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.

Friday, February 10, 2017

Get Off Your Phone

Who's not looking at their phones?
It was a nice morning and we were walking at Botanic Gardens and saw this. This is a big clue why so many people have neck and back pain now.

Of course we saw many other things too .....
Leaping (monitor) lizard

Cluck cluck
Graceful ....

Here are my thoughts, when you are near nature please look at your surroundings and enjoy it and not just look at your phone.

Thursday, January 19, 2017


Inside the inner ear
BPPV stands for benign paroxysmal positional vertigo and that's what I had recently.

It can be quite quite scary if you don't know what it is. We had just changed rooms to sleep and all four of us (husband and the two boys) started sleeping together in the same room. I woke up one morning and on trying to get up had the sudden sensation that the inside of my head was spinning (or otherwise know as vertigo). There was a period of fairly intense dizziness too.

Other symptoms can include a loss of balance or unsteadiness, nausea and even vomiting which I did not have.

BPPV is usually triggered by specific changes in the position of the head. And it can occur when you move your head up or down, rolling over in bed, or when you turn over or get in and out of bed in a certain way.

How is this so you must be wondering? Well, inside our ears is a tiny organ called the vestibular labyrinth. It has three semi circular canals that contains fluid and fine hair like structures that gives you information about that position of your head.

Otolith organs inside your ear monitor up, down, left, right etc movements of your head. They also contain calcium carbonate crystals (or otoconia) that make you sensitive to gravity.

These otoconia can become dislodged and when they happen to move into one of the semi circular canals when you are lying down. When too much otoconia accumulates in one of the canals, it causes the semi circular canal to become sensitive to changes to the position of our head, sending false signals to the brain. And this is what makes you dizzy or your head to feel like it is spinning.

When the dislodged otoconia moves into a semi circular canal, the eyes can move in a specific to and fro manner called nystagmus. I didn't have any nystagmus on testing but if you do that can be scary.

Other than being scary if you don't know what's happening, BPPV can increase the chance of you falling.

Medication will not help BPPV although in some cases it does resolve on its own after a while.

BPPV can sometimes be misdiagnosed by general practitioners who are not familiar with the testing or treatment of BPPV. The impact can be mildly annoying to highly debilitating and can affect function, safety and risk of falling.

How did I get better? Well, fortunately Gino knew how to treat BPPV using the Epley Manoeuvre. He treated me once and I was much better after that.


Fife TD et al (2008). Practice Parameter : Therapies For Benign Paroxysmal Positional Vertigo (An Evidence-based Review) : Report On The Quality Standards Subcommittee Of The American Academy Of Neurology. Neurology. 70: 2067-2074.

Sunday, November 13, 2016

Physio And Sports Solutions Lunch

Last year we brought staff from Physio and Sports Solutions to Fika Cafe for lunch. This year we thought we'll go to lunch at the Straits Kitchen in Hyatt hotel.

After a short wait to get in (it was really packed) as we made reservations, it was time to eat.

Our very own section in the restaurant
Who's late?
Kids tucking in
Yvonne, the rose among the thorns
Here's a group picture
A big thank you to all who came.