Ace Physiotherapy | News & Articles - Physiotherapy in Kuala Lumpur

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Lian Yun-Perng

UK Qualified Physiotherapist
Bachelor of Physiotherapy

Keele University, United Kingdom
Diploma in Physiotherapy

AIMST University, Malaysia

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Cancer and Physiotherapy: How does a physiotherapist help people with cancer?

Lian Yun-Perng, Physiotherapist

Apr 29, 2020
2 min

Cancer and Physiotherapy: How does a physiotherapist help people with cancer?

Throughout my career, I've had the opportunity to treat a variety of cancer patients. I have seen patients with para-aortic lymphadenopathy, osteosarcoma, breast cancer, prostrate cancer, and multiple myeloma. Some of them were in remission, some were cured and some were in palliative care. They were all in different stages of their health journey. You might be wondering: "How does a physiotherapist help people with cancer?" A physiotherapist can help people with cancer as mu

15 views

Lian Yun-Perng, Physiotherapist

Sep 24, 2019
2 min

Tennis Elbow- Is it related to tennis?

Introduction Tennis elbow is a very common problem to the elbow and unlike its name, anyone can have tennis elbow. The term tennis elbow was probably coined from the popular sports of tennis because it requires a significant amount of strength from your wrist and elbow extensor muscles to hit a tennis ball. In medical terms, tennis elbow is called lateral epicondylitis which is basically inflammation (which might not be true) of the wrist extensor compartment on the outside o

42 views

Lian Yun-Perng, Physiotherapist

Aug 22, 2019
2 min

My Knee Hurts- What can I do?

Introduction Knee pain is known to affect people at various ages. A lot of them are diagnosed with either osteoarthritis, patellofemoral joint syndrome, ITB syndrome, or patellar mal-tracking. Each condition has their own clinical features, but one symptom stays the same and that is PAIN. Healthcare professionals will often make diagnosis according to the results of your medical imaging which can be misleading. It is advisable to include the history of the condition and the p

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Cervival Spondylosis - Solution and Treatment

Lian Yun-Perng, Physiotherapist

Jul 26, 2019
2 min

Cervival Spondylosis - Solution and Treatment

What is Cervical Spondylosis? (Image credits) Cervical spondylosis is a general term for age-related wear and tear affecting the spinal discs in your neck. As the spinal discs dehydrate and shrink, signs of osteoarthritis develop, including the growth of bone spurs. In simple terms, it is degeneration of the spine. Cervical spondylosis is very common and worsens with age. More than 65 percent of people older than age 60 are affected by cervical spondylosis. Most people experi

274 views

Lian Yun-Perng, Physiotherapist

May 4, 2019
2 min

Recovering from My Shoulder Injury

I was involved in a motor vehicle incident (19/3/2019) where I fell off my bike at around 80 km/h and slid on the road for around 70 metres. I could remember clearly that I most of my weight was on my left side as I slid. Here's my torn clothing: This incident resulted with some scratches and wounds on my right knuckles, both palms, left forearm, left hip, left knee, and on my left ribs/ back. Sorry, I didn't take any photos of my hip and knee. I thought I only had minor inju

17 views

Lian Yun-Perng, Physiotherapist

Feb 19, 2019
2 min

Do you suffer from pain?

What is pain? In simple terms, pain is an unpleasant experience that can be associated with actual or potential structural damage. Most importantly, it is a SUBJECTIVE experience that requires INTERPRETATION of many inputs or information (memories, emotional, pathological, genetic and cognitive factors). Pain is easier understood when there is actual physical damage. For example, my finger hurts because I accidentally cut it while slicing carrots (Cartesian model of pain). Th

9 views

Lian Yun-Perng, Physiotherapist

Nov 2, 2016
2 min

Perineal Pain. Whatt??

I had a very unusual walk in patient a few weeks ago. He came in complaining of perineal pain for about 4 years now. He has seen many Drs and he was diagnosed with Chronic Prostatitis. His symptoms did improve after taking some medication for his diagnosis but it wasn't completely gone. Normally, the pain would last for less than four days but his symptoms were not improving and it was affecting him. He saw a urologist three months ago and he was given some medication for his

72 views

Lian Yun-Perng, Physiotherapist

Aug 3, 2016
1 min

Top 5 Incorrect Pain Causes

Does posture, weak muscles, tight muscles, misaligned joints and compensation really cause pain? I am not a pain expert but I do not think so. I am still trying to understand pain as much as everybody else so read up more about pain here. Take home message: Pain is a complex subject; it is multifactorial and it is still widely in research. What we can do is encourage our clients to move pain free and offer movement variability. #Pain #Concept #Exercise

26 views

CPR on Mechanical Traction and Exercise for Neck Pain

Lian Yun-Perng, Physiotherapist

May 3, 2016
1 min

CPR on Mechanical Traction and Exercise for Neck Pain

Purpose: To predict neck pain patients that are likely to improve with cervical traction and exercise. Rule: Age > 55 Positive shoulder abduction test Positive upper limb tension test A Symptom peripheralisation with central posterior–anterior motion testing at lower cervical (C4–7) spine Positive neck distraction test Interpretation: Treatment given: 2-3 times a week for 3 weeks Traction Angle of pull: 24 degrees if patient had full Cx flexion; otherwise it was set at 15 deg

23 views

Lian Yun-Perng, Physiotherapist

Apr 28, 2016
1 min

Back to Basics 2 for Lower Back Pain

I have been seeing a variety of LBP patients for some time now. Most of them would demonstrate a DN/DP when assessed for MSE or MSF. When they show a lack of Lx mobility during the assessment, I would ask them to perform the Mckenzie exs or Repeated Extension in Lying (REIL) for about 10 repetitions. More often than not, their ability to extend or flex their spine would improve by an average of 30%! Here's a video of the exercise: The fact that they could regain mobility with

16 views

Lian Yun-Perng, Physiotherapist

Apr 7, 2016
2 min

Treatment suggestions for Low Back Pain

These are a few things I would do when my patients visit me with LBP. Pain History Where the pain was, what type of pain it was, any pins and needles (P+N), any numbness (N), intermittent/constant and the VAS. Aggravating factors: Sitting, standing, driving, sports etc Relieving factors: Meds, massage, rest etc 24 hours pattern: Better, same or worse Interpretation: Area = Reinforces my hypothesis of what needs to be treated Dull ache = Muscular related Sharp or shooting = Ne

81 views

Sciatic Nerve Mobilisation and Lower Back Pain

Lian Yun-Perng, Physiotherapist

Jan 8, 2016
1 min

Sciatic Nerve Mobilisation and Lower Back Pain

Sciatic Nerve Mobilisation One of my favourite intervention for clients with “buttock pain” (Piriformis Syndrome), radiating pain down the leg (Sciatica) and/or “tight” hamstrings. I have used this numerous times and most of my clients feel the difference the next day. The theory is simple: Promoting nerve mobility. However, this improvement must be maintained with some sort of constant input. For example, slump exercise and or self-nerve mobilisation in supine or standing ev

15 views

Lian Yun-Perng, Physiotherapist

Nov 29, 2015
1 min

Nerve Mobilisation for Numbness

Nerve Mobilisation I often promote mobility of the nerves when an individual presents with pins and needles, numbness or tightness around a particular joint. There are two ways to mobilise the nerve: Tensioners or Sliders Tensioners Biasing a nerve at its highest tension point and then start mobilisation. For example, to bias the ulnar nerve, you would side bend the neck to the contralateral side, depress the ipsilateral Sh., Sh. ABD to 90degs, full Sh. ER, full Elb Flex wit

4 views

Lian Yun-Perng, Physiotherapist

Oct 15, 2015
1 min

Treat the Man, not the Scan!

Asymptomatic Subjects with Abnormal Spinal Findings I have seen many clients from as young as 20+ to as old as 90+. Most of them would see me for a disc prolapse or for spondylosis. The fact is all of us go through some degeneration as we age and what is shown on the scan might not be the true cause of pain. I would normally correlate all my clinical findings with the imaging and that would give me a better impression of what is the cause of pain. My clients are also advis

5 views

Simple Exercise for Low Back Pain/Restriction

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Blog

Editor

Others

Cancer and Physiotherapy: How does a physiotherapist help people with cancer?

Tennis Elbow- Is it related to tennis?

My Knee Hurts- What can I do?

Cervival Spondylosis - Solution and Treatment

Recovering from My Shoulder Injury

Do you suffer from pain?

Perineal Pain. Whatt??

Top 5 Incorrect Pain Causes

CPR on Mechanical Traction and Exercise for Neck Pain

Back to Basics 2 for Lower Back Pain

Treatment suggestions for Low Back Pain

CPR for Deep Vein Thrombosis

Sciatic Nerve Mobilisation and Lower Back Pain

Nerve Mobilisation for Numbness

Treat the Man, not the Scan!

Simple Exercise for Low Back Pain/Restriction

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