Phoenix Rehab Novena Clinic Launch
Dear doctors, patients and friends, we are going to launch Phoenix Rehab @ Novena tentatively on Monday, 8th January 2018 (see clinic location and details here), subject to finalizations related to renovations and pre-launch activities. There is lots more to do, including the completion and upgrading of this website, but we are very excited for this opportunity to serve you.
Update you soonest!
Phoenix Rehab Group
Runners Bum and Physiotherapy
Runners Bum Singapore and Physiotherapy Intervention
Also known as piriformis syndrome, it causes “sciatica”, where is a common term that happens when one has a slipped
disc (in medical terms, it’s called disc herniation), and the disc presses onto
the sciatic nerve, causing sciatica, which is a pain that shoots downwards from
the buttock to the leg.
Okay, here’s the thing, sciatica can be caused by more than one factor such diseases
to/of the lumbar spine such as slipped disc like we mentioned earlier,
long-standing tendinitis of the hamstrings as well as fibrous adhesion of the
sciatic nerve by nearby surrounding tissues. Sometimes in athletes, the piriformis
muscles may irritate the sciatic nerve, causing pain in the buttocks and pain
(direct or referring) along the length of the sciatic nerve.
This pain, termed as sciatica, often travels down the back of thigh and into
the lower back. Patients who have this syndrome generally complains of a deep
pain or tenderness in the buttocks, which is aggravated by sitting, climbing
stairs or doing squats/squat-like exercises. Our piriformis muscles helps us in
abducting our thighs (bringing outwards) and externally rotating our thighs
(rolling upwards, as in sitting cross-legged).
With this information, imagine this: while balancing on your left foot, move
your right left directly sideways away from your other thigh and rotate your
right thigh such that your right toes points towards the ceiling. Done it? That
is the ability and action of your right piriformis muscle.
Stretching the muscle almost always duplicates the pain. To stretch the
piriformis, there are two methods:
#1: The Complicated But Complete Way to Runners Bum Singapore:
Lie on your back and bend your affected hip and knee. To make things easier
to understand, let’s assume that you have a right-sided piriformis syndrome. So
you will be lying on your back and your right hip and knee will be bent. Use your
left hand to hold onto the back of your right knee and pull your right knee
towards your left shoulder.
This causes your right piriformis to adduct and flex. Not letting go yet,
use your right hand to grab your suspended right ankle and rotate the ankle
outwards. What this does is that it causes your hip to go into internal
rotation to complete the stretch. Why I term this complete because gravity and
body weight causes you to fully stretch your piriformis.
#2: Shorter Quicker Way to managing Runners Bum Singapore:
Stand on your left foot and place the right foot on a chair or low but firm
table, your right knee and hip needs to be bent at about 90 degrees. Using your
right hand, press your right knee towards the left side of the body whilst
keeping your ball of your right foot on the same spot on the chair
What causes runners bum Singapore?
The piriformis muscle lies deeper below the buttock (gluteal) muscles; it
starts/originates from the spine of the sacrum and extends to attach to the
greater trochanter of your femur, which is the bony bulge on the outside and
top of your thigh. Usually the sciatic nerve is located underneath the piriformis
muscles, but in about 10-20% of the population, the sciatic nerve passes
through the muscle. Common understanding is that acute injuries or long-term
injuries to the piriformis causes swelling that squeezes/irritates the sciatic
nerve, causing sciatica. People and patients who falls into this 10-20% are
more predisposed to this condition.
The piriformis syndrome is usually diagnosed based on clinical history
review, identification of symptoms and by manual, physical examination. Although
there are no exact tests that can accurately confirm and pinpoint the
diagnoses, but often X-rays, nerve conduction test and MRI may be utilized to
exclude other problems/issues. As mentioned above, other causes of sciatica
include lumbar spine diseases such as slipped disc, long term tendinitis of the
hamstring and fibrous adhesions of other tissues/muscles around the sciatic
nerve. That being said, there are two well-described tests that have been
clinically validated, which are:
- The FAIR-test, which is an electrophysiological
test which measures delay in sciatic nerve conduction when the piriformis
muscles is stretched against it
- Magnetic Resonance Neurography, an advanced
version of the MRI that highlights inflammation and the nerves themselves
Once accurately diagnosed, step-by-steps treatments to treat runners bum singapore are provided:
- Progressive piriformis muscle stretching, starting with
FIVE (5) seconds of sustained stretch and slowly working up to SIXTY (60)
seconds at a go. This is to be done several times daily.
- To combine with: Ultrasound
therapy, gentle massage, strengthening
- Any abnormal biomechanical problems be identified and
managed. This include abnormal walking patterns such as overpronation of the
If these all don’t work, you may want to consider getting injections of
corticosteroid into the piriformis muscle. A caring and good sports medicine
doctor and physician with clinical experience caring for athletes with
piriformis syndrome will help to direct appropriate physiotherapy management. With
accurate diagnosis and treatments, this syndrome is easily managed.
Return to Urbanrehab: Physiotherapy & Rehabilitation Specialists from our Runners Bum Singapore page
Where to next?
- Make An Physiotherapy or Hand Therapy Appointment
- Arrange A CallBack or Make An E-Enquiry Here
- See the list of physiotherapy conditions we treat
- Return to Urbanrehab's Physiotherapy and Hand Therapy Singapore Home Page from Piriformis Syndrome Page
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Our Physio & Rehab Expertise
Phoenix Rehab Group works with specialist physiotherapists and specialist rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.
Areas of specialization
- physiotherapy: back and neck (spine), sports, shoulder, hip, knee, ankle
- hand therapy: forearm, wrist, hand and fingers
- podiatrist: leg, calf, ankle, foot and toes
- read more on our specializations here
All our therapists are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCM). See our entire team here by location and specialization.
Initially, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover. They then 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
To call for inquiries or appointments, please contact us at:
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We appreciate you as a patient and want you to know that the #1 way we grow as a clinic is through word of mouth referrals from valued patients like yourself.
We do not rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients.
When you have the opportunity, please take the time to tell your family, friends and physicians about the positive results and experience you have had in our clinic.
Thank you so much, and stay healthy!
PHOENIX REHAB APPOINTMENTS & ENQUIRIES
Please Call/SMS/WhatsApp to xx, thanks!
We are a wholly Singapore Private Limited group of licensed physiotherapists, hand therapists, podiatrists, chiropractors, sports massage therapists, clinical pilates practitioners and TCM physicians practicing in our scope of rehabilitation and its areas of specializations.
As listed in our website are the list of services we provide our clients as referred by their medical doctors or by self referrals/word of mouth, but you can also make an appointment without seeing any doctors (that being said, if you do need a referral to a specialist orthopedic surgeon or sports GP, we will recommend you too as value added service at no additional costs to you).
The range of rehabilitation results vary from patients to patients, depending on a variety of factors and reasons such as severity of condition, genetics, gender and age. However, we will still deliver the best evidence-based-practice of physiotherapy, hand therapy, TCM, sports training and deep tissue release therapy that we can deliver (we are proud to say that we try our best to only engage the most experienced and specialist therapists - which makes a big difference in clinical outcomes).
The information available on this site is for educational purposes only, if you need a full professional advise on physiotherapy, hand therapy and occupational therapy, please schedule an appointment with us by contacting our staff by Call/SMS/WhatsApp at xx or email email@example.com, thanks!