Services

I practice at the Physio & Sole Clinic (Kovan). This is located in the North-eastern part of Singapore. For your convenience, Physio & Sole Clinic are conveniently located at these 5 spots in Singapore: Orchard, Bukit Timah, Jurong East, Kembangan and Kovan. We aim to provide the highest quality physiotherapy care to meet your goals. You can refer to our website for more information.

physioandsole.com.sg

Physiotherapy services provided:

  • Pre and post-operative rehabilitation
  • Acute and chronic musculoskeletal pain management
  • Rheumatic disease management
  • Chronic disease management
  • Consultation / Design of an exercise plan for preventative care

 

I practice within the scope of evidence-based practice, using best practice guidelines and standards to ensure:

  1. Your safety,
  2. Best outcomes can be achieved,
  3. Your goals are met

 

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Pre and Post Operative Physiotherapy rehabilitation

I work closely with a number of orthopaedic surgeons in Singapore to ensure best outcome by constructing pre and post-operative rehabilitation programs that is suitable for your age and lifestyle. Common orthopaedic surgeries we commonly treat:

  • Sporting knee surgeries
  • Elderly hip and knee replacements
  • Recurrent ankle and shoulder ligament injuries from sprains/dislocations
  • Repair/reconstruction surgeries of the rotator cuff, achilles, patella tendons
  • Spinal surgeries (nucleoplasty, annuloplasty, disectomy, fusion, scoliosis)
  • Spinal pain interventions (injections, nerve blocks, etc)

Musculoskeletal pain – Rehabilitation

An appropriate and effective exercise program aims to reduce pain, improve strength and function so that you can return to your previous activities soon and more importantly, reduce the chances of re-injury again.

Physiotherapy intervention is always aimed at a long term, positive outcome.

Musculoskeletal pain may be:

  • Acute (lasting for less than 3 months)
  • Chronic, or persistent (usually more than 3 months)

 

The difference between acute and chronic pain is not just the time-frame of how long the pain has been present, but the underlying processes(below) that is causing/maintaining the pain:

pain-gifford-graph_edited-2

Acute Pain 

Acute pain conditions like trauma-related injuries, cervical or lumbar radiculopathy, sports injuries, muscle/tendon strains and sprains.

Acute pain is usually a symptom of the injury that you have sustained. With good management, the pain gradually eases.

If your pain has resolved after injury but you still have difficulty returning to your activities, I can help. In majority of injuries, pain has resolved after healing but physical impairments (joint mobility, strength, endurance, power, balance) persist. Physical impairments are the reason why you still cannot run, jump, kick, dribble as well as before. Without proper rehabilitation, you may return to sport with a higher chance of re-injury due to lack of physical conditioning. Or, the pain may come back intermittently. Of course, the longer you were out of your sport, the greater the amount of physical de-conditioning or weakness you may experience.

Chronic, or persistent Pain

Persistent pain conditions like chronic neck/low back pain, whiplash-associated disorder, complex regional pain syndrome (CRPS), frozen shoulder, tendinopathy, plantar heel pain, osteoarthritis, fibromyalgia, pelvic girdle pain.

Chronic, or persistent pain is defined as pain that is present on all or most days for more than 3 to 6 months.

In a select group of people, pain persists despite the injured tissues having recovered. Sometimes, investigations or scans are unable to sufficiently explain the pain that you are suffering from and you need a better understanding of what is going wrong.

In these cases, pain is no longer a symptom of your injury but is the disorder itself to be treated.

People often get labelled ‘psychogenic pain’ and told ‘it’s all in your head’.

This is not true.

Currently, there are newer tools and management skills that are effective to reduce pain and improve your quality of life.

There are not many physiotherapists in Singapore that are adequately trained in the appropriate management of chronic pain disorders. I have special interest in the management of chronic musculoskeletal pain, especially chronic low back pain.


Rheumatic disease management

Apart from musculoskeletal disorders, I also have knowledge and experience working with individuals suffering from rheumatic diseases. I spent 2 years working alongside rheumatologists in a multi-disciplinary centre (Singapore General Hospital) catered to patients with autoimmune and rheumatological diseases.

Many rheumatic diseases are chronic because of an underlying autoimmune disorder, hence they are unlikely to go away completely. 

The goal of physiotherapy is not to cure your disease, but to optimise your physical function to achieve the best quality of life.These are inflammatory disorders that present with persistent pain in the spinal and/or peripheral joints. People with rheumatic diseases usually have physical impairments like joint stiffness, muscle weakness and difficulty in their normal day/social activities.

Some common conditions:

  • polyarthritis
  • osteoarthritis
  • rheumatoid arthritis
  • spondyloarthritis (ankylosing spondylitis, psoaritic arthritis, etc)
  • fibromyalgia syndrome

 

A comprehensive physiotherapy assessment comprised (American College of Rheumatology website):

  • physical and functional status, including walking or ambulation, falls risk, self care skills, posture, and body mechanics
  • joints and supporting muscles and soft tissues
  • neuromuscular and cardiopulmonary (heart and lungs) systems
  • need for therapeutic exercise and ability to perform an exercise program
  • physical activity level
  • need for special equipment or devices such as modified footwear, splints, or walking aids

I work closely with a specialist rheumatologist who can administer the appropriate diagnostic tests and latest medication for best results. I will not hesitate to refer on if I suspect that you might be suffering from a rheumatological disorder that requires urgent medical attention. Early diagnosis is essential.


cardiac rehab

Chronic disease management

Do you know that physiotherapists are experts in exercise prescription, especially for individuals with chronic medical conditions?

This sets us apart from trainers in the fitness industry, who are only qualified to work with the healthy population.

Physiotherapists are trained in pathophysiology of medical diseases and we understand that certain conditions respond differently to exercise. Therefore, the safety and type of exercise are crucial. Chronic medical conditions that will benefit from individualised exercise therapy are:

  • Obesity
  • Hypertension
  • diabetes
  • high cholesterol
  • dizziness/giddiness
  • osteoporosis
  • osteoarthritis
  • cardiovascular disease
  • physical weakness, postural disorders

 

Mood disorders

Certain mood disorders respond positively to exercise therapy. There are countless research papers that support the use of exercise in the holistic treatment of various mood disorders. Some of the common mood disorders that respond well to exercise therapy are:

  • Stress
  • generalised anxiety disorder
  • depression

Consultation for prevention of musculoskeletal pain and injury

Many potentially serious injuries that can lead to lifelong physical disability and poor quality of life are actually preventable. Based on this major study, leading specific causes for people living in disability in the world today are (chronologically):

  1. low back pain,
  2. major depressive disorder,
  3. iron-deficiency anaemia,
  4. neck pain,
  5. chronic obstructive pulmonary disease,
  6. anxiety disorders,
  7. migraine,
  8. diabetes,
  9. and falls.

 

If we look at these causes, we can easily identify many that respond positively to exercise therapy. A physiotherapist would be able to formulate a lifestyle and exercise plan to reduce the chances for developing these serious problems.

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