What is De Quervain’s Tenosynovitis?

De Quervain’s is an inflammation of the tendon sheaths of the muscle tendons that course that run from your wrist to your thumb. The fluid-filled sheath enables the tendon to “glide” or “slide” easily through it. Tenosynovitis is the inflammation of the fluid-filled sheath (called the synovium) that surrounds a tendon. This inflammation can lead to swelling and thickening of the sheath, which restricts the smooth gliding action of the tendons within the tunnel.


– Overuse (Repeated hand and thumb movements such as grasping, pinching, squeezing, or wringing)

– Arthritic diseases

– Direct injury to the wrist


– Sharp or dull pain and swelling in the thumb side of your wrist

– Pain increases when forming a fist, grasping or gripping something, or when turning the wrist.

– A “catching” or “snapping” sensation may be felt as you move your thumb or wrist


Ice – To reduce the symptoms

Deep friction massage – Breaks down scar tissues

Stretching exercises – Allow the thumb tendons to glide smoothly within tunnel

Strengthening exercises – Improve blood circulation of the affected area and promote healing

Electrotherapy – Decrease the pain

If you are having any of these symptoms, do seek the advice of treatment from our physiotherapist. They can guide you in your rehabilitation, and help manage your condition.






– 过度使用(重复性的手部及腕部动作,像是捏握、抓握、紧握或者是拧)

– 关节炎疾病

– 对手腕直接的撞击


– 在腕关节附近,大拇指部位感到刺痛或钝痛

– 握拳、抓握或旋转手腕的时候,疼痛会增加

– 手部或腕部做动作的时候会有卡住或弹响的感觉


冰敷 – 缓解症状

深层横向按摩 – 打破软组织的粘黏,促进组织良好的愈合

伸展 – 让肌腱可以顺畅的滑动

肌力运动 – 增加局部的血液循环,促进恢复

电疗 – 降低疼痛


What is De Quervain’s Tenosynovitis?2019-03-31T07:32:31+08:00

Frozen Shoulder (Adhesive Capsulitis)

Have you ever experienced pain in your shoulders as well as limited shoulder movements? If you do, the condition you are having is most likely a frozen shoulder, otherwise known as adhesive capsulitis. It is the second most common shoulder joint injury. Individuals over the age of 40 and particularly woman are more susceptible to experiencing frozen shoulder. One of the most common causes of frozen shoulder is the immobility that may result during recovery from a shoulder injury, broken arm or a stroke.

It can be said that frozen shoulder is the most commonly misdiagnosed shoulder joint injury. However, one distinctive feature of frozen shoulder is that it has three phases, it can also resolve itself without treatment within 9 months to 2 years. Throughout this self-recovery process, there are three phases- freezing, frozen and thawing.

Freezing stage: Individuals will experience pain and a gradual increase in stiffness in the shoulder joint, especially when turning the arm outwards (away from the body). This stage lasts between 6 weeks to 9 months.

Frozen stage: Individuals will experience a decreased level of pain and eventually no pain. Stiffness would be the main symptomatic presentation during this stage, which lasts from 4 to 6 months.

Thawing stage: Movements of the shoulder joint will slowly return. This commonly occurs within 6 months to 2 years.

It is crucial to note that although frozen shoulder is a condition of the shoulder, our body works in synergy. The muscles, tendons, ligaments and bones work together to maintain the optimum function of the musculoskeletal system. Hence, a dysfunction of the shoulder joint would place an increased amount of stress to the structures surrounding the upper ribs, upper back and lower neck.

With that being said, we have many patients that present with frozen shoulder in our centre. Their upper back and lower neck musculatures are often extremely stiff and sore due to it overworking to compensate the immobile shoulder. Besides that, upper rib, upper back and lower cervical subluxations are commonly found as well due to the muscle imbalances. Therefore, it is extremely crucial that the shoulder and spinal segments remain mobile as much as possible during this process. This will not only provide a certain level of symptomatic relieve, patients would also experience a more smooth and speedy recovery.

If you suspect that you have this condition, feel free to give Healthworks a call to schedule an appointment. We have professionals that are ever willing to assess and give you a better understanding of your condition.

Frozen Shoulder (Adhesive Capsulitis)2019-06-24T09:45:30+08:00

Carpal Tunnel Syndrome

Do you have pain in your hand and arm? Maybe it feels like numbness and tingling as well? It could also present as a weak thumb or you might have difficulty gripping or flexing your thumb. You could be suffering from carpal tunnel syndrome. This means that your median nerve has been squeezed or compressed as it traveled through your wrist.

Carpal bones are the small bones in your wrist. We have eight carpal bones: scaphoid, lunate, triquetrum, pisiform, trapezium, trapezoid, capitate and hamate. These bones together with connective tissue called the transverse carpal ligament form the “carpal tunnel”. Within the tunnel lie the flexor tendons of the hand and the median nerve. The transverse ligament is a very strong, tight band and this restricts too much stretch or ability to increase in the carpal tunnel size.

For carpal tunnel, it occurs when the tunnel is narrowed due to trauma, stress or a swelling in the synovium. The synovium are the tissues surrounding the median nerve. Normally it would help lubricate the tendons. When the synovium is swollen, it puts pressure on the median nerve which then leads to the numbness, tingling, weakness and pain you would feel in your hand.

Some of those at risk of carpal tunnel syndrome are pregnant women due to hormonal changes that can cause swelling or loosening of the ligaments. Hereditary carpal tunnel is also common in clients where they may have a naturally smaller carpal tunnel than others or an anatomic difference in their nerves, tendons and ligaments. If you have repetitive hand and wrist motions or prolonged hand and wrist motions that aggravate the flexor tendons, it can cause swelling to happen quicker. This happens when clients read books, hold their phones or drive for long hours. Other health conditions such as diabetes, arthritis and hormone imbalances can also relate to carpal tunnel syndrome patients.

There are several ways to treat carpal tunnel. If you have it due to pregnancy, the pain should subside and syndromes should ease over time and you should feel better post-natal. Most patients are recommended non-surgical interventions first before moving forward to surgery to relieve the pain. Non-surgical methods include bracing or splinting. At our clinic, we recommend taping your wrist. All of these work to achieve the same thing: to reduce pressure on your median nerve and to lessen your symptoms and reduce aggravation. We also teach patients stretches for the wrist and the muscles that are tight and hypertonic. In most cases we do muscle therapy to release the flexor muscles and prevent further inflammation of the synovium.

If patients have severe pain, patients are also advised to take medication and NSAIDs if they are necessary to relieve the pain and inflammation and to help the nerve heal fully. Lastly and most importantly, all patients are advised to change their activity and to be mindful of not holding their hand and wrist in particular positions for too long. Anything done too much or too often could cause pain and inflammation. So it is best to perform actions in moderation with gentle stretching and relief in between.

If you feel pain in your wrists or have been suffering from any form of pain, feel free to give us a call and come in for a consultation. At the end of the day, a diagnosis of your condition is always the first step towards relieving your pain.


Carpal Tunnel Syndrome2019-06-24T09:45:41+08:00

Smoking And Chronic Pain

Smoking is common practice in Malaysia. The prevalence of smoking amongst Malaysian men alone is about 46%. Research shows that as well as damaging the respiratory system, smoking is strongly associated with cancer and cardiovascular diseases and even causes harm to the urinary and reproductive systems. According to WHO statistics, worldwide on average one person dies from smoking every six seconds and those who use tobacco products lose on average 15 years of life expectancy.

Besides that, smoking is also known to be a causative factor for chronic pain.Chronic (non-cancer related) pain is a critical national health problem with an annual economic impact of over $125 billion in health care costs and lost productivity. Although pain prevalence estimates derived from population-based surveys range as high as 64%, the preponderance of data suggests that approximately 22–30% of adults in the United States (or about 50–70 million people age 18 years and over) suffers from chronic pain.

Neck and Low Back Pain

One of the mechanism as to how smoking affects low back pain is disc degeneration via malnutrition of spinal disc cells by carboxy-hemoglobin-induced anoxia or vascular disease . Carbon Monoxide that is found in cigarettes may damage the interior lining of blood vessels, causing a decrease in their ability to carry oxygen , leading to tissue starvation, degeneration, and death . There are evidences that nicotine may accelerate inter-vertebral disc degeneration by initiating cell damage in both the disc material, influencing the metabolism of the inter-vertebral discs. Also, disc degeneration among cigarette smokers appears to be more severe than disc degeneration observed in nonsmokers. There is a possibility that disc-degeneration due to smoking may be reversed if smokers were to cease smoking.Lastly, smoking has been said to accelerate bone loss, resulting in changes of bone micro-architecture, leading to vertebral deformities and loss of spinal stability.

Headache Pain

According to a survey on tobacco smoking and headache pain, the survey revealed that smokers were 1.5 times more likely to report headaches than were never smokers. It has been noted that frequent use of nicotine and other chemicals found in tobacco smoke increases the sensitivity of pain receptors in the brain, thus modulating the neurological processing of sensory information.

Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a chronic inflammatory disease that causes progressive joint destruction, and leads to restricted activities of daily living and deteriorating quality of life. A recent review of risk factors for RA development concluded that smoking acts synergistically with other RA risk factors, including IgM-rheumatoid factor, anti-CCP, and shared epitopes.

If there are any concerns about this article, feel free to contact us at our website or call us at 0362117533.

Smoking And Chronic Pain2019-06-24T09:45:53+08:00

Runner’s Knee: What You Need To Know

At Healthworks, we have assessed and treated many patients with runner’s knee, some are runners, and some are not. Firstly, everyone can get runner’s knee, it isn’t just for runners. Runner’s knee is a broad term for several knee problems. For this article, we are defining runner’s knee as patellofemoral pain syndrome.

What are the symptoms?

  • Usually pain in front of your kneecap, though it could be around or behind it
  • Bending your knee, walking, squatting, kneeling, running, or even getting up from a chair hurts the knee
  • It is aggravated when you walk downstairs or downhill
  • Occasional knee swelling
  • Popping and cracking sound from knee
  • Grinding feeling from knee

Several things can bring it on:

  • Overuse. High-stress exercises, like lunges and plyometrics can irritate tissues in and around your kneecap.
  • A direct trauma to the knee, like from a fall or blow
  • Your bones aren’t lined up (your doctor will call this malalignment). If any of the bones from your hips to your ankles are out of their correct position, including the kneecap, that can put too much pressure on certain spots. Then, your kneecap won’t move smoothly through its groove, which can cause pain.
  • Chondromalacia patella, a condition in which th e cartilage under your kneecap breaks down

How is it diagnosed?

The doctor/physiotherapist will take your medical history and perform a thorough physical exam. He might also do tests that can give him a closer look inside your joint, like X-rays.

How can it be Treated?

  • Rest your knee. As much as possible, try to avoid things that make it hurt worse, like running, squatting, lunging, or sitting and standing for long periods of time.
  • Ice your knee to ease pain and swelling. Do it for 15-20 minutes every 3-4 hours for 2-3 days, or until the pain is gone.
  • Strengthening your hips and knees. Work on improving your hip and knee muscle strength to unload the excessive stress from your knee joints.
  • Proper technique. You need to have proper knee mechanics that suits you.
  • If you have tried these suggestions and your knee still hurts, get an orthopaedic specialist or a physiotherapist to assess your knee.

When Will My Knee Feel Better?

There are too many factors involved. Everyone heals at a different rate. Your recovery time depends on your body and your injury. As a general estimation to recovery, it normally takes around 3-6 months.

How can I prevent it?

It is important to have proper knee mechanics and our core purpose at Healthworks is to partner with our clients to live a fuller and pain free life.

We are offering our Dorsavi knee assessment at a special price of RM80 (normal price: RM250). Please mention the promo code (Dorsavi) to qualify for the special price. For any inquiries or to make an appointment, please call 03-6211 7533 or email us at contact@myhealthworks.com.my

Runner’s Knee: What You Need To Know2019-06-24T09:46:39+08:00

Perfect Timing

Many excuses for finding the right time are just disguised procrastination.

“I’ll start dieting after I finish this batch of chocolates”

“I just showered, I’ll head to the gym a bit later”

“I ran out of whey protein, I’ll resume training when I get another tub”.

Don’t buy into the hype. The best time to get anything important done is now.

But eating right and exercising isn’t necessarily something that can be “done”. It is a long term, or in our case, a lifelong habit to be cultivated. Viewing it as such, there is definitely a case to be made to cultivate the perfect beginning.

Like an apple sapling, the budding stage of habit formation is the most exciting stage.

You eat right, you start a new training regime, and it seems like every day, something positive is happening. The scale tips in your favor, you get stronger in the gym, your energy level improves, and so does your mood. You’re the cheerful person you wish you could always be.

It’s an amazing feeling, and it should be.

It is in this stage that you should rack up as much initial wins as possible. You should be associating eating right and lifting weights with positive sensations. A successful beginning can set the tone to sustaining healthy habits for a very long time.

Hopefully, as long as a lifetime.

But the budding stage is also the most vulnerable stage. A few days of seasonal storm will destroy your apple sapling.

Similarly, seasonal derailments from the practice of your new training and eating habit can absolutely kill it.

Timing is a huge factor that influences success and “stick-to-it-ness” of new habits. Beginning a diet, only to have it interrupted by travel, festivities, and parties is far from ideal.

It’s far easier to go through an uninterrupted 8 week stretch of eating and training, than doing it intermittently, and to have it challenged by travels, holiday eating, jet lag, festive season eating etc. You’ll be quick to associate eating healthy and exercising as an uphill battle (because during these times, it is), and less likely to uphold after the festivities pass.

This is the main reason why I usually wait until after my year end trips, Christmas feasts and Chinese New year season to begin a weight loss regime. Even after training for years, I still find that a stop-go-stop-go approach kills my momentum.

To clarify, these are not “bad” events per se, but if you’re new and inexperienced in “riding the storm”, pick a better time.

Perfect Timing2019-03-05T08:18:31+08:00

International Women’s Day, March 2019 Promo

In conjunction with International Women’s Day 2019, Healthworks is giving out FREE Chiropractic Assessment & Posture Screening* (Normal price: RM299), on a first come first serve basis*. Book your appointment with our team of certified chiropractors on 8th – 10th March 2019.

International Women’s Day, March 2019 Promo2019-03-11T07:54:20+08:00

Cubital Tunnel Syndrome

What is cubital tunnel syndrome?

Cubital tunnel syndrome is a common peripheral nerve entrapment syndrome in the human body. It occurs when the compression or irritation of the ulnar nerve in a tunnel on the inside edge of the elbow (‘funny bone’ in your elbow).


– Over-stretching the nerve (frequent bending of the elbow, such as reaching, lifting or sleep with their elbow bent)

– Compression (leaning on the elbow while you sit at a desk )

– Direct trauma (hitting the ‘funny bone’)

Sign and symptoms


– Numbness and tingling on the inside of the hand and in the ring and little fingers

– Aching along the inner aspect of the forearm and elbow


– Muscle wasting of the hand

– Loss of strength in hands

– Difficulty gripping and holding on to objects

– Difficulty bending and straightening the fingers


Ice – To decrease pain

Kinesio taping – To reduce the symptoms

Electrotherapy – For pain relief

Strengthening exercise – To improve and maintain the strength of the hand and forearm muscles

Nerve gliding exercise – To improve blood circulation of affected area by gently stretching it

Make an appointment with us to check if you have these symptoms. Our physiotherapists will perform the appropriate assessment and treatments before it becomes worse.







– 过度的牵拉尺神经(经常性的手肘弯曲像是提物品或是睡觉时用手肘当枕头)

– 对手肘的压迫(手肘靠著桌子工作或玩电脑)

– 外力撞击(对肘隧道造成直接的伤害)



– 尾指和无名指有麻痹和刺痛感

– 麻痹和刺痛感延伸到手肘内侧及前臂内侧


– 手部肌肉(尺神经支配的)萎缩

– 手部无力

– 握力和捏力降低

– 手指伸直和弯曲的能力受限


冷疗- 减低疼痛

肌贴 – 缓解症状

电疗- 降低疼痛

肌力运动 – 训练手部运动, 预防肌肉萎缩

神经松动术 – 促进血液循环以及组织复原






Cubital Tunnel Syndrome2019-03-02T03:35:42+08:00
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