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Pain Relief Physio Singapore Case Studies & Testimonials

Case Study: Successful Hand Therapy for Wrist Fracture Recovery Journey of leonard

Introduction:

This case study highlights a successful hand therapy treatment with me (Nigel) for a patient who suffered a wrist fracture. Hand therapy is a specialized field of rehabilitation that focuses on improving the functional use of the hand and upper extremity. The patient's recovery journey demonstrates the effectiveness of hand therapy in restoring mobility, strength, and function following a wrist fracture.

Patient Background:

The patient, a 35-year-old male, sustained a distal radius fracture in his dominant hand during a sports-related accident. The fracture was treated with surgical intervention, including the placement of internal fixation hardware. Following the surgery, the patient was referred to a hand therapy specialist to aid in his rehabilitation and recovery.

Treatment Plan:

The hand therapy specialist conducted a comprehensive evaluation of the patient's wrist to assess the extent of the injury and determine the appropriate treatment plan. The goals of the treatment plan were to

• reduce pain
• improve range of motion
• increase strength
• and restore functional abilities

1. Pain Management:

Initially, the focus of the treatment was on pain management. I utilized a few different modalities such as ice therapy, electrical stimulation, and gentle manual techniques to alleviate pain and reduce inflammation.

The patient was also educated on proper positioning and ergonomics to minimize discomfort during daily activities.

2. Range of Motion:

Once pain was adequately managed and doctor gave the go ahead, I started range of motion exercises to improve soft tissue gliding, movements and joint mobility.

Passive and active-assisted exercises were performed to gradually restore wrist flexion, extension, radial and ulnar deviation, and pronation/supination.

His distal radius fracture was fairly stable, but I needed to fabricated a customized hand-wrist splint to be worn at night or whenever he's out of the home, to protect and position his fracture to heal well.

3. Strengthening:

As he progressed and regained range of motion, and xray showed that the fracture is strong enough and ready for loading, we started to introduced strengthening exercises to rebuild muscle strength and endurance.

Therapeutic exercises, including grip and pinch exercises, resisted wrist movements, and proprioceptive training, were incorporated into the treatment plan. Progressive resistance bands, therapy putty, and hand grippers were used to gradually increase the intensity of the exercises.

4. Functional Training:

To ensure a successful recovery, the therapist incorporated functional training into the treatment plan.

The patient was guided through activities that simulated real-life tasks, such as writing, typing, and gripping objects of varying sizes and weights. I also provided adaptive techniques and modifications to optimize function and independence.

Results and Outcome:

Through consistent and diligent hand therapy sessions, the patient achieved significant improvements in his wrist fracture recovery journey.

After several weeks of treatment, the patient experienced reduced pain, increased range of motion, and improved strength in his hand and wrist. He regained the ability to perform daily activities and returned to work and sports with minimal limitations.

He was discharged with full range of motion, and grip strength and power was the same in both hands and fingers -- 100% normal and back to pre-injury levels (he claims it's stronger than before).

Conclusion:

This hand therapy case study demonstrates the importance and effectiveness of specialized rehabilitation in wrist fracture recovery. The patient's successful recovery journey, achieved through a comprehensive treatment plan that focused on pain management, range of motion, strengthening, and functional training, highlights the significant role of hand therapy in restoring hand and upper extremity function.

Hand therapy plays a vital role in helping patients regain independence and quality of life following hand and wrist injuries.

Case Study: Successful Neck Physiotherapy for a david's Neck Sprain Injury Recovery

Introduction:

Neck sprains are a common type of injury that can cause pain, stiffness, and limited mobility in the neck. Physiotherapy plays a crucial role in the recovery process, helping patients regain

• strength
• flexibility
• and function 

in their necks.

This case study highlights a successful neck physiotherapy treatment for a patient with a neck sprain injury.

Patient Profile:

The patient, a 35-year-old office worker, suffered a neck sprain injury due to a car accident.

He presented with severe neck pain, a lot of restricted range of motion, and difficulty performing daily activities. The initial assessment revealed

• muscle spasms
• tenderness
• and reduced neck mobility.

Physiotherapy Neck Treatment Plan:

The physiotherapist developed a personalized treatment plan tailored to the patient's specific needs and goals. The primary objectives were to alleviate pain, restore neck function, and prevent further complications.

The treatment plan consisted of the following:

1. Pain Management:

Initially, the physiotherapist used various pain management techniques such as ice therapy, heat therapy, and transcutaneous electrical nerve stimulation (TENS) to reduce pain and inflammation in the neck muscles.

2. Manual Therapy:

The physiotherapist employed manual therapy techniques, including

• soft tissue mobilization
• joint mobilization
• gentle stretching exercises

to improve neck mobility, release muscle tension, and restore normal joint tightness, spasms and of course, improve normal neck mechanics.

3. Range of Motion Exercises:

Gradually, the patient was guided through a series of range of motion exercises to increase neck flexibility and restore normal movement patterns.

These included neck

• rotations
• lateral flexion (left and right sides) as well as
• flexion-extension (front and back) movements.

4. Strengthening Exercises:

As the patient's pain decreased, the physiotherapist introduced specific neck strengthening exercises to improve muscle tone and stability.

These exercises included

• isometric neck exercises
• resistance band exercises
• and cervical stabilization exercises.

5. Posture Correction:

We emphasized the importance of maintaining proper posture during daily activities and provided ergonomic advice to prevent future neck injuries.

The patient was educated on proper sitting positions, desk ergonomics, and the use of supportive pillows during sleep.

6. Home Exercise Program:

To ensure continuity of care, the physiotherapist designed a customized home exercise program for the patient to perform independently.

The program included

• stretches
• strengthening exercises
• and self-massage techniques 

to promote ongoing recovery and prevent relapse.

Results and Outcomes:

After several weeks of consistent neck and spine physiotherapy sessions and diligent adherence to the home exercise program, the patient experienced significant improvements in his neck sprain injury recovery.

The outcomes included:

1. Pain Reduction: The patient reported a substantial reduction in neck pain, allowing him to perform daily activities with minimal discomfort.

2. Increased Range of Motion: The patient regained full range of motion in his neck, enabling him to perform tasks such as driving, reaching overhead, and looking over his shoulder without limitations.

3. Improved Strength and Stability: The neck strengthening exercises improved muscle strength and stability, reducing the risk of future injuries and enhancing overall neck function.

4. Restored Function: The patient was able to resume work and engage in recreational activities without restrictions, indicating a successful recovery from the neck sprain injury.

Conclusion:

This case study highlights the effectiveness of physiotherapy in the successful recovery of a patient with a neck sprain injury.

Through a comprehensive neck physiotherapy treatment plan encompassing pain management, manual therapy, strengthening exercises, range of motion exercises, posture correction, and a home exercise program, the patient achieved significant pain relief, improved neck mobility, and restored function.

Case Study: Successful Hip Physiotherapy for JOnathan's Hip Sprain Injury Recovery

Introduction:

This case study focuses on a patient Jonathan who suffered a hip sprain injury and underwent a successful hip physiotherapy treatment with us as SGPainRelief.com.

Physiotherapy goal was to

1. alleviate pain, 
2. restore mobility, and 
3. help the patient regain full function of their hip joint

Patient Profile:

The patient, a 35-year-old athlete, sustained a hip sprain injury during a football match.

The injury resulted in significant hip pain, limited range of motion, and difficulty in performing daily activities. The patient's goal was to return to their pre-injury level of activity and sports performance.

Hip Pain / Injury Physio Treatment Plan:

1. Initial Assessment: The physiotherapist conducted a comprehensive assessment to evaluate the extent of the injury, identify any related hp (and knee) issues, and determine the patient's specific needs and goals.

2. Pain Management: The first phase of treatment focused on managing pain and reducing inflammation. Modalities such as ice therapy, ultrasound, and transcutaneous electrical nerve stimulation (TENS) were used to alleviate pain and promote healing.

3. Range of Motion Exercises: Once pain was under control, the physiotherapist introduced gentle range of motion exercises to improve flexibility and mobility in the hip joint. These exercises included passive and active movements, stretching, and joint mobilizations.

4. Strengthening Exercises: As the patient progressed, strengthening exercises were incorporated to restore muscle strength and stability around the hip joint. These exercises targeted the hip abductors, adductors, flexors, and extensors, gradually increasing resistance and difficulty to challenge the muscles.

5. Functional Training: The physiotherapist designed a personalized functional training program to help the patient regain their ability to perform specific movements and activities required for their sport. This included sport-specific drills, agility exercises, and proprioception training to enhance balance and coordination.

6. Rehabilitation and Injury Prevention: The final phase of treatment focused on ensuring long-term recovery and injury prevention. The physiotherapist provided education on proper warm-up techniques, stretching exercises, and strategies to avoid future injuries. The patient was also given a home exercise program to maintain strength and flexibility.

Results and Outcome:

After several weeks of dedicated physiotherapy treatment, the patient experienced significant improvements in their hip sprain injury recovery. The pain subsided, range of motion increased, and muscle strength and stability were restored. The patient successfully returned to their pre-injury level of activity and sports performance, regaining confidence in their hip joint's functionality.

Conclusion:

This case study demonstrates the effectiveness of hip physiotherapy in treating hip sprain injuries. Through a comprehensive treatment plan involving pain management, range of motion exercises, strengthening, functional training, and rehabilitation, the patient achieved successful recovery and regained optimal hip joint function. Physiotherapy played a crucial role in facilitating the patient's return to their desired level of activity and sports performance while minimizing the risk of future injuries.

case study: hand therapy post trigger finger release

In a successful hand therapy case study, a patient underwent trigger finger surgery and achieved a full recovery with the help of hand therapy interventions. Trigger finger, also known as stenosing tenosynovitis, is a condition where the finger or thumb gets stuck in a bent position and then suddenly pops straight, causing pain and discomfort.

The patient, a 45-year-old individual, had been experiencing severe pain and limited range of motion in their right middle finger due to trigger finger. They underwent a surgical procedure called percutaneous release, where a small incision was made to release the constricted tendon sheath. Following the surgery, the patient was referred to a hand therapist to facilitate their recovery process.

The hand therapy treatment plan for this patient's trigger finger surgery recovery involved various interventions aimed at reducing pain, improving range of motion, and restoring functional use of the affected finger. The therapy sessions were conducted over a period of 8 weeks, with regular evaluations to monitor progress.

Initially, the hand therapist focused on managing pain and inflammation through techniques such as ice therapy, gentle massage, and the use of splints to immobilize the finger and protect the surgical site.

Range of motion exercises were gradually introduced to prevent stiffness and promote flexibility. The therapist guided the patient through exercises like finger flexion and extension, tendon gliding, and gentle stretching to gradually regain full finger movement.

As the patient progressed, strengthening exercises were incorporated into the therapy plan to improve grip strength and finger dexterity. Hand therapy sessions also included activities to simulate functional tasks, such as picking up small objects, writing, and manipulating tools, to help the patient regain their ability to perform daily activities without pain or limitations.

Throughout the therapy process, the hand therapist closely monitored the patient's progress, making adjustments to the treatment plan as necessary. The therapist provided education on proper ergonomics and joint protection techniques to prevent future injury or recurrence of trigger finger symptoms.

By the end of the 8-week therapy program, the patient had achieved significant improvement in pain reduction, range of motion, and functional use of their middle finger. They were able to fully flex and extend the finger without any discomfort or catching sensation. The patient reported being able to perform daily activities and work-related tasks without limitations.

This successful hand therapy case study highlights the effectiveness of a comprehensive rehabilitation program in facilitating the recovery of trigger finger surgery patients. Through a combination of pain management techniques, range of motion exercises, strength training, functional activities, and patient education, hand therapy played a crucial role in optimizing the patient's outcomes and restoring their hand function.

Case Study: Successful Physiotherapy Journey for a Middle-Aged Female Patient with Frozen Shoulder

Introduction:

This case study focuses on the successful physiotherapy journey of a middle-aged female patient who was diagnosed with frozen shoulder. Frozen shoulder, also known as adhesive capsulitis, is a condition characterized by pain and stiffness in the shoulder joint, making it difficult to perform daily activities.

Physiotherapy treatment aimed to alleviate pain, restore range of motion, and improve the patient's overall quality of life.

Patient Profile:

The patient, Mrs. Smith, was a 45-year-old female with no prior history of shoulder injuries or health conditions. She presented with severe pain and limited mobility in her left shoulder, which had progressively worsened over several months. Mrs. Smith's frozen shoulder had significantly impacted her ability to perform basic tasks, such as

• dressing upper body clothing such as undergarments and t-shirts
• reaching overhead
• and carrying objects

Frozen Shoulder Physio Treatment Plan:

The physiotherapy treatment plan for Mrs. Smith's frozen shoulder was tailored to her specific needs and goals. It included a combination of manual therapy, exercises, and patient education.

1. Manual Therapy:

The physiotherapist initially focused on reducing pain and inflammation through various manual therapy techniques. These included gentle joint mobilizations, soft tissue massage, and stretching exercises. Manual therapy helped to improve blood flow, increase joint mobility, and alleviate muscle tension, providing Mrs. Smith with immediate pain relief.

2. Range of Motion Exercises:

As Mrs. Smith's pain went down with treatment, the physiotherapist introduced a series of range of motion exercises to gradually improve her shoulder mobility. These exercises targeted specific movements, such as flexion, extension, abduction, and rotation.

The physiotherapist guided Mrs. Smith through these exercises during sessions and provided her with a home exercise program to ensure consistent progress.

3. Strengthening Exercises:

Once Mrs. Smith regained a significant range of motion, the focus shifted towards strengthening the muscles surrounding her shoulder joint. The physiotherapist prescribed specific exercises to target the rotator cuff muscles, deltoids, and scapular stabilizers.

These exercises aimed to improve Mrs. Smith's shoulder stability, enhance muscle strength, and prevent future injury.

4. Patient Education:

Throughout the physiotherapy journey, Mrs. Smith received comprehensive education about her condition, including its causes, symptoms, and expected recovery timeline. The physiotherapist also provided guidance on maintaining proper posture, ergonomics, and self-management strategies to prevent further shoulder issues. This education empowered Mrs. Smith to actively participate in her recovery and make necessary lifestyle modifications.

Results and Outcome:

Mrs. Smith demonstrated remarkable progress throughout her physiotherapy journey. Over the course of several weeks, she experienced a significant reduction in pain and stiffness, allowing her to regain functional mobility in her left shoulder. Mrs. Smith was able to resume her daily activities and reported happy improvement in her quality of life, after suffering from frozen shoulder for six months before.

Conclusion:

This case study highlights the effectiveness of physiotherapy in the successful treatment of frozen shoulder in a middle-aged female patient. Through a comprehensive treatment plan that included manual therapy, range of motion exercises, strengthening exercises, and patient education, Mrs. Smith achieved significant pain relief, improved shoulder mobility, and restored functionality.

Shoulder physiotherapy played a crucial role in her successful recovery, enabling her to regain independence and resume her daily activities with confidence.

Case Study: Successful Recovery from Runner's Knee with Knee Physiotherapy

Introduction:

Runner's knee, also known as patellofemoral pain syndrome, is a common injury among athletes, especially runners. It is characterized by pain around the kneecap or patella, which can hinder an athlete's performance and lead to long-term damage if not treated properly (especially if you just started running ie beginner runners).

In this case study, we will explore a successful recovery story of an athlete who overcame runner's knee through knee physiotherapy.

Case Description:

The athlete in this case study is a 30-year-old marathon runner who experienced persistent knee pain while training for an upcoming race. The pain was localized around the front of the knee, particularly under the kneecap, and worsened during activities such as running, jumping, or squatting.

Upon consultation with our senior physiotherapist, the athlete was diagnosed with runner's knee.

Knee Physiotherapy Treatment Plan:

The physiotherapist devised a comprehensive treatment plan tailored to the athlete's specific condition and goals. The plan consisted of the following key components:

1. Pain Management:

Initially, the focus was on reducing pain and inflammation. The athlete was advised to rest and avoid activities that aggravated the symptoms. Ice packs and non-steroidal anti-inflammatory drugs (NSAIDs) were recommended to alleviate pain and swelling.

2. Strengthening Exercises:

To address muscle imbalances and weaknesses contributing to runner's knee, the athlete underwent a series of targeted strengthening exercises. These exercises focused on strengthening the quadriceps, hamstrings, glutes, and hip muscles, which help stabilize the knee joint and reduce stress on the patella.

3. Flexibility and Mobility Training:

The athlete also engaged in flexibility and mobility exercises to improve joint range of motion and reduce tightness in the surrounding muscles. This included stretching exercises for the quadriceps, hamstrings, calves, and hip flexors.

4. Biomechanical Analysis and Correction:

The physiotherapist conducted a thorough biomechanical analysis of the athlete's running technique to identify any faulty movement patterns or issues contributing to the knee pain. Corrections were made to the athlete's running form, such as adjusting stride length and foot strike, to reduce excessive stress on the knee joint.

5. Gradual Return to Running:

As the athlete's symptoms improved and strength and mobility were restored, a gradual return to running program was implemented. This involved a progressive increase in running duration and intensity, while closely monitoring any signs of pain or discomfort. The physiotherapist provided guidance on proper warm-up and cool-down routines, as well as recommended modifications to training to prevent future injuries.

Results and Outcome:

After several weeks of consistent knee physiotherapy, the athlete experienced significant improvement in symptoms and was able to resume regular running without pain. The athlete successfully completed the targeted marathon race without any knee-related issues.

Ongoing follow-up sessions were conducted to ensure long-term maintenance of strength, flexibility, and proper running mechanics.

Conclusion:

This case study demonstrates the effectiveness of knee physiotherapy in successfully treating and rehabilitating an athlete with runner's knee.

Through a comprehensive treatment plan encompassing pain management, strengthening exercises, flexibility training, biomechanical analysis, and gradual return to running, the athlete was able to overcome the injury, regain optimal function, and achieve their athletic goals.

Physiotherapy plays a crucial role in promoting a safe and efficient recovery from runner's knee, enabling athletes to return to their sport with confidence and reduced risk of recurrence.