The Move Club Physicaltherapy Clinic

We provide a treatment and rehabilitation service in various types of conditions including neurological pathology rehabilitation, musculoskeletal pain management, and exercise rehabilitation. All treatment are conducted by a team of registered and experienced physical therapists.
 
Location
          The clinic are located on a heart of economic area in Thonburi district of Bangkok. The move club physical therapy clinic are on the second floor of Disara building in Chareonakorn 40 alley. The transportation are convenience with varieties choices such as sky train (7 minutes by car from BTS Krungthonburi), also bus route that pass through clinic location. Private transportation are welcome with convenience parking lot. Inside of clinic provide private and comfortable atmosphere to allow the most benefit to patient and client during their treatment.
 
Services
          We provide treatment service in many aspects :

1.Orthopedic physical therapy
We help manage pain and improve healing process that cause by daily activity injuries such as joint stiffness, muscle strain and tightness, ligament sprain, and office syndrome. The different types of modality such as manual therapy, exercise, and equipment will be apply according to the symptoms

2.Neurological physical therapy
We help the patient with stroke, pakinson’s disease, and other relevant pathology to regain their daily activity performance through movement analysis and exercises. The rehabilitation will help the patient to promote the independence and improve their quality of life.
 
3.Sport physical therapy
Our clinic provide rehabilitation service to athletes with sport injuries. Not only to reduce pain, but also to gain their maximal performance to return to sport as soon as possible.
 
4.Fall prevention program
We provide movement analysis and exercise for elderly in order to prevent risk of falling and others possible injuries. The exercise rehabilitation will help these group of client to perform their daily activity confidently.
 
5.Home physical therapyWe also provide home base service for the patient that unavailable to approach our clinic. The experience physical therapist will be assigned to your home and give the appropriate rehabilitation.
 
6.Exercise and movement therapyOccasionally, we conduct a group exercise by using dance as a method to initiate a fun environment to exercise together.
 
Equipment
Beside the manual technique for the treatment, we also have many exercise equipment to help our clients exercise as needed such as therapeutic ball, hand and leg bike station, theraband sandbags, etc.
In addition, we have medical machine that scientifically to prove to help manage pain and healing process such as high power laser, shock wave, traction machine, ultrasound, and electro therapy.

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Shockwave therapy
Shockwave therapy is a new non-invasive solution for chronic musculoskeletal pain. Applications are mostly associated with the treatment of chronic muscular and tendon disorders, back and cervical pain.
 
Mechanism of action
A shockwave is an acoustic wave which carries high energy to painful spots and myoskeletal tissues with subacute, subchronic and chronic conditions. The energy impact promotes regenerating and reparative processes of the bones, tendons and other soft tissues.
 

Indications

• Shoulder pain, epicondylitis, low back pain, Achilles tendon pain, tendonitis and trigger points.

Effect of shockwave therapy
1.Analgesic effectShockwave help eliminate pain by reduce muscle tension and inhibit muscle spasm
Pathophysiology explanation
Hyperaemia is one of the basic effects of Shockwave therapy in the body. It provides better energy supply to hypertonic muscles and their ligamentous structures. Furthermore, it causes lessening of pathological interactions between actin and myosin which involve with muscle contraction. This leads to significant reduction of muscle tension.
 
2.Suppress pain mediator and unwanted growth factorsShockwave therapy help reduce pain in the affected area and decreases the development of oedema.
Pathophysiology explanation
Shockwave therapy reduce amount of pain mediator releasing into the affected area which leads to the lowering in stimulation of afferent nociceptive fibers. It also inhibit the development of oedema by reduce secretion of histamine.
 
 3.Acceleration of healing process
Shockwave energy help increase healing process by increasing in collagen production.
Pathophysiology explanation
Production of a sufficient amount of collagen is a necessary precondition for the repair processes of the damaged muscle and ligament.

4.Improve circulation
Shockwave help increase blood circulation which can eliminate inflammation and activate the healing process

Pathophysiology explanation
Shockwave accelerates removal of nociceptive metabolites, increases oxygenation and supplies damaged tissue with source of energy. It supports removal of histamine, lactic acid and other irritating agents.
 
Possible side effects of Shockwave treatment

• Mild swelling at the treatment area
• Temporary numbness or itchiness
• Bruise

Contraindications
Absolute:

• Direct to the lung, eyes, temporal area toward the brain, major blood vessel, and major nerves
• Open wound
• Implanted devices or hormones
• Epiphyseal plate

Relative:

• Try avoid genitalia area
• Pregnancy. Avoid direct impact to the child
• Clotting disorders/anti-coagulants
• Joint replacements
• Infection
  
• Cancer
• Corticosteroid injection
  

Comparison to other treatment
According to the study in patient with scapular pain, the result show the beneficial effect of shockwave therapy as in patient that receive corticosteroid injection. Instead of invasive method, shockwave therapy is one of the preferable method to reduce pain in scapular.(Acar et al., 2017)