Emergency And Acute Physiotherapy
musculoskeletal conditions are commonly encountered in clinical
practice. General Physicians (GP) or Accident and Emergency (A&E)
Doctors are the first line of contact with these kinds of patients. The
onsets of acute musculoskeletal injuries are either traumatic or
Traumatic onset includes road traffic accidents, direct or indirect injuries, falls, sporting clashes and industrial accidents which warrant an immediate attention to the Accident and Emergency Departments. Non-traumatic onset are usually mechanical in nature such as lifting heavy weights, getting up from bed from awkward positions, sudden onset of pain with faulty postures, acute sprains and strains with sporting activities and acute exacerbation of chronic conditions.
Common acute musculoskeletal conditions include acute back pain with prolapsed disc or facet joint locks, acute muscle strains and acute ligament sprains in the knee’s and ankle’s. Such patients are self-referred to GP’s or A&E for first line of medical management. After their consultation, patients will be referred to Specialist Physiotherapist for emergency physiotherapy services, as an adjunct to medical management for pain relief and to improve functions in the acute stage.
Specialist Physiotherapist identifies the cause, nature and
behaviour of pain, pathology of pain and classifies the acute
musculoskeletal condition under either inflammatory or mechanical or
inflammatory imposed by mechanical nature. With appropriate examination
and sound clinical reasoning, physiotherapist administers different
management techniques to relieve pain and maximize function along with
the medical management.
Specialist physiotherapists includes various techniques like McKenzie approach (Mechanical Evaluation, Diagnosis and treatment) to reduce acute pain secondary to disc pathology, Manual techniques like joint mobilisation, manipulation, muscle energy techniques, positional release technique, neural mobilisation technique’s (if necessary), soft tissue and deep tissue mobilisation, preferred therapeutic exercises, pilates exercises, electro physical agents like therapeutic ultrasound, TENS and stabilisation supports like brace, corset and tapping to reduce pain and to improve the functional activities like sitting, standing, walking, sleeping and return to sports as early as possible.
This Emergency Physiotherapy Services arrests the pain at early stage and inhibits progressing to sub-acute and chronic stage which improves patient’s quality of life immediately and operationally it minimises the costs, waiting time and length of stay in the acute hospitals.
Our Specialist Physiotherapist, Mr. J Jacob Praveen has strong passion and interest towards acute musculoskeletal conditions. He completed his Master of Physiotherapy endorsed in Orthopaedic Manipulative Therapy (OMT) and Post Graduate Diploma in Physiotherapy endorsed in Manipulative Physiotherapy at University of Otago, New Zealand in the year 2014 and 2008 respectively after graduating his Bachelor’s from Dr. MGR University, India in 2005. Since then, he has been practicing in different clinical setting under neuro-musculoskeletal discipline.
He worked at Changi General Hospital for 6 years in out-patient musculoskeletal subsidised clinic encountering different kinds of musculoskeletal conditions at different stages of chronicity (acute/sub-acute/chronic). In his last couple of years, he worked with different disciplines of Accident and Emergency Team at Changi General Hospital to address to all kinds of acute musculoskeletal patients.
He has treated many acute musculoskeletal patients at outpatient A&E clinic, at the bed side in short stay units and observation units with various injuries. He finds completeness of heart and much satisfaction when patients coming to him in painful tears, in emergency trolley’s, in wheel chairs and with assistance and making them smile, sit, stand and walk independently after the treatment sessions. Thus, providing effective clinical care to the patients with acute musculoskeletal conditions.