De Quervain’s Tendinosis

Have you experienced pain in your thumbs that sometimes travels up to your forearm and even your elbow? Do you get this pain when you are gripping something or twisting your wrist? I have had golfers, badminton players, rock-climbers, even patients who do not engage in sports complain of such pain and they feel like it causes their thumb to have a snapping or catching feeling. This is a common overuse injury which is known as De Quervain’s tendinosis.

Tendinosis is the swelling of the tendons in the tendon sheath and De Quervain’s can be most obvious in golfers due to their repeated movements and swinging of the golf club. The worry comes when it is added to high impact of hitting the ground. Golfers with these issues will find that it isn’t just a one off issue but leads to chronic pain even off the golf course.


There are several ways to treat De Quervain’s non-surgically. First, we can place the thumb and wrist in splints. We could also try kinesiotaping to give the thumb enough restriction so that it can heal while still allowing free movement to c onduct activities of daily living. This could be partnered with NSAIDs if the pain is highly irritating and causes daily stress. The activities that cause the pain should also be avoided. Physiotherapy is another form of non-invasive treatment that could be considered to regain normal pain free movement and rehabilitation.

Invasive treatments would start with Corticosteroid injections. They could be administered by an orthopedic surgeon or if all else fails, you could also see an orthopedic surgeon for surgical intervention.

De Quervain’s Tendinosis2020-01-16T17:25:46+08:00

Ice or Heat For Pain?

Pain is a factor that drives most of our clients to consult us here at Healthworks, be it acute (less than 3 months) or chronic (more than 3 months). One of the adjunct treatment that we commonly use are the ice or heat pack. And the usual question was “when should I use heat or ice?”. To maximize a particular treatment, we must first understand the underlying physiology of the particular injury.

Acute pain is due to tissue damage and most commonly caused by trauma. In most circumstances, acute pain is self-limiting and proportionate to the degree of injury sustained. After damaging a particular body tissue, the body will then illicit an inflammation cascade inducing localized pain, swelling, reduced range of motion, and tenderness to touch. The better treatment option would be using ice to treat such injuries is to alleviate pain, reduce tissue metabolism, and to restrict swelling.

Pain will usually become less severe as the injury heals. However, chronic pain is different from typical pain. With chronic pain, the body continues to send pain signals to the brain, even after an injury heals. This can last several weeks to years. Chronic pain can limit mobility and reduce the flexibility, strength, and endurance. In this case, heat would be a better option for treatment where it helps with soft tissue flexibility, muscle resistance, easier and better contraction of smooth muscles, and improvement in the muscles’ motor function. Besides, heat therapy triggers decline in pain especially low back pain through stopping pain signal and exerting pressure muscles.

However, recent updates have shown that heat can be treated for acute cases. 87 patients randomly assigned to three (thermotherapy and cryotherapy as intervention, and naproxen as control) groups of 29 each. The first (thermotherapy) group underwent treatment with hot water bag and naproxen, the second (cryotherapy) group was treated with ice and naproxen, and the naproxen group was only treated with naproxen, all for one week. All patients were examined on 0, 3rd, 8th, and 15th day after the first visit. In this study, thermotherapy patients reported significantly less pain compared to cryotherapy and control.

If there are any inquiries to the article, please email us at or Whatsapp at 018-9828539 or call 03-6211 7533.

Ice or Heat For Pain?2020-01-16T12:12:33+08:00

Mums, Don’t Keep Mum!

It seems that everywhere we look, someone we know has back pain. Whether you work at home taking care of your family, spend long days at the office (or both!), back pain has become so common, it now affects 4 out of 5 adults around the world! Even our growing kids and teens complain of neck and back ache on a regular basis. Like us, they too have poor posture from what seems like endless tech-stress.

Getting rid of back pain is easy, right? Just apply some ointments and balms, go for a massage, or take another pain-killer. Pain is now gone…at least for a few hours. Simply put, if you want to get rid of your back pain, first find out why you have it and understand what it is doing to you. Seek out the source and get your answers, don’t just cover up the symptoms.

As a Chiropractor, I get it. Life is busy! We work too hard, sit too long, and move too little leaving us stressed, in pain, and out of shape. Moms, with everything going on each day, it’s hard to find even a little bit of ‘down-time’ to catch up, let alone take care of yourself, but remember, if you don’t take care of yourself first, you won’t be able to take care of others either.

Everyone knows that we need good posture. Healthy spines power healthy bodies. Your spine is designed to help your body balance, bend, lift, twist, and move. Your spine also protects your precious spinal cord and gentle nerves, which control every function of your body. Sitting too much at the office, taking care of the home and family, stuck driving in traffic jams every single day ALL place undue stress on your back and body that it just wasn’t meant to handle. Ongoing stress can lead to pain and other symptoms from misalignment, compression, and even early signs of degeneration!

Don’t give pain the power to hold you back from living life your way. In fact, life truly begins when pain ends. It’s time you take back what’s yours!

If you suffer from back pain, Chiropractic can help! Visit us at Verve Shops Mont Kiara to find out more about chiropractic and what it can do for you.

Mums, Don’t Keep Mum!2020-01-07T11:01:26+08:00

Golf Warm Up Steps

Step 1

We start with general warm up exercises. These activities would help to generate heat in the joints, muscles, ligaments and other soft tissue before we move into the next phase. Activities could include climbing stairs, a comfortable jog or brisk walking. This is meant to be simple and the goal would be to increase our heart rates at a comfortable pace, increase blood flow to muscles used as well as temperature, flexibility and response time. General warm ups should not take longer than 5 minutes.

Step 2

Next, we focus on joint movement. Here, we want to reduce the stiffness in our joints and prepare our nerves and muscle systems for the game ahead. Warm ups here include stretching all the joints we are about to use in the game. Do not forget the smaller joints such as fingers and ankles. This will help lubricate the joints and get rid of stiffness that will create more stress in the joints during the game.

Step 3

Then, we look to warm up specific muscles. This should include: The spine (neck, mid-back, low-back), shoulders, arms, hips and legs. These exercises would include lunges, chest opening swings, side stretches, trunk rotations, hamstring and low back stretches.

Step 4

Lastly but certainly not the least, we need to activate and warm up our central nervous systems. This should be activity-specific. So imagine, if you were going for an intense jiu jitsu class, you would need to do back bridges, sprawls and hip escapes. For golfers, high knees, twist lunges and spiderman are a few of the many exercises that could help get the body ready for powerful and complex movements. Just remember that the warm-up should produce a mild sweat without fatiguing yourself. A general time-frame required for a proper warm-up will depend on how intense the exercises are performed and to what extent each type of golf shot (putting, chipping, driving) is practiced. A good target is 15 – 30 minutes.

Hopefully, with all these warm up tips, you will be able to prevent injuries as well as improve your golf game. Happy golfing!


Golf Warm Up Steps2020-01-07T10:52:07+08:00
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