Musculoskeletal (Orthopaedic) Rehabilitation

Arthritic joint pain can occur because of different conditions, such as osteoarthritis and systematic disorders (like rheumatoid arthritis and gouty arthritis). Physiotherapy aims to strengthen the targeted muscle group around the involved joint through targeted joint mobilisation for pain management and improving the range of motion. The rehabilitation programme not only focuses on specific muscle strengthening exercises but also includes components of functional rehabilitation like gait (walking pattern) training and stair climbing. For a goal-oriented approach, the therapist customises rehabilitation protocols based on each patient’s specific needs, focusing on achieving measurable and functional outcomes. This includes setting clear, realistic goals by improving joint mobility, reducing pain, and enhancing strength to restore daily activities. The physiotherapy plan is continually adjusted to ensure progress and patient satisfaction, incorporating feedback and reassessing goals as necessary to provide effective, personalised care.

The knee and hip joints are the most common joints that undergo replacement surgery. The procedure is also called knee arthroplasty/hip arthroplasty surgery. The replacement of a partial or total component of the joint is dependent on the damage and degeneration of the involved joint. At the Centre for Rehabilitation Medicine, we have a team of physiotherapists who specialise in post-joint replacement rehabilitation. Through clinical examination, the therapists set the goals and plan the therapy regimen. The rehabilitation covers all aspects, starting from working on regaining the normal range of motion of the joint to strengthening the target muscle group of the joint. Functional training, including routine activities (such as walking, and climbing) and recreational activities (such as cycling), depends on the patient’s lifestyle and condition. The physiotherapist works closely with the orthopaedic doctors to gain a better perspective of the pre-operative condition and surgery to precisely create the treatment plan that can facilitate and promote recovery.

The physiotherapy department delivers comprehensive, evidence-based assessments, treatments, and rehabilitation for all foot and ankle conditions. This includes detailed biomechanics and gait analyses, which involve the assessment of movement while walking or running, to detect any abnormalities in their locomotion with a focus on detecting structural issues in the lower kinetic chain and their impact on foot and ankle pathology. Our customised rehabilitation programmes are designed for both surgical and non-surgical cases with collaborative efforts by doctors and surgeons. Along with the holistic treatment approach, our physiotherapists also guide patients regarding proper footwear support and functional modification for improvement.

Frozen shoulder is a common condition characterised by stiffness, pain, and a limited range of motion. Common elbow conditions include tennis elbow (damage of the muscles and tendons in the elbow from overuse, causing pain on the outside of the elbow), golfer’s elbow (damage of the muscles and tendons in the elbow from overuse, causing pain on the inside of the elbow), and carpal tunnel syndrome (pinching of the median nerve in the wrist, causing numbness, tingling, and weakness in the thumb and fingers). The physiotherapist performs a detailed physical examination for a definite diagnosis that enables the design of a comprehensive rehabilitation protocol.

These include myofascial release, dynamic stretching, manual resistance training, and joint mobilisation.

These include ultrasound treatment, transcutaneous electrical nerve stimulation (stimulating the muscles with a mild electric current for pain relief), deep oscillation(works on a cellular level to reduce inflammation and promote healing) and Lymphatron (for fluid drainage from the limbs to reduce swelling and aid in recovery)

These include posture retraining, cardiovascular training, muscle strengthening, and stretching.

Aquatic therapy involves therapeutic exercises performed in water and aqua treadmill for aerobic activities

Advice regarding ergonomics, (designing a work environment according to a user’s needs) and patient education are critical components of physiotherapy designed to prevent injury, reduce strain, and optimise physical function. Our physiotherapists assess the patient’s daily activities and workplace setup irrespective of whether the job is sedentary or physically taxing and provide a personalised ergonomic solution that promotes proper posture, joint alignment, and movement efficiency. This proactive approach not only helps prevent musculoskeletal disorders but also facilitates recovery, minimising repetitive strain and incorrect biomechanics.

Patient education is equally important in empowering individuals with the knowledge required to take control of their health. Through clear guidance on body mechanics, self-care techniques, and exercise routines, physiotherapists equip patients with the tools to sustain long-term improvements, reduce the risk of injuries, and enhance the overall quality of life.

Additional services we offer include taping, dry needling, splinting, correction of flawed movement techniques, and provision of information regarding equipment aids, such as wheelchairs and walking frames.