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Core Concepts Physiotherapy and Wellness
Physical Therapy Clinic
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Ever missed an important call or text because your phone was out of battery? Good news - we now provide charging stations in our clinics! Charge your phone while our team of therapists recharge you. Find out more here: https://goo.gl/kjL2In
Ever missed an important call because your phone was out of battery? Good news - we now provide charging stations at our clinics!
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Simply present your race bib at our counters to enjoy a 1hr session of Sports Massage at only $90! (UP: $105)
Promotion valid from 01/11/2016 to 15/12/2016
Terms and Conditions apply.
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Holiday and travelling can be a pain in the neck or the shoulder, literally.
Going on a holiday is meant to be relaxing for the mind, body and soul. Many of us, however, know that some trips can turn out to be quite the opposite. How many of us have returned from a break to find more stress and long hours grappling with the backlog at work and that persistent pain in your arm, neck or shoulder that just will not go away.  Most people would associate these issues to be work related due to extra hours at the desk. The real problem might have a closer correlation to your holiday than you think.

Some of the most common pains from holidays are back strain, upper limb nerve injuries and most commonly neck.

Our Senior Principal Physiotherapist, Chng Chye Tuan shares that during holidays, our aches and pains are often masked by the distraction of new sights and sounds and the adrenaline generated by the rush to meet our packed itineraries. It is quite common to feel it only upon a restful period or the problem can accumulate and carry over back to work. Hence, it is understandable why going back to work takes the blame.
These are the types of injury you may sustain from going on holidays

Neck: Traction Mechanism. Neck injuries could possibly be caused by :


Hanging off injury – pulling of heavy bags or suitcase with out-stretched arm, pulling away from the neck from dangling heavy shopping bags.
Pillows, different beds, tight confined space, insufficient legroom, awkward posture from sleeping on the plane or on unfriendly beds and pillows.


Shoulder: Rotator cuff strains which could possibly be attributed to from carrying luggage, shoulder pain from heaving heavy objects on the overhead compartments of airplanes lifting of heavy bags, e.g. to cabin overhead compartment, from platform to platform, shopping

Your Pain in the Neck
In the human body, the nerves from the base of the neck contribute to the Brachial Plexus, which supplies the nerves to the upper limbs.

Injuries to the neck can lead to symptoms that run down to the upper limb. It commonly shows up in the outer side of the forearm, wrists, shoulder & fingers. The nature of pain can vary from achy pain, weakness, pins & needles, numbness or even a lack of sensation.

A good physiotherapist will have to carefully diagnose, paying close attention to the patient’s recent activities and history to draw possible associations with various mechanisms and movement patterns that could be driving the symptoms.

For example, someone who experiences pain in the forearm or elbow may possibly be misdiagnosed with Tennis Elbow. The patient may think it could be due to excessive typing or from poor posture at work but in reality the work environment has not changed before or after the holiday and workload is essentially the same. In such a case, diagnosis might be a neck traction injury affecting the nerves of the upper limb brought about by lugging heavy suitcases and hanging bags off the shoulders for longer than usual periods of time.

Our team of physiotherapists apply a reasoning approach to identify the root of the problem by using diagnostic tests, which helps to differentiate one mechanism from another allowing them to focus on the real source of the problem.

Chye Tuan highlights: “We, the physiotherapists are the CSI for the human body. We troubleshoot the problem; we target the source, not just treating the symptoms.”
So what can I do about my holiday pains?
Chye Tuan would like to highlight the following few points:

Treatment has to be directed specifically to the source of the pain (the neck) and not the area the pain is felt (the elbow).
Physiotherapists unravel the mystery of your pain. Go and see someone to seek diagnosis of the source of pain and not just to seek relief from your pain.
Usually people will leave it alone and hope that pain will go away spontaneously. If pain persists for more than 2 weeks, seek help from a trusted practitioner

3 Essential Tips to avoiding those holiday pains:

Be Prepared: Do you have a “security blanket”?  Who says security blankets are only for the little ones. If it helps, bring along your favourite neck pillow or cushion to give yourself a better sleep on the plane or even on that unfamiliar bed and pillows in the hotel room to help avoid any awkward curling of the neck or shoulder just to get some rest.
Exercise: Just because you are on holiday does not mean you can forget about your normal exercise routine. If possible, maintain your usual routines to help reduce abnormal muscular tension developing while coping with the strain of carrying of heavy suitcases and shopping.  Spending 30 mins or more in a hotel gym or going for long walks with good footwear will also provide you with mental health you need during the hustle and bustle of holidaying.
Targeted stretches: while travelling, regularly do these few stretches, which will instantly reduce muscular tension on your neck and back. Here are some of the useful exercises Core Concepts have designed to reduce holiday pains. 

References

Bergsten, E. L., Mathiassen, S. E., & Vingård, E. (2015). Psychosocial Work Factors and Musculoskeletal Pain: A Cross-Sectional Study among Swedish Flight Baggage Handlers. BioMed research international, 2015.
Gatchel, R. J., & Schultz, I. Z. (Eds.). (2014). Handbook of musculoskeletal pain and disability disorders in the workplace. Springer.
Rintala, H., Häkkinen, A., Siitonen, S., & Kyröläinen, H. (2015). Relationships between physical fitness, demands of flight duty, and musculoskeletal symptoms among military pilots. Military medicine, 180(12), 1233-1238.

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Having difficulty deciding on a Christmas gift?
Check out our Christmas bundles! Suitable for the desk bound worker or the fitness enthusiast - these bundles are sure to put a smile on their faces.

Bundle A: Necksaviour & a bottle of Elven Guard for only $105 (UP: $124)

Bundle B: Magma Low Density Foam Roller & a bottle of Elven Guard for only $45 (UP: $63)

Terms and Conditions

Promotional bundles available for purchase from 1 Dec 2016 to 31 Dec 2016 subject to availability.
Bundles are available at all clinics except SMU and Galaxis

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How are we able to throw a ball, swing a golf club, or ‘smash’ a shuttlecock with a badminton racquet? These are all enabled by the rotator cuff, which can easily sustain injury, as we’ll discuss with our shoulder specialist and principal physiotherapist, Chye Tuan.
Introduction to the rotator cuff


The rotator cuff is best described as a muscular wrap made up of four key tendons that enables and supports arm movement at the shoulder by providing stability to the ball-and-socket joint. These four points — supraspinatus, infraspinatus, teres minor, and subscapularis — are known to industry practitioners as S.I.T.S.
How the rotator cuff works
The S.I.T.S. is like a very strong hook that grips the ball-and-socket joint of the shoulder. With the help of a stable scapula, it facilitates the dynamic rotation of the ball joint within the socket, enabling it to have the greatest degree of movement available in our body.
Explaining a rotator cuff injury
The most commonly injured member of the rotator cuff is the supraspinatus, the outermost ‘hook’ of the four muscles. It is placed in a vulnerable location, sandwiched between bony structures of the shoulder; this tapered space narrows further with overhead movements. Therefore, repeated overhead movements like those while playing badminton or tennis can lead to injury.

Sudden trauma to the rotator cuff can also result in injury. Examples include sudden forceful movements like throwing a ball, falling on an outstretched hand or a sharp increase in intensity of overhead activities, such as sudden increase in resistance or repetitions.

In some cases, a rotator cuff injury can be due to an anatomical irregularity of a hooked acromion, a bony extension of the shoulder blade that encroaches into the sandwiched space.
Scale of a rotator cuff injury
A rotator cuff injury, most commonly in the supraspinatus muscle, can range from a mere impingement, a mild strain or inflammation to degenerative changes, a partial tear or a full rupture.
Symptoms of a rotator cuff injury
If you feel any of the following sensations or discomfort, you would most likely have sustained a rotator cuff injury:

Pain in lifting arm overhead or behind the back
Radiating pain or ache down the lateral upper arm
Difficulty sleeping on the affected/injured side.

In the event that you are experiencing any of these symptoms, do seek medical advice to avoid further complications.
Rehabilitation for a rotator cuff injury
Because the rotator cuff, particularly the supraspinatus, is prone to further injury, it is best to refrain from excessive overhead arm movements. In shoulder physiotherapy, strengthening the surrounding muscles and establishing ‘motor control’ (or neuromuscular system) are high on the agenda. These can include:

Improving spinal posture for optimal scapula positioning.
Training surrounding muscles to work together to ease pressure on the rotator cuff.
Stretching and mobilising the shoulder.
Resistive loading of the muscle to stimulate repair.
Integrating localised muscle contraction with regional parts.

References

Gerber, C., Schneeberger, A. G., Beck, M., & Schlegel, U. R. S. (1994). Mechanical strength of repairs of the rotator cuff. Bone & Joint Journal,76(3), 371-380.
Cofield, R. H., Parvizi, J., Hoffmeyer, P. J., Lanzer, W. L., Ilstrup, D. M., & Rowland, C. M. (2001). Surgical repair of chronic rotator cuff tears. The Journal of Bone & Joint Surgery, 83(1), 71-71.
Teefey, S. A., Rubin, D. A., Middleton, W. D., Hildebolt, C. F., Leibold, R. A., & Yamaguchi, K. (2004). Detection and quantification of rotator cuff tears. J Bone Joint Surg Am, 86(4), 708-716.

 
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Its time to pull up your socks and get ready for the festive season ahead! In the month of November, enjoy a special package price of 3 sessions of Functional Training for only $350 (UP: $450)
Promotion valid from 01/11/2016 to 30/11/2016 at the following clinics:
Velocity @ Novena, Harbourfront Centre and Camden Medical Centre
Packages have a validity of 3 months from the date of purchase.
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As your race date draws near, you may be wondering what you can do at this stage to add on to the miles that you’ve been clocking since you signed up for the race. We have good news for you – Join our panel of experts on 5th November at 1.30pm as we share tips and tricks of how you can maximise the last few weeks you have to prepare before your big race.

Seats are limited! Sign up here: https://goo.gl/Vv1y10
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Contact Information
Map of the business location
6 Raffles Quay #11-01 Singapore 048580
6 Raffles Quay, #11-01SG048580
+65 6226 3632coreconcepts.com.sg
Physical Therapy ClinicToday 9AM–12PM
Saturday 9AM–12PMSunday ClosedMonday 8AM–7PMTuesday 8AM–7PMWednesday 8AM–7PMThursday 8AM–7PMFriday 8AM–7PM
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Alana Khoo's profile photo
Alana Khoo
a year ago
The physiotherapists and sports massage therapists are good in what they do. Customer service is only average in my opinion. Started visiting core concepts few years ago and I go back to them everytime I have an injury. However a recent bad experience with the customer service will make me think twice from now on. I wasn't informed of any package deals for sports massage until my third session. When I requested for a backtrack of the package, it was declined although its the fault of their customer service. Felt that they could have done more to compensate for the extra money that I paid instead of just giving a discount for the next two sessions I have with them. As a result i have to pay more compared to if they had informed me about the deal during my first appointment with them. Also the receptionist lied to the management because she told them that she informed me about the packages available when she definitely did not. Felt that they didn't really bother to make an effort to provide good and honest customer service. Being able to make appointment via SMS is good but the replies are very slow. When I tried calling in to make appointments, the phonecalls weren't picked up most of the time. Sometimes they call back, others they don't.
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Kenneth Low's profile photo
Kenneth Low
3 years ago
I was having an issue with my lower back and was fortunate to obtain a slot with one of Core Concept's senior physiotherapist. I was asked about the problem, plus any other medical conditions before the therapist go to work on my back. She also asked me to snap a picture of my office workspace, and once I sent it via email to her, her reply came soon thereafter with a series of recommendations on how I could improve the ergonomics of my workstation. It took me only 1 additional visit to work through the back pain and thereafter was given a series of back stretching to do at home. I have also recommended my friends to visit Core Concepts when they have muscle issues to sort out.
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Melvin Goh's profile photo
Melvin Goh
3 years ago
I practice martial arts so i'm pretty prone to leg injuries. I can always rely on Core Concepts to pinpoint the exact problem that i have and give the correct exercises to help me recover. Wonderful job guys!
Pao-Tang Kao's profile photo
Pao-Tang Kao
3 years ago
Aptly named. They focus on improving one's fundamental carriage and educating the patient to use simple exercises. They are the go-to people for me.
Colin Yeow's profile photo
Colin Yeow
3 years ago
A welcoming, comfortable and overall great experience! From the first welcome to the treatment on the table, Core Concepts provides an excellent experience. The therapists are seasoned professionals who also have a personal touch - a rare combination, in my opinion. They take pains (no pun intended) to explain the situation to you in a way that is helpful and easily understood. Kudos! :)
Pei Ling Ooi's profile photo
Pei Ling Ooi
3 years ago
Very professional physiotherapists who use multiple modalities to relieve pain in my neck a few years ago. They teach simple yet effective exercises too. Since then, I have better posture and know what to do when I have neck spasms. I have recommended Core Concepts to many friends and they have great things to say about Core Concepts too!
BH Quah's profile photo
BH Quah
3 years ago
I have been visiting Core Concepts for several years now with various issues including back and shoulder ache and pain. I suppose that's part of the ageing process. Although I sometimes require a few visits to cure it, I have found the therapists professional and knowledgeable. Keep up the good work..
Siew Goh's profile photo
Siew Goh
3 years ago
I have been visiting Core Concepts since 2012, at first for my neck and shoulders problem and then my lower back pain. Chye Tuan has been my physiotherapist (aka savior) and I found him very professional, friendly, and feel that he genuinely cares for the well being of his clients. When I was better after 7 sessions of physio for my neck and shoulders pain, Chye Tuan wished me well and told me that he hoped he would not have to see me again. Unfortunately, about a year later I had to go back again and this time for lower back pain. The set of exercise regimes Chye Tuan taught me have been helpful for self-managing and I sincerely thank him for his help!
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