Sunday, 28 February 2016

Ulnar nerve compression and injury

The ulnar nerve supplies the sensation on the inner palm, the little finger and half of the ring finger. It also supplies the muscles on the inner forearm, muscles that control the 4th and 5th fingers and certain muscles in hand such as hypothenar muscles and interossei.

People with ulnar nerve irritation may present with posteromedial elbow pain, pins and needles or numbness along the nerve distribution on the inner side of the forearm and the inner one and a half fingers. Impingement of the ulnar nerve at different regions may cause specific muscle weaknesses. There may be difficulty in bending the wrist and the 4th and 5th fingers. Claw hand deformity may be present when the hand is at rest.

Tapping over the nerve at the funny bone region or on the inner side of the wrist may be tender and reproduce symptoms. Stretching of the ulnar nerve by putting the hand behind the ear, lifting the elbow to the level horizontal to the ear and pulling the elbow backwards may reproduce the symptoms.

Treatment for a non-complicated compression includes local soft tissue therapy or physiotherapy modalities to break down adhesions that may be compressing the nerve and limiting its flexibility. Gentle neural stretching can be performed within patient’s pain tolerance to decrease the tension. Manual therapy for the tight muscles in the forearm or the hand is required to relax the muscles. If the symptoms persist, nerve conduction studies may be needed.

For more information or enquiries, please contact our Chiropractic center in Kuala Lumpur, Malaysia us at 03-2093 1000.


Tuesday, 23 February 2016

Ulnar nerve injury

Brachial plexus consists of branches of the lower four cervical nerves (C5-C8) and the first thoracic nerve. These networks of nerve fibers are located deep within the shoulders behind the collar bone and between the neck and the armpits. Musculocutaneous, ulnar, median, radial and axillary nerves are the major branches of the plexus. These nerves supply the muscles and skin of the arm, forearm and hand.

The ulnar nerve pierces the intermuscular septum in the arm and travels deep to the medial head of the triceps muscle. It is located in a groove behind the elbow, more commonly known as the funny bone. It then enters the inner side of the forearm and travels down to the hand.

There are a few situations where the ulnar nerve can be injured.
  • The dynamic valgus force of throwing can result in traction injuries to the nerve. This condition can be aggravated if there is instability of the inner elbow.
  • Chronic compression at the cubital tunnel as the nerve passes between the two heads of the flexor carpi ulnaris muscle. The nerve is irritated due to inflammation and adhesions from repetitive stresses and muscle overdevelopment.
  • Ulnar neuritis, inflammation of the nerve, can occur as a result of direct trauma or recurrent subluxation due to acquired laxity from repetitive stress.
  • Irregularities or deformities within the ulnar groove, for example, bone spurs, are common in overuse injuries in throwers.
If you have had an Unlar nerve injury, you will need specialised treatments through our clinical physiotherapy in Malaysia. We have the skills, knowledge and technology to treat you better.

For more information or enquiries, please contact us at 03-2093 1000. 


Saturday, 13 February 2016

Rehabilitation exercises for sprained ankle

Foot pain and ankle pain resulting from injuries require attention and targeted treatments. Our ankle pain and foot pain treatment in Malaysia is better and more effective than what others offer. Let us help you recover today. Ankle injuries treated through our methods of treatments recover faster as we target the injured or malfunctional segments better.

Following an ankle sprain, several exercises can hasten the recovery process and strengthen the ankle to prevent re-injury. These exercises involve mobility, strengthening and proprioception/balance exercises.

Mobility exercises
Move the ankle up and down in a seated or standing position. This helps to increase the range of joint movement, and the pumping effect helps to reduce the swelling. Avoid sideways motion in the early stage of injury as this may irritate the lateral ligaments. Alphabet or Number writing with the foot can be performed in the later stage of healing. Engage in weight-bearing exercises as soon as possible to accelerate the healing process

Strengthening exercises
Strengthening exercises can be performed in all range of motion of the ankle. Dorsiflexion (moving the foot upwards) and plantar flexion (moving the foot downwards) can be done by using the other foot to provide resistance. Inversion (moving the foot inwards) and eversion (moving the foot outwards) can be performed by pushing the inside and outside of the foot against a table or chair leg.

Proprioception/Balance training
Heel to toe balance exercise helps to train the ankle proprioception. Stand with one foot immediately behind the other foot. Hold the position for 30 seconds without losing balance. Progress the exercise with eyes closed. Make sure you stand beside the wall or have something to hold on when you lose balance. Wobble board exercises can develop ankle proprioception as well as leg muscles strength.

The best clinical teams of Chiropractors and Physiotherapists to treat your sprained ankle is at Chiropractic Specialty Center. For more information or enquiries, please contact us at 03-2093 1000. 


Monday, 8 February 2016

Ankle Sprain

It is very common to twist and injured the ankle. Ankle ligaments are small slightly elastic tissues that connect adjacent bones together. An ankle sprain involves ligament damage of differing severity due to a sudden stretch. These ankle ligaments are prone to tear when walking, running or jumping on uneven surfaces. The more common inversion sprains occur when the foot is rolled onto the outside of the foot, stretching the ligaments on the outside of the ankle. The less common eversion sprains exert the damaging force on the ligaments on the inner side of the ankle when the foot is rolled onto the inner side of the foot.

Symptoms of a sprained ankle include ankle pain and swelling. Bruising and discoloration of the foot and ankle may happen. Inability to weight-bear on the injured ankle and difficulty moving the ankle are common symptoms of an ankle sprain.

The treatment for a non-complicated ankle sprain is PRICE (protection, rest, ice, compression and elevation). Use an ankle support to protect the joint from further injury if necessary. Relative rest and avoid putting weight on the ankle to prevent further damage to the ankle. Apply ice pack to the sprained ankle for 20 minutes every 2 hours can reduce the inflammation and pain. Apply compression band around the ankle to reduce the swelling. Elevate the injured ankle to minimize fluid retention in the foot.

The recovery duration for an ankle sprain can range from one week to six months depends on the severity of the ligament damage. Seek immediate medical or health care attention if you are unable to bear the weight of your body on the ankle or obvious deformity is noted. In certain circumstances, X-rays of the foot may be needed to rule out fractures.


 Visit our clinical Chiropractor in Malaysia today. For more information or inquiries, please contact us at 03-2093 1000. 

Wednesday, 3 February 2016

Is it possible to have a lower back problem even though the back is not hurting?

“I don’t have pain in the lower back, but I have pain and numbness in the leg. How can it be possible that the problem is coming from the back?” This is a very common question from patients. In fact, it is not uncommon that people with low back issues present symptoms in the legs only. Some individuals with a slipped disc in the lower back may have numbness or pain in the great toe. So, what are the connections between the legs and the lower back?

Before diving into the details, we like you to know that the chiropractors and physiotherapists of Chiropractic Specialty Center in Kuala Lumpur, has the technology and skills to treat you better. In fact, our treatments have helped thousands of Malaysians recover faster without drugs or surgery. Learn how our lower back pain treatment in Malaysia is better when compared to others.

The spinal nerves in the lower back give out small branches that travel down the legs. These nerves from the lower back carry all the information to and from the skin, joints and muscles in the legs. Therefore, all the sensations, joint position sense and muscle strengths of the legs are mainly controlled by the nerves in the lower back. Basically, the nerves in the lower back play a big role in what you are feeling in the legs and how you move your legs.

If a nerve is irritated at the spinal level or in the lower back, it is possible to have radicular pain, numbness or weakness in the legs. The spinal nerve from different segments of the lower back supplies specific areas in the legs. For example, L5 nerve roots supply the nerves to the muscles that raise the foot and L5 nerve roots also carry the sensory information from the top of the foot. If the L5 nerve roots are irritated or pinched, there will be a weakness in the muscles that raise the foot and/or pain and numbness on top of the foot.

If you are looking for the best chiropractic treatment in Malaysia, please contact us at 03-2093 1000. We have several centers throughout the Klang Valley.