Monday, 26 December 2016

Scoliosis Treatment in Kuala Lumpur, Malaysia

Over the years, we have had many requests to write about the non-operative treatment options for those diagnosed with scoliosis. The clinical teams of Chiropractic-in-Malaysia have provided this article to explain the non-surgical treatment options for scoliosis.  Before we get into the meat and potatoes of treatments, let's cover some basic information about scoliosis so that you may be better informed.

Adolescent idiopathic scoliosis is a complex spinal deformity that involves lateral deviation, twisting of the spine and decreased sagittal spinal curvature. Over the past few decades, rehabilitation exercises have been part of the treatment program to manage and prevent the progression of the scoliotic curve. Recent research suggested that the development of postural deviation originates from a dysfunctional interaction between the central nervous system and body biomechanics.

There are two main exercise approaches which are based on two different hypothesis for the development of scoliosis. The neurophysiological approach is developed based on the hypothesis that adolescent idiopathic scoliosis has a major central nervous system dysfunction. The other approach, namely the biomechanical approach, were founded on the theory that adolescent idiopathic scoliosis originates from a muscular imbalance. However, recent research showed that both central nervous system dysfunction and muscular imbalance contribute to the development and progression of scoliosis. Therefore, both approaches need to be included in the rehabilitation program in order to achieve better results.

Understanding of the neural mechanisms of the motor and postural control and their interactions with body biomechanics and with cognitive systems is important in facilitating the rehabilitation exercise program for scoliosis. Mapping of the spatial coordinates and body awareness is a main role of the cognitive systems. All of the above-mentioned fields need to be explored and keep in mind while planning an effective rehabilitation exercise program for scoliosis.

Learn more about non-surgical scoliosis treatment in Kuala Lumpur, Malaysia. Our methods of physiotherapy and chiropractic can help with moderate and even some severe cases. Call our center at 03 2093 1000 to set up your consultation with one of our clinical experts today.

Wednesday, 21 December 2016

Non-Surgical Treatment for Scoliosis in Malaysia

Adolescent idiopathic scoliosis (AIS) is one of the most common causes of spinal deformity in adolescents. AIS have the most significant impact on adolescent undergoing their rapid growth period. Adolescent idiopathic scoliosis is characterized by a lateral deviation, axial rotation and reduction of sagittal curvatures of the spine that develops during growth. Girls have a higher risk of developing AIS and they are more likely to develop severe scoliosis with Cobb angle measured more than 30 degrees. AIS can lead to physical deformity, psychological issues, biomechanical impairment, neuromotor deficit, and cardiorespiratory dysfunction.

Over the years, research has demonstrated a few factors that may contribute to the development and progression of AIS. The main factors include defective central nervous system control of the body posture, alteration of body schema, abnormal interaction between hormones involved in the growth processes such as melatonin and growth hormone, genetic factors leading to cell membrane defects affecting collagen and skeletal muscles, and biomechanical issues of the spine. Adolescents with a strong family history of idiopathic scoliosis are at high risk of developing a severe scoliotic curvature.

There are two main treatments available for AIS, conservative treatment and surgical option. Conservative treatment should be exhausted before surgical approach is required. In scoliosis with Cobb angle less than 30 degrees, conservative management including physiotherapy, chiropractic treatment and extensive rehabilitation exercise program can be introduced to manage the scoliosis. This main goal of this initial conservative treatment is to prevent rapid deterioration of the scoliotic curve and the need for spinal fusion surgery. If conservative treatment fails, surgery will be the other option.

Chiropractic Specialty Center offers the best non-surgical treatment for scoliosis in Malaysia. For more information or inquiries, please contact us at 03-2093 1000.

Friday, 16 December 2016

Chiropractic Treatment in Malaysia for Mid Back Pain

People with mid back pain normally present with pain between or around the shoulder blades. The pain can be in the middle, on the left or right side, or on both sides. A sudden movement to the thoracic spine may have triggered the pain or the pain may have commenced gradually over a period time. Twisting and turning or side bending of the spine usually will aggravate the thoracic pain. Numbness or pins and needles along the rib cage at the affected level may be reported. Signs and symptoms along the dermatomal distribution are more predictable in the thoracic area, however, symptoms may vary in certain cases.

Injury to the adjacent cervico-thoracic spine may refer pain to the shoulder area. The lower thoracic region cannot be overlooked in patients with buttock, hip or inguinal symptoms. The internal organs that lie in close proximity with the thoracic spine must be checked as these organs are capable of referring pain to the spinal region mimicking a mechanical spine injury.

The range of motion and mobility of the intervertebral segments in the thoracic spine should be carefully assessed. The paraspinal and periscapular muscles should be examined for tightness, trigger points and weakness. The lower cervical and upper lumbar spine should be included in the physical examination due to its close proximity to the thoracic spine. Neurological examinations of the spine can be performed to rule out neural structure damage.

Chiropractic Specialty Center offers the best chiropractic treatment and physiotherapy for back pain in Malaysia. For more information or inquiries, please contact us at 03-2093 1000 or visit our website.

Sunday, 11 December 2016

Chiropractic Care for Mid Back Pain

Thoracic pain, or mid back pain, which is the pain in the back region between the neck and the lower back, can origin from several different structures in the thoracic spine. The most common causes of thoracic pain include injury of the thoracic facet joints, ribs articulations, intervertebral disc, paraspinal muscles, periscapular muscles, and intercostals muscles. However, other nociceptive structures of the thoracic spine are also capable of producing pain in thoracic region.

Learn more about the common back pain that is affecting the population in Malaysia. 

Thoracic spine plays a main role in providing stability to the axial skeleton. Hypomobility or stiffness of the intervertebral joint of one or more segments is a very common presentation that results in thoracic pain. Referred pain to the side or the front of the chest wall is not an uncommon presentation in disorders of the thoracic spine. Prolapsed intervertebral disc is a less common cause of thoracic pain as this region of the spine.Injury of the rib articulations is not that common, however, this can happen in isolation or with the present of intervertebral joint injuries.

Another common source of pain in the thoracic spine region in adolescents is Scheuermann’s disease. This is a disorder of the growth plates of the thoracic spinal vertebra. Fracture of the rib posteriorly can cause pain in the thoracic spine region. Cardiac causes and peptic ulcer can sometimes refer pain to the middle back. 

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

Tuesday, 6 December 2016

Chiropractic Treatment in Malaysia for Slip Disc in the Lower Back

Slip disc has been one of the most common causes of lower back pain in Malaysia due to the sedentary lifestyle. Pain originating from intervertebral disc has been thought to be one of the causative reasons for lower back injury. Intervertebral disc with extra nerve supply, especially the inner part of the disc, can be one of the factors leading to discogenic low back pain. Recent research has shown that only painful discs demonstrate additional nerve ingrowth into the inner disc. This may result in non-specific discogenic low back pain with or without radicular symptoms in the lower limbs. Innervation of a normal disc is only limited to the outer one-third of the disc. Positive MRI findings for painful disc may include a loss of disc height, degeneration of the disc, the presence of hyper-intensity zone or annular tear, and Modic changes.

The hyperintensity tear within the annular fiber is a localised area of bright zones commonly found on T2-weighted MRI on the outer layer of the disc. These lesions represent the normal lamellar structure being replaced by disorganised granulation tissue with newly formed blood vessels which can extend from the outer layer to the inner nucleus pulposus. There are a few types of tear including radial, transverse or concentric, which may involve one or many layers of the annular lamellae. These tears may be associated with lower back pain. These tears which are replaced by disorganised granulation tissues with additional blood vessels can lead to nerve ingrowth. Hence, the injured disc with extra nerve supply is capable of producing pain when force is being exerted on the disc or when the disc is being irritated.

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

Thursday, 1 December 2016

Chiropractic Treatment for Severe Causes of Low Back Pain

Patients presenting with severe, progressive low back pain, fever, history of intravenous drug use and history of recent infection require additional imaging to rule out infection of the spine. Spinal infection is not a common cause of severe low back pain as it only affect about 0.01% of patients with back pain. However, spinal infection can cause significant pain in the back. Spinal infection can affect the spinal bone, the intervertebral disc, the spinal canal, or any combination of these. A negative X-ray imaging cannot rule out the spinal infection. This is because 30-50% of bony changes at the affected site are required before it can be shown on the plain film. MRI, magnetic resonance imaging of the spine is needed to diagnose or rule out spinal infection.

Learn more about back pain. 

About 80% to 90% of lower back pain cases are diagnosed as non-specific low back pain as it is difficult to pin-point one structural or functional cause. In most cases of low back pain, the adjacent structures in and around the painful site such as the intervertebral discs, facet and sacroiliac joints, ligaments and muscles can all contribute to the pain. Therefore, an effective treatment program for lower back pain should include different modalities to address each and every component of the back pain.

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

Saturday, 26 November 2016

Severe Causes of Low Back Pain

The differential diagnosis for lower back pain can be as simple as muscle spasm to complicated or severe and complicated cauda equina syndrome that required immediate surgical decompression. It is important for primary contact health care providers to recognise and rule out serious conditions of the lower back so that a detailed treatment program for the management of the lower back pain can be prescribed. Imaging of the lumbar spine may be needed in order to rule out serious underlying condition the lower back.

Patients who aged above 60, have a history of osteoporosis and/or are taking steroids over a prolonged period of time are more susceptible to compression fracture of the spine even with a minor trauma. Therefore, plain-film radiography or CT scan maybe required for these patients who are suffering from severe back pain after a minor trauma.

Cauda equina syndrome is a serious spinal condition that may lead permanent nerve damage if it is not treated immediately. Typical signs and symptoms of cauda equina syndrome include low back pain, sciatica, loss of sensorimotor in the lower limbs, bowel and bladder dysfunction, urinary retention, saddle paresthesia of the perineum, pain, numbness and weakness in both lower limbs. Direct mechanical compression, venous congestion and ischemia are the possible causes of nerve root damage in the lumbar spine. Lumbar disc herniation, trauma and vertebral metastasis are the common causes that lead to secondary spinal canal stenosis and compression of the cauda equina. MRI of the lumbar spine can identify the source and location of the compression of the cauda equina.

For more information or inquiries, please contact Chiropractic Specialty Center at 03-2093 1000.

Monday, 21 November 2016

Chiropractic, MRI and Low Back Pain

Lower back pain is very common in our population and is commonly believed to be benign and self-limiting. However, debilitating pain and severe paresthesia can affect the activity of daily livings if the lower back pain is not treated properly. MRI of the lumbar spine may be needed in certain cases in order for the health care practitioner to differentiate serious spinal pathology from non-specific low back pain. A detail history and examination of the patient is required to assess the lower back condition of the patient.

MRI of the lumbar spine is needed to rule out serious pathology when “red flag” findings are present during the assessment of the patient. Lower back pain with radicular leg pain or other significant signs and symptoms may require imaging to rule out serious spinal pathology. Disc herniation or slipped disc and degenerative disc disease are the most common causes of lower back pain. These findings can be easily located and localized on MRI of the lumbar spine. These two conditions can be treated with conservative managements. Other serious underlying conditions of the spine include trauma, cauda equina syndrome, progressive neurologic deficit, infection and malignancy.

The patient’s history or the mechanism of injury with a detailed assessment of the lower back is needed to determine if further imaging of the spine is required. The health care practitioner should determine if X-ray, CT scan, MRI of the spine or other imaging or laboratory test is needed for further evaluation of the condition.

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

Wednesday, 16 November 2016

Chiropractic View on Functional Spinal Instability in Low Back Pain

Bony restraint from facet joint orientation and ligamentous support are the major contributors to the passive stability of the lumbar intervertebral segments. However, these segments are unstable upon movement of the spine in the absence of dynamic neuromuscular control. A combination of dynamic muscular forces and passive ligamentous support are required to provide stability and movements of the spine for activities of daily living and sports activity. Spinal instability has been reported in some cases of spondylolisthesis which involves the forward slippage of the spinal segment. The presentation of spinal instability in these cases includes hypermobility or increased displacement or range of motion. Learn more about spondylolisthesis:

There are two major muscle groups in the lower back, local and global muscles, which should be working together to provide stability and mobility of the lumbar spine. Global muscles are large, dynamic, phasic muscles that connect the pelvic to the rib cage which generates torque movements and general trunk stabilization. Rectus abdominus, external oblique and upper part of lumbar iliocostalis are considered as global muscles.

Local postural, tonic muscles are attaching directly to the lumbar vertebrae and are the major contributors to the lumbar segmental stability. Lumbar multifidus, psoas muscle, quadratus lumborum, lumbar parts of iliocostalis and longissimus, transversus abdominis, the diaphragm, and the posterior fibers of the internal oblique are a few examples of the local muscles in the lower back. These muscles are important to maintain the spinal stability during movement of the trunk.

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

Friday, 11 November 2016

Common Causes of Lower Back Pain in Malaysia

Abnormal movement of a spinal segment can be associated with lower back pain. Either too much or too little movement of an isolated intervertebral segment can be a major component of lower back pain. Constant irritation of the surrounding soft tissue as a result of isolated segmental hypermobility or possible structural lumbar instability. Correction of spinal segments with restricted joint movement is a major part of the treatment program.

The clinical teams of Chiropractor and Physiotherapist that brought you this blog (Chiropractic-in-Malaysia) are among the best in the country. They have a very methodical method of manual and trigger point therapy systems that others do not do. As a result, you get better faster. Learn more about trigger point therapy as performed by clinical physiotherapists in Malaysia. 

Trigger points are specific sensitive pain-producing points located in tight muscles or fascias that can refer pain to other areas. Trigger points associated with lower back pain are commonly found in quadratus lumborum, erector spinae, gluteal and piriformis muscle. Trigger points may or may not be the initial problem however these can cause significant pain in patients with lower back conditions. The pain resulted from active trigger points with associated muscle spasm or tightness can further aggravate the abnormalities in the underlying joints. Therefore, the resultant pain from trigger points and muscle tightness must be addressed and treated properly.

In an acute low back pain case, abnormalities of the joints are more likely to be the major source of pain. In a chronic low back pain case, muscular and neural abnormalities must be taken into consideration. These components should be treated and re-assessment should be performed from time to time to evaluate the effectiveness of the treatments.

For more information about our back pain treatment center or inquiries, please contact us at 03-2093 1000.

Sunday, 6 November 2016

Slipped disc and Facet Joint Injuries in Lower Back Pain Among Malaysians

The two most common causes of lower back pain in Malaysia are slipped disc and facet joint injury. Most of the time, these two conditions can co-exist and can cause severe pain in the back, buttocks or lower limbs. It is challenging to differentiate clinically between a slipped disc and facet joint injuries. There are a few clinical examinations which can be served as a guide to distinguish between a disc damage and facet joint injury. However, these examinations must be correlated with other clinical signs and symptoms to make a definite diagnosis.

Learn more about our non-operative treatment for slipped disc through Technology that others don not have in Kuala Lumpur, Malaysia: 

Patients with disc damages are more likely to report pain upon forward bending of the trunk. Whereas patients with facet joint injuries often complain of pain with extension of the lower back. Other than that, the site of maximal tenderness can be different between disc and facet joint injuries. The most tender spot for a patient with disc damage is more centrally around the spinous process. However, the most tender spot for a facet joint injury is more towards the side on the damaged side.

Hypomobility of one or more spinal segments is commonly associated with a slipped disc and facet joint damages. This can be one of the causes that contributes to the lower back pain. Intervertebral segments with restricted movement should be corrected with mobilization or manipulation of the joint in order to manage the lower back pain.

For more information slipped disc treatment center in Malaysia or inquiries, please contact us at 03-2093 1000.

Tuesday, 1 November 2016

Compression Injuries of Slipped Disc

The other type of slipped disc that can cause the pain in the back is a result of compression injuries to the disc. Excessive axial load or weight-bearing leads to fractures of the vertebral end plates. The materials of the nucleus pulposus may be exposed to the blood supply of the vertebral body as a result of the end plate fracture. There will be an increased load on the annulus fibrosus when the degradation of the nucleus pulposus happens.

It is highly possible that there will be a pain if the degradation process of the nucleus reaches the outer third of the annulus fibrosus. This is because the outer third of the annulus fibrosus is rich in nerve supply. Learn more about slipped disc or herniated disc treatment in Kuala Lumpur

Patients with this type of compression injury of the disc may complain of deep-seated local back pain with or without referred somatic pain to the buttock and lower leg. This is a result of both chemical and mechanical irritation of the pain-producing receptors in the lower back.

Apophyseal joint, or the facet joint, is another common site of injury that can result in low back pain. There are a few types of damages of the apophyseal joints that are capable of causing irritation to the pain receptors. For example, fractures of the subchondral bone, capsular tears, capsular avulsions and bleeding into the joint space.

For more information our Chiropractic and Physiotherapy center in Malaysia or inquiries, please contact us at 03-2093 1000.

Wednesday, 26 October 2016

Low Back Pain due to Slipped Disc in Malaysia

Disc damage or slipped disc/slip disc can be one of the diagnoses for neck or low back pain. There are different types of disc damage that can result in pain such as ruptured or herniated disc, degenerated disc, excessive torsional injury and compression injury of the disc. Most of the disc injuries involve damages and abnormalities not only the disc, but also the soft tissue structures around the disc.

Excessive rotational or torsional stress may cause injury to the facet joints, the annulus fibrosus, or most commonly both. The annulus fibrosus is under maximal stress when the disc is being loaded in a bent and twisted position. Therefore, people who always injured their back when they lift heavy objects in a forward bending position with the upper body rotating to one side.

Repetitive torsional injury to the disc may lead to tears seen on MRI. Annulus fibrosus with tears are more susceptible to nucleus pulposus herniation. An inflammatory reaction may be provoked in response to the annular tear and this will result in pain from chemical irritation. This chemical nociception normally presents as a diffuse back pain that may or may not be referred to the lower limbs. Any movement of the lumbar spine, especially forward bending and twisted, can aggravate the lower back pain from excessive rotational stress.

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

Friday, 21 October 2016

Best Slipped Disc (Slip Disc) Treatment Kuala Lumpur, Malaysia

Many years ago, the intervertebral disc (Spinal Disc) was thought to have no nerve supply and therefore incapable of producing pain when irritated or damage. However, recent research has shown that the outer one-third or sometimes the outer half of the posterior annulus fibrosus is innervated by sensory nerves. Therefore, the outer layer of the posterior annulus fibrosus is capable of producing pain when it is damaged or irritated. Learn more about slipped disc or disc bulge

Traditionally, there were two major types of disc injury which can result in local spinal pain with or without radicular signs and symptoms. One of the injuries is disc herniation or extrusion. Disc herniation occurs when the center nucleus pulposus is no longer contained by the outer annulus fibrosus and is extruded through a tear in the annulus fibrosus. Nerve root impingements and spinal canal encroachment can happen as a result of disc herniation. The other type of injuries is known as degeneration of the disc. Disc space narrowing, vertebral endplates degenerative changes and bone spur formation are the common imaging findings of disc degeneration. All these degenerative changes can result in the spinal canal or neural foraminal narrowing. Nerve root impingement or irritation due to spinal canal or neural foraminal encroachment can lead to pain and paresthesia at the site of injury.

According to the recent research, a disc without herniation or degeneration is capable producing pain. This discogenic pain can be a result of torsional injury or compression injury of the annulus fibrosus. Traditionally, many that have a slipped disc (slip disc) are encouraged to have surgical interventions. While surgical centers and surgeons prefer surgical treatments, it might be better for you to avoid surgery as surgery has failed to show lasting improvements. 

The Chiropractors and Physiotherapists of Chiropractic Specialty Centers have the technology, skills, and expertise to treat and fix even the most severe slipped disc without drugs, injections or surgery. Best of all, the improvements you get are natural and long-lasting. If you have a  slipped disc and live in Kuala Lumpur, call or visit us. In addition to our chiropractic center in Kuala Lumpur, we have others centers throughout the Klang Valley. Call us today to find more information about our centers and services, before surgery becomes your only option!

For more details about our centers and service or inquiries on how to become our patient, please contact us at 03-2093 1000.

Sunday, 16 October 2016

Hip Pain and Lower Back Pain Treatment in Kuala Lumpur

The Chiropractors and Physiotherapists of Chiropractic Specialty Center offer the best and most comprehensive hip pain and ower back pain treatment in Kuala Lumpur. Their treatments are better as they identify the source of your hip and low back pain and then get busy fixing them. The key to recovery is targeted treatments that fix issues that caused your pain in the first place. Best of all, the care you get is painless and through technology that others do not have.

Low back pain can be coming from the structures in the lumbar spine or referred from the adjacent joints such as the hip joint. A detailed examination of the hip joint in patients with low back pain is necessary to rule out abnormalities of the hip joint such as labral tears, rim lesions and osteoarthritic changes in the joint. Abnormalities of the hip joint may present as low back pain, or both the hip joint and lumbar spine can be the primary sources that contribute to the lower back pain. Therefore, both conditions that coexist must be managed and treated at the same time to achieve maximum medical improvement in the shortest period of time.

Any structures of the lumbar spine that are capable of producing pain are called nociceptive (pain-producing) structures. Vertebral venous plexus, dura mater, ligaments of the vertebral arches, muscles, and fascia, vertebral bodies, laminae, apophyseal joints, and annulus fibrosus of the intervertebral disc are the common structures that can result in low back pain when these structures are being irritated.

Irritation and damage of the intervertebral disc and facet joints are the most common causes of lower back pain. However, as the condition progresses, abnormalities of the adjacent soft tissues must be considered as the sources of lower back pain. Abnormalities of the ligaments of the intervertebral joints, muscles, fascias, and neural structures must be taken into consideration when treating chronic lower back pain.

For more information about low back pain treatment in Kuala Lumpur or inquiries about our Physiotherapy and Chiropractic center in Kuala Lumpur, please contact us at 03-2093 1000

Tuesday, 11 October 2016

Chiropractic and Physiotherapy for Low Back Pain

Spondylolysis or stress fracture of the pars inter-articularis is commonly seen in athletes who involve in gymnastics, fast bowling (cricket), throwing sports and tennis due to repeated hyperextension with or without rotation of the body. Fracture of the pars inter-articularis on both sides can result in spondylolisthesis, slipping of the vertebra over another segment. Spinal canal stenosis is more commonly seen in older patients and they often complain of pain aggravated by walking and relieved by rest. Examination of the hip joint must be included for lower back patients as abnormalities of the hip joint such as labral tears or joint contracture may present with signs and symptoms similar to lower back pain with radicular pain in the leg.

There are a few anatomical structures in the lumbar spine which are capable of producing pain when they are damaged or irritated. These include nucleus pulposus, annulus fibrosus, facet joints, ligaments, muscles, nerve and synovium that are found in the lumbar spine. Health care practitioners should be able to identify more than one abnormality in these structures when a person presents with low back pain.

People who are aged between 20 and 50 have an increased risk of lower back pain. There is a higher incidence of low back pain and sciatica in smokers compared to non-smokers. People working in a field that requires a lot of physical demand that involves bending or twisting are more prone to lower back pain. Physical work with high exposure to vibration can lead to increased risk of low back pain and sciatica. However, sedentary occupation with long hours sitting or standing also showed a higher percentage of low back pain.

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

Thursday, 6 October 2016

Diagnosis of Low Back Pain in Malaysia

The Art and Science of DIangosing Low Back Pain in Malaysia

Accurate and proper diagnosis of low back pain is a needed component of care. Far too many centers misdiagnose their patients with low back pain. Even GPs in Malaysia have difficulty with the proper and accurate diagnosis of low back pain. Many doctors, therapists and others that care for low back pain patients in Malaysia haven't really bothered to educate themselves on the latest development in fields of the spine and joint care. This is even more so evident when it comes to low back pain patients. And as such, more and more patients are forced to go through surgical intervention that could have been avoided had their condition been correctly diagnosed and treated in the first place.

Well, that will not happen in one of our centers. We have gone through if great lengths to ensure that all our clinical staff are trained by the best of trainers, and have the skills, knowledge, and expertise to treat and diagnose even important and severe cases of low back pain or condition.  So, rest assured; the chiropractors and physiotherapists of chiropractic specialty centers have what it takes to get you better faster than any other center or clinic in Malaysia. Don't just take our word for it, visit one of our centers today and compare what we do to any other center in Malaysia or Singapore. So, if you are looking for the BEST non-operative low back pain treatment in Malaysia, look no further than us. We are the best in the Southeast Asian region.

How Common is Low Back Pain in Malaysia?

Low back pain is extremely common Malaysians! in fact, it may be affecting up to 85% of the population at least once in a 12 month period. Not so long ago a published research related that 70-80 of the Doctors in Hospital Kuala Lumpur suffered from chronic back pain.  Medical research relates that about 90% of low back pain patients show improvements over a 3 months period with treatments, but more than half of them will have at least one recurrent low back pain attack. Low back pain is considered as one of the most common causes of disability in people below the age of 45.

It is very difficult for most health care providers or those inexperienced with back disorders to pinpoint a precise anatomical and pathological diagnosis in lower back pain. However, a health care provider with adequate knowledge and experience can easily identify the root-causes of your back pain.  The goals of a competent healthcare provider should be to identify all offending (abnormal) stories in your spine so that proper therapy and treatment plans can be established. In most cases, there can be more than one abnormality that results in the low back pain. But, to diagnose accurately, skills, knowledge and precise attention to detail is needed.

In Malaysia; the best and most advanced center for diagnosing and treating back pain is Chiropractic Specialty Center in Kuala Lumpur. Diagnosing is critical as is the treatment of back pain. Some are expert diagnosticians, but the care or treatment they recommend is always or often through surgical or invasive procedures. The one thing that most of these fellows forgot is that there are no additional parts in the human body. Secondly, even if you were to get the best of the best surgeons on this planet, your back pain will not be cured. Plenty of research relates that back surgery is limited in success. In Fact, some even repeated that most patients will need future surgical interventions. Some may require a second or third surgery every 5-7 years. That is shocking!

We encourage you to visit the Chiropractors and Physiotherapists in Kuala Lumpur before opting for any invasive spine or joint condition. We have treated thousands of back pain patients that surgeons wanted to operate on in Malaysia. Our success rate is above 95%. Why would you want your care at any other center with stats like these!  Why would even consider surgery when an effective alternative to surgery is readily available at the Chiropractic Specialty Center in Malaysia!

For more information about diagnosis and treaments of low back pain in Malsyia helpful, please contact us at 03-2093 1000.

Saturday, 1 October 2016

Spinal Disc Treatment and Chiropractic in Malaysia

Spinal discs are one of the joints that contribute to the movements yet provide stability to a functional spinal unit. One functional spinal unit consists of two adjacent spinal vertebrae, the intervertebral disc and surrounding soft tissues (e.g. ligaments) that connect them together. Spinal discs are made up of the inner nucleus pulposus, outer annular fibrosus and cartilaginous endplates at the top and bottom surfaces that are in contact with the adjacent vertebra.

The matrix of the nucleus pulposus is mainly water, collagens, and proteoglycans. As the nucleus pulposus is mostly made up of water, it can distribute forces evenly in all dimension when the weight is being placed on it. The annulus fibrosus contains layers of lamellae and collagen fibers. This multi-layered annulus fibrosus aligned in various angles provide the tensile strength and flexibility to the spinal columns. The cartilaginous endplates of the adjacent vertebrae are rich in microscopic blood vessels that supply nutrients to the spinal discs.

Degenerative changes in the intervertebral disc are shown to occur in the early decades of life. As the disc degenerates, there can be significant variations in the structures of the intervertebral disc, associated ligamentous damage and structural alterations in the spinal columns. These degenerative changes can lead to severe neck or back pain with or without radiculopathies such as numbness, tingling sensation, and weakness. If degenerative disc disease is not properly care for, it will lead to slipped disc.

If you happen to be the unlucky person who suffers from a slipped disc, worry not as we have the perfect solution for you. Our methods of integrative treatments and technology can reverse even a severe slipped disc. Find out about your non-surgical solution that the surgeon did not mention today.

For more information the best slipped disc treatment in Malasyia, please log onto the best Chiropractic center in Malaysia now or contact us at 03-2093 1000.

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.

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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.

Friday, 26 August 2016

Chiropractic Treatment and Referred Buttock Pain

Abnormalities of the structures in the lumbar spine may result in a referred pain in the buttocks. Part of the management of referred pain from the lumbar spine should address the abnormalities in the lower back. However, in some chronic long standing cases, the area of referred pain may need to be treated in order to achieve maximum medical improvements.

In chronic cases of referred pain, local areas of tenderness may be revealed upon palpation of the muscles in the buttock. Soft tissue abnormalities are most commonly found in gluteal muscles, external rotators of the hip and lumbar multifidus. Taut fibrous band and muscle tightness are very common. Active or latent trigger points can be found within the muscles.

Integrated approach for the management of lower back pain to address the abnormalities in the lumbar spine are shown to yield significant improvements. Local electrical stimulation therapy can decrease inflammation and pain. Mobilization and manipulation of the spine can remove joint movement restrictions. Soft tissue therapy can reduce muscle tension and pain around the lower back and buttocks region. Home stretches for the tight muscle should be given to improve the flexibility of the muscle. Strengthening exercises for the lumbar spine should be commenced gradually and progressively to prevent reoccurrence of the injury.

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

Sunday, 21 August 2016

What is Sciatica and Where Can You Get the Best Treatment in Malaysia

Sciatica is a common disorder that impacts thousands of Malaysians on a daily basis. Sciatica is fast becoming rampant, and it may soon be the leading cause of disability in Malaysians under the age of 45! Protect yourself and your family from sciatica by learning how to treat it through the best methods in Malaysia.

Most, believe sciatic to be a mild or even moderate condition that leads to pain in thighs or legs. Unfortunately, sciatica is a serious health issue. The most common cause of sciatica is a slipped disc. Treatment and accurate diagnosis are needed to secure a complete recovery. Otherwise, the sufferers may be subject to future flare-ups. The best place to learn about sciatica is through the website of Chiropractic Specialty Center: learn more about  Sciatica cause and best sciatica treatments in Malaysia.

Lumbar spine abnormalities with or without lower back pain can refer pain to the buttock. Any of the innervated somatic structures of the lumbar spine, such as muscles, ligaments, facet joints, intervertebral disks and spinal nerves may cause pain in the buttock. Abnormalities of the intervertebral disk and facet joints are the two most common structures that cause refer pain to the buttocks. Spondylosis and Spondylolisthesis may contribute to the buttock pain.

Patients usually complain of diffuse buttock ache with different severity. The slump test which involves forward bending of the neck and upper body while straightening the leg in a seated position may reproduce the buttock pain. Positive slump test is an indication of increased neural tension due to nerve damage or secondary to lumbar spine abnormalities. However, a negative slump test does not rule out the possibility of referred pain from the lumbar spine.

Areas of tenderness and intervertebral segments with restricted motion may be noted upon palpation of the lumbar spine. The segmental range of motion can be restored by mobilization or manipulation of the lumbar spine. The signs and symptoms can be reassessed immediately after treatment or before next treatment to rule out referred pain from lumbar spine abnormalities.

We hope that your concerns were addressed. Sciatica and sciatic nerve are best treated by chiropractors and physiotherapists combined. Chiropractic or Physiotherapy alone may be ineffective. Look for centers that treat through collaborative means of clinical chiropractic and research-based physiotherapy back by advanced technology. In other words, call us. We can help.

For more information the best Sciatica or Sciatic nerve pain treatments in Kuala Lumpur, Malaysia, please contact us at 03-2093 1000. 

Tuesday, 16 August 2016

Heel Pain Treatment in Malaysia

Heel pain can be caused by a verity of issues. The most common condition leading to pain in the heels include heel spurs, plantar-fasciitis, dropped arch, sprains, strains and of curse fractures. Heel pain treatment depends on of the cause and severity of the injury. Non-surgical and non-invasive methods of heel treatments are better than those that involved injections or surgery.

Heel pain is all too common in Malaysia. Tropical countries usually have higher numbers of heel pain patients per capita compared to others. The number one reason why heel pain is common in Malaysia and other tropical countries is a lack of sufficient shock absorbance in footwear. Non-surgical treatments are always the better option unless you suffer from a complete heel fracture.

In Malaysia there has been a steady rise is stress fractures of the heel bone. Repetitive trauma, improper footwear are possible the culprits. Stress fractures of the heel bone is best treated non-operatively. The key to successful outcome is accurate diagnosis and proper follow-up. Our clinical teams offer the best heel pain treatment in KualaLumpur, Malaysia. Our abilities of identifying the root-cause are better and as such the care you get is targeted. Heel pain and heel fractures need proper attention and treatments. Stress fractures involving the heel bone need specialized attention, which our team can provide.

Calcaneus, the heel bone, is the second most commonly involved tarsal in stress fractures. There are two main sites where the injury most often occurs, the upper part of the posterior margin of the os calcis or adjacent to the medial tuberosity. Calcaneal heel spurs can be found at the medial tuberosity. Calcaneal stress fractures can be associated with marching on hard surfaces among the military. Repetitive stress exerted on the calcaneus can result in a stress fracture of the heel bone. However, calcaneal stress fractures also occur in runners, ballet dancers and jumpers.

Weight-bearing activities, in particularly running, are known to aggravate the insidious heel pain. Palpatory tenderness of the posterior calcaneus on the inner and outer sides is noted. Applying a compression force on both sides of the posterior calcaneus simultaneously can reproduce the pain. Lateral X-ray of the calcaneal may reveal a sclerotic appearance, which is parallel to the posterior margin of the calcaneus. A focal area of increased uptake can be shown on the isotopic bone scan.

Calcaneal stress fracture with significant pain should reduce the activity level or in certain severe cases temporary non-weight bearing relative rest may be needed. Gradual introduction of increased weight bearing is required once the pain has subsided. Stretching of the tight muscles such as calf muscles and plantar fascia is needed to decreased abnormal stress being put on the calcaneus. Joint mobilization to ensure full range of motion in the ankle and tarsal joints is important for recovery. Soft heel pads or orthotics can be recommended to prevent reoccurrence of the injury.

For more information or enquiries about our heel pain treatment in Malaysia or about our Chiropractic-in-Malaysia blog,  please contact us at 03-2093 1000.