What is Shoulder Dislocation?

Often, we’ve seen sportsmen trip and fall in awkward angles and experience severe shoulder dislocations in the course of history. Their reactions afterwards should be evidence enough of how painful this can be. This is an unfortunate and sadly, a common injury for those in the field and those who lead active, high-impact lifestyles. Many clinics in Singapore and the world at large, report hundreds of shoulder dislocation cases every month. This shows that it is a common and likely injury that the mass needs to be educated about.

Going direct to the question; what is shoulder dislocation? Well, a shoulder dislocation is experienced when the bone of the upper arm pops out of the lower shoulder socket known as glenoid. This normally happens when a strong force is exerted resulting in the pulling of the shoulder upwards and outwards thus dislocating it. Explaining this phenomenon itself is disturbing, and it is imperative to avoid it as much as you can. The full recovery time for such an injury can last up to one year. More information about treatments and surgery can be found here: https://sgbonedoctor.com/shoulder/shoulder-instabilitydislocation/

Types of Shoulder Dislocations

Shoulder dislocations are normally classified differently in accordance to the direction of the dislocated humerous. We have two types

  • Partial dislocation – This is also known as subluxation. It occurs when the humerous slides off the socket for a moment then snaps back into its normal place.
  • Full dislocation – This is where the humerus is dislocated completely out of its socket and doesn’t snap back.

Symptoms of Shoulder Dislocation

How will you know that you are suffering from a shoulder dislocation? Well, it is obvious that your shoulder area will be extremely painful, but there’s more to that. Here are the symptoms to look out for in order to know whether you are suffering from a shoulder dislocation

  • You will have trouble moving your arm. This is because the shoulder bone is out of its socket, thus, there will be restraints in movements.
  • There will be bruising and swelling in your upper arm.
  • You will experience numbness or weakness in your neck, arm, fingers and hands.
  • Your arm will be out of place.

Preventing Shoulder Dislocations

Prevention is definitely better than cure; and cheaper too. No one loves getting hurt, and for this reason we have to take care of ourselves immensely to avoid shoulder injuries. How do we go about this?

  • Avoid falls as much as possible. Hard knocks on your shoulders are what causes the dislocations. Wear shoes with treads for firm grip. Also, during sports like football, be extra careful and play cool. This will go a long way in keeping your shoulders and even other body parts from getting injured.
  • Ensure that you have your protective gears on when playing contact sports. Games such as rugby and American football subject one to lots of shoulder contacts. These gears will do a good job in preventing any injuries to your shoulders.
  • Exercise regularly. This is important in ensuring the flexibility and strength of your muscles and joints. The more you exercise, the more fit you become. You should consult with your physiotherapist who will advice on some shoulder exercises to undertake.


Shoulder dislocation can be very painful. With this, it is better off prevented than cured. In case it occurs, waste no time and visit your nearest clinic as soon as possible. Take car of yourself when engaging in sports or hard physical labor. Also, exercise daily to train your shoulder muscles.


Rehabilitation After A Shoulder Dislocation

Shoulder dislocation cases in Singapore are numerous, especially among the youths. This is mainly because they are actively involved in sports and physical labor. The shoulder is one of the easiest joints to dislocate because the ball joint of your upper arm sits in a very shallow socket. This makes the arm extremely mobile and able to move in many directions, but also means it isn’t very stable.

A dislocated shoulder injury can be caused by a trauma such as a car accident or from impact with the ground or humans in certain contact sports such as rugby and football.

It may take up to a year for you to completely heal from your injury after the shoulder has been put back into place.

Your doctor will prescribe rehabilitation after your injury. You may need to put a sling for a few days to stabilize the arm while the pain settles. If your damage is severe, your doctor will refer you for r physiotherapy to rehabilitate and strengthen your shoulder. You doctor may give you some exercise to do at home if your injury is mild.

The chances of dislocating your shoulder again are high, so its advisable you stop any activity that may cause another injury. However, subsequent dislocations do sometimes do occur, especially in younger people.

Doing regular recovery exercises under the supervision of a physiotherapist and avoiding awkward arm positions can reduce the risk of dislocating your shoulder again.

Read more here for Providence’s Treatment for Shoulder Dislocation.

Rehabilitation and Healing Process

Once the shoulder has been restored to its position in the socket, rehabilitating the shoulder should begin immediately. You need to strengthen the shoulder fully before returning to any strenuous activity or games.

The first phase involves restoring the shoulder to its socket. This should be followed by placing a sling around the shoulder to keep it stabilized for healing to take place.

Pain can be an issue during the first weeks after the injury. Your doctor may give you a prescription to help relieve your pain with painkillers. Also applying an ice pack on the shoulder may help with the pain and keep the swelling down.

The second phase of the healing process is to start and increase your movement to build muscle strength, especially on your rotator cuff, the muscles that rotate the arm. Depending on the extent of your injury, you may need specialized care or exercises that can be done at home.

It’s normal to feel stiff and some discomfort when you start moving again. If the pain persists, stop, and consult with your physiotherapist. Start with short, frequent sessions and then gradually increase the intensity to build up muscle strength.

It’s essential to do the prescribed movements to ensure your arms heals quickly. If the pain persists, rest and take pain relief medication.

The third phase involves a check from your doctor to ensure you are healing well. Your physiotherapists may recommend more exercises to restore normal function. Your doctor will recommend advanced exercises to make sure your shoulder is functioning, as it should.


Different people heal differently with some taking longer depending on the injury. A shoulder injury can take longer to heal. While recuperating, avoid any strenuous activity and giving yourself a break to get back to your usual self.



Common Causes of Shoulder Dislocation in Singapore

Of all body parts, the shoulder is one of the most frequently dislocated. Why is this so? The shoulder is probably the most active body part as it is attached to arms and hands that we use at almost every moment. It moves in all directions and undergoes lots of pressure. Most dislocations occur at the front of the shoulder though the dislocation can occur in any direction; backward, forward, downward, partially or completely.

It requires a strong force to be able to shift the shoulder bones out of their sockets, such as a sudden blow. Rotating your shoulder joints can make them pop out of the shoulder sockets. We have two types of dislocations; partial and full dislocations. The difference between the two is that unlike full dislocation, the partial dislocation allows the shoulder to be shifted back into its original position.

If you’re a Singaporean and are actively involved in any physical activities, whether labor or sports, this article is for you. You are at a high risk of experiencing shoulder dislocation. We look at the common causes for shoulder dislocations and treatments.


Who are at the Highest Risks of Shoulder Dislocations?

From the explanations above, it is clear that for a shoulder dislocation to occur, there must be lots of movements and spins. This description best fits young lads; teens or people in their 20s. this group is the most active, engaging in many physical activities, such as physical labors and sports. This, thus, exposes them to lots of risks and high vulnerability to shoulder dislocations.

The good news is that young people have vibrant and strong bones. So, in case of the occurrence of shoulder dislocations accidents, there is a high probability that you will be back in your normal form in np time. This, however, doesn’t imply that you should be careless. Take care of yourself and be cautious at all times.

Common Causes of Shoulder Dislocations

Traumatic Shoulder Dislocations

The traumatic shoulder dislocation is also known as high speed, and it occurs when your shoulder pops out at high speeds because of being subjected to vulnerable positions. This commonly occurs to the arm on your side. This injury in most cases occurs during falls or during football tackles.

Repetitive Ligament Overstrain

Often, people with loose ligaments in their shoulder have high chances of dislocating their shoulders very easily. The loose ligament may be a normal anatomy or alternatively the results of overstretching the shoulder joint repetitively. Certain sports require engaging your shoulders a lot and are the reason for overstretching of your ligaments. These are inclusive of tennis, swimming, cricket, volleyball and baseball among others.

Having loose ligaments makes it difficult for your shoulder to be stable. If this is the case for you, it is advisable that you undergo a rotator cuff strengthening program to help rehabilitate and prevent any further injuries. Your physiotherapist will advice you on the way forward.

Multi-Directional Instability

Some patients experience unstable shoulders due to genetic dispositions. The shoulders normally feel loose in a number of directions. This is known as multi0directional instability. Because this is a result of genetics, these patients rarely respond positively to surgery. The best option for them is to undergo a stabilization strengthening program.


The above-mentioned points are the main causes of shoulder dislocation. With this knowledge, you are better off taking good care of yourself to avoid such. Regardless, no matter how cautious you are, accidents occur. With this, visit an orthopedic clinic and have your shoulder examined by a professional physiotherapist.

Consider Upping your Excel Skills for A Step Up in the World of Finance

Have you ever dreamed about a career in finance, or are you currently in the process of scaling the career ladder in the finance industry? Then you must already know that financial modeling is a key skill that most, if not all, corporates require of employees. Everyone from analysts to CPAs are required to have more than an easy working relationship with financial modeling software –” they are expected to master it.

In the early days, professionals in the financial world were expected to look at trends and analyze them to see what happened – speculation was still there, of course, but the science was not so exact. However, with data analysis today in the financial world, people are expected to produce knowledge that can affect strategy in minutes, or even seconds, with scenarios like high frequency trading. Turnaround time is so little as to be non-existent, and data analysis has to be as close to real-time as possible, if not faster.

What can help large organizations respond quickly to market changes in these circumstances is financial modeling. Without adequate staff to implement and keep updating a working financial model, or models, to deal with different market issues, organizations will find themselves lagging behind and unable to fully take advantage of market opportunities. In all of these scenarios, then, someone on a team with no financial modeling experience or skills is dead weight and a liability.

With such a high demand for practical competency in financial modeling, it is now necessary for anyone looking to enter the financial market, or already present in it, to have some level of expertise with software like Microsoft Excel. Though other financial software is also in use, most work is still done on spreadsheets.

There are multiple ways in which one can acquire advanced Excel training. Microsoft offers its own certifications, but they end up being relatively easy to get and not a true measure of someone’s Excel skills. However, other advanced Excel training and certification programs offer courses that are tailored specifically to suit individuals from different industries.

For instance, the advanced financial modeling advanced Excel course offered by ITBM teaches participants to develop sophisticated spreadsheet models using VBA language, build Excel spreadsheet models easily and efficiently, learn how to optimize current spreadsheet models, understand the limits of what a model can achieve to accurately make business decisions, and increase skill drastically in the realm of building more advanced financial and corporate models to suit specific organizational needs. All of these skills are necessary to get ahead in the world of finance, and can actually help you accelerate your career growth.

Want to know more? Check out the advanced Excel training modules available with ITBM today.

How to Create a Successful Project on Self-Service Kiosk?

There are ideally 3 key components for a self-service kiosk project for determining its success. They are the software for kiosk system, the user-end application and the hardware.

Prior to selecting the required hardware, the function of kiosks, software and the application, and the software should be ascertained. When the kiosk’s tasks are outlined properly, it becomes easier to use the kiosks as intended. For example, if a kiosk is used for selling some items, how can you draw the attention of your potential customers who would otherwise overlook it?

On the other hand, if a kiosk shows secure information, how can such information be made secure on that kiosk and ensure that a user feels that he or she is physically secure while in front of the kiosk? The reply to all such questions is a successful integration of application, software and hardware.

Your project’s needs should determine the hardware type for a kiosk

Once you have ascertained the aim of the kiosk, you need to do a comparison of the hardware on the basis of their features, materials, quality and price. For instance, when the kiosk shows sensitive information, it should feature privacy screen to black out the panels and the screen so that the monitor is invisible to all those people who are standing on both sides of the kiosk.

The enclosure materials for your kiosk can be made of injection-molded plastic, wood to metal. Moreover, the kiosk’s function should determine the ideal enclosure material. Usually kiosks whose enclosure is made of metal are more secure and durable. Kiosks made of injection-molded plastic material look eye-catching and great and are available in a variety of colors while those made of wood can add a refined touch to its appearance.

Use proper peripherals for a kiosk to improve your project

He kind of hardware is not only limited to a kiosk itself, it also includes any other peripherals that have been used to improve a kiosk’s functionality. For instance, if a printer is used for printing sensitive and secure information, it should be enclosed within that kiosk, secured and locked. Such a printer must also make use of security mats and printer retractors thus making sure that whenever a user steps away from a kiosk, the print-out should retract back inside the kiosk. The configuration of a security mat can be also done with the kiosk software so that when a user steps on that mat, the start page is displayed by a kiosk. Whenever a user steps away from the mat, the cache and the cookies are automatically cleared to get ready for another user.

Which one to pick – Excel or Tableau

Business around the globe work on numbers and data and usually the data source could be one or many. Sometimes businesses and the clients themselves are overwhelmed to see their data points and the sources are unable to decide which ones are important and which may be omitted. These data points serve as a great reference to make robust business decisions hence making it all the more challenging for the leadership. The best way is to have the right kind of tools which will be able to tell a story from this data to the decision makers. So analysts have two options. They either play with these numbers on the available tool which is Excel or may need an advance tool like the Tableau. Both these tools have their own advantages which are:

* Flexibility of making charts – Excel gives you the flexibility to represent your data on charts and so does Tableau. The difference comes when these charts need to be modified or when data range changes. Where Excel sometimes may require you to start from the scratch, Tableau gives you the freedom to quickly add data, modify any calculations and change the final output immediately. In this tool it becomes easy to see the changes as one progress and see how the data is coming out thereby giving a new dimension to the analysis.

* Enormous data – Excel gives you around one million rows to enter data. Additionally, if large amount of data is entered in an Excel sheet then sometimes its response time will get reduced. Tableau on the other hand has been designed to accommodate data without any limitations and to run smoothly to give the output.

* Creating dashboards – Excel is used for creating dashboard and publishing the numbers and yes it is a tedious task creating one on Excel. Tableau can also be used to create dashboard and lets one see the results on one page itself. You can easily provide drop downs, view different parameters and navigate easily on the same page. Questions raised can be drilled down to last level of data which provide clarity.

So if your client is at a very niche stage, requiring analysis of the data provided by them to see how it is interacting and integrating then Excel serves your purpose however, if your client is moving deeper into the analysis and is providing you with different data from different resources then it is time to move the reports and output to Tableau. To master Excel and also have your employees trained.

Do You Know About a 5 Day PMP Course

For the fast moving world, the corporate strategies with respect to skills keep changing with the daily challenges. Every problem has to meet a solution and no two problems will be the same. So to gain knowledge, skills and required expertise in the Informational technological practices as well as to manage a project exceptionally well – the standards are needed to be met. Also, for delivering a client service in the most qualitative manner, it is therefore needed to gain international level skills for the clients who come from across the globe.

What is this course?

PMP certification – Project Management Professional course is a specifically designed certification course for all those aspirants who are required to tackle a project with ability and utmost management skills. The course completes upon giving an exam of PMP & PMI exams and clearing it. It helps in revising the knowledge on those areas of development and helps a smooth management throughout the project, from starting it to completing it. All this is done in just 5 days! Yes it is a 5 day course.

Outline –

The course concentrates on ten main concepts of PMP program that which comes handy on being back to job. It starts with the management of integration followed by scope of the project with the visibility. The time, cost and quality management sessions helps in dealing with estimation, development and control at every stage. Human Resource and communication sessions help in acquiring the right team and meeting the expectations. Risk and procurement sessions help on analysis of risk if in case occurred and strategically ordering the right procurement. Finally, the course completed with the most important of all the above on how professionally and ethically the entire course is managed without being distracted.

Details –

The entire duration of the course is for 5 days. It starts at 9 in the morning and ends at 5:30 in the evening. Funding is also available to professionals under various supports like SDF, NICF, WTS and SME The course fee for the international students is $2782. For permanent residents and professionals who are citizens of Singapore the fee is $2182. For the funding through SME the fee is $782. For those SME professionals eligible for funding of about 90% it is $782. If the funding is with WTS and of 95% the fee is $312. The course is available for both full time and part time.

Summary –

Every participant gets trained on all the key concepts, principles, practices and terms in managing a project. The review is integrated as well as structured with respect to the PMBOK guide that helps in gaining skilful knowledge over the areas of development. Learners with the grant from NICF are eligible to assessment and this course guides in meeting the criteria to clear the assessment.

What Is The ITIL Intermediate Service Lifecycle – Service Strategy Course?

ITBM is an IT and business management learning center located in Singapore. It imparts training and education for a variety of courses related to business management and management of services and operations of a business organization or enterprise.

Some of the courses offered by ITBM include NICF courses, Microsoft office, and adobe, cyber security and digital marketing, IT and project management and ITIL courses.

What is ITIL?

ITIL stands for IT infrastructure library and is a widely implemented system or practice in the field of ITSM or IT service management. ITIL provides a certain set of methods and practices to plan, support, deliver and identify different IT services in a business or any organization. ITIL is also studied in collaboration with other services and operations in a business in the form of different courses. ITBM teaches various ITIL Courses in Singapore.

What is the ITIL intermediate service lifestyle – service strategy course?

This course is an ITIL-affiliated course taught in ITBM Singapore. It is a four-day course taught to business professionals who have important roles in a business organization related to implementing, developing and managing IT services. By improving the IT service quality, the value of the business organization also increases. This course forms part of the ITIL intermediate lifecycle stream and the ITIL expert certification in IT service management.

The main objective of the ITIL intermediate service lifestyle service strategy course is to impart training and knowledge on the various industry practices associated with service strategy and service management. It uses a combination of theory material and practical or real life case studies to guide, train and educate candidates about the key concepts of this course. A certification examination must be taken by all candidates at the end of the four-day course to earn their certificate.

The course outlines the following subjects – introduction to service strategy, value of service strategy to a business organization, value and contribution of service strategy to all the lifestyle stages of a business growth module.

It also explains the four main principles of service strategy which are –

1. The capacity to choose a type of service strategy

2. How to implement the four P’s of service strategy

3. How to create value, define service quality and balance the use of warranty and utility together

4. How to use sourcing strategies and service economics to meet business goals

This along with various other ITIL Singapore courses can be studied at the ITBM learning center.

The Benefits of Health and Safety Certifications for your Organisation

There is a determined effort by companies and governments worldwide to eliminate or minimise accidents and health hazards at workplaces. This is happening despite the reckless nature of a significant section of the individuals who make decisions that influence politics and business.

The almost universal method used by governments and international organisations to make the workplace safer and healthier is by encouraging or mandating enterprises to establish management systems to improve workplace safety and health and declaring these enterprises certified if their management systems meet certain criteria. A couple of examples of internationally recognised certifications are the OHSAS 18001 standard and the SS506 standard. The Workplace Safety and Health Council (WHS Council) in Singapore has established the bizSAFE certification, a five level programme, to assist and recognise organisations as they make progress toward achieving the SS506 standard.

The benefits of these certifications to the organisations obtaining the certifications are obvious.

Firstly, certifications, on account of the excellent reputations of the organisations issuing them, guarantee the effectiveness and the efficiency of the safety and health management system in an enterprise. This improves the brand image of the company among customers, clients and other stakeholders.

Anybody who is aware of how the business world operates will understand the importance of improving a company’s brand image. Most large corporations invest colossal amounts of money in advertising and public relations to establish, improve and maintain a positive brand image. A Safety and Health Certification from an internationally recognised organisation advertises the effectiveness and efficiency of an enterprise in reducing accidents and health hazards in the workplace much better than any amount of creative advertising could.

Some examples of the stakeholders who are impressed by international certifications obtained by companies for their health and safety management systems are:

The Public

The Public value international certifications for health and safety management obtained by industries where accidents could cause serious damages to the health of the people living in the vicinity of the accident site. The Chernobyl Disaster and the Bhopal Gas Tragedy are two excellent examples of disasters that had a disastrous impact on public health.

The Clients

A company that obtains an international certification for its safety and health management system proves its organisational proficiency to its clients. Moreover, the client is assured that accidents are monitored and minimised thus saving valuable resources.

Steps for Writing a Quality Manual

ISO 9001:2015 requires a subtle and simple quality manual. Often most companies tend to create huge and unmanageable copy of the ISO 9001 standard. The biggest problem with such a manual is that it becomes difficult to read and understand it. The employees need something simple and condensed to save time. When writing a quality a quality manual certain steps have to be followed.

1) The scope of the System

The scope of the quality management system is supposed to be 1st section of the manual. This is placed to fin the limit of the management system. This has to be based on the scope placed on the ISO certificate which was already agreed upon with the registrar. This is basically an explanation on the function or purpose of the organization. The next part of the scope should be based on the requirements prescribed by the ISO 9001 for the specific functions of the organizations such as designing and production.

2) Documented procedures

The ISO 90001 standards require you to mention 6 documented procedures. But in certain organizations there could be more. The criterion for writing the procedure for any process is whether it needs the procedure to be written down to function. If the process completion requires it to be written down, then it has to be written down. If the procedures can be shortened in the form of flow charts which is easier and shorter, it can be added to the manual. In case it is a long list, the reference can be mentioned in the manual so that in time of need they can refer it quickly.

3) Description of the interaction

This is basically a simple flow chart used to represent all the processes and their interaction using arrows. In a quality manual such a simple flow chart will help the staff understand the basics easily. Although an in-depth flow chart can explain it better it is not needed.

A short quality manual is used as a brochure to explain the working of the organization as well as indicating that it follows the required standards as prescribed by the ISO to the future prospective clients. Usage of your organization’s quality policy and objective can help you stress how the organization can help the clients. Even an inclusion of the management structure using a simple flowchart can allow people to understand how the organization or company is controlled.

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