BN2 Physiotherapy

BN2 Physiotherapy Home physiotherapy services by booking. Based in Warrington. Cantonese & English speaking. Facebook/ Instagram: Around 30-45min/ session.

Around £60-100/ body area/ session depends on complexity. By appointment only. Payment cash only.

每堂每身體部位約$60-100英鎊, 按複雜性而定.
每堂約30-45分鐘.
只接受預約.
現金付款.

To my dear friends who are interested to know more about Hong Kong, If you can spend 30min for this video, a very clear ...
25/07/2024

To my dear friends who are interested to know more about Hong Kong,

If you can spend 30min for this video, a very clear and self explanatory video explaining what was going on in my home town Hong Kong.
The democracy, economy, social system and culture in Hong Kong were being ruined by the China CCP. Hong Kong is no longer safe to say anything against the government or China and many of the protesters were arrested and detained without found guilty. That’s many Hongkongers fled to the UK or somewhere else in recently 3-4 years.

Thank you for your concern of my home town and the safety of the Hongkongers. I am glad to be here in the UK and tell you our stories though I am not very good at describing specific terms in English.

https://youtu.be/8wjFcTcWa4U?si=vPSPIblXQpNvLQVo


Get 40% off Nebula and watch the Getaway at http://Nebula.tv/WendoverYoutube: http://www.YouTube.com/WendoverProductionsInstagram: http://Instagram.com/sam.f...

今日上左個進修堂,原來刮痧呢類technique有個咁勁既英文名: Instrument Assisted Soft Tissue Mobilisation (IASTM)😱 同埋臨床證據都多左好多👍🏻物理治療都會用刮痧呢類方法黎鬆開軟組織...
28/10/2023

今日上左個進修堂,原來刮痧呢類technique有個咁勁既英文名: Instrument Assisted Soft Tissue Mobilisation (IASTM)😱 同埋臨床證據都多左好多👍🏻

物理治療都會用刮痧呢類方法黎鬆開軟組織/筋膜。同傳統用手法Soft Tissue Massage比較,主要係減低治療師對手既勞損同埋用刮刀/特別設計既儀器可去到更深更入既組織。

治療原理可參考👇🏻:
Please read below for more information of Gua Sha- an instrument assisted soft tissue mobilisation technique😉👇🏻:

https://www.physio-pedia.com/Instrument_Assisted_Soft_Tissue_Mobilization

除左「針灸」,物理治療都會用「拔罐」架!拔罐其實就係一個物理既介面,物理治療師就運用呢個物理既方法作為醫治手段🛠。很可惜雖然拔罐有多年歷史,臨床效果唔錯,但因為有欠支持既文獻同數據,所以未廣為使用,尤其係公營醫療。自從菲比斯🧜🏻‍♂️🏆都拔...
16/09/2022

除左「針灸」,物理治療都會用「拔罐」架!

拔罐其實就係一個物理既介面,物理治療師就運用呢個物理既方法作為醫治手段🛠。很可惜雖然拔罐有多年歷史,臨床效果唔錯,但因為有欠支持既文獻同數據,所以未廣為使用,尤其係公營醫療。
自從菲比斯🧜🏻‍♂️🏆都拔,香港同外國既運動或私人執業同業都用多左,連病人都會主動問。

Besides from acupuncture, physiotherapists also use CUPPING as one of the treatment modalities.
Though it has a long history and sounded clinical effects, unfortunately, its evidence is not strong enough to support its use in the public healthcare system.

咁拔罐係咩?有咩用呢? 我懶,所以請睇返圖片介紹啦😝

What is CUPPING THERAPY?
Cupping is a type of alternative therapy that involves placing cups on the skin to create suction. This suction is thought to improve the flow of energy in the body and facilitate healing.

The effects of cupping therapy include:
* promoting the skin’s blood flow
* changing the skin’s biomechanical properties by releasing the soft tissue tension
* increasing pain thresholds
* improving local anaerobic (without oxygen) metabolism and promote cell repair
* reducing inflammation
* boosting cellular immunity
* may also help form new connective tissues and create new blood vessels in the tissue.

Your skin may turn red and show light bruising after your session. Any discoloration or marks from cupping usually go away within 7 days of the session.

Ref: https://www.healthline.com/health/cupping-therapy

https://www.sciencedirect.com/science/article/pii/S2005290117302042

https://www.sciencedirect.com/science/article/abs/pii/S1744388117304024

https://blog.easepain.tw/huang-kuan-wei/cupping-therapy/

https://www.bbc.com/zhongwen/trad/world/2016/08/160809_rio2016_olymipians_cupping

Photo credit to my patient👍🏻

長知識系列👇🏻岩岩過咗中秋🍽🥮,大家有冇食滯左呢?我地又黎學英文🥳Stomachache/ gastric pain形容「胃痛」Trapped Wind🌪 形容「胃氣脹」Feel full/ bloat 形容「個胃頂住」Feel heart...
13/09/2022

長知識系列👇🏻
岩岩過咗中秋🍽🥮,大家有冇食滯左呢?

我地又黎學英文🥳
Stomachache/ gastric pain形容「胃痛」
Trapped Wind🌪 形容「胃氣脹」
Feel full/ bloat 形容「個胃頂住」
Feel heartburn形容「火燒心」既痛
Farting形容「放屁」
Burping/ Belching 形容「urg氣」
Acid Reflux 即係「胃酸倒流」
Indigestion/ Dyspepsia 即係「消化不良」
Gastritis即係「胃炎」
Gastroenteritis 即係「腸胃炎」
Stomach Ulcer即係「胃潰瘍」
Helicobacter pylori (H. pylori) 即係「幽門螺旋菌」

食滯咗😮‍💨簡單處理方法就食下胃藥Antacids (抗胃酸藥)、消化片、飲杯茶消下滯咁啦。

再唔係就試下穴位按摩/針灸:內關,足三里,中脘都幾好用架👍🏻

Picture credit: Heho健康
Ref: https://www.nhs.uk/conditions/indigestion/

612👇🏻長知識系列:頭暈 Dizziness最近收左d奇難雜症,襯機同大家分享下😜頭暈😵‍💫🤦🏻都關物理治療事架!有種頭暈叫做「良性陣發性姿勢性暈眩」Benign Paroxysmal Positional Vertigo (BPPV),...
11/06/2022

612👇🏻長知識系列:頭暈 Dizziness

最近收左d奇難雜症,襯機同大家分享下😜
頭暈😵‍💫🤦🏻都關物理治療事架!

有種頭暈叫做「良性陣發性姿勢性暈眩」Benign Paroxysmal Positional Vertigo (BPPV), 好多人叫「耳石脫落」,下圖有解釋係咩黎😝

頭暈分好多種, 例如:耳水不平衡Meniere’s Disease,前庭神經發炎Vestibular neuritis,聽覺神經瘤 Acoustic neuroma,頭部創傷 Head Truama/ Concussion syndrome,eg. 撞車, 比野揼到個頭,仲可能有心腦問題導致既頭暈;以上既頭暈要搵返醫生,第一站GP通常轉介耳鼻喉ENT專科幫你,萬一唔好彩會轉介心/腦/血管科。

如果係BPPV呢? 有相關訓練既物理治療師會問症斷症,再做一d測試,睇下患側內耳邊條耳管受影響,再做復位手法,如果係真BPPV又對治療有反應,正常即時會有5-8成改善。之後可能隔兩日做多1-2次復位就ok😉

Ref: http://pticliu.blogspot.com/2018/12/treatment-of-bppv.html?m=1
https://www.neuropt.org/docs/vsig-chinese-pt-fact-sheets/what-is-bppv-chinese.pdf?sfvrsn=62fad93a_2

又到英文時間,睇GP既時候點形容頭暈呢?

普通行唔穩,虛虛地,行路輕飄飄既暈,或者好籠統咁講暈- DIZZINESS, 英文可形容為feel faint, weak and unsteady, lightheaded, off-balance
天旋地轉暈- 學名可用VERTIGO, 英文可形容為spinning, whirling or turning sensation
眼球顫動- NYSTAGMUS

諗到有咩唔識英文點講,留言討論下啦😎

609👇🏻長知識系列: 阿基里士腱退化 Achilles Tendinopathy呢個情況較常發生係:- 30歲以上- 男人- 經常需跑步既運動,如中長跑🏃🏼,踢波⚽️,藍球🏀,羽毛球🏸,網球🎾等- 體重過重- 有糖尿病史- 小腿肌肉同核心...
09/06/2022

609👇🏻長知識系列: 阿基里士腱退化 Achilles Tendinopathy

呢個情況較常發生係:
- 30歲以上
- 男人
- 經常需跑步既運動,如中長跑🏃🏼,踢波⚽️,藍球🏀,羽毛球🏸,網球🎾等
- 體重過重
- 有糖尿病史
- 小腿肌肉同核心肌群較弱/較緊
- 足踝關節活動能力欠佳

物理治療:
- 處理急性炎症 RICE
- 針對性的伸展及強化運動,現今醫學標準都係以離心收縮運動 Eccentric exercises為基礎
- 需要時會配合手法治療,針灸,衝擊波等儀器,改善肌肉張力及筋腱癒合
- 建議運動訓練內容,訓練強度,耐度,難度,步姿,運動選擇等
- 仲要配合鞋或鞋墊,減低足部壓力

通常係第一次急性期/或者開始腳跟位有少少唔舒服緊緊地,就去休息,暫停跑步運動,自己做返拉筋eccentric exercises,約6-12星期佢都會好返好多。
但係搞到痛出黎,行到拐拐下gut腳,就要休息耐啲同幫襯物理治療,先可以跑返,時間可長達3-6個月。
仲有啲太多次小發炎唔理,冇咁痛未訓練好又返去跑,腳跟後面已經增生一大舊野(學名:Haglund’s Deformity),個d真係手尾長,分分鐘跑唔返, 一跑又痛…唉😩

Ref:
https://www.facebook.com/100441341987546/posts/197140105651002/?d=n
https://www.ouh.nhs.uk/patient-guide/leaflets/files/11924Ptendinopathy.pdf

大家好呀,BN2 Physio就黎一週年啦⋯⋯係時候出下post重燃一下熱情❤️‍🔥64的痛: 最近病人成日問點樣形容「痛」💥比GP聽呀?!以下係我做左咁耐,聽本地人形容再加埋我既廣東話理解既翻譯,希望幫到少少手啦!廣義「痛」= pain/...
26/05/2022

大家好呀,BN2 Physio就黎一週年啦⋯⋯係時候出下post重燃一下熱情❤️‍🔥

64的痛: 最近病人成日問點樣形容「痛」💥比GP聽呀?!以下係我做左咁耐,聽本地人形容再加埋我既廣東話理解既翻譯,希望幫到少少手啦!

廣義「痛」= pain/ hurt
(肌肉)酸痛= soreness
怨痛= ache
刺痛= sharp pain
刀仔割咁了住痛=stabbing pain
放射痛/ 閃電⚡️痛= shooting pain
火燒🔥痛= burning pain
麻痺(好似隔層紗咁)= numbness
針吉= pins and needles

痛既程度我地通常用0-10 量度。
0=冇痛, 完全正常;
10=極痛, 痛過生仔;
5=一半, 中等,可忍耐。
可以參考下以下個表。

仲諗到d 咩痛唔識講,留言睇下我識唔識!
各位行家,有錯有補充,歡迎留言!☺️

What is Acupuncture? https://www.aacp.org.uk/page/14/what-is-acupunctureAcupuncture is one of the many skills used withi...
13/03/2022

What is Acupuncture?
https://www.aacp.org.uk/page/14/what-is-acupuncture

Acupuncture is one of the many skills used within physiotherapy as an integrated approach to the management of pain and inflammation and as a means of stimulating the body’s own healing chemicals in order to aid recovery and enhance rehabilitation.
Acupuncture within physiotherapy is used against the background of clinical and research evidence. The concept of Traditional Chinese Medicine [TCM] is an ancient system of written scripts as far back as 1000BC, founded on the holistic concept of treatment and an acknowledgement of the body’s ability to return to its balanced state of health, given the correct stimulus to do so.

There are many forces within the body that require balance in order to achieve health and fitness; two forces that are commonly referred to are YIN [negative] and YANG [positive]. Treatment with Acupuncture is undertaken with the aim or restoring all the body systems to a state of balance (homeostasis). This is achieved by an in depth physiotherapy assessment to determine the source of the imbalance and the correct acupuncture points required to address this imbalance and facilitate the body’s return to a state of health both physically and mentally.

The body has the ability to “self repair; the use of Acupuncture, Acupressure or Electro-Acupuncture enhances the repair mechanism and enables an improved recovery time. This allows other physiotherapy treatments such as exercise, muscle strengthening and rehabilitation to achieve more effective results.

The acupuncture needle will stimulate the flow of QI [pronounced ‘chee’], which circulates in channels or meridians within the body. The QI circulates within the deeper organs of the body, but connects to the superficial skin. In the state of a normal healthy body, a balance exists between these systems. Both the superficial energy and the deeper energy can be influenced by the stimulation of specific acupuncture points. If injury, disease, emotional trauma or infection occurs, the natural flow of QI within the meridians and organs may well be affected and the result is an altered flow, either a slowing or stagnation of QI causing pain and inflammation, or a deficit of QI, which may cause weakness, exhaustion and longer debilitating disease. The stimulation of relevant acupuncture points may free stagnation, reduce excess or indeed, increase QI to the specific area or organ and thus help to restore normal QI flow and balance.

Acupuncture is used by Physiotherapists, against a background of sound research and evidence, as a means of enhancing pain modulation via the stimulation of the brain and spinal cord to produce NATURAL pain relieving chemicals, such as endorphins; melatonin to promote sleep, serotonin to promote well being, to name but a few. These assist the body’s healing process and offer pain relief as a precursor for other manual or exercise therapy.
Acupuncture is also used by Advanced AACP members as a means of addressing some systemic and longer term illness, but always with the aim of enhancing physiotherapy treatment and improving the quality of life.

AACP

07/01/2022
07/01/2022
02/10/2021

聽教授講好過我講!
#港式物理治療
#手法治療

長知識系列👇🏻https://www.facebook.com/PIC.HKCOS/photos/a.104079478290399/199385688759777/?type=3
02/10/2021

長知識系列👇🏻

https://www.facebook.com/PIC.HKCOS/photos/a.104079478290399/199385688759777/?type=3

半月板撕裂

半月板撕裂是膝關節常見的運動創傷之一。半月板是膝關節內的主要組件,墊接關節內股骨與脛骨的兩端,擴大接觸面,吸收運動時的震盪,使關節能順暢地滑動。

膝關節共有兩塊半月板,分別位於關節內側與外側。曾經,半月板被認為是人類進化遺下的殘件,在膝關節中沒有作用。現在我們都認識到半月板是關節中不可或缺的組織,能幫助膝關節平均分佈負荷及穩定活動中的膝關節。

半月板依賴關節囊的微絲血管及膝關節的滑膜囊液的營養而存活。半月板周邊輕微的撕裂創傷,由於鄰近關節囊,血液供應充沛,一般都會自然痊癒。若半月板主體的損傷,離關節囊較遠,血液供應不足,單依賴滑膜囊液的營養不能促使癒合。 因此,若半月板中央部份出現大型或嚴重撕裂,防礙關節的穩定和活動,便需用手術處理。

進行體育活動或跑動時,若突然做出轉向的動作,膝關節突然被扭,便有機會把半月板軟骨撕裂。這種傷患亦往往與其他膝部創傷一併出現,例如前十字韌帶撕裂和副韌帶撕裂等。另外,在退化性的膝關節內,半月板的滑墊功能也會隨著消減,會較容易受損。

診斷方法

骨科醫生首先會找出患者受傷的原因,然後詳細檢查受傷的膝關節。用X光檢查可能受傷的骨骼。核磁共震造影(MRI)掃描則有助深入評估關節內的軟組織:十字韌帶、半月板和關節軟骨等。醫生更會視乎臨床情況,或使用膝關節鏡來診斷半月板撕裂的程度。

非手術治療

如半月板只是輕微受創,膝部一般會隨著時日自行修復過來。受傷後立即施行冰敷或壓力治療,能有助控制腫脹,亦可加快康復速度。患者或需要讓膝部休養一段時間,醫生亦會因應臨床診斷和患者的痊癒進度,為他們安排物理治療。

手術治療

保守療法並非一定有效。若患者膝部的痛楚有增無減,感到僵梗及活動「被鎖」等,意味著撕裂的範圍頗大,阻礙膝關節的活動時,便需要手術治理。遇此情況,醫生會使用內窺鏡進行手術,把撕裂的殘件切除,或進行修補,視乎撕裂的面積、位置和形態,以至傷患延治的時間而定。骨科醫生會與患者商討,決定最合適的治療方案。

 預防方法

要預防半月板撕裂和其他膝部創傷,運動前後必須進行足夠的伸展熱身活動,定時強化膝部與大腿肌肉,切勿突然提升運動或訓練的強度與密度。

#香港骨科醫學院公共資訊服務 #香港骨科醫學院 #骨科 #運動創傷 #健康知識 #半月板

延伸閱讀: http://www.orthoinfo-hkcos.org/?route=injuries-detail&c=6&i=23&t=82

圖片: Veritas Health

長知識系列👇🏻https://www.facebook.com/PIC.HKCOS/photos/a.104079478290399/200081238690222/?type=3
02/10/2021

長知識系列👇🏻

https://www.facebook.com/PIC.HKCOS/photos/a.104079478290399/200081238690222/?type=3

肩袖撕裂

肩袖撕裂 (Rotator Cuff Tear) 是肩關節最常⾒的骨科病症之⼀。有研究指出,在年過60歲的⼈⼝當中,便約有25%的⼈患有某程度的肩袖撕裂。

肩旋轉肌 (Rotator cuff muscles)由四條肌⾁組成,想衣袖⼀樣包圍肱骨(也稱上臂骨)的肩膀部分 。
肩旋轉肌除了負責協調肩胛關節的活動(包括外展,內收、屈曲、內旋及外旋等),還協助維持關節的穩定性及減輕關節內的剪⼒ (shearing force)。

肩袖撕裂的成因

肩袖的撕裂有多種成因。⼀般可分為外在及內在的因素:

- 外在因素:

1. 肩峰撞擊:肩峰下突露的贅骨與肩袖發⽣⽇積⽉累的摩擦,導致肌腱的損傷。這情況在需要重複提臂過頭活動的職業最為常⾒。

2. 創傷:不論是年輕⼈或長者,肩關節的創傷或脫⾅均可引致肩袖的撕裂。

3. 吸煙:愈來愈多研究顯⽰吸煙的習慣,會影響肩袖的⾎液循環,增加肌腱撕裂的風險。

- 內在因素:

1. 年齡:肩袖隨年紀增長⽽退化,柔韌度下降,繼⽽增加撕裂的機會

2. ⾎脂/膽固醇過⾼:有研究指出,罹患肩袖撕裂的病者⾎液內的⾎脂及膽固醇含量,明顯比沒有肩袖撕裂的⼈為⾼。

徵狀

痛楚:⼀般在肩關節的側⾯或前⽅,尤其在提臂過頭向上的活動更為明顯, 並妨礙患者晚上倚著肩膀側睡。疼痛甚⾄會影響女患者穿戴胸圍。

肩膀乏⼒: 外展或提升⼿臂時感到無⼒。

診斷

骨科醫⽣⾸先會了解患者的病史,並對肩關節進⾏詳細的臨床檢查。如懷疑有肩袖撕裂的情況,會為患者作進⼀步的造影檢查:

- X光檢查:查看肩峰下贅骨增⽣的情況,以及肩關節有否因為旋肌的長期撕裂⽽產⽣退化。

- 超聲波及磁⼒共振掃描 (MRI):有效清晰地評估旋轉肌及肩關節內的軟組織結構。磁⼒共振掃描更可仔細檢測肩袖撕裂的⾯積、形狀與位置,以及肩周肌⾁的萎縮的程度,從⽽協助骨科醫⽣制定治療⽅案。

- 透過磁⼒共振掃描,肩袖的撕裂也可被分類作部分斷裂(partial- thickness tear) 或全部斷裂 (full-thickness tear)。若撕裂寬度⼤於五厘米或涉及兩條肌腱以上,便會被界定為「⼤型」撕裂的個案(massive tear)。

非⼿術治療

不是所有肩袖撕裂的患者,都需要⼿術治療。以下類別的患者,可嘗試利⽤非⼿術治療來減輕痛楚和改善肩部活動功能:

- 肩袖部分撕裂(partial-thickness tear)

- ⼩型撕裂 (⼀般界定為撕裂寬度少於⼀厘米)及徵狀輕微的患者

- 較年長的患者(⼀般界定為⼤於70歲)

非⼿術治療主要包括:

- 物理治療:強化三⾓肌及旋轉肌的運動及肩關節伸展運動等

- 休息及減少提臂的⼯作

- 服食藥物控制痛楚及肩袖的發炎

- 肩峰下滑液囊注射治療:注射治療包括局部⿇醉藥、類固醇或⾼濃度⾎⼩板⾎漿(PrP)。在肩旋轉肌部分撕裂 (partial-thickness tear)並帶有肩峰撞擊症狀的患者,注射治療有機會舒緩疼痛和減輕炎症。然⽽根據⼤規模的外國研究結果顯⽰,注射治療的成效可因⼈⽽異。患者應按骨科醫⽣的診斷和建議考慮接受注射治療。

於以上提及的患者類別,非⼿術治療可有效幫助六⾄七成的患者改善肩膀痛楚及乏⼒的徵狀。

⼿術治療

如出現下列情況,骨科醫⽣會建議患者接受⼿術治療:

- 非⼿術治療無助消退徵狀
- 急性肩旋肌全部撕裂 (full-thickness tear),患者感到非常疼痛和肌⾁無⼒
- 患者活躍運動及經常需進⾏提臂的⼯作

骨科醫⽣將考慮多種因素來決定施⾏⼿術的類型,例如裂⼝的⾯積⼤⼩、形狀和位置等。⼿術治療可分為兩⼤類:

- 旋轉肌腱修補術
- 重建⼿術

旋轉肌腱修補術:

現時此⼿術⼀般可利⽤關節鏡以微創的形式進⾏。骨科醫⽣會在肩膀周圍開出數個細⼩的切⼝,然後利⽤關節鏡和各種「筆型」的⼿術器具為旋轉肌進⾏修補。過程中會運⽤特別的「線錨」植入肱骨處,把撕裂的肌腱重新連接在肱骨之上。

重建⼿術:

如旋轉肌腱撕裂的缺⼝龐⼤,並有嚴重肌⾁萎縮的情況,會使旋轉肌腱修補術變得不可⾏。這時候便須考慮進⾏以下的重建⼿術:

- 肌腱轉移術 (Tendon transfer)
- 上關節囊重建術 (Superior capsular reconstruction): 利⽤患者⾃體的筋膜組織或⼈⼯合成的硬膜,重建肩關節上⽅的關節囊,已改善肩關節的動⼒和穩定性
- 反向全肩關節置換 (reverse total shoulder replacement): 如患者擁有健全的三⾓肌功能,並因旋轉肌長期撕裂⽽導致肩關節退化,便可考慮接受反向全肩關節置換。

#香港骨科醫學院公共資訊服務 #香港骨科醫學院 #運動創傷 #骨科 #健康知識

延伸閱讀:http://www.orthoinfo-hkcos.org/?route=injuries-detail&c=3&i=11&t=137

講開銜頭,原來英國係咁分架😱初初係醫院做, 十萬個為什麼?!點解個個surgeon都稱呼Consultant (HA mode上腦:HA 個架構下Consultant 係Surgeon個老闆), 寫信比佢地淨係Mr.X, 冇人寫Dr. X喎...
30/09/2021

講開銜頭,原來英國係咁分架😱
初初係醫院做, 十萬個為什麼?!
點解個個surgeon都稱呼Consultant (HA mode上腦:HA 個架構下Consultant 係Surgeon個老闆), 寫信比佢地淨係Mr.X, 冇人寫Dr. X喎⋯⋯點解既?!

稱呼治療師, 全部都係叫名, 好Friendly😜

#要人尊重必自重之
#藥唔好亂食名唔好亂叫病唔好亂醫

銜頭的問題在所有專業中都非常重要。

大律師、事務律師都是法律系出品,性質卻不同;即使同屬「治療師」,也是專職醫療人員,但物理治療(Physiotherapy)、職業治療(Occupational Therpy)、足部治療(Podiatry)都是不同的專業,隸屬不同的部門。

又例如一般人認為「家庭醫生」即是「我家庭見開的那個醫生」,而且「樓下的那位也是專科醫生」。事實上,所有醫生一定要有專科學院頒授的院士名銜(Fellowship)才可以自稱專科醫生。我這類未夠資格的,只可以叫「醫生」(Doctor)、「駐院醫生」(Resident)。家庭醫學(Family Medicine)也有自己的學院,也是自己的專科。在外國,家庭醫學是其中一個最常見、最受歡迎的專科,只不過來到香港發育不良才導致誤會不斷,原因另文再述。亦因如此,如果門診醫生的皮膚科、兒科、家庭科銜頭是由某大學頒發的文憑(Diploma),也並不能是專科醫生。

在中古時代的英國,要成為內科醫生 (Physician),要先經歷大學,拿取 Doctor 的資歷和銜頭;要成為外科醫生(Surgeon)卻並不需要進大學,只需要找一位大師當其學徒,再去考一紙文憑。為了劃分兩者,當時的外科醫生也並非 Doctor,而自稱 Mister / Miss。即使現今的醫生們都要經過醫學院的歷練,英國的外科醫生依然保存這個稱謂的傳統。

早幾天,有脊醫(Chiropractor)上了某電視節目去宣傳自己的專業,作出的陳述卻竟然驚動至骨科專科學院發出聲明澄清,所以我才想帶出這個銜頭的問題。

脊醫並非醫生,這是無可否定的。外國的脊醫會叫自己做 Doctor,因為他們獲頒脊醫博士學位,所以是博士 Doctor,並非醫生 Doctor。這個博士學位並不為人公認,頒授的學校也是脊醫自己的,於是有人就認為他們自己開學校頒學位給自己。當然,有陰謀論會說是西方醫學打擊會給自己搶飯碗的人,但脊醫的而且確未有大型研究去證明自己的效用。幾年前,英國的脊醫組織向某作者提出誹謗指控,但澄清聲明內引述的都不是可信度高的大型研究,反被嘲弄,更導致過百名英國脊醫被提控作出失實聲明。那麼,究竟脊醫有無效?

目前來說,某些研究指脊醫對背痛是有效的,僅此而已;部份脊醫說自己能醫百病,這就沒有根據。既然根本不是醫生,你再有效都不應在自稱脊背神經科醫生,要讀的課程有包括醫學知識又如何?小島學堂內,護理學系、藥劑學系、中醫學系、醫學系都有互通的課程,難道護士可以自稱醫生、藥劑師可以自稱華佗、我又可以叫自己藥王?豈有此理。

外國如何處理?世衛承認脊醫對痛症可能可以幫得上忙,卻指出全世界對脊醫的訓練良莠不齊,對其規格提出建議,但依然未獲廣泛接納。英國 NHS 的網頁將脊醫納入另類醫療,並不提供官方服務,有需要便向家庭醫生提詢。香港嘛,有脊醫條例、有註冊,對實際上的規矩卻又沒有好好執行。而且,在香港自稱醫生的,又何止脊醫?

要人尊重自己的專業,要先尊重自己,要有誠信。
吹捧得天花亂墜,只會令自己獲認可的機會更微。



P.S. 圖為被英國脊醫組織告上衙門的 Simon Singh

大家好呀!好耐冇出post! 但係都有緊貼香港業界行情!近日有脊醫Chiropractor 係大台對於中醫及物理治療有不實既言論,令業界同學術界反感,亦引起大眾注意⚠️透過今次事件,有幾點想大家留意返!1. 手法治療只係物理治療其中一種治療...
25/09/2021

大家好呀!好耐冇出post! 但係都有緊貼香港業界行情!
近日有脊醫Chiropractor 係大台對於中醫及物理治療有不實既言論,令業界同學術界反感,亦引起大眾注意⚠️

透過今次事件,有幾點想大家留意返!

1. 手法治療只係物理治療其中一種治療方案, 必須配合其他環節, 如運動,糾正姿勢, 正確運用人體工學等,才可根治問題。
2. 手法治療不單只有啪骨, 仲有唔同程度既關節活動手法,軟組織舒緩手法,伸展手法等;需按患者檢查結果而決定。
3. 某些患者對啪骨存錯誤觀念,啪到好似上左癮咁。但係骨唔可以亂啪,亦唔需要成日啪,堂堂都啪。啪得多,關節旁韌帶係會過鬆,造成關節唔穩定;簡單舉例:成日啪頸既,好大機會成日瞓矮頸,部分原因就係關節穩定性唔夠,而睡眠時頸肌肉放鬆,第二朝起身頸關節就有機會急性錯位,即瞓矮頸,跟住又啪頸復位,跟住又鬆又錯位,無限復活😔

講住咁多先…

Ref:
https://www.facebook.com/100441341987546/posts/255485426483136/?d=n

https://www.hongkongpa.com.hk/notices/response-to-comments-made-by-mr-rick-lau-on-a-tv-programme-broadcasted-on-16-sept-2021/

Hong Kong is so beautiful! #香港真係好靚
25/06/2021

Hong Kong is so beautiful!
#香港真係好靚


今日第一次帶齊架撐出診🥳去個本地人屋企做物理治療! 希望港式物理治療幫到佢痛左成年既腰骨啦!I am so delighted to offer my home physio for my first local patient in UK...
20/06/2021

今日第一次帶齊架撐出診🥳去個本地人屋企做物理治療! 希望港式物理治療幫到佢痛左成年既腰骨啦!

I am so delighted to offer my home physio for my first local patient in UK. 🥳 I hope my HK style physio treatment can help this gentlemen to get well with his longstanding low back pain.


#港式物理治療

香港🇭🇰VS英國🇬🇧物理治療小妹係香港打左咁多年工,私家/政府+醫院/診所都做過; 黎到英國都做過下NHS醫院同私家醫院既物理治療師。雖然接觸面好片面,不過都分享下港英物理治療方法有咩分別😉基本上港英物理治療係問症,檢查,診斷,設定治療目標...
20/06/2021

香港🇭🇰VS英國🇬🇧物理治療
小妹係香港打左咁多年工,私家/政府+醫院/診所都做過; 黎到英國都做過下NHS醫院同私家醫院既物理治療師。雖然接觸面好片面,不過都分享下港英物理治療方法有咩分別😉

基本上港英物理治療係問症,檢查,診斷,設定治療目標都係一樣既;唯一少少唔同係治療手段。
英國政府/私家物理治療都好強調主動運動,佔9成9。我之前做個間醫院連熱敷、TENS都冇。私家醫院好啲,有啲普通儀器。
香港政府HA都係咁,8-9成病人黎做一兩樣儀器,返去做運動,1成需要用HA高端既儀器,如機械手腳訓練行路,TMS等。
香港私家物理治療差異好大,有啲好強調手法治療,儀器治療,針灸,運動創傷,每位同行各有專長。

而我呢? 主打手法治療,針灸,同運動治療既!
好多時新傷舊患都係因為姿勢同軟組織唔平行/太弱,增加關節或軟組織負荷,導致發炎、勞損或痛症;所以需要用軟組織舒緩術放鬆,令關節回復無壓狀態,正常活動,配合運動增加柔韌度同肌力保護關節,等身體慢慢復原!再加強訓練同保養,舊患都冇咁易復發啦!

HK🇭🇰 style vs UK🇬🇧 style Physio Practice
Having worked as a physio in both public and private; hospitals and clinics in HK for many years; and some exposure in NHS and a private hospital in UK, actually we did the same in consultation, assessment, making diagnosis and setting treatment goals. However, just a little bit difference in treatment choices. (Please forgive me my information may not be a complete picture as I only have exposure on 2 settings in UK! Just for ref!)😉

In UK, ACTIVE EXERCISES are the key and almost 99% of a physio session. In my working hospital, there is no hotpad or even a TENS machine for pain relief.
In HK, exercises and stay active is still the main stream in public settings. However, it is much variable in private setting. Our fellows do manipulations, electrophysical modalities, acupuncture, sport physio with sports teams. They are very specialized.

For me? I am specialized in manual therapy, acupuncture and exercises. We believe posture and soft tissue imbalance always overloads our joints and soft tissues, causing pain, inflammation, wear and tear, speed up degeneration, etc. We use manual therapy and acupuncture to relieve soft tissues tension, so as to alleviate the joints pressure. In addition to strengthening and stretching exercises, our body can move in normal pattern and heal itself.


#港式物理治療

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