CORE SERVICES

Physiotherapy

Physiotherapy is leading the way in the treatment, prevention and research of musculoskeletal injuries.

At the core is the patient's involvement in their own care, through education, awareness, empowerment and participation in their treatment. Our therapists help to encourage development and facilitate recovery, besides providing long-term management through education and home exercise programs. They maintain health for people of all ages, helping patients to manage pain and prevent disease.

We can help you with a variety of problems or injuries, including:

  • back and neck pain
  • workplace injuries
  • post surgical rehabilitation
  • chronic headaches
  • arthritis management

Some of the equipment at our Physiotherapy Unit:

  • Bubble Ball Bath
    Brightly coloured bubble balls support child and facilitates movement, giving child visual and tactile feedback and support.
  • Tristander
    Allows prone, supine or vertical standing, single stander to meet positioning needs.
  • Tadpole
    Multi-use unit for early intervention programmes especially for children from birth to 3 years with motor dysfunction.
  • Tilt Table
    Prolonged or bed rest with poor standing balance can be trained gradually to upright standing.
  • Restorator
    Improves hip and knee joints and a perfect exercise to strengthen the quadriceps muscles.
  • Lapidarti Exercise Wheel
    To increase movement at the shoulder joint to overcome stiff joints.
  • Therapy Balls
    Promotes relaxation, weight bearing on knees and elicit trunk equilibrium response.
  • Wedges & Rolls
    Provides dynamic therapy and proper positioning, co-ordination training and development in the trunk in relation to upper & lower extremities.
  • Placement Ladder
    Re-educate walking, simultaneously improving balance, weight transference and enable lifting and bending at knee joints.
  • Mobility Aids
    Walking machine, gait trainer, walking frame, rollator, elbow crutches, tripod and other assistive devices to assist the disabled to function better.

We provide the following types of therapy for everyone:-

  1. Physical therapy
  2. Occupational therapy
  3. Sensory stimulation therapy
  4. Speech therapy
  5. Hydrotherapy

Therapy for Everyone

Medical rehabilitation has become a highly individualized process. Speech and occupational therapy or occupational and physical therapy can be used in combination to provide the best possible care. With the right specialist on the job, you can treat nearly every apsect of an ailment, from the underlying physical cause to the difficulty of coping with changes in lifestyle.

Types of therapy

Physical therapy

Principally concerned with treating the source of an injury and attempts to address the illness or injuries that limit a person's abilities to move and perform functional activities in their daily lives.

What methods do physical therapists use?

There are a number of treatment methods used to help patients. Some of the methods include:

  • teaching and practice of functional developmental, motor and mobility skills
  • therapeutic exercise for strengthening, endurance and joint mobility
  • balance and coordination activities
  • adaptation of daily care activities and routines
  • use of assistive technology
  • home activity recommendations

 

Benefits of physical therapy for adults

Physical therapists treat people of all ages and abilities. The major goal is to enhance function and mobility to promote participation in home, school and community activities. Here are some ways a physical therapist can help you.

  • Maximize your movement
    Pain-free movement is crucial to your quality of life, your ability to earn a living and your independence. Physical therapists are movement experts who can identify, diagnose and treat movement problems.
  • Participate in your recovery
    Physical therapists work collaboratively with their patients and clients. Treatment plans are designed for each person's individual goals, challenges and needs.
  • Avoid opioids
    Opioid risks include depression, overdose and addiction, plus withdrawal symptoms when stopping use. In some situations, dosed appropriately, prescription opioids are an appropriate part of medical treatment. Health care providers are urged to reduce the use of opioids in favour of safe alternatives like physical therapy for most long-term pain.
  • Avoid surgery
    Before you undergo expensive or invasive surgery, try physical therapy. For some conditions, including meniscal tears and knee osteoarthritis, rotator cuff tears, spinal stenosis and degenerative disk disease, treatment by a physical therapist has been found to be as effective as surgery.

 

                    

 

 

Benefits of physical therapy for children

  • increase and maintain muscle strength and endurance
  • restore and increase joint range of motion
  • increase coordination
  • decrease pain
  • decrease muscle spasm and spasticity
  • decrease swelling and inflammation of joints
  • promote healing of soft tissue lesions
  • prevent contracture and deformity of limbs
  • promote mobility through walking or use of wheeled-mobility
  • increase ability in daily activities such as self-care and play
  • decrease stress

 

 

Who can benefit from physical therapy?

  • Developmental delays
  • Cerebral palsy
  • Genetic disorders
  • Orthopedic disabilities
  • Heart and lung conditions
  • Birth defects (such as spina bifida)
  • Limb deficiencies
  • Muscle diseases
  • Muscle coordination concerns

 

                        

                        

 

Occupational therapy

A therapy that helps people achieve independence in all facets of their lives. Most people think of occupational therapy as a treatment for adults that helps them get back to work but that is a very narrow definition.

The occupational therapist will assess and treat to develop, recover or maintain the daily living and work skills of people with a physical, mental or cognitive disorder. Anytime you are inflicted with an injury, disability or illness that may affect your ability to complete day-to-day activities, the therapist can help you to adapt to those circumstances in order to maintain your quality of life.

'Occupation' refers to managing all the activities important for independent living. For children, their main job is playing, learning and doing age appropriate activities of daily living eg. dressing, eating and bathing). If your child has physical or cognitive disabilities, occupational therapy goals can be defined to help your child improve their ability to function in the above areas.

 

              

                     

          

 

How does Occupational Therapy (OT) differ from Physical Therapy (PT)?

Physical therapy and occupational therapy can be confused with each other. Physical therapy deals with the issues of pain, strength, joint range of motion, endurance and gross motor functioning, whereas occupational therapy deals more with fine motor skills, visual-perceptual skills, cognitive skills and sensory-processing deficits.

The main difference between occupational therapy and physical therapy is that a physical therapist is mainly concerned with treating the source of an injury, as opposed to managing the fallout resulting from that injury.

 

Among the various Occupational Therapy training programmes include:

  • Activities of daily living such as dressing, bathing and eating
  • Community living skills such as shopping, banking and working on the job
  • Advice on home modifications, making or acquiring aids, appliances and equipment to facilitate movement
  • Mobility training with necessary aids like walking or using a wheelchair
  • Assist with training for a trade or specific job
  • Counselling and recreational programmes

 

 

                                             

                  

                    

 

Benefits of occupational therapy for children include:

  • Creating interventions to help a child respond appropriately to information coming through the senses. Intervention may include developmental activities, sensory integration or sensory processing and play activities
  • Facilitating play activities that instruct as well as aid a child in interacting and communicating with others
  • Identifying, developing or adapting engagement in meaningful activities that enhance the child's quality of life
  • Reducing environmental barriers that limit a child's participation in family, learning and community based activities
  • Identifying needed assistive technology devices and supports

 

Who can benefit from occupational therapy?                                                    

  • Autism Spectrum Disorders                                                 • Vision Difficulties
  • Behavioural Difficulties                                                        • Cognitive Disorders
  • Sensory Processing Disorder                                              • Decreased strength and endurance
  • Down's Syndrome                                                               • Developmental Delay
  • Celebral Palsy                                                                    • Traumatic Brain Injury
  • Social Skills Deficits

            

                                                   

 

Sensory stimulation therapy

An experimental therapy that aims to utilize neural plasticity mechanisms to aid in the recovery of somatosensory function after stroke or cognitive ageing.

A sensory room is a special room designed to develop a person's senses, usually through special lighting, music and objects. It can be used as a therapy for children with limited communication skills. This therapy begins with a thorough evaluation and assessment of a child's sensitivity to environment. This assessment comprises interviews with a child's parents or caregivers, a health history, standard tests and observation in a clinical setting. The goal is to determine where deficits in a child's sensory perception are and what interventions will help a child adapt and react to their environment.

 

Who can benefit from sensory stimulation therapy?

Children are the largest benefactors

Benefits of sensory integration therapy include:

  • anticipate action and outcome
  • correctly interpret sensory input
  • create physical equilibrium and sense of space
  • develop positive behaviour patterns
  • eliminate fear
  • encourage play and socialization
  • lessen sensory defensiveness
  • minimize input intolerance
  • reduce negative physical reactions

                      

 

                           

 

                 

 

 

Speech therapy

Diagnosis, management and treatment of individuals who are unable to communicate effectively or who have difficulty with feeding and swallowing.

Who can benefit from speech therapy?

Almost everyone can benefit. However, those most likely to be referred to a speech therapist are those suffering from a speech impairment. Children with lisps and stutters, or non-standard vocal expressions are commonly referred through schools. Adults who experience difficulty speaking clearly may make use of a speech therapist for diagnostic help and for treatment later.

How do I know whether my child needs a speech therapist?

  • still saying single words only and not phrases or sentences
  • using a limited vocabulary or saying a word once and then not using it again
  • mispronouncing vowels saying "coo" instead of "cow"
  • struggling using pronouns, saying "Him not here"
  • not pointing to objects in books. If you say, "Show me the cat", he flips the page or repeats the phrase but
  • doesn't actually point to the animal
  • not changing or developing his language much from month to month

Benefits to speech therapy include:

  • develop conversational skills
  • articulate words well
  • comprehend verbal and non-verbal communication, understanding other's intentions in a range of settings
  • initiate communication without prompting from others
  • know the appropriate time and place to communicate something, for example, when to say "good morning"
  • communicate in ways to develop relationships
  • enjoy communicating, playing and interacting with peers
  • learn self-regulation

     

 

Hydrotherapy

Use of water to treat a disease or to maintain health. The focus of the exercises can be adjusted to help your range of movement and strength, depending on your symptoms. The warmth and buoyancy of the water can help to reduce muscle spasm, increase circulation and reduce pain.

Benefits to hydrotherapy include:

  • hydrating the cells, improving skin and muscle tone
  • relief from pain, swelling and stiffness
  • promotion of relaxation
  • joint mobilisation
  • cardiovascular fitness (heart and lungs)
  • muscle strengthening, maintenance & restoration
  • increase in range of motion of affected joints
  • boosting the immune system, allowing it to function more efficiently
  • improved circulation

Conditions helped by hydrotherapy:

  • arthritis
  • colds
  • depression
  • headaches
  • stomach problems
  • sleep disorders
  • stress
  • joint, muscle and nerve problems

                                                 

                            

                            

 

 

Orthopaedic Consultation (free)

 

 

CURRICULUM VITAE

DATO΄ DR. RAMANATHAN RAMIAH

MBBS (KARNATAK)

FRCS (EDIN.)

AN ORTHOPAEDIC CONSULTANT WITH SPECIAL INTERESTS IN SPINE SURGERY AND ATHROPLASTY WITH KNOWLEDGE RELATED TO GENERAL SURGERY AND SPORTS MEDICINE. ALSO HAS CONSIDERABLE KNOWLEDGE IN THE TRAINING OF A VARIETY OF MEDICAL PERSONNEL. I AM AN ESTABLISHED SPEAKER HAVING APPEARED IN VARIOUS MEDIA CHANNELS ON THE SUBJECT OF ORTHOPAEDICS AND WAS THE CHIEF ANNOUNCER FOR WORLD CUP HOCKEY; IN ADDITION, I AM A REGULAR EVENT MANAGER FOR NATIONAL AND INTERNATIONAL EVENTS. MY  COMMUNICATION AND CROSS-CULTURAL SKILLS AND CHARISMATIC NATURE HAVE BEEN APPLAUDED.

 

DATE OF BIRTH                   :        13-04-1955

PRIMARY SCHOOL             :         LA SALLE BRICKFIELDS 1961-1970 & LOWER  SECONDARY KUALA LUMPUR

UPPER SECONDARY           :        LA SALLE PETALING JAYA 1971-1972 SELANGOR

 

TERTIARY

PRE-UNIVERSITY                 :     ALAGAPPA COLLEGE, KARAIKUDI  (1972-1973) TAMIL NADU, INDIA

B.SC. AGRICULTURE          :      ANNAMALAI UNIVERSITY (1973-1975)  CHIDAMBARAM, TAMIL NADU, INDIA

(COMPLETED 2 YEARS)

PRE-MEDICAL                      :      GOVT. COLLEGE FOR MEN, CHANDIGARH  (1975-1976) PUNJAB, INDIA

MBBS                                     :       KARNATAK MEDICAL COLLEGE (1976-1981) HUBLI KARNATAKA, INDIA

 

HOUSEMANSHIP          :      INDIA  1981-82

 

JOINED HEALTH MINISTRY MALAYSIA :           18/1/1983

 

HOUSEMANSHIP :            PENANG GENERAL HOSPITAL  (1983)

 

MED.  OFFICER       :           ORTHO. PENANG GEN. HOSPITAL        (Jan 84 - Jul 84)

 

MED. OFFICER        :           A&E SG. PETANI DISTRICT HOSP. KEDAH  (Aug 84 - Jul 85)

 

MED. OFFICER        :           SURG. & ORTHO.   (Aug 85 - Jan 89) SG. PETANI DISTRICT HOSP. KEDAH

 

MED. OFFICER        :           SURG. & ORTHO.  (Feb 89 - Dec 89) BALING DISTRICT HOSP. KEDAH

 

MED. OFFICER        :           SURG. & ORTHO.  (Jan 90 - Nov 92) TAIPING DISTRICT HOSP. PERAK

 

F .R .C .S.

PART I FRCS (EDIN.) AND M.MED (SING.)            FEB 1992      SINGAPORE

 

PART II FRCS (EDIN.)                                             OCT 1992       EDINBURGH, U.K.

 

CLINICAL SPECIALIST

ORTHOPAEDIC INSTITUTE KUALA LUMPUR GENERAL HOSPITAL                            Dec 92 - Jul 94

SHORT TERM COVERAGE:-

  1. HOSPITAL QUEEN ELIZABETH, KOTA KINABALU
  2. HOSPITAL KUCHING, SARAWAK
  3. HOSPITAL MELAKA

 

GAZETTED BY MINISTRY OF HEALTH  AS:-

  1. GENERAL SURGEON                                                         APRIL 1993
  2. CONSULTANT ORTHOPAEDIC SURGEON                      OCTOBER 1994

 

TRANSFERRED AS CONSULTANT ORTHOPAEDIC SURGEON TO IPOH G.H. PERAK

 

PRESENT POSITIONS HELD

 HEAD OF ORTHOPAEDIC SERVICES / PERAK STATE

  • HEAD OF DEPT. OF ORTHOPAEDIC & TRAUMATOLOGY IPOH GENERAL HOSPITAL PERAK DARUL RIDZUAN (HRPB)  - 16.11.1996 – 13.04.2015 (RETIRED)
  • HOSPITAL SLIM RIVER - 14.04.2015 - 13.04.2017 (EXTENSION IN SERVICE)
  • RECOGNISED SPINE SURGEON AND SPINE TRAINER BY MINISTRY OF HEALTH

 

FELLOWSHIP :

SPINE                           - FRANCE--1996

SPINE                          - FRANCE--1998

ASEAN SENIOR ORTHOPEDIC TRAVELLING FELLOW  - 2000

 

AWARDSD.P.M.P. (DARJAH PANGLIMA MAHKOTA PERAK) – CONFERRED BY HIS ROYAL HIGHNESS SULTAN AZLAN SHAH OF PERAK STATE  ON   “19TH APRIL 2001”.

 

SET-UP

FIRST SPINAL CARE UNIT IN MALAYSIA – DECLARED OPEN BY THE DIRECTOR GENERAL OF HEALTH  TAN SRI ABU BAKAR ON 4TH OF APRIL 2000.

 

  1. LIFE MEMBER OF THE MALAYSIAN MEDICAL ASSOCIATION
  2. LIFE MEMBER OF MALAYSIAN ORTHOPAEDIC ASSOCIATION
  3. LIFE MEMBER OF ASIA PACIFIC ORTHOPAEDIC ASSOCIATION
  4. MEMBER OF THE NATIONAL SPECIALIST REGISTER
  5. PERIOPERATIVE MORTALITY REVIEW ASSESSOR (MINISTRY OF HEALTH MALAYSIA)

 

EXAMINER

  1. PERAK COLLEGE OF MEDICINE (UNIKL-RCMP)
  2. UNIVERSITI PUTRA MALAYSIA
  3. UNIVERSITI KEBANGSAAN MALAYSIA
  4. MANIPAL MEDICAL COLLEGE
  5. KOLEJ KESIHATAN BERSEKUTU SULTAN AZLAN SHAH ULU KINTA PERAK
  6. POSTGRADUATE EXAMINER FOR CONJOINT UNIVERSITY BOARD OF MALAYSIA (CBO)
  7. CHAIRMAN OF EXTERNAL ENQUIRY BOARD FOR THE MINISTRY OF HEALTH
  8. CHAIRMAN OF POSTINGS COMMITTEE FOR THE MINISTRY OF HEALTH (ORTHOPAEDIC DIVISION FOR NEWLY GRADUATED ORTHOPAEDIC SPECIALISTS)