Sacroiliac Dysfunction

If you are experiencing

·         Dull unilateral low back pain

·         The pain is often a mild to moderate ache around the dimple or posterior superior iliac spine (PSIS) region

 

 

·         The pain may become worse and sharp while doing activities such as standing up from a seated position or lifting the knee towards the chest during stair climbing.

·         Pain is typically on one side or the other (unilateral PSIS pain), but the pain can occasionally be bilateral.

·         When the pain is severe (not always), there can be referred pain into the hip, groin, and occasionally down the leg, but rarely does the pain radiate below the knee.

You might be suffering from Sacroiliac Joint Dysfunction (SIJ)

Sacroiliac joint dysfunction generally refers to pain in the sacroiliac joint region that is caused by abnormal motion in the sacroiliac joint, either too much motion or too little motion. It typically results in inflammation of the SI joint, or sacroiliitis. Women are considered more likely to suffer from sacroiliac pain than men, mostly because of structural and hormonal difference

The hormonal changes of menstruation, pregnancy, and lactation can affect the integrity of the ligament support around the SIJ, which is why women often find the days leading up to their period are when the pain is at its worst. During pregnancy, female hormones are released that allow the connective tissues in the body to relax. The relaxation is necessary so that during delivery, the female pelvis can stretch enough to allow birth. This stretching results in changes to the SIJs, making them hypermobile—extra or overly mobile. Over a period of years, these changes can eventually lead to wear-and-tear arthritis. As would be expected, the more pregnancies a woman has, the higher her chances of SI joint problems. During the pregnancy, micro tears and small gas pockets can appear within the joint.

Should you have the mentioned symptom, you will need to undergo a series of Physiotherapy Treatment. The therapy sessions will include pain relief (using electrical Stimulation), mobilization and exercise However, you will need to see your Doctor if the symptoms persist for further medical evaluation. At iREHAB, we believe having a multidisciplinary approach allows a holistic view of conditions therefore able to provide the best intervention possible.

 

Call us should you require further information at +603-56315698.

iRehab Physiotherapy Services At Your Doorstep!

Eating, bathing, getting dressed, driving and walking are just the few of the many functional activities that people do on a daily basis. How would life be if individuals are not able to perform these basic life skills independently? What are the repercussions on people surrounding a patient who is dependent on performing basic daily activities?

            “Physiotherapy is concerned with identifying and maximizing movement potential, within the spheres of promotion, prevention, treatment and rehabilitation” (p1, Kumar et al., 2010). 

            Physiotherapy is responsible to restore and enhance the functional activities of patients. Patients may present with impairments such as muscle pain, joint pain, muscle weakness, neck and back pain, joint stiffness or shortness of breath which would potentially lead to disabilities such as difficulty to eat, walk, and work or even to drive a car. Paediatrics cases such as cerebral palsy, down syndrome, torticollis and many other child related disorders may be successfully treated by a competent physiotherapist.

            Physiotherapists would assess adequately and identify the problems the patient have and the causes of these problems. Treatments in physiotherapy encompass a holistic approach. Common cases such as back or neck pain may not have its origin of pain at the problematic site, but may actually be caused by other parts of the body such as an abnormal foot placement, or even an abnormal tilt of the pelvic bone.  Necessary treatments would be provided to address each problem identified.

            iRehab is a physiotherapy and stroke rehabilitation centre based in SS17, Subang Jaya and has qualified and experienced therapists. We specialise in prevention, treatment and rehabilitation of musculoskeletal conditions (including sport injuries, spinal pain), neurological conditions, conditions in paediatrics, amputations, cardiorespiratory and vestibular disorders. We also provide weight loss program which would be designed specific for each individual needs and requirements, based on their level of strength and endurance. Physiotherapy treatment methods such as therapeutic exercises, electrical modalities, thermal modalities, mechanical modalities, manual physiotherapy, biofeedback and assistive devices are utilised within this centre for optimal rehabilitation of any condition. Our physiotherapists practice base on research evidence for maximal care and benefit of interventions. 

            iRehab gives the opportunity to all patients for access to physiotherapy services by providing transportation services and rehabilitation packages. For patients who are unable to have access to our facilities, we go a mile further by providing treatments for patients in their convenient surrounding.

Lokomat Nanos System: The Latest In Malaysia

Physical disabilities and functional limitations have profound implications on public health with increased utilisation of health care and a need for supportive devices and long term care (Fried & Guralnik, 1997). Furthermore, adverse consequences such as dependency and institutionalisation are major repercussions of physical disabilities (Jack & Luigi, 2003). The achievement of independent performance of the activities of daily living, specifically the ability to walk would prevent the negative consequences of functional limitations.

          The latest technology in Malaysia, the Lokomat Nanos System is a robotic gait (walking) orthosis assisting patients who have impairments in walking due to neurological (stroke, spinal cord injuries, traumatic brain injury, multiple sclerosis) or musculoskeletal disorders. This modern and hi-tech approach towards physiotherapy management has established itself with great effectiveness for improving over-ground walking function in patients.

          Currently in Malaysia, patients are only able to be manually assisted by the physiotherapist on the treadmill however it is performed with great difficulty due to reduced body weight support by the patient and the high physical demands on the physiotherapist. The Lokomat would provide adequate support for severely impaired stroke patients to train longer with more repetitions thereby keeping training at a challenging level.

            The Lokomat System comprises of:

·         A robotic gait orthosis - this system works by guiding the patients’ legs on the treadmill according to programmed physiological walking pattern and task-oriented. The computer allows individual adjustments in the parameters of walking.

·         The Augmented Feedback – provides motivating, challenging and instructive functional feedback in real-time virtual environments.

·         A body weight support system – facilitates patient handling and optimizes physiologic gait training. The body weight support is adjustable and automated.

·         A treadmill - patient obtains sensory information through stepping on the treadmill, which is an important contributor to motor relearning.

            In a systematic review by Mehrholz et al. (2007), it was shown in 414 stroke patients that electromechanical-assisted gait training combined with physiotherapy improves recovery of independent walking as well as increases the distance of walking. For patients with spinal cord injury, Lokomat training resulted in significant improvements in patients’ gait velocity, endurance, performance of functional tasks as well as modifies abnormal reflex function (Hornby et al, 2005; Wirz et al., 2005 & Mirbagheri et al., 2005). Therefore generally after having sessions with the Lokomat, patients would improve their balance, coordination, postural or distal control leading to a more physiological gait pattern and better walking ability.

            The Lokomat Nanos System have arrived in iRehab for a more effective provision of physiotherapy treatments to patients. Lokomat Nanos System, another step towards our motto “Making Movement Possible”

SJ Echo October 2011 Issue iRehab Write Up: Physiotherapy Ends Low Back Pain

SJ Echo June 2011 Issue iRehab Write Up: Get Help at iRehab (Article on Knee Osteoarthritis)

SJ Echo May 2011 Issue iRehab Write Up: Stroke Rehabilitation at Your Doorstep