Skip to main content

Highest Paying Cities to Work in the US

Physiotherapy Modalities that treat Back Pain(1)

What is Electrotherapy?

Electrotherapy is the use of electricity to treat medical conditions. However, because some physiotherapy machines don't actually use electric current for their treatment process, a wider term "electro physical agents" is also used to describe these modalities of treatment.
It's not a new discovery that electricity can be used to reduce both acute and chronic pain, it has actually been a practice for over 100years!

How does electrotherapy relieve pain?

When electric signals are introduced into the body the result is a release of the body's natural pain killers called endorphins. The electrical current also interferes with the transmission of pain signals trying to notify the brain and accelerates healing of the body tissues.

TENS for back pain

Trans cutaneous Electrical nerve stimulation (TENS) stimulates the sensory nerves and in the process activates the body's natural pain relief mechanisms.
TENS is a commonly used home-based treatment, as most patients are advised by their therapists to buy or rent one. The effectiveness of using TENS is dependent on the type of pain being treated, placement of the electrodes and frequency of the electrical stimulation
Hi TENS (Traditional/normal TENS)
Hi TENS or what is also known the traditional TENS involves the use of high frequency electrical stimulation, usually between 80-130Hz. This high frequency electric current stimulates "non-pain" nerve fibres (ABeta sensory fibres) and in the process block the painful stimuli from reaching the brain. This form of pain relief is commonly referred to as stimulation of the pain gate mechanism.The minimum treatment time for this form of pain relief is 30 minutes and it is well tolerated; however the greater period of the pain relief is experienced during the treatment with a brief lasting effect after the machine has been turned off.

Lo TENS (Acupuncture TENS)
Lo TENS uses low frequency  electrical stimulation  usually between 2-5Hz, with a higher intensity than traditional TENS. Lo TENS stimulates the Adelta sensory fibres to cause the production of the body's natural pain relievers called endorphins.
Though the Lo TENS stimulation may be less comfortable and the pain relief process slower than  than the normal TENS,  the resulting relief of pain lasts longer after the machine has been stopped. The minimum treatment time for the Lo TENS is also 30 minutes.

How to Place TENS Electrodes

Placement of TENS electrodes is key in achieving pain relief. These placement styles work differently for different people so you may need to try out various electrode positions to get what works for you.
You can place the TENS electrodes directly on the spot you feel pain, around the area you feel pain or on the nerve that supplies the muscle where you feel the pain.


If you are using a pacemaker its not advisable to use TENS as there is likely to be interference in the functionality of both the pacemaker and the TENS machine. TENS is also not  usually recommended for pregnant women or people with skin conditions.
Always consult with your physiotherapist for an accurate assessment of your back pain before getting a TENS machine as not all causes of back pain are indications for Trans Cutaneous Electrical Nerve Stimulation.

Interferential Current (IFC)

Interferential current is a deeper form of TENS as it penetrates more than skin deep into the tissues.
Interferential currents may be recommended to pain sufferers who haven't had any relief from TENS. IFC is usually administered by a physiotherapist, unlike TENS that can be used by the patient at home.

Effects of IFC

  • Interferential current relieves pain
  • Stimulates the muscles and helps maintain their function.
  • Improves blood circulation
  • Helps reduce swelling.


Have You Read These?

Which Countries Pay the Best Physiotherapy Salary?

We always hear about physiotherapy being a "hot" profession and that physiotherapists are saught after all over the world and that gives us the confidence to go for international jobs. Interestingly, though, I have noticed that physiotherapists move around alot, and we're about ro find out if it's for "greener pastures" , inner fulfillment or just sheer restlessness. I know of physiotherpists that move from Australia to Canada, and others from Canada to Australia...the other day a colleague of mine told me about a physiotherapist that had just devided to leave Australia for Singapore, while he stays put in South Africa.
Many physiotherapists want to know which countries pay the best salaries to help get some motivation to move or jump ship, so let's first try to analyse places that have the best paying physiotherapy jobs or simply put, the highest salaries.

A physiotherapist's salary in Ireland ranges from $27000 to $60000 a year andthis wil…

How to Get Licenced to Practice Physiotherapy in Dubai and Abu Dhabi

Here's a quick summary on how to get a physiotherapy practising licence in Dubai and Abu Dhabi:

A foreign trained physiotherapist should at least have a B.Sc in physiotherapy, with at least two years work experience.

The physiotherapist must be a graduate from a National and/ or International recognized college/University.

For graduates from the UAE universities, the program and university must be accredited by the Ministry of Higher Education and Scientific Research (MOHESR).

Higher diploma certificates from The Higher Colleges of Technology in the UAE will be equivalent to Bachelor degree as per MOHESR standard

A Master degree or PhD (in the area of specialty) will reduce one (1) year from the required experience for licensing provided that the Master’s/ PhD degree is not mandatory to obtain the selected title.

Qualifications acquired through honorary nature, correspondence or distance learning are not counted towards the PQR requirements.

All non-UAE national graduate physiothe…

How to Get a Physiotherapy job in Singapore

Physiotherapy is on the skills shortage list in Singapore and is classified as an Allied Health Profession.

You as a physiotherapist should apply directly to the Ministry of Manpower  or the Human Resources department in the hospital of your choice.
Once your registration is approved you'll need a work permit and you need to have a job to get it. There are two types of work passes the EP and the S pass. You can get more information on the Ministry of Manpower website.

Part of the criteria for a foreign trained physiotherapist to to be able to practise in Singapore is to pass the MOH qualifying exam.

The qualifying exam (QE) is an assessment of the equivalence of the knowledge and skills of the foreign trained physiotherapist and the physiotherapy practise in Singapore.
The exams are conducted four times a year in January, April, July and October and you need to be in Singapore to take the exams. The results of this exam are usually released four weeks after the exam was taken.


Getting Study Materials for the DHA, HAAD Physiotherapist Exam

The licensing exam for practicing physiotherapy in Dubai or Abu Dhabi is computer based and multi choice (mcq).
Getting past questions for this DHA, HAAD exam has become a very expensive venture with many websites offering sample questions at a cost.

The Dubai Health Authority has however made it clear that it doesn't sell or make available such past questions and that any one who encounters such should report to them.
So I won't be putting up any names of websites who claim to sell sample questions or offer subscriptions to those who want to rehearse the exam online.

If you want to know how to prepare for these exams or have an idea of the syllabus then you can do one of these two options:
1. Get in contact with a medical recruiting agency with experience.
2. Use the recommended textbooks to prepare for the exam.

I really don't see why you can't go for option 2.
Give yourself a month to go through the textbooks to refresh your memory... It's an mcq exam and pass …

Want to Migrate to Australia as Physiotherapist? Read this first.

If you are a physiotherapist interested in migrating to Australia, reading this first will be highly beneficial to you.

Yes physiotherapy is on the Australia immigration skilled occupation list, but my observation is that there are still very few going through their skill select process.

The Australian skill select process (where Canada got the inspiration for Express entry) is supposed to be a stress free process. It's simply a DIY (do it yourself) kind of thing; fill in your information, upload your English scores and you skills assessment and submit your application for immigration.

Twice every month there are selection rounds and successful applicants are invited to apply for a skilled migration visa.

But this is not actually the case for physiotherapists because you need a skills assessment.

Here are the requirements for applying for a skills assessment:

·         A qualification that is included in theApproved Programs of Study list

·         A Certificate of Substantial Equ…

Areas of Specialization in Physiotherapy

When it comes to talking about specialty areas in physiotherapy or what physiotherapy areas you'll like to specialize it should be based purely on your strengths and interests.
Most physiotherapists specialize in musculoskeletal or sports physiotherapy either for lack of better ideas or job prospects ( not that these are totally wrong reasons).
I think some things you should consider when deciding to specialize are -

What really are your interests? Would you rather work with the young or the elederly? I personally don't like seeing children in the hospital so paediatrics is definitely not my thing.What skills have you gathered over the years and which of your skills are you likely to harness? Have you seen yourself coming up with successful rehabilitation programs for patients that suffered from musculoskeletal injuries, for example, over and over again? Are there particular cases or conditions that your superiors or colleagues have associated you with because of your achievem…

Working Abroad: Getting a Physiotherapy Job in US

It's okay to look out for something different after being a physiotherapist in your present location for so long. Or maybe you are a fresh graduate seeking adventure and consciously plotting an international pathway for your career...Hmmm or maybe you graduated with a degree in physiotherapy and haven't really done much with it...The question remains the same....

How can I get an international job? Are there really jobs for physiotherapists abroad or is this career just overhyped?
Are you kidding me?
The key to plotting the right graph for your career is information, so I will do my best to point you in the right direction so you can achieve your dream of getting an international job.

Are there actually best countries for physiotherapy jobs?
Well there are quite a number of places abroad where physiotherapists are seriously sought after, but I would start with what I call the big five: United States, Canada, Australia, Dubai and Ireland... Then maybe Singapore and …