Thursday, January 26, 2017

Chiropractic View on Leg Movements in Low Back Pain

walking and impact of legs on back pain in Malaysia

Get rid of your Leg Pain and Back Pain

Chronic low back pain can affect the movement coordination of the trunk, pelvis, and lower limbs during movements in daily living. Changes in muscle contraction or adaptations to accomplish a physical action is a regular requirement during walking. For example, when crossing a road, stepping on the sidewalk, mounting doorsteps, climbing stairs and etc. Adaptations in muscle recruitment are necessary, and these are more challenging than level walking. Chronic low back pain can have a significant impact on these muscle recruitment pattern and causes a change in the normal walking pattern.

When healthy people without low back pain is requested to stiffen the trunk by contracting their abdominal muscles or wearing a lumbar support belt that limits trunk movements, this results in similar outcomes in thorax-pelvis coordination as observed in low back pain patients. However, the pelvis-leg coordination showed slightly different results, with the pelvis movements stayed out of phase with the legs.

During a slow walk, the hamstring activity of healthy people with no low back pain decreases as the walking speed decreases at the end of the swing phase, right before the heel touching down. The knees are more extended at touchdown. People with lower back pain tend to walk slower compared to normal healthy people. Therefore, this suggests that people with lower back pain will have more significantly extended knees and reduced hamstring activity at touchdown. There is an increase in the vertical forces and minor shock absorption when the knee is more extended at touch down.

If you have any back pain associated with prolonged walking, do not hesitate to contact Chiropractic Specialty Center® for a checkup. For more information or inquiries, please contact us at 03-2093 1000 or visit one of our centers.  

Saturday, January 21, 2017

What Causes Back Pain During Waling, Movements, or Activity?

Corrective Chiropractic combined with Physiotherapy for Leg and Back Pain

The gait pattern of a person with lower back pain is usually different from that of a healthy person without lower back pain. The most common finding is that people with lower back pain tend to walk slower than the average healthy individual. The presence of pain and/or the avoidance behavior associated with pain can explain this slower walking pattern.

In normal healthy subjects without lower back pain, horizontal thorax, and pelvis rotation are more in phases when they walk at lower speeds. This means that the thorax and the pelvis rotate in the same direction about the same time. However, when they walk at higher speeds, the phase difference between horizontal thorax and pelvis rotation increases and tends toward anti-phase.

People with chronic lower back pain have difficulty adjusting pelvis-thorax coordination, and the horizontal thorax and pelvis rotation are more in phase even when they walk at higher speeds. This remains the same when they are running, and they have less transverse plane coordination.

This reduced movement coordination variability can be explained by increased stiffness of the trunk in people with lower back pain. There is an increased activity of the superficial lower back muscles in people with chronic lower back pain to protect the spine for unexpected movements of the thorax and pelvis during walking. The muscle activity of the erector spinae and rectus abdominis is increased, and this leads to increased stiffness of the spine.

Can back pain be healed without surgery or injections?

Back pain can be fixed, repaired,d and healed without surgery and injections. To recover, you need focused chiropractic combined with clinical physiotherapy. However, for chiropractic or physiotherapy to be effective, they need to be corrective methods. We offer the best corrective chiropractic and physiotherapy treatments in Malaysia. Our chiropractors are amongst Malaysia's top practitioners. Their success is the results of commitment to excellence and research. Opt for research-driven care backed with physiotherapy and advanced spine technology for lasting relief from back pain in Malaysia. 


Benefits of chiropractic treatment for back pain in Malaysia

Chiropractic Specialty Center® has treated over 15,000 spine and joint patients in Malaysia. We have the best spine and joint treatment teams for a non-surgical recovery from back pain in Malaysia.
We are here to help if you are suffering from back pain with prolonged walking. For more information or inquiries about back pain treatment, please contact Chiropractic Specialty Center® at 03-2093 1000. We are the best non-surgical back pain treatment center in Malaysia. Let our teams of chiropractors and physiotherapists heal your back pain in Malaysia today.


Monday, January 16, 2017

Best Treatment for Thoracic Outlet Syndrome in Malaysia


Thoracic Outlet Syndrome location

What is Thoracic Outlet Syndrome and How to Treat it in Malaysia?

Thoracic Outlet Syndrome is a complex disorder that impacts the neck, upper back, chest, shoulders, arms, wrists, and hands. It results from compression of blood vessels or nerves in the neck. The most common cause of these compressions is muscular issues that are coupled with neck, and upper back disorders of the spine. To recover, you need targeted care that fixes and repairs damaged tissues without surgery or injections. 

Surgical procedures of a thoracic outlet syndrome are entirely unwarranted. They are unwarranted a the condition is easily treated with focused therapy regiments. SUrgery has far more significant harmful impacts compared to the possible benefits it provides patients with thoracic outlet disorder.  

Steroidal injections are useless in patients with thoracic outlet syndrome. Injecting steroids into the muscles leads to degenerative changes that may not be reversible. Besides, it only offers a limited reduction of pain for 1-2 weeks. In light of its short-term effects and the harm it produces, it is far better to opt for non-invasive therapy procedures.

Is there any self-test that confirms a Thoracic Outlet Syndrome?

Roo's test the easiest self-assessment for thoracic outlet syndrome. It is quick and highly accurate. 
Roo’s test has better sensitivity for provoking symptoms of thoracic outlet syndrome. This test requires the patient to adapt to the “surrender position,” which involves hyperabduction and external rotation of the arm. The patient is instructed to open and close the hands for 1-3 minutes with the elbow bent and arms abducted to 90 degrees and externally rotated to compress the neurovascular structures and provoke the symptoms. The shoulder blades need to be evaluated to check for abnormal movement and position of the scapular.

What is compressed in a Thoracic Outlet Syndrome?

Sites of compression in thoracic outlet syndrome is shown


The site of compression of the thoracic outlet syndrome changes the main focus of the treatment. 
However, there are a few treatments that are suitable for most of the cases of TOS. The health practitioner should correct the drooping shoulders, poor posture, and poor body mechanics of the patient by teaching them proper positioning while sitting, standing, and lying down. 

What is the best treatment option for Thoracic Outlet Patients in Malaysia?

The best treatment for thoracic outlet syndrome in Malaysia consists of combined care given by chiropractors and physiotherapists.

surgeons in operating room
A corrective chiropractor can help realign your spine, shoulders, collarbone, and ribs. You will also need physiotherapy combined with chiropractic care. A clinical physiotherapist can help stretch and strengthen the muscles and ligaments of your spine and joints for faster recovery. Chiropractic Specialty Center® is the best center for conservative management of thoracic outlet syndrome in Malaysia. Our combined chiropractic and physiotherapy treatments are enriched with breakthrough technologies that competing centers do not have in Malaysia.

Manual therapy such as stretching, trigger point therapy, soft tissue mobilization, scapular mobilization, and scapula-thoracic mobilization can be used to address tight muscles and restricted tissues.

Restoration of the accessory motion at the sternoclavicular and acromioclavicular joints can be achieved by mobilization of the first rib. Side-bending and chin-tuck exercises help to stretch the soft tissues of the neck and strengthen the deep neck muscles. These exercises can correct anterior head carriage. Thoracic extension and brachial plexus stretching exercises can be given to reduce the tension in the muscles and neural structures.

Chiropractic Specialty Center® offers chiropractic treatment and physiotherapy for thoracic outlet syndrome in Malaysia. Our focused non-surgical treatments are what you need to recover from pain, numbness, and tingling sensation in the arm, forearm, or hand. For more information or inquiries, please contact us at 03-2093 1000.  


Thursday, January 12, 2017

The Diagnosis of Thoracic Outlet Syndrome

Signs and Symptoms of Thoracic Outlet Syndrome

People with thoracic outlet syndrome (TOS) often present with signs and symptoms that result from the compression of the neurovascular structures that travels from the neck to the axilla. They can present with arterial, venous, or neurogenic complications; however, most have a mixed presentation. Signs and symptoms of TOS include, but not limited to, neck pain, shoulder pain, numbness and tingling in the upper limb, weakness in the upper arm, and coldness in the upper extremities.

To recover from thoracic outlet syndrome, you need corrective treatments from expert chiropractors and physiotherapists. The combined methods of chiropractic and physiotherapy work best for those suffering from a TOS.

People with a chronic abnormal movement of the shoulder blade are more susceptible to thoracic outlet syndrome. The tightness of the pectoralis minor, scalene, and upper trapezius muscle combined with weakness in serratus anterior and lower trapezius can cause excessive anterior tilting and protraction of the shoulder blade. This can cause further compression of the neurovascular structures in the thoracic outlet.

Adson's maneuver is a god test and Thoracic Outlet Syndrome

Adson’s test is used to assist the diagnosis of arterial compression in thoracic outlet syndrome. The patient is asked to rotate the head and neck towards the affected side and extend the neck. The practitioner can check for a diminished radial pulse while the practitioner passively abducts, externally rotates and extends the arm of the patient. The patient can take a deep breath and hold it in to further increase the arterial compression at the thoracic outlet. Reproduction of the symptoms with diminished radial pulse indicates a positive sign for Adson’s test.

For more information or inquiries, please contact us at 03-2093 1000 or visit Chiropractic Specialty Center®. Our chiropractors and physiotherapists are Malaysia's best spine and joint specialists. We provide the best treatment for thoracic outlet syndrome in Malaysia.   


Friday, January 6, 2017

Common Causes of Thoracic Outlet Syndrome in Malaysia

Causes of thoracic outlet syndrome shown

What is Thoracic Outlet Syndrome and How to Treated in Malaysia

Thoracic Outlet Syndrome or TOS is a group of conditions that involves pain, numbness, or tingling sensation in the neck and/or upper limb as a result of compression of the neurovascular structures. This condition is very common in athletes that are actively involved in overhead sports. People with poor postures, such as drooping shoulders are more susceptible to thoracic outlet syndrome; as it reduces the thoracic outlet area. Congenital abnormalities in the neck can compress the neurovascular structures in the thoracic outlet and result in pain.  Signs and symptoms of thoracic outlet will present in the chest, collarbone area, upper back, or upper extremities. Birth defects or congenital anomalies of the neck or chest acre common causative factors in the development of a TOS. We have provided two below:
  1. Cervical rib: These include complete or incomplete cervical rib with a fibrous band that forms around the transverse process of the lower cervical segments.
  2. Collar bone or clavicular abnormalities are a few of the congenital abnormalities that can cause neurovascular compression at the thoracic outlet.

Learn more about Thoracic Outlet Syndrome

Cervical ribs can present just on one side but are more commonly found on both sides when present. However, not everyone with cervical ribs has signs and symptoms of thoracic outlet syndrome. In fact, only about 10% of patients with cervical ribs have signs and symptoms of thoracic outlet syndrome. Shortening and tightening of the scalene muscles due to active trigger point can result in thoracic outlet syndrome. Patients with fractured first rib or clavicle, pseudoarthrosis of the clavicle, malunion of clavicular fractures, callus formation or crush injury to the upper thorax are at a higher risk of developing thoracic outlet syndrome.

Chiropractic Specialty Center® is the best physiotherapy and chiropractic center in Malaysia. For more information or inquiries, please our main center at 03-2093 1000.

Sunday, January 1, 2017

Thoracic Outlet Syndrome Treatment in Kuala Lumpur, Malaysia

Compression of brachial plexus in thoracic outlet syndrome

Thoracic Outlet Syndrome with Chiropractic Care and Physiotherapy

Patients with thoracic outlet syndrome (TOS) often present with neck pain, shoulder pain, numbness, or tingling that affects the entire or part of the upper limb. Also, weakness in the shoulder, arm, or wrists may be present. Sometimes patients may complain of coolness or venous engorgement of the affected arm. Patient with TOS often complained of signs and symptoms that result from irritation of the artery, venous, neural structures, or a combination of the structures above.

A thoracic outlet syndrome is a group of conditions due to compression of the neurovascular structures that run from the neck to the axilla through the thoracic outlet. The brachial plexus and subclavian vessels are the most common sites of compressions. Your brachial plexus is a collection of nerves that emerge from the neck. In addition to compression of brachial plexus, you may also have compression of the vessels near the brachial plexus. The combined collections of nerves and vessels are called the neurovascular bundle. As mentioned, compression of the neurovascular structures or bundles results when ribs, collarbones, or muscles compress them. When such compression occurs between the rib and collar bone, it is called a costoclavicular syndrome.

Another common site of compression is the space between the anterior scalene muscle, the middle scalene muscle and the upper border of the first rib. This is usually known as the anterior scalene syndrome. Hyperabduction syndrome or pectoralis minor syndrome involves the compression of the neurovascular structures at the space between the coracoid process and the pectoralis minor insertion.

Chiropractic therapy, coupled with physiotherapy in Chiropractic Specialty Center®, can help to alleviate the signs and symptoms of thoracic outlet syndrome. For more information or inquiries, please contact us at 03-2093 1000.