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Pes Anserinus Tendinitis: The main cause of Medial Knee Pain in Runners?
Apr 2010

With more Singaporeans taking part in endurance runs, the number of people complaining about knee pain is also increasing. If we actually ask our patients where the exact location of the pain is, they tend to point to the anterio-medial aspect of the knee

Physiotherapy and Idiopathic Scoliosis: A new approach in the management of scoliosis
Mar 2010

The non- surgical, conservative treatment and management of idiopathic scoliosis has been traditionally included the use of a rigid brace, physiotherapy treatment involving the release of tight muscles and core strengthening exercises and in some cases manipulation by chiropractors. Although these techniques have been used for many decades, the overall management lacks specificity.

Lateral Ankle Sprain: Why is it so recurrent?
Feb 2010

Lateral ankle sprain is one of the most common sites for acute musculoskeletal injuries accounting for 75 percent of ankle injuries. More than 25,000 ankle sprains occur each day in the United States. Lateral ankle sprains are the most common injury, from both competitive and recreational sports to even our day-to-day life, yet they are so often mistreated or not treated at all. The biggest consequence of this neglect is a recurrent ankle sprain due to weakness of the ankle muscles leading to an unstable joint

Whiplash-Associated Disorders : A Review of Non-Pharmacological Treatment Protocols
Jan 2010

The number of road accidents in Singapore has grown steadily in the last few years. In 2008, a total of 14,995 road accidents and 10,000 related injuries were recorded. With figures like these, we can expect an increase in whiplash injuries whereby the family doctor will be the first to be called on. This article will discuss common treatment options for a whiplash injury and the research into the efficacy of these treatments

Tennis/Golfer’s Elbow: Tendinitis or Tendinopathy?
Dec 2009

Very often, patients with pain either over the lateral or medial side of the elbow, are diagnosed with having Tennis or Golfer’s elbow respectively. Patients have been known to have recurrent pain and that the prognosis for complete recovery has been about 46-49%. But why does such a simple problem have such moderately poor prognosis? The answer lies with poor compliance to treatment and coping strategies. This poor compliance arises from the inadequate understanding of the nature of injury

Oct 2009

A collection of articles written by Core Concepts specialist physiotherapists . Workplace Health affects us in many ways . It improves our overall physical well-being as well as our emotional and mental health . Today the world is facing numerous challenges including the threat of a global recession . Nerves at the office are frayed . Tension is high . Workplace Health is not the sole panacea to most of our problems but they can help eleviate some of the

Shoulder Instability
Oct 2009

Proper function of the shoulder complex is essential in most sports performance. As the most mobile joint with six degrees of freedom, the greatest challenge is to maintain shoulder stability during movement. Sports that require overhead activities like swimming, tennis and cricket are in the high risk group for unstable shoulders. Patient history may reveal a traumatic incident where the shoulder was dislocated, repetitive microtrauma from sporting activities or even non-traumatic cases where the shoulder feels like it “pops” out. The situation is evident in people with general joint hyperlaxity. A proper shoulder history and appropriate clinical tests will help to diagnose an unstable should

A Case Study: Spasmodic Torticollis & Physiotherapy
Sep 2009

Spasmodic Torticollis (ST) also known as cervical dystonia is a syndrome where the muscles in the neck contract involuntarily. This results in involuntary twisting, turning or tilting of the head and neck. These contractions may be sustained or occur in spasms. ST is usually accompanied by pain. Although it is said that ST occurs as a result of a dysfunction of the brain, the exact cause to how the nervous system of the brain goes awry remains unknown

Shoulder Impingment: The What, Why and How
Aug 2009

It is a well documented fact since the mid-1990s that shoulder pain is the second most common musculoskeletal complaint in physiotherapy clinics after low back pain. Commonly, patients would complain of pain over the lateral aspect of the shoulder (over the deltoid tubercle) and/or have difficulty lifting their arm up. The common diagnosis would normally be either a frozen shoulder or shoulder impingement. But what causes the pain? Primary causes of shoulder pain have been difficult to pin down due to the complexity of the shoulder

Use of real-time ultrasound imaging in the rehabilitation of spinal muscles
Jul 2009

Retraining of the core muscles in spinal rehabilitation is now widely accepted as beneficial in the management of low back pain. The inhibition and the loss of control of the Multifidus and Transverses Abdominus as a result of low back injury do not recover spontaneously (Hides et al, 1996; Hodges and Richardson, 1996) and require specific exercises in stimulating their recovery (O’Sullivan, 2000). The use of real time ultrasound imaging facilitates this process by accurately diagnosing poor motor pattern and accelerates motor learning through instant visual feed back

Core Concepts