Diastasis Recti

Diastasis Recti is the partial or complete separation of the rectus abdominis, or “six-pack” muscles, which meet at the midline of your stomach. Diastasis recti is very common during and following pregnancy. This is because the uterus stretches the muscles in the abdomen to accommodate the growing baby. This condition varies each time with each individual and is vital to keep it in check to prevent other complications that may arise.

Another method to diagnose Diastasis Recti would be heading over to your primary care physician, OBGYN, physical therapist for a definitive diagnosis. Confirmation of rectus diastasis can be made using computed tomography (CT), magnetic resonance imaging, or ultrasound but these tests are usually not necessary.

What are the types of treatment?

Firstly, Diastasis Recti usually resolves on its own within the period of 6 to 12 months.  However, there are some treatment options that might help with a faster recovery. Most commonly, alternative treatments are prescribed. In some studies, preventative exercise protocols include walking and abdominal core strengthening or corrective exercise protocols that include core strengthening, aerobic activity, and neuro-muscular re-education is beneficial with closing the gap.

There are also various surgical methods that are prescribed according to the severity of the condition, and is usually based on the symptoms and physical findings. Many patients with diastasis recti will have discomfort at the level of the defect that is aggravated by movement. In addition, the appearance of the abdominal wall is noticeably distorted in patients with diastasis recti especially when there is contraction of the rectus abdominis muscles.

Over here at Healthworks, we have experienced chiropractors and physiotherapist to help you with this condition. If you have any questions regarding this article, feel free to contact us at contact@myhealthworks.com.my or call/ WhatsApp us at 018- 982 8539.

Diastasis Recti2021-01-29T15:15:38+08:00

Sitting For Too Long

The recent Movement Control Order in Malaysia has caused most of us to stay home and start working from home. Many of us came into this unprepared. We did not have the right tables, the right chairs and since then we may have started feeling old pains exacerbated or even new pains. Worse than bad ergonomics (right posture and right furniture), we have also suffered from prolonged sitting with irregular work hours. We no longer take walks to our colleague’s desk for a chat, walk to and from our car, walking to work.

It has been proven that sitting for more than 6 hours can be damaging to your body and the overall diseases could be compounded and cause damage that is worse than smoking.  Here are some things that can happen when you have been sitting too long. Some of which we see regularly in clinic and others that happen and indirectly affect your health.

Direct effects that we see in clinic regularly:

  1. Tightness in upper back, shoulders and neck
    This is could lead to HEADACHES
  2. Stiffness in lower back and hips
    Stiffness in your lower back and hips are due to sitting and your hip flexors shortening when you have been sitting for too long. Especially when you have a posterior tilt which leads to number 3
  3. Weakness in glutes and eventually legs
    When the glutes are inhibited by sitting all day, you lose your stabilization muscles. In a long run, your legs lose muscle mass and when we go back to regular exercising and walking, you could feel more pain than relief.

Indirect effects:

  1. Weight Gain
  2. Anxiety and Depression
  3. Cancer risk
  4. Heart disease
  5. Diabetes risk
  6. Varicose Veins
  7. Deep Vein Thrombosis

With this said, it is extremely important to keep moving during this time. To get up every 30 mins and move around for 30 seconds. If you can have a regular routine everyday to exercise or to move around, that would be perfect. We will discuss simple spinal exercises in our next blog.

If you have questions or would like to start exercising but have a concern regarding your spinal health and posture, you can always give us a visit. At Healthworks, we will love to help you find a routine tat suits you and your needs. Till then, happy exercising!

Sitting For Too Long2021-01-26T14:10:55+08:00

Rotator Cuff Impingement

Rotator Cuff Impingement is a type of injury that causes shoulder pain where a tendon inside your shoulder rubs or catches on nearby tissue and bone as you forward flex or abduct your arm. It usually affects the rotator cuff tendon that connects the rotator cuff muscles that stabilizes the shoulder joint to the humerus.

The estimated prevalence of shoulder complaints is 7–34% with about 14.7 new cases per 1000 patients per year seen in clinics. Of all the shoulder disorders, shoulder impingement syndrome (SIS) is the most commonly reported, accounting for 44–65% of all shoulder pain complaints.

Who gets Rotator Cuff impingement?

Rotator Cuff impingement syndrome is commonly seen in people who are involved in activities and sports with frequent overhead motion like swimming, badminton, squash, basketball and volleyball. The constant rubbing of the rotator cuff between the humerus and top outer edge of the shoulder leads to swelling and further narrowing of the space which leads to pain. Besides that, RC impingement can also result from an injury, such as falls and motor vehicle accidents.


There were two clinical test can be performed to assess Rotator Cuff Impingement

The first is called the “Empty Can test”. The patient stands up with his shoulders in 90°abduction, 30° horizontal adduction and in complete end range rotation. The therapist fixates his hands on the upper arm of the patient and provides a downward pressure while the patient tries to maintain his position.

The second test is called the “Hawkin’s Test”, the patient stands with the shoulders abducted to 90° and internally rotates the forearm. The presence of pain with movement is an indicator of a possible pathology.

Physiotherapy Management

The aim of physiotherapy management is to reduce pain and swelling of the tendons to achieve normal range of motion and improve the strength of the shoulder. Rest and ice should be implemented at the acute phase of injury to decrease pain and inflammation. It is very important that patients need to avoid activities that increases pain and symptoms. Physiotherapist should guide the patient on when to resume those activities again based on the recovery rate on each individuals.

Physiotherapist can use techniques like muscle release to improve range of motion and prepare patient for strengthening exercises when the pain and inflammation reduces. It is important for patient to do exercises in a correct order; starting with stretching and range of motion exercises and then muscle strengthening exercises.

It has been shown that exercises are effective and support the improvement of shoulder impingement compared to no treatment or placebo.

The following suggestions are to include in the rehabilitation of shoulder impingement:

  1. Gentle Muscle Release
  2. Isometric Exercises to reduce pain
  3. Stretching and range of motion exercises
  4. Kinetic Chain Exercises
  5. Correcting Technique and training errors
  6. Correcting scapula-humeral rhythm and glenohumeral instability
  7. Resistance training to increase mobility

Here in Healthworks, our physiotherapist will perform a thorough assessment regarding your injuries and design a general guidelines and precautions. If there are any queries regarding this article, feel free to contact us at 018-9828539/ 03-6211 7533 or drop us an email at contact@myhealthworks.com.my

Rotator Cuff Impingement2021-01-26T14:07:45+08:00

CNY Promo 2021

Great savings with Healthworks Chinese New Year offer.
RM188 nett for first Chiropractic OR Physiotherapy assessment and treatment. (Normal price: RM449)
Promotion valid till 28th February 2021.
Call us at 03-6211 7533 or email contact@myhealthworks.com.my today to schedule an appointment.
CNY Promo 20212021-03-02T13:42:03+08:00
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