Thursday, September 7, 2017

Treating 2 of Singapore's Fastest Men

With Mr C Kunalan
I was not even born when he became Singapore's fastest man. Mr C Kunalan was held the record of Singapore's fastest man from 1968 to 2001. He ran 10.38 seconds at the 1968 Mexico Olympics.

I treated Mr Kunalan's daughter Mona recently and she messaged me to say that her dad needed to see me too. To which I replied of course, Mr Kunalan is one of Singapore's sporting legends to me. I will be most happy to help him. Mona herself was a really good sprinter too, she was already a track star during her school days.

Mr Kunalan's record was only finally broken in 2001 by UK Shyam, also my patient before. Well, that will be another post then, when I see him next in our clinic.

Tuesday, September 5, 2017

Avulsion Fracture Of The 5th Toe After Ankle Sprain

See the difference in size?
My patient had a avulsion fracture in the 5th toe and as a result wasn't weight bearing properly. See the difference in size? Just a few days of not weight bearing equally (she was favoring her R leg to try not to walk so much on her painful L foot) and you can see an obvious wasting in the leg muscles on the left side.
See the fracture at the base of the 5th toe.
She sprained her ankle and the force ripped off a piece of the bone on the 5th toe, otherwise known as an avulsion fracture.

Yes, some ankle sprains can cause that. Fortunately I got her to get an x-ray.

If your pain after an ankle sprain is on the foot instead of around your ankle, make sure you get it checked.

Saturday, August 5, 2017

Guess Who Came To Our Clinic Today?

Can you guess who came to our clinic today?

No prizes if you guessed correctly. Yes, its Jo Schooling, who's back in Singapore from the World Swimming Championships before he goes off to Malaysia for the SEA Games.

Sharing a laugh with Jo.
Not often you get to treat an Olympic gold medalist. Happy to able to help Jo. All the best for the SEA Games.

Sunday, June 18, 2017

Physio Solutions Is 10!

It's hard to believe that it has been ten years since Physio Solutions began. I still remember how it was. Looking for a space. Sitting at my parent's dining table thinking of names for my clinic with my sisters. My family, I couldn't have done this well without their tireless support.

My husband, for encouraging me and providing the capital and presently taking over all the operations so that I can do this job I love two mornings a week and focus on our sons the rest of the time. Thank you. It's a big job.

It's been one heck of a learning journey. I'm happy to be able to say, honestly, that our work of being a helping hand to our patients remains the centre of all we do.

I am grateful everyday that we have our two clinics, Physio Solutions and Sports Solutions. With the clinics we get the opportunity to help and meet so many people, as colleagues and as patients.

We are filled with gratitude for all we have and all we get to do everyday. That's why for our tenth anniversary, we have decided to give back to our community. Specifically ARC Children's Centre. Their founders have set up a space for children with cancer or other life threatening illnesses and their families to receive much needed support at immensely difficult times.

It's close to my heart because my dear friend and fellow physiotherapist went through a tough time when her son was diagnosed with leukemia. ARC Children's Centre had provided her so much solace and support that she now counts them her family.

This makes me grateful that ARC Children's Centre's founders Geraldine and Ronita, have set up this organization that are helping so many children and their families.

So for Physio Solutions tenth anniversary, we will donate $10 for every Physiotherapy treatment that happens in June.

Here's to many more years to come.

Aized xx.

Sunday, May 21, 2017

Physio Solutions Is Turning 10 ....

.... next month! Time flies doesn't it? It didn't seem so long ago when we started seeing patients there.

So staff from both Physio Solutions and Sports Solutions came together for tea at the Carousel Restaurant at the Royal Plaza on Scotts. We decided to celebrate early as there will be more staff traveling next month.

A big thank you again to our patients, who always have been supportive and referred us their family members and friends after seeing us. Word of mouth referral is always the best. And we get lots of that from our patients.

We definitely couldn't have done it without you. We thank you from the bottom of our hearts.

Here's our promise to you. We will continue to strive to get our patients better in the shortest time possible. To the next 10 years and beyond!

Saturday, April 29, 2017

Gino's Teaching The Kinesio Taping Level 1-2 Course Again

Getting ready before everyone arrives. 
Gino's teaching the Kinesio Taping course at Sports Solutions today and tomorrow. As always, he's been preparing for it for quite a while staying up most nights going through the slides and thinking of how he can explain the rationale behind it better.

Here's his home made version of explaining muscles - the endomysium, perimysium and the epimysium. Gotta hand it to him, even my seven year old son understands it now.

Gino's version of epimysium
Here's what he's trying to explain.

Please look here for more pictures.

Thursday, April 6, 2017

Tattoos Hurt Your Running?

Is this going to affect me breaking out of prison?
I wrote about tattoos and sporting performance quite a while ago and am happy there has been more published research on the topic.

Researchers in the study induced sweating on two different spots in their subjects. One where the subjects had a tattoo of at least 5.2 square centimeters and the other spot on the same area on the opposite side of the body that didn't have a tattoo.

On average, the sweat rate from skin that was tattooed was about half that of plain skin. The sodium concentration of sweat from tattooed skin was about 1.7 times greater than sweat from plain skin.

This shows that tattooed skin produces less sweat. The sweat was also saltier than skin that was not tattooed. All things being equal, this may result in tattooed runners having a higher core temperature due to a lower sweat rate. Sweat with a higher sodium concentration may also lead to an electrolyte imbalance. And in sunny and super humid Singapore, both can hurt your running performance.

Question is will the same outcome occur when you run or exercise intensely? More research needs to be done in that area as the current study involved induced sweating.

Also, compensatory skin sweating can also occur in other areas that do not have tattoos. I would say that at least half of your skin needs to be tattooed before performance may be affected.

Perhaps the sensory homunculus (having altered thoughts and emotions) as I wrote in tattoos and sporting performance plays a part too.



Luetkemeier MJ, Hanisko JM et al (2017). Skin Tattoos Alter Sweat Rate And Na+ Concentration. Med and Sci in Sports and Ex. Published ahead of Print.  DOI: 10.1249/ MSS.0000000000001244.