Beyond Physio

Beyond Physio A HK,UK,SG trained physio returned to 🇲🇾, specialized in treating pain, sport injury & women h

I posted my birth story in 'The Gentle Birthing Group Malaysia' Facebook group a few days after my second birth, as I am...
22/02/2025

I posted my birth story in 'The Gentle Birthing Group Malaysia' Facebook group a few days after my second birth, as I am really grateful to have benefited from this group and would like to contribute to it. This group provides a support network for mothers wishing to have a gentle birth. I read gentle birth stories and look for recommended doctors in the group.

The philosophy of the group is that we believe pregnancy and birth are natural processes that should be treated with respect. Each woman has the right to make informed decisions regarding the birth of her baby and should not be intimidated into making choices that she is uncomfortable with.

************************************

For my second birth, I wanted to find a hospital closer to home, especially since my first birth was quick. Sungai Long Specialist Hospital was the nearest option, and Dr. Haw was the doctor I had my eye on. I knew he was on the Gentle Birth White List. However, after hearing about his recent C-section cases from friends, neighbors, and clients (I’m a women’s health physio), and being unable to find recent posts about him in the Gentle Birth group—most recommendations were from over 10 years ago, with the latest from 7 years ago—I felt a little hesitant.

Still, I decided to go to him when I was 36 weeks pregnant. Dr. Haw turned out to be exactly what I was hoping for: very supportive of gentle birth. He accepted all of my birth plan requests while also explaining the potential need for alternative actions in case of complications. He made it clear that everything was up for discussion, and he thoroughly explained the risks while emphasizing that the choices were mine to make.

For example, I asked if a GBS test was necessary. He asked me what I would do if the test was positive, and I told him I’d still prefer not to use antibiotics. He then explained that there was no point in doing the test if I didn’t plan on treating it, and he informed me of the associated risks. We decided not to do the test. At my 38-week follow-up, he predicted that I’d give birth within the week.

He was right! Things started happening at the dawn of 38 weeks + 6 days. I woke up at 5:15 AM feeling a contraction, which I thought was a dream. When I checked, I realized my underwear was wet—this was it. We packed our things and headed to the hospital.

Upon arrival, I was 7 cm dilated, and Dr. Haw was called in. He arrived just as I began feeling the urge to p**p. He checked the baby’s position and asked what delivery position I preferred. He actually remembered my request! I chose kneeling. Within two contractions, my baby was born, at 6: 45 AM —no pushing (yes! work is all done by the contractions and the gravity due to positioning), no medication or gas, and no tearing.

We practiced delayed cord clamping until the cord stopped pulsating (around 15 minutes), and I had immediate skin-to-skin contact with my baby.

Looking back, I call my first birth an “unmedicated birth” (but previous Dr insisted on pitocin for hemorrhage prevention and had local anesthesia for suturing), but this second birth was truly unmedicated. We were really grateful to have Dr. Haw and a hospital so close to home. Who knew it was only 1.5 hours from the first symptom to giving birth?

In conclusion, if you know what you want and arm yourself with the knowledge to make informed decisions (which I believe most of you in this group do), Dr. Haw is an excellent choice.

Bonus points: There was absolutely no waiting time during my two antenatal appointments with him. Sungai Long Specialist Hospital may be small, but the staff are incredibly friendly, and the atmosphere feels more like a community setting than a hospital—perfect for encouraging your birthing hormones to flow!


#分娩故事 #顺势生产 #温柔生产 #催眠生产 #分娩 #产前工作坊 #女性健康物理治疗 #順勢生產 #溫柔生產 #催眠生產 #產前工作坊 #女性健康物理治療

Happy Year of the 🐍🐍Our second little one is joining us this year, anytime now!
30/01/2025

Happy Year of the 🐍🐍

Our second little one is joining us this year, anytime now!

It's a long overdue post, a case sharing of a client whom I saw before my delivery 2 years ago! Since she has kindly agr...
07/04/2024

It's a long overdue post, a case sharing of a client whom I saw before my delivery 2 years ago! Since she has kindly agreed to share her images throughout her recovery journey, I believe it's never too late to share.
Ms Y came to me after giving birth to 3 kids in 4 years. Her main concern was the bulging of her belly button/ umbilical hernia肚脐疝气 (her gynae suggested a surgery to address the hernia), the big belly and general weakness that was affecting her day to day activities. She was also dealing with tailbone pain, back pain, leg numbness and incontinence 尿失禁 (leaking urine) at the same time.
She seemed to be experiencing lots of different symptoms however all these symptoms were actually interrelated, meaning all can be treated at the same time. I worked on balancing the muscles around her pelvis, belly and pelvic floor, closing her pelvic bones that have been in an open birthing pattern since her first birth and lastly guided her step by step through awakening her deep core muscles.
She showed a huge improvement in just 4 sessions (done over 6 weeks). Most of her pain/ discomfort has resolved and she was confident enough to return to dancing (she is a dance teacher) after another few weeks of core/ muscles strengthening.
I rarely share before and after photos as how the belly looks doesn't really matter to me as a therapist (I am always more concerned about the pain/function as that tells me where the imbalances are). However, what I do know is, when the pelvis returns to its optimal alignment and the muscles surrounding it regain their coordination, a flatter tummy will eventually return.
#坐骨神经痛 #腰痛 #剖腹产疤痕 #会阴侧切疤痕 #尿失禁 #器官下垂 #腹直肌分离 #尾骨疼 #孕期腰背痛 #产后恢复 #吉隆坡女性健康物理治疗

Just like that, it's the end of 2023This time last year, I was curious how I would balance my time between being a physi...
31/12/2023

Just like that, it's the end of 2023

This time last year, I was curious how I would balance my time between being a physio and being a mother in 2023. I must be honest the time spent is still highly skewed towards being a mum this year. I know this is what I want to prioritise at this season of my life. It took me a long while to finally able to enjoy it fully without feeling guilty of not returning to work full time, yet.

I am grateful for my husband and our families for giving me breaks from childcare so I can take appointments and to work with clients, the work that I find meaningful and fulfilling. Thanks to all my clients for your trust, support and patience in the journey of healing. Seeing the improvements in your quality of life always inspires me to serve better.

Thank you once again and see you all in 2024!

Just listened to a podcast (while putting my daughter to sleep) and I found so much clarity. I shared about pelvic inter...
01/11/2023

Just listened to a podcast (while putting my daughter to sleep) and I found so much clarity.

I shared about pelvic internal assessment 内检 can be painfree or nearly painfree last week on one of my IG stories as this is what happened when I do pelvic floor internal assessment & treatment with my clients. A heavily pregnant friend texted to ask how to have a painfree internal assessment before delivery? My answer was cooperation between both parties (client and doctor) -- client to be relaxed and focused on her breathes and doctor to carry out the assessment slowly.

Now I understand there is more to just 'carry out the assessment slowly'.

The 3 main elements for safety discussed in the podcast were 'context', 'choices' and 'connection'. Pain often arises when you don't feel safe. The podcast was discussing about safety around birth & delivery but I realized it can actually be applied in many other fields. I have actually been doing all these without realizing it when I carry out pelvic floor internal assessment.

'Context' - Explain and address all the why, how, what, who questions
(Before carry out pelvic internal assessment for the 1st time, I will go through all the anatomial landmarks using the pelvic model with my client, I explain how I am going to insert my finger, which direction and location I will be examined etc)

'Choices' - Giving the client choices make them feel in control and safe
(I always always tell my client you can stop me anytime when you don't feel comfortable and we can stop immediately)

'Connection' - The relationship between both parties.
(I don't do pelvic internal assessment in the 1st or first few sessions. I feel more comfortable when I understand the client and the client's body more. Also we talk/ chat a lot before, during and after treatment hence both of us get comfortable with each other.)

The same goes for using dry needling (on any parts of the body) as a treatment too!

The longer I practise as a physio the more I realise how physiotheapy is as much an art as it is a science!

I recalled how horrible my first Pap Smear was (which I burst into tears afterwards) as all the 3'C's were bssically non-existent.

Now I am thinking about how to use these 3 'C's with my daughter when we meet up with unfamiliar persons/ at unfamiliar places/ have changes in routine etc...

Haven't been writing a proper post for a while. I have been posting on IG stories mostly (as it's a lot easier and less ...
18/08/2023

Haven't been writing a proper post for a while. I have been posting on IG stories mostly (as it's a lot easier and less time consuming) on day-to -day life of 🥑 as that's what I do all day everyday now besides taking limited physio appointments. So please follow us at IG beyondphysioig if you haven't yet.

My apologies if you started following this account for physio/ women health/ pre&post-natal related information but have not been seeing anything relevant
for a while as I just don't have the capacity to make content of above topics in this season of my life. I will definitely come back to this again as it is still my absolute passion. On the other hand, what I can easily share now is about 🥑's development, physical and play development in particular. I did this for my own documentation purpose and hopefully to serve as an inspiration for caretakers who need ideas of play for their babies/toddlers.

For some context, 🥑 mostly played with household stuffs before 1. After 1, her toys are mainly open-ended toys that are battery free and can be played for many years ahead. We involve her as much as possible in household chores eg. cooking, laundry, cleaning etc. We spend a lot of time outdoors/ at the playground and try to be as close to nature as possible. She doesn't have screen time as of now except for occasional video calls with family and viewing photos and videos of herself. It's not easy but we make an effort for this.

Dropping a post here to let you all know that I have archieved all the past PLAY related IG stories under the IG Highlight section '0-12M Play' & '1Y Play' so you can conveniently refer back to it when you wish to.

*This collage is pictures of 🥑's play before 1 year old

🥑 turned 1 last week! We are grateful to everyone who has met up with her/ us in the past year and thank you for all the...
03/02/2023

🥑 turned 1 last week!

We are grateful to everyone who has met up with her/ us in the past year and thank you for all the hand-me-downs that were passed to her.

Your papa once said you are the luckiest baby in the world to have both papa and mama with you 24/7. The joy you brought us is as much as the challenge you gave us so we shouldn't complain!

As tough as it is to take care of 🥑 all on our own, we are grateful for having the luxury to make this choice and we hope we will never regret it. We wish that, with the strong bond that forms in the early years, you will feel secure to explore the world while knowing we are always here for you.

2022 is definitely a challenging year here. It passed by so slowly yet so fast! The first half of the year was all about...
30/12/2022

2022 is definitely a challenging year here. It passed by so slowly yet so fast! The first half of the year was all about 🥑 before I gradually picked up client appointments again.

This year has been a humbling experience for me as a therapist and I definitely have more empathy and compassion towards pre/post natal clients who are going through a life changing period, both physically and mentally.

I am so grateful for all my clients who are willing to accommodate to my odd working hours ie early in the morning before my husband starts work and at night after I put 🥑 to sleep.

Though it can be exhausting at times, I am happier and more content being able to hold on to the work that I am passionate about while being a full time stay at home mum. This of course won't happen without my husband's support.

I look forward (optimistically yet trying hard not to be stressed out - one of the big lessons learned since stepping into motherhood) to seeing how the dynamic of work-life would unfold in the year 2023 with a soon to be toddler.

Got a few enquiries 📞 regarding prenatal pilates 🤰 this week. What do we do in prenatal pilates sessions 🙋?☘️ Manual the...
23/11/2022

Got a few enquiries 📞 regarding prenatal pilates 🤰 this week.

What do we do in prenatal pilates sessions 🙋?

☘️ Manual therapy to balance your pelvis before starting pilates exercises
☘️ Effective exercises for pain & ache during pregnancy
☘️ To create space in your pelvis for baby to turn head down👶⤵️ and to remain in an ideal position for birth
☘️ Pelvic floor preparation for natural delivery and post-partum recovery
☘️ Master the correct breathing strategy for pushing
☘️ Preparation for planned Caesarean

My prenatal pilates sessions are more than just getting a strong core but to encourage and to empower you to have a pregnancy and birth experience that you desire.

DM to arrange for either face-to-face or online appointment 🔖

🎈Photo taken around 38 weeks pregnant, a week before 🥑 came out
#产前普拉提 #孕期普拉提 #孕期核心运动 #线上产前工作坊 #孕痛 #骨盆运动 #盆底肌 #凯格尔运动 #会阴按摩 #产前运动 #孕期运动 #女性健康物理治疗

🥑 is turning 10-month-old soon which means I have been breastfeeding for almost 10 months ‼️and still counting…Clogged/ ...
16/11/2022

🥑 is turning 10-month-old soon which means I have been breastfeeding for almost 10 months ‼️and still counting…

Clogged/ blocked milk ducts almost always come in a package for breastfeeding mums. While it has become less and less frequent along the journey, it might just give you a surprise once in a while. After experimenting with a variety of ways to solve this frustrating issue🤦, these steps are my go-tos each time it happens.

👇👇👇

Step 1💡Fill the silicone milk collector with warm water, as warm as tolerable without causing pain/discomfort/burn

Step 2💡Dissolve 2 tablespoons 🥄🥄 of Epsom salt in the warm water

Step 3💡Soak breasts with silicone milk collector for 10-15mins

Step 4💡Apply olive oil around ni***es and areolas

Step 5💡Take 💊 a tablet of Lecithin (1200mg/tablet) every 6 hours or up to 4 tablets a day

Step 6💡Direct latch your baby in different positions or pump & massage your breasts at the same time to draw the milk out along the blocked ducts

☝️☝️☝️

🔄🔄 Repeat all of the above steps till the blockage resolves (it might take 2-5 cycles depends on the severity)

Fortunately enough, I have never developed mastitis 🤞 as I am able to start the above steps as soon as I notice something not quite right. Share with us in the comment what helps you the most when you have clogged/blocked milk ducts.
#石头奶 #塞奶 #乳腺炎 #产后 #哺乳

Today is the last day of the International Babywearing Week. I have been thinking about writing a post and taking a bett...
31/10/2022

Today is the last day of the International Babywearing Week. I have been thinking about writing a post and taking a better looking photo of me babywearing 🥑. The reality is she had fallen sick for the very first time in her life while turning 9-month-old earlier this week. She was down with fever for 3 days and was super cranky and clingy. So here it is a photo of me in my pyjamas, wearing her at home so I could still do some chores.

There are so many benefits to babywearing especially in the early months and years. We have been wearing her since the 2nd month and this is the easiest and fastest way to put her to sleep.

I was using a soft structured carrier (SSC) in the first picture and the 2nd picture was my husband wearing her with a ring sling.

Both are considered ergonomic baby carriers which protect the baby's hips (legs in 'M' shape = knees higher than buttocks, shown with orange mark-up in the 2nd picture) and spine (maintaining 'C' curve, shown with green mark-up in the 2nd picture) and make babywearing more sustainable for the wearer (less shoulder and back discomfort).

#背巾 #符合人体工学的背巾

🥑 was attempting to taste the seat belt on the high chair. My constantly mouthing baby😳 However seeing her tiptoeing 🦶 b...
19/10/2022

🥑 was attempting to taste the seat belt on the high chair. My constantly mouthing baby😳 However seeing her tiptoeing 🦶 beautifully, I quickly grabbed my phone to snap it. I have properly taken more than 100s of these pictures of my clients (and put markings on it like this one) in the past few years.

Adult clients who have done tiptoeing exercise with me before understand how difficult it can be to do it properly, maintaining the hip (the pink circle here) in line ↔️ with the ear, shoulder, knee & ankle.

Babies, before they succumbed to our modern sedentary lifestyle (long hours of sitting, using phone and laptop👨‍💻), can perform it instinctively.

This requires not only the calf strength but sufficient control from the core and butt. It is an excellent exercise for those with ankle & heel pain🦶.

#8.5mo #扶站 #大肢体动作 #脚跟疼 #足底筋膜炎

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