Home > Blog > Structural Imbalance Physiotherapy

Structural Imbalance Physiotherapy

Perhaps you may have heard of this word "structural imbalance" before, especially when we're diagnosed of our physical

  • aches
  • pains
  • fatigue

The better way to explain and understand this is to start from the other side, "structural balance".

structural balance

Structural balance refers to the best and optimal position and positioning of our musculoskeletal system:

  • bones
  • joints
  • muscles
  • tendons
  • ligaments

This means that when there is a weight or load is applied or passed through that part of the body, this weight is effectively managed and loaded through the structure. "Effective" and "efficient" means to hold and move load well in a particular direction.

(Usually it can hold well in one or few directions, but not in another. Eg our knee joint can help to load and move us forward BUT not backwards.)

Structural imbalance is the opposite of this, hence, our

  • bones
  • joints
  • muscles
  • tendons
  • ligaments

isn't able to hold the load in the most effective and efficient position.

Same example above, our knee joint.

It's fantastic to hold and move the weight as we stand, walk, jog, run and pivot and the direction is generally to move forward. However, if we get a strong force or kick at the side or front of our knees, our knee joint can break and damage.

For any joints where two (or more) bones meet, they work best when the joint is able to move in a specific direction (eg our knees, elbows, toes). Other joints like our ankles, shoulders, hips, wrists, thumb and neck have a lot more movement.

When the structures that make the joints are

  • balanced
  • work synergistically well together

- then weight and load is effectively passed along when the bone is the strongest and any pressure on the joint is directly on the plane of movement - this is the most ideal position because load/stress is spread out balanced/equally.

what happens with structural imbalance

When the structures are not balanced, loads and stressed are not evenly spread out. More often than not, one side is bearing more load and weight.

Structural imbalance can be caused by

  • wearing out of joints
  • torn ligaments
  • dislocated joints due to trauma or laxity
  • etc

The beginning of a vicious cycle:

When there are joints or structures are imbalanced, they tend to start a painful and vicious cycle that will cause the condition to get worse and worse when unmanaged.

An example of this, if you have an imbalance due to your left knee having pain, your body will compensate with the other knee and body parts, causing your left knee being under-used and becoming weaker...aggravating the imbalance.

The imbalance causes more knee pain...and the cycle continues.

Note: imbalance structures themselves are not always painful.

Most adults have some levels of joint degeneration but don't feel any forms of pain, and this is normal part of ageing.

Pain only happens or set in when:

  • nerves are pinched/squeezed as the space between joints narrow from wearing out
  • when over-compensation causes some muscles to be over-used or overly-tight
  • etc

Back to Top

book an appointment today
(or check your pains / injuries)

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.


Patients who sustained injuries to their elbows, forearms, hands, wrists (sprains and fractures) and fingers, usually will benefit / require Hand Therapy to

  1. manage and decrease hand pains
  2. improve range of motion, strength and dexterity
  3. increase the function of their hand following injuries or post-operations

Commonly treated hand pain injuries includes


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 and conditions.

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.


  • Cupping TCM
  • Auricular Therapy TCM
  • Herbal TCM Medicine & Supplementation


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 performance. Having regular deep tissue and sports massage will keep 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 solution.

do Tell Your Family, Friends And Colleagues About Us =)

We appreciate you as our valued clients and want you to know that the # 1 way we grow as a clinic / brand is through word of mouth referrals from valued patients like yourself.

We prefer not to rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients. When you have the chance, please tell your family, friends and physicians about the positive results and experience you have had in our physio clinics.

book an appointment today
(or check your pains / injuries)

Recent Articles

  1. Physiotherapy and Hand Therapy at Tampines Singapore

    Jan 18, 23 03:01 AM

    Phoenix Rehab Physiotherapy and Hand Therapy at Tampines Singapore

    Read More

  2. Germaine Sim Hand Therapist

    Dec 11, 22 03:43 AM

    Germain Sim is a hand therapist practicing hand therapy, splinting, assessing and treating finger, hand and elbow pains in Phoenix Rehab

    Read More

  3. Adele Ang Principal Physiotherapist Singapore

    Jun 29, 22 08:32 AM

    Adele is a registered physiotherapist with over 25 years of experience including treating national athletes as well as recreational athletes having worked in Singapore Sports Council and Singapore Spo…

    Read More

  4. Achilles Tendon Pain Physiotherapy

    Feb 03, 22 04:05 AM

    Achilles tendon pain is very common among recreational and elite sportspeople. But it is also common among sedentary individuals

    Read More

  5. Tendonitis Physiotherapy & Hand Therapy

    Feb 03, 22 12:16 AM

    Tendonitis, tendinopathy and tendinosis are all tendon injuries and treated by physiotherapists and hand therapists

    Read More

  6. Cervical Spondylosis Physiotherapy

    Jan 11, 22 02:01 AM

    Cervical spondylosis is a general term to describe the degenerative condition in the neck which results in pain and other symptoms

    Read More

  7. Tendon Pain Tendinopathy Physiotherapy

    Jan 07, 22 12:28 AM

    Tendinopathy (tendon injuries) can develop in any tendon of the body and has many names such as tendinitis and it can be treated with good tendon physiotherapy

    Read More

  8. The importance of staging and compression in tendinopathy physio

    Dec 15, 21 01:47 AM

    Tendon problems are common in runners and can become a persistent issue if not properly treated.

    Read More

  9. Tendon Pain Physiotherapy and Hand Therapy

    Dec 14, 21 11:23 PM

    Pain and pathology in a tendon, known as tendinopathy, is a common injury in athletes that can be difficult to manage. Physio and hand therapy can help healing

    Read More

  10. Tendon Injuries Physiotherapy, Hand Therapy, TCM & Massage

    Dec 07, 21 01:31 AM

    We use the world’s best tendon recovery programs through cutting edge treatment techniques for all tendon injuries (and tendon injuries differ accordingly)

    Read More