Whiplash and neck injury-related pain

Are you experiencing any neck pain from whiplash or from a recent car accident? Although it is common from an accident involving motor vehicles, whiplash can also occur in falls, sports injuries, work injuries or other injuries involving a quick sudden movement to the neck. Whiplash is described as a hyperextension-hyperflexion injury to your neck. It is caused by that whipping motion done to your neck during the sudden stop or from being jerked from the front (flexion) to the back (extension) very quickly.

Whiplash affects 2 out of 3 people involved in a motor vehicle accident, no matter how big the impact. Symptoms can be felt the day itself or sometimes can take 2-3 days to present. Whiplash causes neck pain, headaches and muscle stiffness. Symptoms also include dizziness, nausea or difficulty swallowing. In some cases, patients have also presented with upper back, chest, shoulder and arm pain. According to a study, 45-85 percent of whiplash patients suffer from these symptoms up to 5 years after their injury. Most of which have a reversal in their cervical spine’s natural lordotic curvature resulting in a straightening of their neck.

When a client has been through a car accident or a trauma and presents with neck pain, as a chiropractor I would assess the client’s entire spine. After establishing that there isn’t a fracture, it is then time to identify where the restriction is coming from. It could be from a muscle spasm, ligament injury, intervertebral disc swelling or a joint that is subluxated or restricted. If there is a suspicion of something more serious like a disc or nerve injury, an x-ray or MRI could be ordered so that we can have a better clinical impression and develop the best treatment plan possible.

Generally treatment of whiplash starts with trying to reduce inflammation of the neck (if any). This can be done with gentle stretching and light muscle work. If your neck isn’t undergoing inflammation, we can also trying manual adjustments and mobility to prevent further stiffness. This helps with joint mobility and gentle mobilization can help with increasing joint space. An ice pack is also recommended to help with reducing inflammation and seeing a physiotherapy for pain relief and other modalities could be recommended. In some cases a neck brace or usage of painkillers could be recommended for the beginning stages of recovery.

As whiplash can occur immediately or up to 5 years later, if you have had a neck injury recently or in the last 5 years it is best to have a consultation with one of our qualified chiropractors. This can lead you to an accurate diagnosis and treatment plan that will help reduce pain and suffering for years to come.

Whiplash and neck injury-related pain2019-01-24T06:46:28+08:00

Good sleeping for children

School holiday is finally over, a new semester has begun for most Malaysian students.  Many tend to sleep past their bedtime during the school break due to influences like PlayStation and YouTube. However, it is important for a child to have a good amount of sleep, as it plays a vital role in determining your child’s performance in school not to mention good health. Having to sleep an average of 10-12 hours a day would be the standard hours for ages 7-12 years old. But it is found that 45 and 85% of 6th to 12th grade students report sleeping less than the recommended amount on school nights.  Students who slept lesser than the recommended hours often showed signs of lethargy and would heavily impact the child’s performances in school.

Here are some of the effects when your child is experiencing a sleep insufficiency.

1) Increase in mental state
When sleep is being affected, there is an increase in the autonomic sympathetic activation (Triggers body stress response). It produces stressful body processes like blood vessel constriction, changes in the dynamics of the blood flow, and also increase in blood coagulation which may lead to clots causing Cardiovascular diseases (CVD). By affecting stress hormones, sleep disruption may directly affect functionality, including cognition and mood.

2) Obesity
Having a deprived sleep would often cause overeating in adolescent. University of Chicago researchers reported in the December 2004 Annals of Internal Medicine that a lack of sleep changes the circulating levels of the hormones that regulate hunger, boosting appetite and a person’s preference for high-calorie, high-carbohydrate foods. It is also believed that lack of sleep also can affect the ability to metabolize sugar and trigger insulin resistance, a well-known factor for diabetes.

3) Physical growth
Growth hormones are released into the bloodstream during deep sleep. Having lesser hours of sleep may impede on the growth of your child which results in a decrease in the release of growth hormone.

4) Grades in school
Lack of sleep can also have a negative effect on how a child learns. Overtired kids work more slowly because it’s hard for them to remember what the teacher just told them or what they just read. Their brains have a harder time focusing, even interfering with the formation and recall of long-term memories. When kids are sleep-deprived their brains actually lapse into sleep-like brainwave patterns, which is why tired kids space out during class.

5) Immunity
Lack of sleep decreases the function of the immune system.  The immune systems help to fight of infections which are caused by bacteria and viruses. With a depressed immunity, the body will not be able to overcome the infection easily.

Good sleeping for children2019-01-18T02:48:20+08:00

Why is physiotherapy at Healthworks different?

I hope you enjoyed reading my previous blogs. Here’s five reasons on why Physiotherapy at Healthworks is different:

  1. We are passionate about our profession and we strive to deliver the best care

We love our profession and we dedicate a lot of time into learning. We are trained in various assessments/ techniques and we also practise critical thinking before making any professional decisions.

  1. We promote good recovery in the shortest amount of time

We offer the shortest amount of therapy time yet promoting good recovery without compromising on quality. Our treatment sessions are generally short because time is valuable. We waste no time here and we get straight down to business. We do not leave our patients by themselves to exercise or leave them alone with a machine. We are by your side at all times!

  1. We do therapy by the individual and not by the book

Everyone is different although they can share the same symptoms or condition. We realise that understanding our patient’s beliefs and thinking helps with recovery, so our treatment plan is mainly done in collaboration with them.

  1. We are science and evidence based

Information is widely available. Some are good, but some are false. As physiotherapists that love to learn, we get our knowledge from reliable sources such as the Cochrane review or the NHS guidelines to name a few. We do not practise physiotherapy by clinical experience alone, it is always coupled with the best available evidence and patient values.

  1. We believe in active care

Being able to move is a gift that we can’t take for granted. Active care means motor control training, strength training, mobility training or coordination exercises. The umbrella term for all these is movement. Our motto is move first; modality second. It does not necessarily suggest our treatment order but where we place our emphasis.

In summary, we are a team of dedicated physiotherapists that prioritise our patient’s health. We take this responsibility seriously and you can be assured that our physiotherapy session is personalised to suit you.

Why is physiotherapy at Healthworks different?2019-01-16T06:28:03+08:00

Back To School FREE Talk & Posture Screening*

Join us for a Back To School FREE Talk and Posture Screening* (Normal Price – RM149). Healthy Spine, Happy Child!

Time & Date: 1.30pm. Saturday, 26th Jan, 2019

Venue: Healthworks, Mont Kiara

The talk will cover the following topics:
1. Posture
As Students, being in school is part of their daily routine. Having a proper posture especially when sitting is very important as it affects the spine and is a precursor to having a back ache. Learn how your child can prevent poor posture and live life to the fullest by having a healthy posture.

2. Back Pack
Having a suitable back pack is what you child needs. Learn how heavy back packs are associated with back aches and postural distortions and tips to select your child’s school bag.

3. Sleep
Sleeping is one of the most important activity in a child’s development. Having a good sleep ensures that your child’s learning is at an optimum rate. Learn few ways of having a better sleep.

Note * – Applicable to children under 12 years old only

Seats are limited, kindly RSVP by calling 03-6211 7533 or email contact@myhealthworks.com.my

Back To School FREE Talk & Posture Screening*2019-01-26T13:22:50+08:00

DorsaVi – Only in Healthworks!

Dorsavi is a wireless wearable sensor system that measures body movement and muscle activity with high accuracy. It provides measurable objective data to athletes, healthcare professionals, and back pain sufferers. The device has multiple applications, allowing the healthcare professional to stream information live to a computer screen and see the patient’s movement in real time.

It consists of four small lightweight sensors and a recording device that are non- invasive, pain free and easy to wear. These small sensors will be attached to the body to measure movement quality. Dorsavi is able to measure the movement quality of your neck, lower back, knee and running cycle to name a few.

At the start of the assessment, you will be required to fill in your personal information for record keeping. Then, the movement sensors will be calibrated before it is attached to your body. During the assessment, you will be asked to follow instructions strictly. However, the instructions are simple: Only perform the movement when asked and always return to the starting position when you’re done. Most of the time, you will be asked to repeat the same movement for three or five times. After the sensors have captured the data, a report will be generated, and it will be compared to a set of normative data that is nearest to your demographics.  Please watch the video to have an idea on what to expect. (https://www.youtube.com/watch?v=gVNln2IXtEw&index=5&list=PLGhx_oEp_zIv9FJTelJvDDindQB-PGr32)

At the end of the assessment, the practitioner will show you your report and interpret the results to you. The whole duration of the Dorsavi movement analysis shouldn’t take longer than 30 minutes. Sample reports below:

Apart from assessing your movement quality, it can be used as a treatment tool that will improve your lumbo-pelvic motor control. An example of a treatment session with Dorsavi is: Controlling the movement of a ball in the screen by using your lumbo-pelvic muscles/ joints. (https://www.youtube.com/watch?v=DzLrHH2rxCQ)

Finally, it’s another New Year and we would want you to be fit and healthy before you start 2019.  If you have made up your mind to move more or to be fitter in 2019 then we will help you achieve that. As our core purpose is to partner with our clients to live a fuller and pain free life, we will be offering our DorsaVi ViMove assessment at a special rate.

The promo price is at RM80 (normal price: RM250). Please mention the promo code (Dorsavi) to qualify for the promo price. For any inquiries or to make an appointment, please call 03-6211 7533 or email us at contact@myhealthworks.com.my

DorsaVi – Only in Healthworks!2019-03-15T06:52:52+08:00

Muscle Spasm

Spasm is defined as a sudden and involuntary contraction of the muscle. It usually occurs during sports activity (cramps) or when we make movements that are out of our normal pattern of movements. It usually causes a sudden pain but reduces quickly thereafter.

 

Why does muscle spasm? (Causes of muscle spasm)

Muscle spasm usually occurs due to your body’s response to

– Overuse: Your muscles use energy and nutrients to function, when it is used for a long period of time without rest it causes muscle cells to fatigue. The lack of constant nutrient and energy supply causes muscle tissue break down to happen faster than the repair. Thus, causing it to not function as efficiently which may lead to spasms.

– Injury: When your body has injury such as joint subluxation, your muscles may spasm in order to ‘guard’ (protect) your body from further injury by stabilising the region of injury.

– Dehydration: Our body and muscles are largely made up of water molecules. When your body is put under extreme conditions, such as hot weather, dehydration may occur. This causes the necessary nutrient flow that the muscle cells need to function properly to be not as efficient, thus leading to the muscle spasm.

– Electrolyte abnormalities: Changes in electrolyte balance of sodium, potassium and calcium will alter the environment in which would be optimum for muscular function, leading to muscle spasm. Lack or excess of these electrolytes changes the electrical impulses (messages) sent from your nerves to your muscles, which causes it to contract involuntarily.

 

What can I do to reduce muscle spasm?

Good environment: Make sure that the environment that you are in is appropriate for the exercises or activities that you want to carry out. For example, avoid being under direct sunlight for long periods of time when exercising.

Stay hydrated: Get enough water intake, that allows your body to properly have good nutrient flow and optimum electrolyte balance. If there is increase in environment temperature or intensity of activity, make sure to also increase your water intake appropriately.

Dynamic stretches: Before you do any sports activity, make sure to prepare your body by doing stretches of the movement patterns you will be using to perform your exercise. This will reduce chances of injury.

Rest and take breaks: Listen to your body and when it needs time to recuperate, make sure you do not neglect it and give it a good amount of time to recover before continuing your activity. This may also mean having rest days in between your workout days.

Muscle Spasm2019-01-04T03:30:35+08:00

NSAIDS

NSAIDS also known as non-steroidal anti-inflammatory drugs are common solution for pain and inflammation. It is one of those easy ways to leave pain behind and to go on with one’s daily routine. They are responsible for approximately 5-10% of all medications prescribed each year. The prevalence of NSAID use in patients over 65 years old is as high as 96% in the general practice setting. Approximately 7.3% of elderly patients over 60 years old filled at least one NSAID prescription in one year period.

NSAIDS works by reducing the production of prostaglandins. Prostaglandins are chemicals that promote inflammation, pain, and fever. They also protect the lining of the stomach and intestines from the damaging effects of acid, promote blood clotting by activating blood platelets, and promote normal function of the kidneys.

Prostaglandins are produced by enzymes called cyclooxygenases (COX). There are two types of COX, COX 1 and COX 2. Both enzymes produce prostaglandins that promote inflammation, pain, and fever; however, only COX-1 produces prostaglandins that activate platelets and protect the stomach and intestinal lining.

NSAIDS function to block COX enzymes and reduce the production of prostaglandins. Thus reducing pain, inflammation and fever. However, with that being said, many studies have found that NSAIDS does not only contribute by managing pain but also it increases certain health risks.

Health Risk 1
With the reduction in Prostaglandins, this reduces the efficacy of blood clotting and the protective stomach lining which prevents the erosion of the stomach wall. Chronic use of NSAIDS may result in bleeding and ulcers happening in the stomach or the gut.

Health Risk 2
COX-2 selective inhibition exhibited by certain NSAIDs can increase the risk of cardiovascular events in patients with preexisting cardiovascular disease.

Health Risk 3
The most commonly experienced side effects are nausea, vomiting, diarrhea, constipation, decreased appetite, rash, dizziness, headache, and drowsiness. The more severe side effects seen with NSAID use are fluid retention, renal failure.

Here at Healthworks, clients before care often consume NSAIDS due to the pain that they experienced. But with the health professionals at Healthworks, clients are now able to enjoy the natural pain relieving treatments. If you have any questions regarding this article, feel free to visit us at our website or Whatsapp us at 018-9828539.

NSAIDS2019-01-04T03:26:56+08:00

Why is there pain in my jaw?

Jaw pain is one of the most excruciating pain and consistently and constantly nagging if left untreated. Some experience pain in their jaw that runs along their face. Some pain is localised to the joint of the jaw while some others do not experience pain but instead a clicking in their joint. A pain in the jaw could be caused by multiple things.

Some of the most common are:
1. Temporo-Mandibular Joint (TMJ) disorder
2. Radiating pain from muscles and trigger points
3. Infections of the capsule
4. Sinus problems
5. Vascular conditions
6. Dental conditions: gum diseases, cavities, tooth damage

The most common however is having a TMJ disorder. This could be caused by conditions such as teeth grinding and clenching due one’s sleep. This is the most common during periods of stress whether it may be mentally, emotionally or physically. Patients can also experience pain after opening their mouth too wide.

Others can also experience osteoarthritis and osteoarthrosis, this usually leads to the surface of the temporal mandibular joint bones to wear away. There is also a disc in the TMJ which can ‘slip’ which could also cause clicking and pain. Another common condition is where the lining of the TMJ and/or connecting ligaments become inflamed due to overuse when grinding or clenching in the sleep.

When clients come in with TMJ disorders, we always check for trauma and if it has taken any kind of blow to the jaw or external force. We also always check for joint movement and if the jaw sways to the right/left or causes and over or under bite. Most of the time clients are referred to a dentist to check if they need to have a jaw-guard made. If all of the above has been done, we then move to treating the TMJ issue. This can be done with muscle work and spinal manipulations. We also do manipulations to the jaw which can be done using an activator or manually.

In practice, I have had many clients who come in with jaw pain and it can be quite simply fixed with time and patience. The process may be slightly painful due to the pressure and muscle therapy that needs to be done but the relief after is well worth it. If you are wondering why you are having jaw pain today, feel free to come by Healthworks and let us diagnose and help you with your condition.

Why is there pain in my jaw?2019-01-04T03:16:26+08:00
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