Tuesday, June 28, 2016

Treatment for Pain in the Back of the Heel In Malaysia

tendons of the heel and foot

Heel Pain Treatment Without Injections or Surgery in Malaysia

Achilles tendon connects the gastrocnemius-soleus complex to the calcaneum in the foot. The calcaneum and the retrocalcaneal bursa are very closely related at this site of tendon insertion. The prominence of the calcaneum or a soft tissue tightness will increase the risk of mechanical irritation of the bursa and the tendon. A significant amount of stress will be loaded on the posterior aspect of the Achilles tendon where it inserts on the calcaneum with dorsiflexion of the foot. Prolonged irritation of the tendon at the insertion site will lead to permanent damage and a change like those tissues.

The prominence of the posterolateral calcaneum is known as the Haglund’s deformity. Haglund’s disease is presented with a prominent and painful retrocalcaneal bursa, mostly on the outside of the posterior heel, and is commonly associated with a prominent calcaneum (the Haglund’s deformity). Asymptomatic Haglund’s deformity can be an incidental finding on X-rays, and this is not an indication for treatment.

Insertional Achilles tendinopathy is most commonly considered as tendinosis without inflammation of the tendon. There is local revascularisation inside and outside of the distal tendon. The retrocalcaneal bursa sits in between the calcaneus and the Achilles tendon. It acts as a lubricant and cushion as the tendon moves across the bone. Repeated irritation of the bursa can result in inflammation of the bursa. The presentation of retrocalcaneal bursitis can be very similar to Achilles tendinitis.

For more information or inquiries, please contact us at 03-2093 1000 for a thorough assessment of your heel pain by Malaysia's top spine and joint experts today.

Wednesday, June 22, 2016

Chiropractic and Physiotherapy for Achilles tendinopathy

Achilles Tendinopathy Treatment Without Injection or Surgery in Malaysia

The clinical presentations of Achilles tendinopathy may vary depends on the severity of the condition. The onset of pain may be sudden or gradually over some time. The severity of the pain can range from mild discomfort to profound foot pain, heel pain, or leg pain with severe limitation of activity. Swelling around the Achilles tendon may be visible or may be absent. Some of the patients may be able to pinpoint the exact location of the pain, but some patients may report of discomfort throughout the Achilles tendon.

Conservative management of Achilles tendinopathy includes relative rest, orthotics such as heel lift and change of shoes, therapeutic modalities, physical therapy combined with corrective chiropractic treatment. The first stage of treatments will focus on pain reduction, followed by restoring joint mobility and muscle strength. Stretching exercises and joint mobility exercises should be performed as soon as the pain subsided. Strengthening exercises for the calf muscles can be completed in the later stage of the treatment.

One of the eccentric training for Achilles tendon injury includes heel-drop exercise. This consists of the gastrocnemius drop and the soleus drop. For the gastrocnemius drop, the patient stands on one leg over the edge of a platform with the heel raised and knee straightened. The patient slowly lowers the heel until the foot is level with the ground. For the soleus drop, the patient stands on one leg with the heel raised and the knee flexed to 45 degrees. Then the patient slowly lowers the heel until the foot is parallel with the ground.

For more information on non-surgical treatment of Achilles tendinopathy in Malasyia, please contact us at 03-2093 1000 today. 


Friday, June 17, 2016

Risk Factors for Achilles Tendon Injuries in Malaysia

Foot and ankle shown

How common is the Achilles Tendinopathy in Malaysia? 

Achilles tendon damage occurs as a result of an excessive load applied to the Achilles’ tendon, either in a single episode or over some time. Midportion and insertional Achilles tendinopathy have different prognosis and response to treatment. Hence, it is essential to distinguish between the two diagnoses. Macroscopic discontinuity of a portion of the tendon is known as a partial tear or rupture of the tendon. These tears do not occur in healthy tendon tissue and are common causes of foot pain in Malaysia. These tears are most likely found in a region with pre-existing pathology such as collagen fiber disarray, and they show increased blood supply without signs of tissue repair.

There are a few risk factors that predispose patients to Achilles’ tendon injuries. People with years of running history are more likely to have chronic Achilles’ tendinopathy. A sudden increase in the intensity of activity, including distance, speed, and gradient of the movement may increase the risk of injury. A decrease in recovery time between training sessions may result in symptomatic Achilles’ tendon injury. A change of running surface or footwear with lower heeled spike or shoe with heel tab may cause damage to the Achilles’ tendon. Poor footwear with inadequate heel support will increase lateral flaring, and decrease forefoot flexibility, which will put more stress on the Achilles’ tendon.

Poor muscle flexibility of the calf muscles such as tight gastrocnemius can increase the load applied to the tendon. People with excessive pronation will result in excessive load applied on gastrocnemius to supinate the foot for toe-off. Restricted dorsiflexion of the ankle or a weakness in the calf are the risk factors too.

Chiropractic Specialty Center® has the best clinical teams of physiotherapists and chiropractors in Malaysia for the spine, joints, and sports injuries

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

Sunday, June 12, 2016

Stretching and strengthening exercises for tennis elbow

elbow pain

Tennis Elbow Treatment Without Surgery or Injections In Malaysia

Tennis elbow is a condition where gripping and twisting of the hand, and forearm is painful. There are a few exercises to increase the flexibility and strength of the forearm muscle to minimize and prevent the occurrence of tennis elbow.

Stretch the muscles that extend and flex the wrist. Straighten the arm with the palm facing the floor and the ceiling respectively, push the palm down and gently stretch the forearm muscles. Hold the stretch for 15 to 30 seconds, repeat the procedure 2 to 3 times.

Strengthening exercise for the wrist extensors. Sit in a chair with the forearm resting on the armrest. Hold a lightweight (1-2kg) with the palm facing the floor. Slowly drop your wrist and hand towards the floor then slowly bring the hand up towards the ceiling. Hold the position for 5 to 10 seconds. Repeat the procedure 10 to 15 times.

Strengthening exercise for the wrist flexors. Sit in a chair with the forearm resting on the armrest or your thigh. Hold the weight with the palm facing the ceiling. Slowly drop your hand towards the floor then slowly bring it up towards the ceiling. Hold the position for 5 to 10 seconds. Repeat the procedure 10 to 15 times.

Strengthening exercise for the muscles that twist and turn the wrist. Hold the weight with the thumb pointing the ceiling. Slowly turn the wrist inwards as far as possible then slowly turn the wrist outwards. No pain or minimal amount of pain should be felt during the exercises mentioned above.

Continue with the mentioned exercises here and if the pain continues, contact Chiropractic Specialty Center® for targeted treatment. Our clinical teams of physiotherapists and chiropractors are the best in Malaysia. Elbow pain, including tennis elbow, is treatable without surgery or injections.

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

Tuesday, June 7, 2016

Best Neck Pain Treatment for Wry Neck In Malaysia

Site of discogenic pain in the neck

Wry Neck and Neck Pain Treatment Without Surgery or Injections

Acute wry neck, also known as acute torticollis, has two most common types with different causes. Apophyseal wry neck is a result of joint damage and inflammation of the soft tissues around the joint. Apophyseal wry neck is frequently associated with sudden onset of pain due to a sudden movement. Discogenic neck pain or wry neck occurs more gradually and typically happens after a long sleep in an awkward posture. Middle-aged adults tend to be more susceptible to this condition. The pain is felt in the lower neck or upper back region. There may be radicular pain into the medial scapular region or in between the shoulder blades. Patients may describe the pain as a pain deep inside the neck or shoulder blades.

The patient typically presents with an antalgic posture – sideways tilting, rotation and forward bending of the head and neck. The patient may have a history of degenerative disc disease of the lower neck (C4-C7). It is essential to differentiate discogenic neck pain or wry neck from a locked apophyseal wry neck. If a practitioner failed to do so may result in aggravation of the condition. Some of the treatments for apophyseal wry neck may not be appropriate for discogenic neck pain or wry neck, for example, manipulation of the cervical spine.

Mobilization of the cervical spine helps to improve the range of motion. Gentle cervical traction can reduce pain and muscle spasm. Physiotherapeutic modalities are good for reducing inflammation and promote healing. Postural retraining and motor control exercises should begin as soon as the pain subsides.

For more information about non-surgical wry neck or neck pain treatment in Malaysia, please contact us at 03-2093 1000 now.

Thursday, June 2, 2016

Best Non-Surgical Treatment for Acute Wry Neck in Malaysia

actor neck pain

Acute Wry Neck Treatment: Chiropractic and Physiotherapy Combined

Sudden onset of sharp neck pain with restricted neck movement that typically occurs after a sudden quick movement or on waking is known as an acute wry neck. There may or may not be unusual movements or prolonged awkward positions before the onset of neck pain. There are two most common types of the acute wry neck, which can be very similar in presentation. A detail history and examination is required to differentiate the apophyseal joint and the discogenic neck pain or wry neck.

The apophyseal joint wry neck is more commonly found in children and young adults. The most common segment involved is the C2/3 level. A sudden movement before the sharp pain is frequently reported. Locking of the upper neck segments such as C0/1 and C1/2 with trauma involved may need further investigation as the craniovertebral ligaments may be affected. The patient typically presents with the neck tilting towards the left or the right and slightly tilting forward. This antalgic posture exerts the least amount of pressure on the damaged joint. The patient is unable to bring the head and neck to the center due to pain and muscle spasm.

What are your best therapy options for neck pain in Malaysia?

The best method of treating neck pain is through the combined efforts of chiropractors and physiotherapists. Chiropractic Specialty Center® is the best spine and joint treatment center in Malaysia. Our teams of advanced corrective chiropractors and physiotherapists have the skills and technology to treat neck pain without injections or spine surgery in Malaysia. They use hands-on or manual methods of care combined with treatments on specialized medical equipment.

Joint mobilization and/or manipulation can help reduce pain and restore joint mobility. Lateral flexion and manual traction useful in patients with mild neck pain or neck disorders. Manual therapy followed by the range of motion and motor control exercises can be employed. Ice, ultrasound, and electrotherapeutic modalities can be useful in reducing the swelling and inflammation. There may still be some limitation of movement immediately after treatments due to inflammation around the muscles and joints.

For more information on acute wry neck or neck pain, please contact us at 03-2093 1000 today.