Services by Modality & Speciality Areas | Back In Health Singapore

SERVICES


OSTEOPATHY



Our osteopathy treatments incorporate dry needling and cupping at no extra charge to ensure you receive the best results. We offer osteopathy at both clinics, in the city and Novena. Home visits can also be arranged. Please contact us to discuss availability.

Osteopathy is a system of manual medicine that focuses on diagnosing and treating disorders of the musculoskeletal system, which comprises of bones, muscles, joints, and nerves.

Osteopathy is a regulated manual medicine discipline that focuses on the health of your whole body, and can be thought of as a holistic method of healing. This means that the body is not looked at in isolation but as part of a whole. Dysfunction in one area of the body can profoundly affect and manifest in other areas of the body. The goal of an osteopathic treatment is to remove the obstacles (i.e. postural strains or imbalance) and allow the body to restore itself to a natural state of health.

Osteopaths have an expert knowledge of the workings of all your joints, muscles and body systems, and treat the body using a variety of techniques that include stretching, massage, mobilisation and safe joint manipulation. They also provide advice regarding exercise and postural considerations.

Once a favourable treatment outcome is reached, the patient is encouraged to maintain their health by exercise and stretching.

Osteopathy is an effective means to treat:

• Headaches & Migraines
• Back & Neck Pain
• Shoulder, Elbow and Wrist Pain
• Tennis/Golfers elbow


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• Carpal Tunnel
• Sciatica
• Hip, Knee & Foot Pain
• Tendonitis
• Chronic Overuse (RSI)
• Muscular & Joint Pain
• Muscular & Joint Stiffness
• General tightness
• Arthritis
• Postural Problems
• Sports & Work Related Injuries
• Pregnancy Related Pain

DRY NEEDLING



Dry needling is incorporated as an adjunct treatment to our osteopathy treatment at no extra charge.

Dry needling (Myofascial Trigger Point Dry Needling) uses fine, pre-sterilized disposable needles for the therapy of muscle pain.

Whilst Myofascial dry needling and Acupuncture use the same kind of needles and the needling techniques may overlap, dry needling is based on western anatomical and neuro-physiological concepts and predominantly focuses on the assessment and treatment of the musculoskeletal system.

Dry needling can be used to deactivate trigger points, treat overactive motor points, and strengthen tendons and ligaments. Dry needling also helps to increase blood flow, which helps treat chronic muscle tension and spasm, delivering oxygen and other nutrients to the affected and painful tissues. It also removes harmful metabolic waste on a cellular level.

From a neuro-physiologic point of view, dry needling can also reset motor points, neural control, and stimulate other important reflex mechanisms. It also has a strong effect on pain control by releasing certain neurotransmitters from the brain.

All of our practitioners have trained extensively in dry needling and have completed advanced certifications. They also utilise electro-needling, which enhances the effects of regular Myofascial dry needling, leading to better treatment outcomes for our patients.

Dry Needling is used to provide treatment for:

• Back & Neck Pain
• Shoulder, Elbow and Wrist Pain
• Tennis/Golfers elbow
• Carpal Tunnel


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• Sciatica
• Hip, Knee & Foot Pain
• Tendonitis
• Chronic Overuse (RSI)
• Muscular & Joint Pain
• Muscular & Joint Stiffness
• General tightness
• Arthritis
• Sports & Work Related Injuries

CUPPING



Cupping is incorporated as an adjunct treatment to our osteopathy treatment at no extra charge.

Cupping therapy is based around the principle that suction from the cups draws the skin up and mobilises blood and energy around the body, encouraging the body’s natural healing process.

Cupping involves the skin and muscles being pulled into the cup, rather than compressed - much like a reverse massage or reverse pressure on the body. This causes increased blood flow to the affected area, which in turn helps to nourish and deliver oxygen to the tissues and encouraging the healing process with the therapeutic aim of removing congestion and pain.

There are two types of cupping available – mobile cupping and fixed cupping. Mobile Cupping involves massage oil being applied to the area prior to applying the cup. The cup is moved along the skin to treat the affected area. Fixed Cupping is used when a tight spot is encountered. The cups are applied directly to the site of pain or dysfunction and left there for 3-5 mins. Fixed cupping may leave marks that look like perfectly round bruises but they are normal and should disappear within a couple of days.

The history of cupping goes way back into antiquity and was practiced by numerous cultures. Reports of cupping have been found in Chinese, Hindu and Egyptian scriptures. Cupping is still practiced in Japan, China, Germany, Poland, Greece, Turkey, Brazil and many other countries and people in these countries, still keep a set of cups or jam jars in their first aid boxes.

Cupping can treat a range conditions, such as:

• Back & Neck Pain
• Tennis/Golfers elbow


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• Chronic Overuse (RSI)
• Muscular Pain & Stiffness
• General tightness
• Sports & Work Related Injuries
 

CLINICAL PILATES



Clinical Pilates is available at our Novena clinic only.

Pilates is a physical fitness system intended to strengthen the human mind and body, and is fundamentally based around the belief that mental and physical health are interrelated.

Pilates was developed in the early 20th century by Joseph Pilates, who studied and synthesised both Eastern and Western forms of exercise including yoga, acrobatics and martial arts. Believing that mental and physical health were interrelated, Pilates developed a system of exercises which were intended to strengthen the human mind and body. His method is accompanied with a variety of equipment or “apparatus”, each designed to help accelerate the process of stretching, strengthening, body alignment and increased core strength started by the mat work.

Clinical Rehabilitation Pilates more specifically is suitable for people of all fitness levels, and particularly for those with chronic injuries. Taught by a qualified Osteopath or Physiotherapist, Clinical Rehabilitation Pilates uses a full range of state-of-the-art Pilates equipment to seamlessly transition you from injury back to movement. Clinical Pilates is specific to the individual client and applies carefully chosen exercises to patients with specific injuries. This ensures optimal gains whilst minimizing the likelihood of aggravating the injury.

Pilates is incorporated into treatment solutions for:

• Back & Neck Pain
• Shoulder, Elbow and Wrist Pain
• Sciatica
• Hip, Knee & Foot Pain


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• Tendonitis
• Chronic Overuse (RSI)
• Muscular & Joint Pain
• Muscular & Joint Stiffness
• General Tightness
• Arthritis
• Postural Problems
• Sports & Work Related Injuries
• Pregnancy Related Pain

CORRECTIVE EXERCISE



Corrective exercise is available at our Novena clinic only.

Corrective exercise aims to help create and support the correct movement patterns to help your spine, joints and muscles be more efficient at handling loads. Corrective exercise also creates fewer movement compensations so you won’t be “wasting energy” because of inefficient movement. Our priority is to take a long term view in restoring the optimal function and efficiency of your kinetic chain based on individual assessment, results and needs.

Health and Wellness
Corrective exercise selection should prioritise ease of completion and convenience. Daily strategies and maintenance of the human movement system will be helpful in maximising health, fitness and recovery with the primary goal of maintaining a level of health and wellness. Part of maximising the health of your joints and muscles is maintaining the quality of your movement.

Hypertrophy
Hypertrophy refers to an increase in muscle size through exercise. Corrective exercises should be easy to apply and a natural part of the preparation sequence. We focus on decreasing impingement in joints that will be working hard and activating muscles that will contribute to hypertrophy.

Athletic Performance
Movement preparation for strength and conditioning, practice and competition must include sequences that optimise flexibility, neuromuscular efficiency, movement quality and be performance specific. Moving with higher quality and efficiency positively impacts performance on the field and court. We provide targeted flexibility and strengthening strategies to optimise movement and body control.

Sports Recovery Workouts
Many sportspeople can benefit from occasional corrective exercise workouts placed within their mesocycle to maintain kinetic chain health and performance in the midst of high-demand ADLs (activities of daily living) and movement patterns.

Post-Rehabilitation
After a patient has completed treatment and has been cleared by their healthcare provider to return to exercise, our goal is to optimise efficiency in movement and restore function.


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STRENGTH & CONDITIONING



Strength and conditioning programs are only available at our Novena clinic.

The strength and conditioning program aims to improve strength, power and endurance through aerobic and anaerobic physical exercises, leading to an improvement in overall health and well-being. The program is individually tailored, taking in consideration age, body type, and starting fitness level. For sportspeople, the type of sport, its requirements, and the level the client is competing at must also considered.

There are significant functional benefits to undertaking strength and conditioning training. It increases muscle, tendon and ligament strength, improves joint function, increases bone density, and increases fitness. This in turn results in improved cardiac function, increased metabolism, improved posture, provides better support for joints, and reduces the risk of injury from everyday activities.

For older people, a strength and conditioning program can prevent loss of muscle tissue, help regain some functional strength, and can prevent osteoporosis by improving bone density.


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SPORTS PERFORMANCE



Back In Health can help support sportspeople of all levels, from fitness enthusiasts to elite athletes, along their journey to achieve their sporting goals.

Preparation
Whether it be preparation in the lead up to a big sporting event or pre-season, Back In Health can assess if there are any areas of the body that are a hindrance in terms of tension or misalignment, that may later result in injury. Being proactive and addressing these issues early reduces the risk of injury and needless recovery time.

Performance
By consistently addressing muscle tension and strains that occur throughout training, we work to ensure that your body is moving optimally so you can be at your peak performance. If we identify ongoing problem areas, we can evaluate how your body functions through a series of movements, and suggest improvements and corrective exercises to address the problem.

Rehabilitation
In the unfortunate event that an injury does occur, we will assess the extent of the injury and test your range of motion. A comprehensive case history of how the injury happened will be recorded in order to plan a tailored treatment for recovery and prevent re-occurence.

Recovery and Maintenance
Back In Health can help reduce recovery time and maintain your body's performance through removing the obstacles to recovery, that may manifest in the form of muscle tension, pain and dysfunction.


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WORKPLACE



Our workplace treatments focus on teaching people how to maintain healthy body function whilst at work through preventative stretches and exercises, postural strategies on how to perform tasks to avoid injury, and rehabilitation from injuries to enable a safe return to work and avoid re-occurrence of injury.

Ergonomic Assessment
Technology based schooling, office, and recreation environments have seen an increase in excessive periods of sitting, which are detrimental to optimal body function, and can increase the risk of postural strain and injury in particular. We will provide an ergonomic assessment of work stations in these environments to identify risks and problems in the current setup, and arm patients with corrective changes, ongoing strategies and exercises to minimise risk of future strain and injury.

Repetitive Strain Injury (RSI) Prevention
RSI is a common injury in the workplace, often caused by performing very repetitive tasks. We investigate how patients are performing their tasks, and assess whether there is a more effective means of completing the tasks to avoid discomfort or injury. Techniques and strategies for managing employee wellness in this area would often involve providing a safer way to complete the same task and exercises to reverse the effects of completing the tasks.

Rehabilitation
In the event that an injury has already occurred, we use a variety of treatment methods to help the body recover and heal itself to enable the patient to return to work. This would be supplemented with providing patients with the tools and information needed to manage their injury in the workplace and avoid future injuries. We would also make suggestions to employers on ways to support our patients in their workplace.


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MATURE AGED CARE



Pain in the maturing population is often unrecognised and untreated. Ineffective pain management can have a significant impact on the quality of life in older adults, leading to a loss of function and movement. Manual therapy such as osteopathy and corrective exercises provide a gentle and non-invasive option for mature patients, which may be frail or have ongoing health conditions like arthritis or mobility issues, for example.

Arthritis, Joint & Muscle Restrictions
As we age, our spine starts to deteriorate and excessive strain may be felt over our joints and muscles. Many put up with aches and pains believing it to be a natural result of ageing. Whilst osteopathic treatments are not able to cure arthritis or eliminate joint and muscle restrictions permanently, treatments can certainly ease pain, reduce stiffness, and improve joint mobility. This allows patients to maintain and return to a degree of independence in daily activity and prevent secondary disabilities.

Balance & Mobility Issues
When older patients start to experience joint and muscle pain and stiffness, they find themselves becoming less active and consequently lose their level of fitness. This loss of mobility and fitness can make simple daily tasks more challenging and increase the likelihood of injury. Regular treatments using gentle techniques can keep joints loose and mobile to maintain their optimal capabilities, resulting in enhanced movement in daily activities such as bending down and getting up from seated position, improved functional independence, and decreased pain associated with the common effects of ageing. Additionally, Back In Health will provide patient exercises that our patients can do daily at home to keep themselves as fit as possible.


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INJURY MANAGEMENT



Rehabilitation
Injuries unfortunately occur as part of everyday life, ranging in severity from an awkward twist to more serious accidents. Every presenting complaint and mechanism of injury is unique and different. Back In Health will take a comprehensive case history and perform a thorough assessment of the extent of the injury. Subsequently, a holistic treatment will be tailored to the individual to enable recovery from injury as soon as possible.

Prevention of Re-occurrence
When patients are on the road to recovery, having the tools and information to manage their injury to avoid re-occurrence of the same injury and prevent future injuries is of utmost importance to the individual's well-being. Back In Health will provide strategies and take-home exercises to achieve optimal ongoing health and movement.


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PREGNANCY



During pregnancy, the body adapts to carrying huge amounts of additional weight, sometimes up to 20kg made up of the growing baby, fluids and placenta. Moreover, many physical, hormonal and emotional changes take place throughout the entire duration of the pregnancy. This is an amazing and beautiful transformation of the body but can impose significant physical stresses on the musculoskeletal system, organs, and tissues of the body. Treatments during pregnancy are safe, gentle and non-invasive, and can help ease the physical discomforts of pregnancy, prepare the body for the demands of labour, and in recovery after birth.

Prenatal
During pregnancy, the body undergoes significant bio-mechanical changes. For example, whilst the hormone relaxin is useful for the dilation of the cervix and prepares the uterus for labour, it can compromise pelvic stability, and cause both lower back pain and referred pain to the sciatic distribution, leading to impaired function of the pelvic bones, coccyx or sacrum. Left untreated, the resulting tension in muscles and strain within the ligaments and bones of the pelvis may lead to ongoing discomfort during pregnancy, impaired movement, and difficulties in labour. Osteopathic treatments may improve comfort and quality of life as the maternal body adapts to the physiologic and structural changes of pregnancy.

Postpartum
Following birth, the new mother’s pelvis and body are vulnerable to lasting strains from the forces involved in labour, and the ongoing demands of a newborn including lifting, nursing, and carrying the baby in an already weakened state. Unresolved childbirth stresses can remain for many years and disrupt spinal and pelvic mechanics, and may manifest in the form of ongoing back problems, period problems, stress incontinence, constipation, headache and more. By re-aligning the spine and pelvis, osteopaths can assist in the relief of pain caused by the strain of birth and pain associated with caring for a newborn. Treatment can also help restore the body's balance, removing tension and assisting new mothers to cope with broken sleep and breastfeeding.


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KIDS & TEENS



Rapid Growth & Development
The journey from childhood to adulthood can be a tumultuous time both emotionally and physically. Rapid and sporadic growth spurts can produce areas of bio-mechanical imbalance and asymmetry, which may lead to the development of compensatory patterns of movement, sometimes problematic later in life in the form of musculoskeletal weakness and/or pain. Kids and teens can also suffer from common conditions such as growing pains, where children can wake complaining of severe pains in their limbs. Treatment during childhood growth is beneficial to ease the aches and pains associated with rapid growth and to correct any postural and developmental issues as they arise. This assists in preventing body imbalances and ongoing pain in the future.

Active & Inactive Lifestyle
As we become more reliant on technology for work and recreation, we may find our children leading sedentary lifestyles, sitting extensively in the same and often poor positions. This can lead to a degeneration in posture and a variety of muscular imbalances throughout the musculoskeletal system. Conversely, both intense bursts of physical activity and sports injuries may also cause significant dysfunctions in the body and may manifest as stiffness, aches, and pain on the joints. Treatments and take-home exercises can minimise the detrimental toll of the modern lifestyle on the young body and ensure optimal body health into the future.


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