• Outpatients’ Treatments
• Corporate Presentation and Talks
• Home Rehabilitation Care

Outpatients’ Treatments

1. Spine Care Programs

• Core Stabilization Program
  Low back pain will affect 80% of the population. And, although the pain may go away after 4 to 6 weeks, the deep stabilizing muscles of the lower back will remain impaired. Impaired deep stabilizing muscles provide poor segmental stiffness, and this predisposes your back to re-injury and a return of lower back pain.
  
  Using a stabilizer, a biofeedback and gym ball for strengthening the back muscles and to improve the stability of spine. This is a proven effective technique to strengthen deep spinal muscles.

 

 

• Manual Therapy and Mobilization
  Spinal mobilization has a significant role to play in the treatment of neck and back pain particularly where restricted mobility is present. Restoration of spinal mobility, both in physiological movement and in vertebral segmental mobility, often results in a reduction in the patient's pain and spasm.

 

 

 

 

 

 

• SPINAL DECOMPRESSION (DTS) THERAPY FOR NECK/BACK PAIN
  
  
  
  
  This is a specialized treatment targeting disc herniation or prolapsed disc - Utilizing the DTS System (Chattanooga-USA) to create negative intra-discal pressure and relieve the symptoms of back and leg pain or neck and arm pain.
  
  DTS Therapy provides relief of pain from back, sciatica, pinched nerve, neck and degenerated / herniated disc disease. During this treatment, by cycling through distraction and relaxation phases a spinal disc can be isolated and placed under negative pressure, causing a vacuum effect within it.
  
  Studies verify the significant reduction of intradiscal pressures into the negative range, to approximately - 150 mm/HG, which result in the non-surgical decompression of the disc and nerve root. Conventional traction has never demonstrated a reduction of intradiscal pressure to negative ranges; on the contrary - many traction devices actually increased intradiscal pressure, most likely due to reflex muscle spasm. The Decompression Table is designed to apply distraction tension to the patient's lumbar /cervical spine without eliciting reflex contractions of the paraspinal muscles.

How does it work?

• Treatment
  DTS Therapy is performed on a specially designed table in either a face up or face down position. You will be comfortably positioned on the table and fitted with a harness attached to the computer controlled traction which is programmed to deliver a gentle stretching force to the spinal vertebra. These scientifically designed DTS pull patterns are designed to facilitate anti-inflammatory effect for healing, Decompressive effect on disc, and Spinal mobilization effect for reducing stiffness. The treatment time is between 15-25minutes.
  
  
• Vacuum or pumping effect
  The gentle stretching and relaxing of the spine causes a pumping action that promotes nutrition intake into the discs, something often lost in damaged and degenerative disc conditions. In healthy discs this occurs naturally with movements and body positions. An injured or degenerated disc gets fewer nutrients and hydration. Stretching the spine in a controlled manner can help re-establish a more normal pumping action to re-supply the disc with nutrients and blood to help the disc heal. This also creates negative pressure in the disc (decompression) that can help the drawing in of a bulge and help take pressure off a "pinched" spinal nerve.



• Core muscle strength and conditioning
  Most patients feel significant pain reduction in as few as five DTS treatments. That however does not mean the healing process is complete, or that your pain won't return. So when pain is under control we need to focus on rehabilitating the structures supporting the disc in order to fully heal your discs and keep the pain from returning. To improve spine flexibility and increase muscle control is vital for spinal health.
  
  A program of focused rehabilitative exercise, with Stabilizer Pressure Biofeedback may begin during or after your DTS Therapy course of treatment. Through a series of specific slow moving and controlled exercise techniques (often targeting the abdominal muscles); the Biofeedback monitors the correctness and effectiveness of your exercise performance. It provides you with continual visual feedback and ensures you a quality and precise exercise session. Studies show consistent stabilization and endurance exercises control back pain and reduce injury.
  
  
• Long term pain relief
  Regular and consistent home-based exercise is one of the keys to long-term relief. Post treatment you will be taught a home-based exercise program that will help to bring your spine back to full health. This exercise program may include postural advice, Stabilizer/ Exercise ball exercises and resistance training and other "core" exercises.

What other treatment is involved in addition to the Spinal Decompression Therapy?
In addition to the DTS itself treatment may include any of the following therapies as indicated by your condition: - electrical stimulation therapy, ultrasound therapy, ice / heat therapy, laser therapy, spinal mobilization and active rehabilitation exercises.

How often do I take the treatment?
It depends on the complexity and extent of rehabilitation needed .DTS is usually performed 3-5 times a week for 15-20 sessions and your response is continually evaluated. Further treatments may be necessary or a reduced frequency may be recommended at that time.


The Decompression-Reduction-Stabilization therapy is an effective treatment for:

• Herniated disc
• Degenerative disc
• Facet syndrome
• Sciatica
• Post-surgical patients
• Spinal Stenosis

2. Orthopedic Management
Our services include musculo-skeletal and functional assessment to find the cause of your symptom and then often relief through a broad range of treatment modalities and techniques.

• ACL Rehabilitation
• Arthritis Management
• Post – Surgical Mobilization and Strengthening
• Sport Injuries: - Sprains & Strains
• Frozen shoulder / Peri-arthritis
  

3. Incontinence Care

Incontinence is the inability to control the passage of urine. This can range from an occasional leakage of urine, to a complete inability to hold any urine.

The two main types of urinary incontinence are:

• Stress incontinence -- occurs during certain activities like coughing, sneezing, laughing, or exercise.
  
  
• Urge incontinence -- involves a strong, sudden need to urinate followed by instant bladder contraction and involuntary loss of urine. You don't have enough time between when you recognize the need to urinate and when you actually do urinate.
  

The following methods are used to strengthen the muscles of your pelvic floor:

• Bladder retraining -- this involves urinating on a schedule, whether you feel a need to go or not. In between those times, you try to wait to the next scheduled time. At first, you may need to schedule 1 hour intervals. Gradually, you can increase by 1/2 hour intervals until you are only urinating every 3-4 hours without leakage.
  
  
• Kegel exercises -- contract the pelvic floor muscles for 10 seconds, and then relax them for 10 seconds. Repeat 10 times. Do these exercises 3 times per day. You can do Kegel exercises any time, any place.
  
  
• EMG Biofeedback -- uses electrodes placed on the pelvic floor muscles, giving you feedback about when they are contracted and when they are not. Electrical stimulation uses low-voltage electric current to stimulate the pelvic floor muscles.

Our incontinence program can help you to identify pelvic floor muscles correctly and help train it effectively. We provide on going evaluation and to help you adhere to the exercise regime and keep you motivated to do it RIGHT and CONSISTENTLY. Our physiotherapy incontinence program utilizes electrical stimulation and EMG training. We provide effective incontinence care for both men and women.