Tuesday, 28 March 2017

Frozen Shoulder Treatment in Malaysia

Frozen shoulder normally presents as a sudden onset of shoulder pain followed by marked stiffness in the shoulder and significant limited range of motion in the affected shoulder. Both passive and active range of motion of the shoulder is significantly reduced. The condition rarely attacks the same shoulder unless the shoulder joint is repeatedly injured due to physical activities, trauma or disease processes. The proposed aetiology for the development of frozen shoulder, also known as adhesive capsulitis, is the contracture of the glenohumeral capsule. The involvement of the coracohumeral ligament that lies adjacent to the glenohumeral capsule and rotator cuffs is noted in most of the arthroscopic and histologic studies. This condition is usually self-limiting; however, the signs and symptoms may last from 6 months up to 2 years without treatment. It has been reported that there may be up to 41% of patients have mild to moderate residual symptoms 7 years after the initial onset and less than 10% of patients present with continuous severe symptoms with pain and functional loss. 


The most effective treatment for frozen shoulder in Malaysia involves non-surgical interventions that address the symptoms at different stages. Health care practitioners should be able to recognise the different presentations of frozen shoulder and should understand that this condition is a continuum rather than having well-defined stages. Physiotherapy that includes different modalities and manual therapy can help to alleviate the symptoms and improve the mobility of the shoulder joint. Chiropractic care can provide some relief to the symptoms and mobilise the shoulder and the adjacent joints. Home exercise plays a major role in restoring the range of motion of the shoulder joint. 

Thursday, 23 March 2017

Shoulder Pain Treatment and Frozen Shoulder Treatment in Malaysia

Frozen shoulder, or adhesive capsulitis, is more common in Malaysians age 40 to 70 years. People with frozen shoulder normally present with sudden onset of shoulder and arm pain without a history of injury or trauma. Patients normally complain of shoulder pain that can extend into the arm region. The local shoulder pain can present over the front and inner part of the shoulder and radiates into the biceps region or over the outer part of the shoulder and radiates into the lateral deltoid region. There is a marked loss of both active and passive range of motion of the shoulder, with at least 50% loss of external rotation.

Frozen shoulder is classically divided into 3 different stages:
  • Freezing (sudden onset of diffuse shoulder pain with progressive loss of shoulder range of motion)
  • Frozen (the pain subsides gradually, however the stiffness in the shoulder remains, restricted motion in both active and passive movements)
  • Thawing (gradual resolution of symptoms and improvement of the marked stiffness in the shoulder)


There is no external cause or preceding shoulder condition to a “true” primary frozen shoulder. There is no systemic diagnosis, precipitating shoulder injury or diagnostic imaging to explain this sudden painful shoulder with significant restriction of the range of movement. However, there may be positive results with arthroscopic and histologic studies of the shoulder. These studies may show evidence of glenohumeral capsular contraction, especially the coracohumeral ligament within the rotator interval. This condition is thought to be self-limiting, however, physiotherapy and chiropractic treatment can help to alleviate the shoulder pain and restore shoulder range of movement. Treatment for frozen shoulder in Malaysia can help to prevent residual symptoms and pain with loss of function of the shoulder joint in the future. 

Saturday, 18 March 2017

Non-Surgical Treatments for Cervicogenic Dizziness in Malaysia


Aquatic recreational sports activity can sometimes lead to dizziness, and this is most commonly associated with diving-related injuries to the ear, for example, alternobaric vertigo, perilymphatic fistula, and inner ear decompression vertigo. However, when pathologic, diving and ontologic related causes of dizziness during or after aquatic sports activity are ruled out, cervicogenic dizziness can be the possible differential diagnosis. Cervicogenic dizziness is often associated with stiff neck, pain in the neck or upper back, restricted movement of the neck, forward head carriage posture, and dizziness upon palpation of the tender neck musculature or upon certain movement of the neck.

Disorder of the cervical spine is the leading cause of dizziness. Our clinical teams of Physiotherapists and Chiropractors use advanced breakthrough technology coupled with specific methods of chiropractic and physiotherapy treatments. Learn more about our neck pain treatment in Malaysia.

Dysfunction of the cervical spine is one of the possible factors that leads to the development of cervicogenic dizziness. Altered proprioceptive receptors in the cervical spine and abnormal sensory input from the neck can cause dizziness. Inability to realign the head in a neutral position with the eyes closed is a sign of poor cervical perceptive awareness, and this is very common in patients with cervicogenic dizziness. Diagnostic imaging of the spine such as MRI can be prescribed to rule out slipped disc or disc herniation in the cervical spine as this can often complicate the condition.

Treatment of cervicogenic dizziness includes manual physiotherapy and chiropractic treatment. Upper cervical joint mobilization, trigger point release techniques, manual traction, suboccipital release, soft tissue mobilization, stretching of the tight muscles such as suboccipital, levator scapulae, upper trapezius, pectoralis, and rotator cuff muscles can alleviate the symptoms. Rehabilitation exercises such as cervical spine mobilization and stabilization exercises are often helpful for cervicogenic dizziness.

For more information or inquiries about our centers and services for cervicogenic dizziness, neck pain or headaches, please contact our main center at 03-2093 1000.  


Monday, 13 March 2017

Chiropractic Care in Malaysia for Cervicogenic Dizziness


Cervicogenic dizziness can lead to a sensation of room-spinning vertigo, nonspecific feelings of disequilibrium, unsteadiness or light-headedness. This is a result of abnormal afferent nervous input of the neck. The diagnosis of cervicogenic dizziness can only be made by ruling out other differential diagnoses for dizziness. Patients with cervicogenic dizziness usually present with a stiff neck, restricted range of motion in the neck, neck pain, headache, ringing in the ears, jaw pain and upper back pain. Chiropractic care in Malaysia can help to alleviate these signs and symptoms

Repetitive neck movement and posture can lead to the dysfunction of the cervical spine. This can cause an asymmetrical neck rotation and impaired proprioception input. Athletes who are involved in asymmetrical sports activity are more susceptible to cervicogenic dizziness. For example, competitive freestyle swimmers who always turn their head and neck towards the preferred side of breathing during the stroke are at a higher risk of developing neck problems.

The signs and symptoms of cervicogenic dizziness can be reproduced by neck movement and neck pain during physical examination of the cervical spine. Deep palpation of the neck muscles, especially the suboccipital muscles may cause neck pain that radiates into the temporal-parietal region in the head. The suboccipital region, transverse processes of C1 and C2, spinous processes of C2 and C3, levator scapulae, upper trapezius, splenius, rectus, and semi-spinalis muscles may be tender upon palpation and may reproduce the dizziness.

For more information or inquiries, please contact us at 03-2093 1000 or visit one of our centers in Malaysia. 


Wednesday, 8 March 2017

Chiropractic Care for Golfers with Low Back Pain in Malaysia


Low back pain that does not resolve after 2-4 weeks of relative rest may require an evaluation as a more serious type of injury can be the possible source of pain. There is one study which showed that about 80% of athletes with low back pain result from disc herniation were able to return to sports gradually with conservative management. This study showed that most of them took about 5 months to return to their sports. Conservative management of low back pain includes relative rest, physiotherapy, chiropractic treatment, rehabilitation exercises, and oral corticosteroids. Relative rest involves avoiding activities that can cause pain. Chiropractic care coupled with physiotherapy has shown to yeild better results when it comes to treating lower back injuries. 

Once the low back pain has subsided, intensive trunk stabilisation and gradual painless return to sport should be introduced. Every golfer should perform the swing with a stable spine to reduce the chance of injury. Transverse abdominus and multifidus muscles can be strengthened with dynamic stabilisation exercises. These core muscles are vital in reducing the activation of paraspinal muscles throughout the swing and this can reduce the intensity of pain. Proper warm up and stretching for at least 10 minutes prior to the game can reduce the risk of injury. Aerobic endurance of the golfers must be improved as muscle fatigue can be one of the main cause that leads to injury. Shortening the back swing is shown to reduce low back injuries without compensating club head velocity or swing accuracy.

For more information or inquiries, please contact us at 03-2093 1000 or visit one of our centers in Malaysia. 








Friday, 3 March 2017

Chiropractic Care for Low Back Pain in Golfer


Disc herniation (slipped disc), spondylosis, facet joint dysfunction, sacroiliac joint dysfunction, and muscle strain are the relatively common causes of low back pain in golfers and athletes who involved in other sports activities. However, there are other less common causes of back pain such as vertebral body compression fractures. This is especially common in senior golfers who are diagnosed with postmenopausal osteoporosis. Stress fracture of the ribs is another rare source of back pain but must be considered in senior golfers. Ribs 4-6 are the most commonly affected region as a result of weak serratus anterior.

Myofascial pain syndrome is a common cause of chronic low back pain in golfers. Tender, palpable trigger points which can refer pain locally or at a site distant from the point of contact are commonly found in the paraspinal and gluteal muscles. This syndrome commonly co-exists with other sources of back pain.

An accurate diagnosis is required before the health care practitioner can come up with a specific treatment plan to address the specific back injury. Pain management will be the first phase of treatment followed by sport-specific rehabilitation and alteration of the swing mechanics if needed. The recovery duration may vary depends on the severity of the back injury. Biomechanical back pain may resolve within 4-8 weeks, whereas disc herniation and other more serious injuries may need 3-6 months to recover.

For more information or inquiries, please contact us at 03-2093 1000 or visit one of our centers in Malaysia.