The morning foot pain experienced with plantar fasciitis can vary in intensity. It might present as a sharp, stabbing sensation or a dull ache. Some individuals report that the pain diminishes as they continue walking or after performing stretches concentrating on the plantar fascia and calf muscles.

5. Feet Hurt When I Wake Up:

It’s crucial to note that while the pain associated with plantar fasciitis is most acute in the morning, it can resurface after prolonged sitting or standing periods. The discomfort tends to ease as the tissue becomes more limber with movement but can return when the feet are at rest again.

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