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Manual Therapy Physiotherapy
Manual therapy, or manipulative therapy, is a physical treatment
primarily used by physical therapists, physiotherapists to treat
musculoskeletal pain and disability; it most includes kneading and
manipulation of muscles, joint mobilization and joint manipulation.
We employ manual therapy and manipulation therapies for the treatment of
health conditions and problems using a physical, hands-on intervention. Here in
our physiotherapy clinics of Phoenix Rehab Group Singapore, we utilize and offer a range of manual
techniques and solutions for you, depending on your medical conditions.
The benefits of manual therapy and physiotherapy techniques are:
- quick bones, joints and muscles pain relief
- accelerating recovery time for
- improving the active and passive range of motion (ROM) of joints
- decreases soft tissue (muscles, tendons, joints) inflammation
- induces relaxed states and optimal length of muscles
- normalize and optimize movement
- improving overall mobility and function
Using a manual and manipulative techniques are very useful in the management of
musculoskeletal and orthopedic conditions, where pain can cause weakness and lack/fear of movement that leads to stiffness that in turn can set and lock
Often, a quick respond and result will follow when
Some patients conditions will benefit from regular sports massage and deep tissue release
sessions, to decrease muscle spasms that comes from pain, prolonged
An example is with hand therapy where our senior hand therapist will apply manual therapy techniques, say for a patient who had a fall and presents with a left wrist distal radial fracture (wrist fracture).
Typically, if the fracture is mild and stable, the treating doctor will place the patient on cast or customized wrist splint, and after 2-4 weeks, once x-ray shows that the fracture is stable and healing well, to start hand therapy.
By 2-4 weeks, patients almost always presents with wrist stiffness and decreased range of motion to the wrist (flexion, extension, ulnar/radial deviations). The senior hand therapist will then, if there is no contraindication,
manual therapy Techniques
Therapy targets the muscle and fascial systems, promotes flexibility
and mobility of the body's connective tissues. It is said to mobilize
adhesions and reduce severity/sensitivity of scarring. A critical analysis finds that the relevance of fascia to therapy doubtful.
may be used as part of a treatment. Proponents claim this may reduce
inflammation. Science writer Paul Ingraham notes that there is no
evidence to support the claim.
- Friction massage is said to increase mobilization of adhesions
between fascial layers, muscles, compartments and other soft tissues.
They are thought to create an inflammatory response and instigate focus
to injured areas. A 2012 systematic review found that no additional
benefit was incurred from the inclusion of deep tissue friction massage
in a therapeutic regime, although the conclusions were limited by the
small sample sizes in available randomized clinical trials.
- Soft Tissue Technique
is firm, direct pressure to relax hypertonic muscles and stretch tight
fascial structures. A 2015 review concluded that the Technique is
ineffective for lower back pain, and the quality of research testing its effectiveness is poor.
- Trigger Point techniques claim to address Myofascial Trigger points, though the explanation of how this works is controversial
and reviews in 2008 and 2009 call into question whether trigger points
are a valid diagnosis at all given the small amounts of poor quality
Manual therapy practitioners often use therapeutic taping to relieve
pressure on injured soft tissue, alter muscle firing patterns or prevent
re-injury. Some techniques are designed to enhance lymphatic fluid exchange. After a soft tissue injury to muscles or tendons from sports activities, over exertion or repetitive strain injury
swelling may impede blood flood to the area and slow healing. Elastic
taping methods may relieve pressure from swollen tissue and enhance
circulation to the injured area.
styles of manual therapy
There are many different styles of manual therapy. It is a fundamental feature of ayurvedic medicine, traditional Chinese medicine and some forms of alternative medicine
as well. Those that are linked are what we have available in our physio clinics.
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Phoenix Rehab Physio Services
Phoenix Rehab Group works with specialist physiotherapists and rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
HAND THERAPY & SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand
following injuries or post-operations as well as custom made hand splints.
Commonly treated hand pain injuries includes
CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to
- accelerate recovery and
- shorten downtime / recovery period required
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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