Home Therapists Location Contact Us  
 

SERVICES

 
 
NECK & BACK PAIN
 

Neck and low back pain are some of the most common conditions managed by our Physiotherapists. Treatments are based on the most up to date research and evidence based techniques. After an extensive analysis of the possible causes of your condition, a thorough physical assessment of your biomechanics, muscles and joints will then be conducted.

Once a definitive diagnosis is made (which we believe is the foundation of effective rehabilitation), manual therapy techniques are then employed by our therapists. These include joint mobilizations, soft tissue massage, customised and specific exercise prescription such as core stability retraining (Pilates), acupuncture, postural advice and ergonomic workstation assessments.


 
LUMBO-PELVIC DYSFUNCTION
 

Our therapists at PhysioMotion are also trained to treat conditions that require expert knowledge in the lumbo-pelvic area. Many chronic and acute lower back pain; sacroiliac joint dysfunction; recurrent muscle strains (hamstring, groin and calf muscles); chronic headaches and pregnancy related discomfort (pubic and sacro-illiac joint pain) are related to the lumbo-pelvic area.

 

Using our real time ultrasound imaging equipment, we are able to assess and effectively treat any imbalances and weaknesses in your core stabilizing muscles. The proper use of these muscles are imperative to long term management of any chronic condition.



 
THORACIC SPINE AND RIB DYSFUNCTION
 

The thoracic spine and rib cage can be a source of pain, poor posture, inefficient loading mechanisms, digestive issues (such as reflux, indigestion and heart burn) and poor nerve supply to the abdominal musculature leading to 'weak core' muscles. It can be responsible for inefficient loading through the pelvis, lumbar spine and hips causing various osteoarthritic conditions in the lower limbs. It is a specialized area of Physiotherapy that all our therapist's at PhysioMotion are trained and skilled at treating.

 

HEADACHES
 

If you suffer from headaches or migraines that arise from stress, a stiff neck or imbalances in hormones, then Physiotherapy can help treat these conditions. Such disorders often arise from stiffness or hypermobility (too much movement) of the upper neck joints, specifically in reference to the sub-occipital joints (O1/C2/C3). Spasm and over-activation of the muscles around these regions can also lead to headaches and migraines. This is because the sensory nerve supply to the skin and other areas of your head comes from these joints. When there is dysfunction in these areas, your brain is unable to distinguish the difference between a headache as opposed to problems in the neck. This is similar to 'sciatica' where the pain is perceived in the leg when it is actually caused by problems in the lower back.

All of our Physiotherapists are extensively trained to treat neck headaches and migraines using specific manual therapy techniques. The combination of manual therapy with acupuncture also helps to manage this problem. In addition to the therapies, postural screening which includes bedding advice and ergonomic workstation assessments, are conducted to ensure that our patients are not continuing to contribute to their problem by working and sleeping in poor postures..

 

WOMEN'S HEALTH, PREGNANCY & POST NATAL CARE

 

During Pregnancy, the body experiences emotional, hormonal and physical changes. Some of the physical developments can cause difficulties throughout the pregnancy. However, a lot of these discomforts can be resolved by our highly trained Physiotherapists who treat pelvic and thoracic- rib related dysfunctions that are often associated with weight gain & related postural changes; ligament laxity due to the release of the hormone relaxin; and core muscle weakness including the pelvic floor.

Urinary incontinence is a common problem that will be suffered by two-thirds of women (and one-third of men due to prostate issues) sometime in their life. There are three types on urinary incontinence known as stress incontinence (from physical stress such as coughing or jumping); urge incontinence (the sensation or actual need to urinate before the bladder is full); and mixed incontinence (a mixture of both stress and urge incontinence). It often starts during pregnancy or post natal and is caused by dysfunction, usually weakness, of the pelvic floor muscles. Commonly, other imbalances in the 'core' trunk muscles are responsible for putting excessive loading on the pelvic floor muscles, which may contribute to urinary incontinence.

At PhysioMotion, our Physiotherapist's can conduct a full assessment using real time ultrasound guided imaging for the pelvic floor and core muscles to address problems with urinary incontinence and abdominal 'weakness' both during and after pregnancy. Real time ultrasound imaging equipment will help you 'feel by seeing' the muscles so that you can visually and objectively see which muscles are working correctly. For a more thorough assessment, a digital vaginal examination of the muscle tone of the pelvic floor muscles can be conducted by a specifically trained and qualified women's health Physiotherapist.

A common pregnancy related problem known as a 'rectus diastasis' is where the middle section of the abdominal wall muscle tears or splits. The diastasis can vary from a superficial tear that is only a few centimetres long to a deep, full thickness tear from the chest to the pubic bone. Early diagnosis within the first six weeks is crucial for optimal healing. Physiotherapists at PhysioMotion will conduct a detailed assessment using ultrasound guided imaging, skilled palpation and functional tests to determine the extent and severity of the rectus diastasis. We would then be able to advise clients specifically on how to optimize healing, appropriate types and levels of exercise, and if further intervention is required.

At PhysioMotion, all our staff are trained to conduct real time ultrasound guided assessments for a rectus diastasis, pelvic floor and core muscle function, but for a more thorough assessment that requires a physical vaginal examination, you will need to request an appointment with our women's health Physiotherapist.

 

 
 

LACTATION PAIN SPECIALIST íV PHYSIOTHERAPY & BREASTFEEDING

 

Women's health Physiotherapy encompasses not only pre / post natal musculoskeletal care of women, but also human lactation and infant breastfeeding. There is more compelling research published that indicate the health benefits of breastfeeding for mothers include the prevention of illnesses such as diabetes, cardiovascular disease, obesity, osteoporosis and various cancers. The health benefits for infants range from reduced incidences of respiratory tract and gastrointestinal infections, diabetes, asthma, cardiovascular disease, obesity to sudden infant death syndrome. Therefore, our Lactation Pain Specialist Physiotherapist has an important role in both assisting breastfeeding and general well-being for mother and baby.

Our Lactation Pain Specialist Physiotherapist is able to provide practical treatment to assist in successful breastfeeding by managing inflammatory breast conditions including mastitis, which is a main reason why mothers prematurely wean. Mastitis has a rate of incidence of up to 33% in the first six weeks post-partum, usually in the first two to three weeks. It often presents as local breast pain, erythema, swelling, systemic fever and malaise, but causative factors are not yet well understood and careful assessment by a Lactation Specialist Physiotherapist is needed to help alleviate the causes. Early detection and management can alleviate symptoms promptly allowing mothers to return to breastfeeding. Physiotherapy management will include: education to minimize risk factors, application of techniques to reduce inflammation, use of therapeutic ultrasound, positioning for breastfeeding, the use of breast pumps and techniques to improve lymphatic drainage.

For a physiotherapy appointment for issues relating to breastfeeding, request to see our Lactation Pain Specialist when you are making an appointment.

REAL TIME ULTRASOUND IMAGING FOR CORE STABILITY REHABILITATION (PILATES)

 

Real time ultrasound imaging (RTUI) assists in the objective and real time viewing of deep abdominal, pelvic floor, lower back and hip muscles for core stability retraining (Pilates). This allows the therapist to view your muscles as they work as people may think that they are doing 'core work', but are often over activating some muscles whilst not using others at all. Research has demonstrated that it is not only the activation of the core muscles that is important for trunk strength, but the sequencing of these muscles as well. Without RTUI, it is very difficult to assess whether one is correctly activating and sequencing the core muscles.

Once the foundation of adequate 'core strength' is achieved, it is important to integrate this with your 'global' stronger muscles and more specifically, into the desired sport or function. At PhysioMotion, all our staff are trained to use the RTUI equipment and tailor Pilates classes and fitness training based on the specific abilities of the participant.

 

SPORTS INJURIES & EXERCISE REHABILITATION

At PhysioMotion, our goal is to help people achieve optimum health and fitness through movement. All of our staff are highly qualified in specific and target oriented exercise prescriptions whether it is a program for elite athletic training, obesity management, post natal care or post-surgery. Many of our staff are highly qualified or extremely experienced, having worked with the Hong Kong national teams in rugby, swimming and other international sporting tournaments including the 2000 Sydney Olympics.

We offer Physiotherapy and Podiatric services for the following sporting injuries:

  • Anterior & posterior cruciate ligament (ACL & PCL) reconstruction rehabilitation
  • Post orthopaedic surgery rehabilitation
  • Chronic & acute shoulder injuries
  • Core stability retraining
  • Acute and chronic muscle strains
  • Joint sprains e.g. ankle & knee sprains
  • Tennis and golfer's elbow

PILATES

 

The terms Pilates, core stability retraining or 'core work' all refer to a system of exercise formulated by Joseph Pilates over 80 years ago. Applying modern day scientific principles, the original Pilates work exercises have changed since its inception and is now more commonly known as core stability retraining.

The 'core unit' is a set of muscles that form a moveable cylindrical support system for the lower back and pelvis. The muscles that comprise the core unit are the transversus abdominis, diaphragm, multifidus and pelvic floor.

Core stability retraining refers to the specific training and exercise of these muscles to produce strong and coordinated pain free movement

 

Why do core stability retraining?

Recent studies have shown that core stability retraining is effective in the management and treatment of many conditions that relate to human movement as well improve one's overall strength. It works by teaching coordinated activation and sequencing of the correct muscles during movement whether it be sport or simple daily activities, such as bending forward. Many musculoskeletal injuries and conditions are often as a consequence of poor movement patterns that may have been as a result of trauma, pregnancy, incorrect biomechanics, increase in training demands or over working particularly in sedentary positions.

 

Exercising the core unit specifically and effectively gives the body a strong foundation to move, thereby improving overall movement patterns and reducing musculoskeletal symptoms.

What conditions are appropriate for core stability retraining?

Because we all generally move, core stability retraining is appropriate for everyone who wants to move well. More specifically, core stability retraining can be used for the following:

  • Improving posture

  • Pelvic floor retraining

  • Increasing flexibility

  • Addressing biomechanical issues

  • Increasing muscle tone & strength

  • Addressing muscular imbalances

  • Reducing lower back pain

  • Pregnancy related musculoskeletal issues

  • Eliminating chronic muscular strains

  • Reducing neck pain

  • Managing lumbo-pelvic related pain

  • Enhancing sports performance

  • Injury management & prevention
  •  
     

    Core Stability Retraining at PhysioMotion

    At PhysioMotion, our core stability sessions are either on a one-to-one basis (private) or semi-private (two clients & one instructor). Specificity of the exercise program and activation of the correct muscles are key elements to achieving your goals. Therefore, instructor's at PhysioMotion are very hands on in order to make sure that the correct techniques are being used. All our instructors are Registered and Pilates trained Physiotherapists with extensive experience. All our classes are one hour, but can be changed depending on client's needs.

    To ensure proper activation of the core unit and pelvic floor muscles, we use real time ultrasound imaging techniques where the therapist and client can visually and objectively see which muscles are working correctly. For this assessment, a private session needs to be booked.

     
     
    ERGONOMICS
     

    Many musculoskeletal problems arise from poor working and sedentary postures. One of the most debilitating lower back injuries is a prolapsed disc or 'slipped disc', which is usually caused by prolonged poor sitting postures and not enough exercise. Therefore, it is crucial in the management and prevention of spinal issues that your workstation ergonomics is properly assessed. We have Physiotherapists here at PhysioMotion who specialize in this area and can conduct workstation assessments at our clinic or onsite at your workplace. They can be tailored for individuals or for groups.

    We also have a wide range of ergonomic solutions for your home or office from specially designed keyboards, mouses, electronic height adjustable tables, office chairs, and notebook accessories which can be fitted to your individual needs.


    ACUPUNCTURE
     

    Acupuncture is an important branch of Traditional Chinese Medicine (TCM) used in the prevention and treatment of various ailments from acute musculoskeletal disorders to chronic pain syndromes. Fine sterile needles are inserted into various acupoints along the body's meridians, which are the pathways where the 'qi' (life energy) & blood of the human body are circulated. Acupoints along the meridian's that are used during acupuncture, form an interlinking network to the musculoskeletal system and other organs. Depending on the ailment, specific acupoints are then selected to strengthen and unblock the 'qi'.

    Research has shown that acupuncture and dry needling techniques can be used to 'release' trigger points by inducing relaxation of muscles while simultaneously stimulating the production of your body's own natural endorphins íV nature's pain killers. This unique approach of East meets West is yet just another way to treat pain and dysfunction in an efficient and holistic manner.


     

    PODIATRY

     

    Podiatry is a profession that treats conditions involving the lower leg, specifically the feet. Podiatry services at PhysioMotion include:

  • Expert Orthoses (shoe inserts) prescription  & fabrication

  • Sports injuries in adults & children

  • Any musculoskeletal conditions of the foot & lower leg including   biomechanical gait analysis

  • Diabetic feet

  • Dermatological conditions

  • Minor surgery for verrucae & ingrown toenails

  • Expert advice regarding choice of footwear for children and adults

  • MASSAGE THERAPY

     

    Massage Therapists assess and treat issues arising from soft tissues structures such as muscles, tendons and fascia. We offer massage services for athletes, expectant mothers, lymphatic issues and problems arising from muscular tightness.

    Myotherapy can be applied in the preventative, corrective and rehabilitative phases of therapy to restore and maintain normal function of soft tissue structures of the body. The techniques used depend on the nature of the problem, but usually a combination of techniques such as massage / manual manipulation, dry needling (similar to acupuncture), and stretching are often used. Corrective exercises and home programs are usually prescribed in order to address the cause of the problem to avoid re-injury.

    Massage therapy can also be used simply to restore and maintain optimal muscular function. We offer various types of massage:

  • Deep tissue massage / Sports massage

  • Pregnancy Massage that utilizes custom made 'pillows' that allows the expectant mother to lie safely and comfortably on her front for a full back massage.
  • • Aromatherapy massage


    Conditions that Massage Therapists at PhysioMotion treat:


  • Myofascial pain syndrome

  • Sub-acute and chronic soft tissue injuries and dysfunction

  • Maintenance and general health i.e. sports and general health massage

  • Lymphoedema and general oedema including ante / post natal pregnancy related oedema

  • Tennis/golfers elbow

  • Thoracic outlet syndrome – soft tissue induced

  • Headache – soft tissue induced

  • Achilles tendonitis

  • Myofascial pain syndromes

  • Achilles tendonitis

  • Adhesions and scar management

  • Chronic back pain including sciatica caused by muscle imbalance

  • Shoulder pain – impingement syndrome

  • "Shin splints" – periostitis, medial compartment syndrome




  • LYMPHATIC DRAINAGE

     

    The goal of Lymphatic drainage is to assist in normalizing and maintaining a balance between fluid retention and its proper circulation.

    Combined decongestive therapy (CDT) helps to manage patients with lymphoedema and venous insufficiency oedema, using a combination of manual lymphatic drainage, exercise therapy and compression bandaging. Patients suffering from lymphodaema either from surgery, radiation or congenital malformation can be treated. Manual Lymphatic drainage can also be used in the care of patients with conditions such as ulceration wounds, scar tissue, burns, dermatological conditions (such as rosacea), orthopaedic problems (such as frozen shoulder), arthritic conditions, whiplash and some forms of migraines.

    Apart from increasing lymph flow, manual lymphatic drainage is effective in treating acute sporting injuries by reducing swelling and thus relieving pain. The techniques have an analgesic effect due to the rhythmic massage like movements that patients find calming.

     

    Examples of conditions include:

    • Primary Lyphoedema íV congenital in origin, which usually requires the use of compression garments
    • Secondary íV non congenital in origin including post surgery, inflammatory conditions, paralysis & trauma

    Specific conditions that respond to Lymphatic drainage include:

    • Chronic sinusitis
    • Haematoma and oedema around the eyes
    • Tinnitus íV if the cause is due to oedema around auditory nerve
    • Musculoskeletal trauma
    • Stress íV lymphatic drainage has a calming affect on the sympathetic nervous system


     

    RUNNING ASSESSMENT

     

    Why Do a Running Assessment?

    Jogging is one of the most enjoyable and great ways to keep fit, but it is a repetitive sport that places stress on joints from the feet to the lower back. Up to sixty five percent of joggers carry a running related injury that is often related to poor biomechanics (body alignment). Whether you run recreationally or competitively, it is important that you are injury free.

    Common injuries caused by inefficient biomechanics are:

  • Knee pain such as 'runner's knee' or maltracking of the knee cap
  • Hip discomfort or bursitis
  • Lower back / pelvic dysfunction
  • Feet issues such plantar fasciitis, ingrown / loss of toe-nails
  • Soft tissue injuries such as hamstring, groin and calf strains
  • Achilles tendonitis

  • What is a Running Assessment?

    Our running assessments look at the way you run.We use a multidisciplinary approach consisting of a team of sports specialists: an Exercise Physiologist, Physiotherapist and Podiatrist. Such expert knowledge and analysis ensures excellent running technique, optimal performance and injury prevention.

    We use the most advanced filming and computer software; EMG (electrical impulse measurement of muscle recruitment patterns); and real time ultrasonography (RTUI) to provide objective data on how your body moves. Our team then evaluates this information to identify any biomechanical problems and muscle imbalances.

    Benefits of a running assessment are:


  • Identification of poor running techniques
  • Objective measurements of muscular imbalances
  • Improved running performance
  • Injury prevention & treatment protocol
  • An extensive core stability & fitness program

    We keep you running at PhysioMotion

  •  
     
    PhysioMotion offers the following running assessments:

    A. Basic Assessment         1-1¼ hr
  • Full physical assessment
  • Video capture with anatomical referencing
  • Technical analysis of current running style
  • Advice regarding running specific exercises
  • Footwear recommendations

    B. Advance Assessment       2.5 hr
  • Full physical assessment
  • Video capture with anatomical referencing
  • Technical analysis and report with video clips
  • Technique modification recommendations
  • Running specific exercise program & training session
  • Footwear recommendations

    C. Running Specific Program       (1 hour per session)
  • Running technique modification program
  • Specific muscle activation training using EMG and RTUI
  • Customized exercise program from beginner's to advanced
  • Field, gym or clinic based sessions


    *Package C available only upon completion of package A or B.
  •  
     
    Copyright © 2008 PhysioMotion Ltd.
    Designed by Winnie Chan