FAB Clinic treat patients with a broad and versatile spectrum of cases. With a combined clinical experience level of more than 30 years in the NHS & the private sector, we have come across the most complex and delicate treatment requirements and have consistently delivered exceeding excellence. Employing some of the most cutting-edge evidence-based methodologies, our expert practitioners apply a combination of treatment techniques such as:
Manual therapy | Acupuncture | Soft-tissue mobilisation | Stretching techniques | Manipulation & mobilisation | Electrotherapy (including Ultrasound & Laser)
Our approach to physiotherapy:
More often than not, injuries cause limited ranges of movement (ROM). This in turn will affect patients’ daily functions such as bending down, walking, moving arms and legs free of pain. In order to treat the condition, movement must be restored. This is why focusing on the provision of a movement-enabled
physiotherapy to achieve the treatment goal of restoring function whilst strengthening associated muscle groups to minimise the risk of future injury.
Human body is designed intelligently to initiate self-healing, once a full ROM has been made possible. A combination of manual therapy & exercise therapy can help correct limitations allowing a timely rehabilitation & recovery so that you can go back to your routine activities.
A comprehensive treatment journey:
At FAB Clinic, although our expert physiotherapy clinicians employ X-rays and MRI scans, our emphasis on a sound clinical assessment proves paramount to our effectiveness in establishing an accurate diagnosis. In doing so, we analyse body functions, examine patient ROM, strength and other factors involved in a normal body’s anatomical and musculoskeletal dynamic. Following the in-depth assessment, bespoke treatment plans will be devised highlighting feasible treatment techniques with continued monitoring of your progress and improvement.
Below are some of the common conditions (acute OR chronic) we treat in our clinics.
Whiplash associated disorders/pain | Postural related pain & deformities | Sports injury | Headache | Lower back pain | repetitive strain injury | Sciatica | Arthritis | Carpal Tunnel Syndrome | Chronic pain syndrome | Dizziness, vertigo & imbalance | Wrist pain | Shoulder pain | Frozen shoulder | Tennis elbow | Golfers’ elbow | Military neck | Bursitis | Dancing injuries
During a comprehensive assessment & consultation, our experts will formulate a specific treatment plan in accordance to the treatment needs of each patient to ensure a swift recovery. Patients are devised a simple personalised home exercise program with various techniques to ensure a timely rehabilitation.
ARRANGE AN INITIAL ASSESSMENT
For some people, whiplash symptoms can be so minor that they go away within a couple days. For others, the symptoms become varied and chronic, ranging from severe pain to cognitive and emotional problems.
Whiplash symptoms might manifest immediately following the acceleration-deceleration accident, or they can take a few hours or days to appear. Oftentimes the exact underlying cause remains unknown for some whiplash symptoms despite today’s best diagnostic techniques. Due to the potentially high number and varied complexity of whiplash symptoms, they are sometimes collectively referred to as whiplash-associated disorders.
Common Whiplash Symptoms
Neck pain: The pain could range anywhere from mild to severe. It might be located in one spot or general area, or it could also radiate down the shoulder into the arm and/or hand. Typically, neck pain from whiplash is caused by ligament sprains or muscle strains, but it can also be caused by injuries to discs, nerves, joints, and/or bones.
Neck stiffness or reduced range of motion: Reduced neck mobility could be from pain, tightening of a muscle, or a mechanical problem, such as with a joint.
Headache: A neck muscle tightening, or a nerve or joint of the cervical spine becoming irritated could cause headaches.
Neck instability: This whiplash symptom commonly results from stretched or torn soft tissues, such as ligaments. Although, it could also be caused by a fracture.
Shoulder and/or upper back pain: If the neck’s soft tissues, such as muscles or ligaments, are torn or strained during whiplash, then sometimes that pain can also be referred to other soft tissues in the upper
back and shoulders: Radiating tingling, weakness, or numbness: Sometimes whiplash can cause one of the neck’s spinal nerve roots to become compressed or inflamed, which can lead to cervical radiculopathy symptoms of tingling, weakness, and/or numbness radiating down the shoulder, arm, hand, and/or fingers. Typically, cervical radiculopathy is only felt on one side of the body, but in rare cases it can be felt on both sides if more than one nerve root is affected.
Types of Posture Deformities General pain in the lower back or knees is a common symptom of an irregular posture. But over time, stress can cause various unnerving symptoms that lead to long-term deformities. It is important to know the different types of posture deformities.
Three main types of posture deformities which include kyphosis, lordosis and scoliosis.
Kyphosis: is the commonest type of posture deformities and is mainly caused by excess strain on the shoulders. It can be detected by an exaggerated curve of the thoracic region, which makes the shoulders appear rounded. The neck becomes short or almost invisible, forcing you to lift your chin up front. Your upper back muscles also become weakened and your pectoral muscles become tighter by the day.
Lordosis: is another commonly noted type of posture deformity and is the result of a curve formed in the lumbar region. It makes your pelvis tilt forward. It weakens your abdominal region.
Scoliosis: can be detected when your spine has a lateral curvature, making your muscles on the outside weak and the muscles on the inside, tighter. These types of postural deformities can make you look awkward, making your body tilt or bent in an undesired fashion. Apart from these, the spinal curvature is also seen as a type where the spine bends due to excess strain on it. The spine is forced to bend forward, backward or sideways and can cause great pain in the muscles. It is an unwanted condition which calls for measures to avoid these conditions or eradicate them as a whole.
Causes of Posture Deformities
The main causes of posture deformities can be structural or positional factors.
Structural Causes of Posture Deformities: Structural causes are anatomical deformities that rather stay permanent and cannot be corrected or eradicated by general treatment. They stay with you throughout life. But, some foot corrections or inequality in the length of legs can still be taken care of.
Positional Causes of Posture Deformities: Positional causes are basically due to the wrong posture maintained by a person. Improper ways of sitting, standing, lifting weights, and positioning while at work or play are the main causes of posture deformities. Hence, it is very important for you to focus on your posture throughout the day.
The other common causes of posture deformities could be developmental and degenerative processes. Muscle imbalance, spasms, contracture, joint hypermobility or hypomobility, respiratory issues or failures, weight gain or general weakness - all play a major contribution to deformities of the posture. Improper seating arrangements, uncomfortable chairs or other equipment use can also act as important acquired causes of posture deformities.
Sports injuries are injuries that occur when engaging in sports or exercise. Sports injuries can occur due to overtraining, lack of conditioning, and improper form or technique. Failing to warm up increases the risk of sports injuries. Bruises, strains, sprains, tears, and broken bones can result from sports injuries. Soft tissues like muscles, ligaments, tendons, fascia, and bursae may be affected. Traumatic brain injury (TBI) is another potential type of sports injury.
The following are some of the most common types of sports injuries:
Muscle strain is another name for a pulled muscle. It occurs when a muscle is overstretched and tears. Symptoms of a pulled muscle may include pain, swelling, weakness, and difficulty or inability to use the muscle. Muscles in the quadriceps, the calves, hamstrings, groin, low back, and shoulder are the most common sites for pulled muscles. Minor muscle strains resolve with RICE -- Rest, Ice, Compression, and Elevation. Nonsteroidal anti-inflammatory drugs (NSAIDs) may help manage pain and swelling as well. More serious muscle strains require evaluation and treatment by a doctor.
Torn ACL: The anterior cruciate ligament (ACL) helps hold the knee joint together and provides stability. A torn ACL is a sports injury that may occur when landing the wrong way, changing direction or stopping quickly, or from a direct blow to the knee. People who suffer a torn ACL may hear a pop and then feel their knee no longer functions. Pain, swelling, and loss of range of motion are symptoms of a torn ACL.
It may be difficult to walk. A torn ACL needs to be reconstructed surgically, usually using a graft from another ligament in the patient's own body. Significant rehabilitation is necessary to restore the strength and function of the knee joint after surgery. Depending on the age, health status, and desired activity level of the patient, some may not elect to have surgery. In that case, braces and physical therapy will not cure the condition, but may provide some relief.
Shin splints are throbbing, aching, or stabbing pain on the insides of the lower leg. Shin splints are a repetitive use injury that may occur in runners or those who are beginning to exercise. Pain occurs when muscles and tendons around the tibia (the larger of the two lower leg bones) become inflamed. Stretching, resting, and applying ice can help relieve shin splints. Nonsteroidal anti-inflammatory drugs (NSAIDs) can reduce pain and swelling. Bandaging the area may help prevent swelling. Flat feet increase the risk of shin splints. Orthotics and proper athletic shoes may offer support and decrease the risk of shin splints.
A stress fracture is an overuse injury that occurs when muscles are no longer able to absorb the impact from physical activity, and a bone absorbs the pressure, resulting in a break. Stress fractures can occur when increasing activity, especially too quickly. The majority of stress fractures occur in the lower legs and feet. Women are more prone to stress fractures than men. Stress fractures cause pain with activity. Rest is prescribed to allow a stress fracture to heal. Sometimes a special shoe or a brace helps decrease stress on the bone, which facilitates healing.
The plantar fascia is a ligament that connects the heel to the front of the foot, supporting the arch. Plantar fasciitis is inflammation of this ligament. It causes heel pain often felt the first thing in the morning after getting out of bed or after being active. Stress and strain on the feet increases the risk of plantar fasciitis. Obesity, tight calf muscles, repetitive use, high arches, and new athletic activities are all risk factors for this condition. Plantar fasciitis is treated with rest, ice, nonsteroidal anti-inflammatory drugs (NSAIDs), and special stretching exercises. Cushioning insoles may provide relief. Wearing splints at night may help decrease pain. More severe cases of plantar fasciitis may be treated with cortisone injections, physical therapy, and surgery.
Tennis elbow is an overuse injury that may be associated with playing racket sports. Plumbers, painters and those in similar professions are also at risk. Tennis elbow involves inflammation of the tendons on the outside of the elbow caused by small tears. Tennis elbow causes pain and may be associated with a weak grip. Rest and nonsteroidal anti-inflammatory medications can help alleviate tennis elbow symptoms. Wearing a special brace on the forearm may help decrease pressure on the sore area. Physical therapy may be helpful. Steroid injections can decrease inflammation. Surgery may be an option for tennis elbow when other treatments have failed.
The hip region contains two major bursae. The one located on the outside of the hip is called the trochanteric bursa. The other is called the ischial bursa which covers the ischial tuberosity, more commonly known as the sits bones. Inflammation of either bursae may lead to stiffness and pain around the hip joint not to be confused with the true joint pain of arthritis. Overuse from running, cycling, and similar activities can lead to hip bursitis. The condition causes hip pain that tends to be worse at night. Getting up from a seated position may cause pain. Treatment of hip bursitis consists of avoiding activities that produce symptoms and taking nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and swelling. Physical therapy and steroid injections may be warranted. Using a cane or other assistive device may help take the load off the inflamed joint.
Achilles tendonitis is inflammation that causes pain on the lower back of the leg just above the heel. The area may become painful, swollen, and stiff.
The pain worsens after physical activity. The tendon may become thickened and, in some cases, bone spurs may develop in the area. Achilles tendonitis may be treated with rest, ice, stretching, and nonsteroidal anti-inflammatory drugs. Strengthening exercises prescribed by a physical therapist may help. Special footwear and orthotics can help take the strain off the affected heel.
REPETITIVE STRAIN INJURY
A repetitive strain injury (RSI) is an "injury to the musculoskeletal and nervous systems that may be caused by repetitive tasks, forceful exertions, vibrations, mechanical compression, or sustained positions".
Signs and symptoms
Some examples of symptoms experienced by patients with RSI are aching, pulsing pain, tingling and extremity weakness, initially presenting with intermittent discomfort and then, with a higher degree of frequency. Repetitive strain injury (RSI) and associative trauma orders are umbrella terms used to refer to several discrete conditions that can be associated with repetitive tasks, forceful exertions, vibrations, mechanical compression, or sustained/awkward positions. Examples of conditions that may sometimes be attributed to such causes include edema, tendinosis (or less often tendinitis), carpal tunnel syndrome, cubital tunnel syndrome, De Quervain syndrome, thoracic outlet syndrome, intersection syndrome, golfer's elbow (medial epicondylitis), tennis elbow (lateral epicondylitis), trigger finger (so-called stenosing tenosynovitis), radial tunnel syndrome, ulnar tunnel syndrome, and focal dystonia. Since the 1970s there has been a worldwide increase in RSIs of the arms, hands, neck, and shoulder attributed to the widespread use of typewriters/computers in the workplace that require long periods of repetitive motions in a fixed posture.
Workers in certain fields are at risk of repetitive strains. Most occupational injuries are musculoskeletal disorders, and many of these are caused by cumulative trauma rather than a single event.
Sciatica is nerve pain from irritation of the sciatic nerve. The sciatic nerve is the largest nerve in the body. The sciatic nerve begins from nerve roots in the spinal cord in the low back and extends through the buttock area to send nerve endings down the lower limb. Sciatica pain is typically felt from the low back to behind the thigh and radiating down below the knee. Treatments for sciatica depend on the underlying cause and the severity of the pain.
Sciatica is pain in the lower extremity resulting from irritation of the sciatic nerve. The pain of sciatica is typically felt from the low back (lumbar area) to behind the thigh and can radiate down below the knee. The sciatic nerve is the largest nerve in the body and begins from nerve roots in the lumbar spinal cord in the low back and extends through the buttock area to send nerve endings down the lower limb. The pain of sciatica is sometimes referred to as sciatic nerve pain.
What are causes of sciatica?
While sciatica is most commonly a result of a lumbar disc herniation directly pressing on the nerve, any cause of irritation or inflammation of the sciatic nerve can produce the symptoms of sciatica. This irritation of nerves as a result of an abnormal intervertebral disc is referred to as radiculopathy. Aside from a pinched nerve from a disc, other causes of sciatica include irritation of the nerve from adjacent bone, tumours, muscle, internal bleeding, infections in or around the lumbar spine, injury, and other causes. Sometimes sciatica can occur because of irritation of the sciatic nerve during pregnancy.
What are risk factors for sciatica? What are sciatica symptoms?
Risk factors for sciatica include degenerative arthritis of the lumbar spine, lumbar disc disease, and slipped disc, and trauma or injury to the lumbar spine. Sciatica causes pain, a burning sensation, numbness, or tingling radiating from the lower back and upper buttock down the back of the thigh to the back of the leg. The result is lumbar pain, buttock pain, hip pain, and leg pain. Sometimes the pain radiates around the hip or buttock to feel like hip pain. While sciatica is often associated with lower back pain (lumbago), it can be present without low back pain. Severe sciatica can make walking difficult if not impossible. Sometimes the symptoms of sciatica are aggravated by walking or bending at the waist and relieved by lying down. The pain relief by changing positions can be partial or complete.