Monday, 26 September 2016

Lower Back Pain and Degenerative Disc Disease Treatment in Malaysia

Degenerative disc disease of the lumbar spine is one of the most common causes that is associated with lower back pain. It has been shown that the degeneration and deterioration of the lumbar disc can lead to a symptomatic lower back condition. A progressive degenerative disc disease can result in acute or chronic back pain with an associated clinical instability of the spinal segments. This can lead to abnormal spinal segmental movement, misalignment of the spinal joints, spinal stenosis.

The basis of initial evaluation involves plain radiographs (X-rays) of the lumbar spine. Reduced disc height and narrowing of the facet joints are very common findings on the X-rays in degenerative disc disease and osteoarthritis of the spine. Osteophytes and sclerosis of the upper and lower endplates are frequent radiographic findings for degeneration. Narrowing of the lateral recesses and the spinal canal can be visible on CT or MRI of the spine. Radial or concentric tears, cystic spaces and disruption of the annulus fibrosus can be identified with MRI which is showing better resolution for soft tissues.


Instability of the spine results in a lack of normal spinal segmental displacement pattern under physiologic loads. Hence, there is an increased risk of neurological deficits, incapacitating spinal deformity and pain.

According to Kirkaldy-Willis and Farfan, there are three functional phases of degenerative disc disease:
  1.        Temporary dysfunction without instability;
  2.        Unstable phase;
  3.        Stabilization phase following calcification of ligaments.

During the early phases of degenerative disc disease, there is an increased microscopical structural deterioration resulting in an increased functional impairment.

Visit the best Chiropractic center in Kuala Lumpur, Malaysia today. For more information about oour centers and treatments, please contact us at 03-2093 1000. 



Wednesday, 21 September 2016

Physiotherapy and Chiropractic Treatment for Metatarsal Stress Fracture

Treatment management of the metatarsal stress fractures should include a multi-modal approach addressing each component of the injury. Relative rest from weight-bearing exercises is required to prevent aggravation and re-injury of the stress fracture. An air cast may be helpful in reducing the pain if the patient needs to be in a weight bearing position excessively. Exercises can be re-introduced gradually if the athlete experienced no pain while walking and no tenderness at the site of fracture. A graduated rehabilitation exercise program with the goal of returning the athlete to full training and competition should be commenced as soon as possible without risking re-injury of the fracture. Foot orthoses may be needed to correct abnormal biomechanics in the joints of the foot. Abnormal stress may be imposed on the foot if there is an instability in the joints of the foot. Chiropractic adjustment in Malaysia by our clinical teams of Chiorhpactros may be helpful in correcting restricted joints and restoring normal range of motion in the joints of the foot and ankle.



The fracture of the base of the second metatarsal affecting the joint is commonly seen in ballet dancers. The treatment for this injury should involve non-weight-bearing rest on crutches for about four to six weeks until the pain and tenderness subside. Chronic joint synovitis may present with the similar signs and symptoms and is commonly confused with this fracture.

For more information or inquiries, please contact us at 03-2093 1000 or visit our website at www.mychiro.com.my


Friday, 16 September 2016

The Best of of Clinical Physiotherapy for Foot Pain in Malaysia

There are three main sites where the fracture of the fifth metatarsal can occur. The uncomplicated avulsion fracture of the tuberosity at the base of the fifth metatarsal is commonly associated with an acute ankle sprain. If no other complications are resulting from the avulsion fracture, the pain can be relieved by a short period of immobilization.  

Jones’ fracture is the fracture of the shaft of the fifth metatarsal. This is an acute fracture, and it takes a longer time to recover. Patients usually involved with an inversion plantar-flexion injury, or this can be a result of overuse injury. Patients with a Jones’ fracture may need a non-weight-bearing cast immobilization of six to eight weeks to recover. Surgical fixation with percutaneous insertion of a screw and bone grafting may be necessary if an immediate return to activity is required. A confirmation of full radiographic healing is recommended before returning to sport to prevent re-fracture of the injury.

Fouette fracture is an acute spiral fracture of the distal third of the fifth metatarsal. This is commonly seen in dancers who went off-balance while on demi pointe and rolled over the outer border of the foot. Non-complicated injury without the displacement of the fractured fragments can be treated with weight-bearing rest. Complicated displaced fractures may need non-weight bearing cast immobilization of four to six week to relief the pain.

Physiotherapy rehabilitation of the foot and ankle maybe required once the pain has subsided and the injury has healed. The mobility of the joints must be maintained to prevent stiffness and joint restriction. Muscles in the foot and ankle need to be strengthened to provide sufficient stability at the joints. 

Chiropractic-in-Malaysia is happy to have provided this article for you. Should you have any questions about foot pain treatment in Malaysia, please contact us at 03-2093 1000: we offer you the best treatment from clinical Chiropractor in Malaysia


Sunday, 11 September 2016

Chiropractic Treatment for Upper Crossed Syndrome


Upper crossed syndrome may involve neck pain with or without radicular pain into the upper limbs. Some patients may even complain of numbness or tingling sensation in the upper limb. Muscle imbalances as a result of prolonged static posture are one of the main cause that leads to pain and paresthesia. Patients commonly present with anterior head carriage and rounded shoulders. This can result in muscle tightness in the pectoralis muscles, the anterior chest muscles, and the suboccipital muscles near the base of the skull. Muscle weakness of the deep neck flexors and rhomboids or mid and lower trapezius is commonly found in a person with upper crossed syndrome.

Treatment for upper crossed syndrome should include a multi-modal approach to addressing each and every component of the problem. This involves chiropractic treatment and physiotherapies such as therapeutic rehabilitation exercises, manual therapy, ergonomic advice and postural retraining. Joint mobilization or manipulation can improve segmental spinal mobility and reduce neck stiffness. Removing trigger points and release of tight muscles in the neck and upper back such as suboccipital muscles with myofascial release techniques help to improve neck and shoulder mobility. Stretching of the anterior chest muscles is important to prevent rounded shoulders.

Learn more about our physiotherapy center in Malaysia. Find out today why our Chiropractic treatments in Malaysia are better than what others offer you: We treat pain with Advanced Technology. 

Postural training plays a significant role in improving the signs and symptoms of upper crossed syndrome. The treatment program should include re-education and correction of the cervical, thoracic and scapular position. However, many health care providers often ignored the importance of postural training of the lumbar spine and pelvis, as this can affect the position of the thoracic spine and head as well. Taping may serve as an excellent tool in postural retraining.

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


Tuesday, 6 September 2016

Best of Chiropractic and Upper Crossed Syndrome and Neck Pain Treatment In Malaysia


Upper crossed syndrome, or cervical postural syndrome usually presents with a typical posture of protruding chin and increased upper cervical lordosis. Patients normally adopt the anterior head carriage posture with restricted thoracic extension, restricted shoulder movements, rounded shoulders and tight anterior chest muscles. This is commonly seen in athletes of certain sports that require them to be in this posture for a prolonged period of time. Cyclists, baseball catchers, and hockey players are more susceptible to this neck pain related to upper crossed syndrome. This can happen in the workplace as people are working in front of the computer screen for prolonged hours with an incorrect posture. Painters and production line workers may have similar problems too. However, neck pain arising from the workplace can be greatly benefited from ergonomic assessment.

Learn more about the BEST Neck Pain Treatment in Malaysia. Our methods and systems of care are through the combined efforts of Clinical Chiropractors and Physiotherapists. Best of all, the treatment you get from us is through advanced technology that others do not have in Malaysia. Let us help you today. 

Typical signs and symptoms of upper crossed syndrome include burning or aching pain across the shoulders and neck or suboccipital pain at the bottom of the skull around the muscle attachment site of the trapezius and upper cervical extensors. The pain is typically aggravated after a prolonged period of static posture and is relieved by movements.

Examination of the neck normally reveals restricted range of motion of the lower cervical and upper thoracic spine. The suboccipital muscles are usually tight and tender with the presence of trigger points. Muscle weaknesses are commonly found in the deep neck flexors, serratus anterior, mid and lower trapezius and rhomboid muscles. There may be an increased neural tension in the peripheral nerves as the tight muscles are irritating the nerves.

For more information about neck pain treatments in Malaysia, please contact us at 03-2093 1000.


Thursday, 1 September 2016

Stress Fractures of the Metatarsals

Metatarsals are the second most common location where a stress fracture can occur. Tibia is the most common bone where stress fracture occurs. The neck of the second metatarsal is most commonly involved in stress fractures due to certain reasons. In the pronating foot, the first ray is usually dorsiflexed, this leads to greater force being applied to the second metatarsal. When Morton’s foot is present, the second metatarsal is subject to greater force as the first ray is shorter than the second. The base of the second metatarsal is firmly fixed in placed by adjacent cuneiform bones, this increases the risk of stress fracture. The likelihood of stress fracture is increased if the third metatarsal is longer than the second. Stress fractures of the metatarsals are very common in ballet dancers.

Metatarsal stress fracture normally presents as forefoot pain which is aggravated by activity such as running or dancing. The pain may not be as significant initially but may gradually worsen as the activity continues. Focal tenderness may be noted upon examination of the metatarsal. A radiolucent line or periosteal thickening may be reported on the X-rays if the fracture has been there for a few weeks. An isotopic bone scan may confirm the diagnosis if X-ray is negative.

The clinical teams of Chiropractors and Physiotherapists at Chiropractic Specialty Center in Malaysia has the technology, skills, and expertise to treat even the most difficult foot pain in Malaysia. For faster improvements of foot pain, visit or call one of our centers. We have the Best Chiropractors in Malaysia. Let us help you today. 

For more information or inquiries about foot pain treatment in Malaysia, please contact us at 03-2093 1000.