Osteoarthritis Therapy
Are you suffering from Any of these?
- Chronic pain that worsens over time
- Joint swelling
- Joint stiffness ~ usually occurs first thing in the morning or after resting
- Tenderness around the joint
- Loss of muscle mass
- Loss of flexibility ~ limited range of motion that may go away after movement
- Muscle weakness around the joint
- Joint instability or buckling (knee gives out)
What is Osteoarthritis (OA)?
Arthritis is a general term that means inflammation of the joints. Osteoarthritis (also called OA), commonly known as wear and tear arthritis, is the most common type of arthritis.
It is a chronic joint disease that is characterised by damage to the joint which would affect synovial fluid, cartilage, bones, muscles, blood supply and nerves. It happens when the protective cartilage that covers the tips of our bones are gradually worn down and this causes the bone to rub against another bone, which leads to pain and eventually loss of function. Although osteoarthritis can damage any joint, this disorder generally affects weight bearing joints such as the knee joint, hip, spine and the joint in our hands.
Here are ways that OA may affect different parts of the body:
- Hips – Pain is felt in the groin area or buttocks and sometimes on the inside of the knee or thigh.
- Knees – A “grating” or “scraping” feeling when moving the knee.
- Fingers – Bony growths (spurs) at the edge of joints can cause fingers to become swollen, tender and red. There may be pain at the base of the thumb.
- Feet – The big toe feels painful and tender. Ankles or toes may swell.
What causes Osteoarthritis?
There are several factors that increase a person’s chances of developing osteoarthritis. These include:
With ageing, the water content of the cartilage increases and the protein makeup of cartilage degenerates. Repetitive use of the joints over the years causes damage to the cartilage that leads to joint pain and swelling. This may be due to bodily changes that come with ageing, such as weakening muscles, weight gain, and the body becoming less able to heal itself effectively.
Injuries contribute to the development of osteoarthritis. For example, athletes who have knee-related injuries may be at higher risk of developing osteoarthritis of the knee. In addition, people who have had a severe back injury may be predisposed to develop osteoarthritis of the spine.
Some people have an inherited defect in one of the genes responsible for making cartilage. This causes defective cartilage, which leads to more rapid deterioration of joints. People born with joint abnormalities are more likely to develop osteoarthritis, and those born with an abnormality of the spine (such as scoliosis or curvature of the spine) are more likely to develop osteoarthritis of the spine.
Obesity increases the risk for osteoarthritis of the weight-bearing joints such as knee, hip, and spine. Maintaining ideal weight or losing excess weight may help prevent osteoarthritis of these areas or decrease the rate of progression once osteoarthritis is established.
Overuse of certain joints increases the risk of developing osteoarthritis. For example, people in physically demanding jobs requiring repeated bending of the knee are at increased risk for developing osteoarthritis of the knee.
Joints can get out of the right position when there’s not enough support.
People with rheumatoid arthritis, the second most common type of arthritis, are more likely to develop osteoarthritis. In addition, certain rare conditions, such as iron overload or excess growth hormone, increase the chance of developing OA.
The relationship between Oxidative Stress, Inflammation and Osteoarthritis
- Oxidative stress is a main causative factor in the pathogenesis of OA
- Excessive free radicals cause oxidative stress which leads to cartilage dysfunction and degeneration
- Excessive Free Radicals also causes inflammation in joints and muscles, thereby causing further damage to the cartilage
Oxidative stress happens when there is an imbalance between the number of free radicals and antioxidants (substances which can protect cells against free radicals) in our body. This is particularly harmful as it can lead to cell and tissue damage. Oxidative stress is considered a main causative factor in the pathogenesis of OA. Many pro-inflammatory mediators or free radicals are elevated in OA, including Reactive Oxygen Species (ROS), and Reactive Nitrogen Species (RNS).
The excessive production of free radicals can harm cell functionality as it damages cellular lipids, proteins and DNA. Free radicals give rise to cartilage apoptosis/ cell death, thus accelerating articular cartilage dysfunction and degeneration.
OA is characterized by inflammation in the cartilage and synovial which results in the loss of joint structure and progressive damage to the cartilage. Inflamed articular cartilage remains a huge hurdle to treat due to the limited self-healing capacity of the cartilage which lacks nerves and blood supply.

Our Proven Unique Approach
Hi-Bliss Hydrogen Therapy
Research has shown that ROS plays an important role in OA progression. When production of the ROS overwhelms the antioxidant capacities of the cell, the progression of OA might be accelerated. Hydrogen therapy is one of the newest and most effective treatments to manage arthritis due to its role as a therapeutic antioxidant. It is able to selectively neutralize free radicals in the affected area combine with body manipulation, it reduces inflammation and prevents further damage to the joint, thereby slowing down the progression of OA. As hydrogen is the smallest molecule on earth, it is able to diffuse into the targeted cells without affecting the functions of other cells and organs.
Hydrogen Treatment
Potent and Selective Antioxidant properties of Hydrogen
- Selectively neutralizes free radicals that cause cartilage dysfunction and degeneration
- Reduces inflammation
- Prevents further damage to the joint & slows down the progression of OA
- Reduces pain & improves mobility
Body Manipulation
Manipulation & mobilisation are manual techniques used by physios in order to improve the mobility and function of your soft tissues, joints, muscles, tendons and ligaments. Manipulation is usually performed as a very fast, accurate movement on the neck or back area and provides pain relief and increases flexibility.
Manual therapy, or manipulative therapy, is a physical treatment primarily used by physical therapists, physiotherapists to treat musculoskeletal pain and disability; it mostly includes kneading and manipulation of muscles, joint mobilization and joint manipulation.
What to Expect
How Hi-Bliss Hydrogen Therapy works?
As a one-stop healthcare centre in providing pain management and wellness therapy, our qualified Health consultants strive to provide the highest quality service to our clients. Our clients feel relaxed throughout the session as our treatments are comfortable, painless with no side effects.
01

Consultation / Subjective Assessment

Osteopathic Structural Examination
02

Palpation
03

Hydrogen Therapy
04

Manipulation
05

Stretching and Strengthening exercises
06
What to expect during Hi-Bliss Hydrogen Therapy
Try our First Trial OA Treatment now.
What Our Clients Say









































































































Mdm Ng B.K. ~ Osteoarthritis
” Madam Ng came to us with pain at her knees and she was dragging her feet while walking. She was also facing pain at
H.C. Woon ~ Shoulder Pain and Osteoarthritis
” Nur Jasmi is very detailed and attentive therapist. She makes sure I’m very comfortable and explains everything in detail. My range of motion has
Madam Ng ~ Osteoarthritis
” I used to feel pain, especially on my right leg whenever I tried to turn in bed. I had to literally lift up my
Sergio P ~ Osteoarthritis
” Very comfortable and explains in details the issue, so I am informed of the root cause of the issues causing discomfort.” Sergio P. ~
Osteoarthritis Therapy First Trial RM150
FAQ
Osteoarthritis is a degenerative disease that worsens over time, often resulting in chronic pain. Osteoarthritis is the most common form of arthritis, affecting millions of people worldwide. It occurs when the protective cartilage that cushions the ends of your bones wears down over time.
Although osteoarthritis can damage any joint, the disorder most commonly affects joints in your hands, knees, hips and spine. Joint pain and stiffness can become severe enough to make daily tasks difficult. Depression and sleep disturbances can result from the pain and disability of osteoarthritis.
- Chronic pain that worsens over time
- Joint swelling
- Joint stiffness ~ usually occurs first thing in the morning or after resting
- Tenderness around the joint
- Clicking and grinding sensation
- Loss of muscle mass
- Loss of flexibility ~ limited range of motion that may go away after movement
- Muscle weakness around the joint
- Joint instability or buckling (knee gives out)
Hydrogen’s Potent Antioxidant and Anti-Inflammatory Properties helps to:
- Selectively neutralizes free radicals that cause cartilage dysfunction and degeneration
- Reduce inflammation
- Prevent further damage to the joint and slows down the progression of OA
- Reduce pain and improves mobility
Each session takes approximately 1 ½ hours. We will start the session with Structural and Functional Assessment followed by Palpation, subsequently Hydrogen Gas spraying, then Manipulation and session ends with Stretching and Strengthening exercises.
The Structural Examination is conducted to observe Gait, Posture Alignment, Muscle Bulk and Tone. Whereas the Functional Assessment is to Quality of Movement, Pain during Movement, Active Range of Movement, and Muscle Strength. Palpation tests are conducted to refine the source of the pain generation and identify the treatment points (eg Muscle Wasting, Tenderness and Warmness).
Learn With hi-Bliss

Part I: What Is Osteoarthritis
Osteoarthritis (OA) is a joint disease that is characterised by damage to the joints which affects synovial fluid, cartilage, bones,

PART II: What Are The Signs & Symptoms Of Knee Osteoarthritis?
OA is diagnosed by a triad of typical symptoms, physical findings, and radiographic changes. The American College of Rheumatology has

Osteoarthritis
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