Musculoskeletal Physiotherapy

Neck and Back Pain

There are several types of neck and back pain including lower back pain, middle back pain or upper back pain which could be caused by nerve or muscular problems, degenerative diseases or arthritis. Some examples of the symptoms include persistent aching or stiffness, sharp localized pain, chronic aching for extended periods, radiating pain and numbness at neck and lower back region, and inability to stand upright without having pain or muscle spasms. Some of the neck and back pain examples are:

  • Stiff neck
  • Spinal stenosis
  • Spondylosis (degenerative)
  • Herniated disc (slipped-disc)
  • Whiplash
  • Neck and back muscle strain
Hand and Wrist Pain

Some of the common conditions that cause hand and wrist pain are known as the:

  • De Quervains Syndrome
    Overuse of thumb or wrist action such as repetitive lifting weights
  • Carpal Tunnel Syndrome
    Inflammation affecting the radial nerve, thus compressing the space in which median nerve pass by to reach the hand
  • Tennis elbow
    Injury of the muscle and tendon at the outer region of elbow and forearm
  • Golfer elbow
    Injury of the muscle and tendon at the inner region of elbow and forearm
  • Fractured scaphoid or distal radius
    Usually resulting from fall supported by palm
  • Trigger finger
    Inflamed tendons as a result of repetitive movement or forceful use of thumb/finger
  • Joint Arthritis

Common symptoms of these conditions include pain in forearm or wrist, weakness of grip, local swelling, or numbness.

Hip and Knee Pain

Despite being designed to withstand repetitive movement, the cartilage of hip joint (ball-and- socket joint) could be damaged gradually with age and usage, or even fracture during fall or accident. Some of the symptoms of hip pain include discomfort at the thigh region, groin, and inside or outside of the hip joint. Apart from the hip joint, the knee is the biggest joint of the body in which the bone surfaces are also covered by cartilage to absorb shock enabling smooth gliding during joint movement. Symptoms usually develop from regular wear and tear, overuse syndrome or injury from daily activities. Some of the hip and knee pain examples are:

  • Hip impingement syndrome
  • Hip arthritis
  • Hip instability
  • Knee arthritis
  • Knee instability
Joint Arthritis

There are many types of arthritis, the common ones being osteoarthritis, rheumatoid arthritis and gout. Symptoms of osteoarthritis include joint pain and stiffness which progresses gradually whereas symptoms of rheumatoid arthritis include painful swelling, inflammation, and stiffness in joints, especially upon waking up in the morning.

Spine Disorder

Abnormalities of spine are usually results from poor postures, weakened muscles or accidents. Rehabilitation helps in re-educating and strengthening the weakened muscles to allow normal spine curvature while preventing further deterioration over time. Some of the examples of spine disorder are:

  • Scoliosis (abnormal lateral curvature of spine)
  • Spondylosis (degenerative)
  • Spondylolysis
  • Spinal stenosis
  • Herniated disc
  • Osteoporosis
Frozen Shoulder

Frozen shoulder is one of the most common shoulder joint pain, a condition which restrict normal range of motion and could sometimes prevent movement at the shoulder joint. The exact cause of frozen shoulder is not entirely understood but it is known to be a result of shoulder injury sometimes. The pain from frozen shoulder lasted even at rest and often worsen at night, deeply affecting daily activities. If left untreated, the pain could gradually worsen over time while resulting in the shrinking of the capsule around the shoulder joint.

Sciatica Pain

A common type of pain which affects the sciatic nerve, usually occur only on either side of the lower body. Sciatica is commonly caused by pressure on the nerve from herniated disc, spine degeneration or lumbar bulging discs and the symptoms include lower back pain, burning and tingling sensation down the leg, weakness or numbness of leg, difficulty to move leg or foot.

Foot and Ankle Pain

Foot and ankle pain can be caused by direct injury, repetitive use or poor foot posture. Treatment for foot and ankle include assessment of pain, range of movement, muscle strength, balance and stability. Physiotherapists would also assess the biomechanical of foot and suggest appropriate footwear. Some of the examples of foot and ankle pain are:

  • Abnormal foot arch
  • Nerve entrapment
  • Bunion correction
  • Ankle sprain
  • Plantar fasciitis
  • Tendon inflammation