Scoliosis – Part 2

In my last blog, I explained the different types of scoliosis, how we screen for them and how we could see them presenting in ourselves, our friends and family. It is again, really important to note, that scoliosis is in most cases, not a life-threatening disease and we do not have to live in fear or live in lack due to it.

How do we treat scoliosis?

First of all, it is important to understand that scoliosis is not something you can remove or simply do a course of treatments and cure. Scoliosis is usually genetic and the goal in clinic is to maintain the curve, prevent progression and if by chance, create a regression in the curvature.

Depending on the severity of the curve, most patients have less than Cobb’s angle 40 degrees curvature. If you have less than 15 degrees, it is not considered a scoliosis. Only a deviation. In which case, it is suggested that you should do some physical therapy. This could be in the form of physiotherapy, chiropractic treatments and exercises. With most cases, a combination of treatments according to the patient’s needs is the best formula for success. Most clients we see do a combination of chiropractic adjustments: to maintain spinal mobility, health and posture, to realign the spine and relieve muscles and pinched nerves (if any), physiotherapy: to help with building non-compensating movement patterns, releasing hypertonic muscles and re-engaging deep muscles, personal training: to build muscle strength, regain confidence and learn to rebalance their movement overall.

If a client comes in with 20-40 degrees, regular x-rays (once to twice a year) are warranted and we continue with similar treatment. Some may opt for bracing but most clients for aesthetic purposes prefer exercising to maintain the muscle strength. If a client has 40 degrees or more, most orthopaedic surgeons and spinal surgeons would recommend surgery as the best course of treatment. There are however cases where patients choose to not on-go surgery but this would be with the advice of their doctors.

When should I start treatment?

With scoliosis, it develops as you go through puberty, so the best age to start is as soon as scoliosis is seen in the spine. We recommend patients with concerns of scoliosis to go for x-rays, with the x-rays, the Cobb Angle can be noted and referred to as a baseline. As soon as a deviation is noted, depending on the age and cause of scoliosis, treatment plans may vary as it is important to tailor is to the patient’s condition, needs and goals.

Who can help me with my scoliosis?

At Healthworks, we have a team of chiropractors, physiotherapists and physical trainers who are experienced and have helped many scoliosis patients and cases live a healthy, balanced and regular life with scoliosis. Scoliosis is NOT a disease that has to cause you pain and discomfort! As we say at Healthworks, if you have scoliosis, your spine is simply bent not broken! Come see us and let us help you today.

Scoliosis – Part 22019-09-06T01:54:35+08:00

Pre, During and Post Pregnancy Care

Pre, During and Post – Pregnancy Care is now available in Healthworks.

During pregnancy, our centre of gravity shifts and this causes many to experience lower and upper back pain. This leads to stress and sometimes neck and headaches. With the help of adjustments and myotherapy, pain and discomfort can be relieved, making the experience of pregnancy an even more enjoyable process. This also helps mothers help regain their balance and perform to their highest physical potential. Treatments are gentle and home exercises are safe and easy.

At Healthworks, we also focus on a woman’s spinal health pre- and post- pregnancy. Pre-pregnancy treatment would include focusing on muscle development, treating current pain or conditions, initiating spinal and pelvic mobility. Post-pregnancy treatment would look into re-educating muscle groups, helping restore structure and posture, regaining muscle tonicity and ligament strengthening as well as helping with any aches and pains the mother may be experiencing.

For inquiry and to schedule an appointment, call 03-6211 7533 or email

Pre, During and Post Pregnancy Care2019-09-06T02:23:40+08:00

Cervicogenic Headache

Headache is an extremely common symptom and the most common of the nervous system disorders.  Nearly 5 in every 10 individuals will be diagnosed with a headache.  It affects the young and old, all races and genders, but mostly females.  There are many types of headaches and amongst them, chiropractors have found that the trend for cervicogenic headache is rising.  Most clients here at Healthworks whom were diagnosed with neck pain often times are associated with cervicogenic headache.

As the name suggest, Cervicogenic Headache is referred to pain (pain perceived as occurring in a part of the body other than its true source) perceived in the head from a source in the neck. It is usually described as a one-sided pain that starts in the neck. Headache is said to happen after neck movement. Furthermore, it usually accompanies a reduced range of motion (ROM) of the neck. Detailed examination is needed to prevent misdiagnosis of a migraine, tension headache, or other primary headache syndromes.

There are a few key points in order for the health practitioner to make these diagnosis:
1. Source of the pain must be in the neck and perceived in head or face. Evidence that the pain can be attributed to the neck. It must have one of the following: demonstration of clinical signs that implicate a source of pain in the neck or abolition of a headache following diagnostic blockade of a cervical structure or its nerve supply using a placebo or other adequate controls.

2. Pain resolves within three months after successful treatment of the causative disorder or lesion

How does Cervicogenic Headache happens?
Often times, stress (poor posture, neck strain, whiplash) towards nerves of C1-C3 may relay nociceptive nucleus of the head and neck. It is thought to be the cause for referred pain to the occiput and/or eyes.

Ways of improving Cervicogenic Headaches
1. By Improving posture, it minimizes the amount of stress that is placed through the structures of the neck thus reducing the pressure on the nerves.

2. Chiropractic manipulation has shown to be effective in dealing with Cervicogenic Headaches (CGH) because CGH is related to neck joint dysfunction, several studies of varied research designs have shown that spinal manipulative therapy (SMT) is effective for CGH. Systematic reviews of randomized control trials using manual therapy in CGH patients suggest better outcomes compared to no treatment.

3. Therapeutic exercises. Stretching and strengthening the postural muscles to emphasize upright posture.  A good ‘proprioceptive posture’ begins from the core, ensuring the patient knows how to activate the transverse abdominus and brace the entire core.

As a chiropractor, I believe having to find the root cause for CGH is a priority in ensuring a more successful outcome. Careful diagnosis is a vital component as there are different triggers for headaches. If there are any queries to this article, please WhatsApp us at 018-9828539 or call us at 03-6211 7533.

Cervicogenic Headache2019-08-20T06:12:52+08:00

Physical Activity in Elderly

Aging is a multifactorial irreversible process associated with significant decline in muscle mass and neuromuscular functions. One of the most efficient methods to counteract age-related changes in muscle mass and function is physical activity. Lack of activity destroys the good condition of every human being, while movement and methodical physical exercise save it and preserve it.

The world population is getting older and the percentage of elderly people is continually increasing. It is well known that aging causes gradual changes in the organism, which leads to loss of function, weakness, disease and death. All these negative changes lead to difficulty of performing daily activities.

One of the main questions regarding elderly is: Can we stop the negative changes? No, we cannot stop it, but we can slow down the decrease of physical fitness and functional capacity. We know that with physical activity, balanced nutrients are the most effective ways to counteract the decline of functional capacity related to aging.

Benefits of Physical Activity

Research has documented the benefits of maintaining an exercise program into the later years, using resistance exercise and aerobic training, ideally in combination in order to improve cardiorespiratory and muscular fitness, and functional health, and reduce the risk of NCD.


Physical activities have lower rates of all cause mortality, coronary heart disease, high blood pressure, stroke, type 2 diabetes, colon cancer and breast cancer, a higher level of cardiorespiratory and muscular fitness, healthier body mass and composition. Epidemiological studies show a strong inverse relationship between physical activity, health and all cause of mortality. Higher level of physical activity are associated with around 40-50% lower all-cause, cardiovascular disease and cancer mortality rates compared with women with lower activity levels.

Functional Independence

Both muscle strength and aerobic fitness have been strongly linked to functional independence. Aerobic training alone or aerobic training combined with resistance training have been shown to result in improved physical function in older adults without disabilities. In some groups of people with chronic health conditions there are indications of positive effects of increased physical activity and exercise. Physical activity exhibit higher level of functional health, a lower risk of falling, and better cognitive function; have reduced the risk of moderate to severe functional limitation.

Recommended Levels of Physical Activity

  1. Older adults should do at least 150 minutes of moderate-intensity aerobic physical activity throughout the week. Or at least 75 minutes a week of vigorous-intensity aerobic physical activity.
  2. Older adults, with poor mobility, should perform physical activity to enhance balance and prevent falls on 3 or more days per week.
  3. Muscle-strengthening activities, involving major muscle groups, should be done on 2 or more days a week.
  4. If older adults cannot perform the recommended amounts of physical activity due to health conditions, they should be as physically active as possible based on their conditions.
  5. Older adults with health conditions and disabilities such as stroke, brain injury, Parkinson disease and other neurological conditions, exercises should be carried out under the guidance of physiotherapist to ensure the safety of the individuals.

Here in Healthworks, our physiotherapist will perform a thorough assessment and design a comprehensive exercise program for you. If there are any queries regarding this article, feel free to contact us at 018-982 8539/ 03-6211 7533 or drop us an email at

Physical Activity in Elderly2019-08-13T05:38:18+08:00

Why Am I So Flexible?

Have you ever watched one of those videos where some people can extend their index finger till it reaches the back of the hand? How are some people way more flexible than others?

Hypermobile joints which literally translate to joints with an excessive mobility, is often seen when the tissues holding a joint together – such as ligaments and joint capsule becomes too loose. Individuals with hypermobile joints are able to extend or flex their joints with ease and painlessly beyond the normal range of motion. In some cases, weak muscles surrounding the joint can also lead to joint hypermobility.

Hypermobility is commonly seen among children since their connective tissues are not fully developed yet. As a child grows older, their ability to hyperextend or hyperflex may decrease.

Joints commonly affected:

  • Fingers
  • Wrists
  • Elbows
  • Shoulders
  • Knees

Hypermobile joints usually appear without any underlying health conditions. This is termed benign hypermobility syndrome. Several factors such as bone shape or depth of the joint sockets, muscle tone or strength, a poor sense of proprioception and a family history of hypermobility can increase the probability of an individual attaining this condition.

However, due to the over laxity or the joint, some individuals may experience stiffness and pain in their joints. This is called joint hypermobility syndrome. Due to the increased laxity of the joint, surrounding structures are being overworked to keep it as stable as possible.

In some rare cases, joint hypermobility can be caused by underlying medical conditions such as down syndrome, Ehlers-Danlos syndrome, marfan syndrome, cleidocranial dysostosis and morquio syndrome.

Hypermobile joints are generally harmless; however, you should seek professional help if you experience the symptoms below:

  • Sudden change in appearance of the joint (swelling, deviation etc.)
  • Pain in the loose joint during or after movement
  • Changes in joint mobility
  • Changes in the functions of your legs and arms

For patients that visit us with a presenting complaint of hypermobile joints. Treatment will be focused on strengthening the joint. Our chiropractors or physiotherapists will recommend specific exercises that will aid and provide stability to the hypermobile joints involved. This approach will not only reduce the risk of future injuries, it will also aid in alleviating the symptoms of hypermobile joints.

If you have any further inquiries regarding this condition, feel free to call us at 03-62117533 or email us at

Why Am I So Flexible?2019-08-13T03:28:41+08:00
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