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I had a terrible sprain on my left ankle from futsal, doctor recommended physio but i was reluctant to go. As this is not my first sprain, normally sprain will heal within 2 weeks. Sadly after 2 weeks of healing, there were no significant progress as this was really a bad sprain. I decided to give it a go. Ms Tan was my physician, she open my eye into another world of sports rehab. As my normal practice are treatment from Chinese Physician. Physio is much more than that, other that healing there is so much knowledge on muscle strengthening, stretching, warming up & posture during exercise. I would definitely recommend Ms Tan.
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Plantar fasciitis is a condition in which the plantar fascia is inflamed. The plantar fascia is a thick ligament located across the bottom of your foot. It connects your toe with your heel bone. This condition is one of the most common orthopedic complaints and it causes pain at the bottom of your heel.
There are several types of treatment available to treat plantar fasciitis, including therapy, surgery, and other procedures. Your doctor will be able to determine the best type of treatment for you.
Physical therapy
Physical therapy is a key treatment for plantar fasciitis. During physical therapy, you will learn exercises to stretch your plantar fascia and strengthen your lower leg muscles, which will help stabilize your walking and lessen the workload on your plantar fascia. Your physical therapist may also use contrast baths, massage, or ultrasonography to help with your long-term healing.
Steroid injections
Your doctor may recommend steroid injections to relieve your pain temporarily, usually for about a month. It will also keep your inflammation down. The steroid medication is normally injected into the tender area or the most painful area of your plantar fascia. However, multiple shots are not recommended as they can weaken your plantar fascia, which can cause it to rupture.
Extracorporeal shock wave therapy
If physical therapy and other methods are not working, your doctor may suggest you undergo extracorporeal shock wave therapy. During this procedure, your doctor directs sound waves to the area of the heel where you experience pain to stimulate healing within the ligament. The sound waves literally “shock” your plantar fascia, which may reduce the pain you experience.
Surgery
Surgery is only performed where other methods have not worked, your pain is severe, or your pain lasts more than 6 to 12 months. There are two types of surgery that can be performed to treat plantar fasciitis:
Plantar fascia release involves partially detaching your plantar fascia from the heel bone to release tension and relieve inflammation.
Gastrocnemius recession is done to lengthen your calf muscle to release stress on the plantar fascia and increase your ankle motion. This procedure is typically recommended if you find it hard to flex your feet even though you consistently stretch.
Your length of stay depends on the type of treatment you underwent. For non-surgical treatments, you should be able to leave Penang within 3 to 5 days. For surgical treatments, you may need to stay in the country for 7 days. For physical therapy, your length of stay depends on the frequency and how many appointments are needed. Your doctor/physical therapist/medical travel team will be able to advise you on this.
The recovery time will vary from person to person, depending on the severity of your condition and the type of treatment you have. With most types of treatments, you can go back to your normal routine within 1-2 weeks. With surgical procedures, you may need to wait for 3 to 6 weeks until you can go back to your normal routine. Whether you have a non-surgical or surgical procedure, it is important to increase the intensity and time of your activities gradually.
After all types of plantar fasciitis treatment, your doctor will give you instructions that you need to follow. These may include medications to take, diet plan to follow, exercises you can do, restrictions, and wound care (for surgical procedures).
After you have fully recovered, it is important that you maintain a healthy weight and you should also try to do low-impact exercises. It is also important that you wear shoes that fit well and support your arch.
Most types of plantar fasciitis treatment are generally effective and safe. However, extracorporeal shock wave therapy has not been shown to be consistently effective. Plantar fasciitis treatment, with the exception of physical therapy, carries some risks and side effects, such as nerve problems, neuroma, recurring heel pain, infection, chronic pain, bruises, numbness, and swelling.
In cases where your plantar fasciitis is not severe, you may be able to take pain relievers, such as ibuprofen and naproxen sodium, to ease your pain and inflammation. Your doctor may also recommend night splints or orthotics as the alternative. Night splints are used to stretch your calf and the arch of your foot while you sleep. Orthotics are custom-fitted arch supports that can help distribute pressure to your feet more evenly.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Penang is one of the most visited states in Malaysia and is located on the north-west coast of Peninsular Malaysia. Penang consist of two parts: Penang Island and Seberang Perai. Widely known as the ‘Pearl of the Orient,’ Penang attracts millions of tourists every year with its mixture of multicultural heritage, natural charms, and wonderful food.
Penang is also a popular medical tourism destination, with around 60% of the tourists who visited the state in 2017 came for affordable, high-quality medical treatment. According to the former Chief Minister of Penang, Lim Guan Eng, Penang’s medical tourism contributed 42.3% in revenue to the health tourism market in Malaysia. Medical tourists get the best in terms of quality, options, and savings. The top medical procedures are cosmetic surgery, eye care, and dental surgery.
Penang is a preferred medical tourism destination for the following reason:
Packed with diverse culture and beautiful scenery, Penang is a wonderful place for tourists to explore. There are plenty of places to enjoy the most incredible sites including the white sand of Batu Feringghi, the iconic architecture of Kho Kongsi, the beautiful landscape from the summit of Penang Hill, the Tropical Spice Garden, and the pit vipers in the altars of Snake Temple.
Penang’s capital, George Town, is listed as a UNESCO World Heritage Site. George Town is home to a great number of heritage and arts as well as the largest collection of pre-war buildings in Southeast Asia. This historical city is the best place for tourists who want to indulge in cultural sight.
Considered as one of the best places in the world to savor delicious food, the culinary in Penang is a blend of Malay, Chinese, Indian, Peranakan, Thai, and European specialties. Tourists can try traditional cuisines such as Assam Laksa, Nasi Lemak, Lok Lok, and many more. Vegetarian versions of the famous local street dishes are also available in various Chinese and Indian outlets.
Just like any other parts of Malaysia, Penang enjoys a year-round tropical rainforest climate which means it is warm and humid throughout the year. However, the temperature of Penang Island is often higher than the mainland. The average temperatures range between 29–32°C during the day and 25–29°C during the night.
The weather is usually warm in January and February. The rainy season usually starts during the southwest monsoon from April to September and October to early November. The best time to visit Penang is from late November to February as the weather is mostly sunny but it’s not too hot or humid to do outdoor activities during the day.
Penang is easily accessible by air since Penang International Airport has daily flights to and from domestic destinations and has International connections with Singapore, Jakarta, Bangkok, Taipei, Hanoi, and many more major cities in Asia. The airport mainly serves budget airlines such as AirAsia and Firefly, although larger airlines including MAS and Qatar Airways also operate less frequent flights.
To reach George Town, tourists can take a taxi, bus, an airport transfer, or hire a car. Note that airport taxis operate on a voucher system, tourists must buy a voucher beforehand from inside the terminal to avoid taxi cheats. The taxi fare to George Town should cost around RM38 (around 9.00 USD).
There are several different types of public transportation available in Penang. Walking or a trishaw ride is the best way to get around George Town. Free CAT Bus (Central Area Transit) is available for tourists to get to popular attractions in the capital city for free. To travel around surrounding suburban areas of George Town, tourists can opt for Grab (e-hailing apps like Uber).
For longer distance trips away from the capital city, Rapid Penang Bus, or renting a car/scooter are the best options. Taxis are widely available around the island but be sure to agree on a price first because taxis here do not use meters.
Nationals of most countries are granted visa-free entry to Malaysia for 30 or 90 days. Holders of passports issued by China, India, Sri Lanka, Nepal, Myanmar, Bangladesh, Pakistan, Bhutan, Serbia, and Montenegro are required to apply for a Malaysian tourist visa. The foreign nationals who require a visa to enter Malaysia must apply and obtain a visa in advance before entering the country.
All visitors must hold a passport valid for at least six months beyond the date of entry into Malaysia. Do ensure to have a valid visa and obey all the rules because the Malaysian Government has a very strict visa regulation and will punish those who violate the terms.
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