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.