Effective Knee Pain Relief and Treatments in Singapore

Effective Knee Pain Relief and Treatments in Singapore

As per the statistics of Singapore, more than 40 per cent of Singaporean elders have knee pain issues with women at more risk. There are of course some known reasons for this pain among people.

  1. It could be due to obesity among people because it causes more pressure on the kneecaps and knee joints. Thus, if you simply lose weight the situation can improve a lot.
  2. In case you have had a knee injury or any tight muscles, your chances of knee pain become high. Strong muscles reduce the chances of getting any knee pain, also with good body flexibility there are fewer chances of a knee injury.
  3. It also depends on your lifestyle. The kind of sports you play strongly determine the chances of getting any knee injury or knee pain. Sometimes prolong standing lead to increase chances of knee pain.

Probable symptoms and signs of Knee Pain

If you are experiencing the below-mentioned symptoms, then you are at risk of developing knee pain.

If there is redness as well as warmness:  This situation is also accompanied by chances of inflammation and swelling.

Swelling as well as Stiffness of the knee muscles: The knee pain starts with knee swelling and stiffness of the knee muscles. When it starts it takes around 48 hours for the knee to properly develop knee issue or pain. Swelling cause difficulty in bending, elevation and taking other movements.

When you experience weakness and instability: Sometimes when you walk, you feel instability during walking or running.  It causes loss of balance and you may fall. It could be due to weakness or any tear in the knee muscles.

If you are unable to bend the knee muscles: if you are unable to bend the knee or it causes when you move or bend your knee, then it is another signal of getting infected with knee pain. Your doctor may ask for an MRI or an X-ray to check the probable cause.

Available Knee Pain Treatments in Singapore

It all depends upon the severity and nature of the knee injury to see which procedure suits you. The most recommended cures available in Singapore are the following. Read more about knee pain treatments and solutions here too.

  1. For Mild Injury: In case you are living with a mild injury in your knee then you can go for RICE protocol for a simple and easy pain reliever. RICE stands for Rest, Ice, Compression and Elevation.
  2. For Moderate Injury: If there is a moderate level of knee pain that causes knocks and sprains but you are still walking then you can try:
  3. some activation and strengthening of knee muscles, i.e., muscle education.
  4. Go for radiofrequency therapy or ultrasound, i.e., electrotherapy modalities.
  5. A knee support or brace.
  6. Any medications involving anti-inflammatory.
  7. For severe Injury: In case of severe injury to the knee, you can try using walking aids in the form of a walking frame or axillary crutches. Otherwise, can also try MRI or X-ray.
  8. For Degenerative Injury: Its treatment in Singapore includes any modification in your activity or doing exercise for muscle relaxation.

If you are living in Singapore, you have several options available as mentioned above. However, it depends upon the type and intensity of knee pain that you decide which option to go for. Always ask for medical specialist advice first.

Recommended Knee Pain Treatments for All

Recommended Knee Pain Treatments

Any medical condition including pain should not be taken lightly. When a proper diagnosis has been done, its time to find the specialist and start treatment. The same is the case with knee pain. If you have figured out the cause behind your knee pain, its time you check orthopaedic and start knee pain treatment.

There are many good doctors and practitioners available in Singapore who are experts in their field. If consulted, they offer good solutions and treatments for knee pain. The article also provides some guidance in this regard.

Start Physical Therapy

The most preferred exercise to comfort and strengthen the pain knee is physical therapy. You need to consult some good physiotherapist for this matter who can advise on the types and frequency of the exercises to relieve your knee pain. If you are a sportsman or physically very active, you might be asked to improve your movement patterns during sports or activity which would be impacting your knee. This could also include some particular exercise or flexibility movements especially performed for the knee. The main objective is to target the pain areas all around the knee to smoothen it.

There is no harm in using support

You can try using support or braces which moves the pressure away from the knee when you walk. It is advisable in case you are suffering from osteoarthritis. At the same time, you can also try using different types of braces depending upon your body and knee pain requirements.

Some recommended Injections

You need to consult your doctor before going for any injection, however, there are some which are mostly used for knee pain treatment.

1. Hyaluronic acid

For creating lubricants in between your knees, this particular injection is used for ease and increasing mobility between knee joints. The effectiveness of the injection mainly depends upon the intensity of the injection but the shot varies between 6 months to 3 years. If your arthritis has just started, then you can use one injection in 5 years. In case of a mild level of arthritis, 2 to 5 years’ duration of injection is preferred and in case of a severe case of arthritis, the recommended dose of the injection is twice a year.

2. Corticosteroids

This injection is used for short term relief in knee pain which last for not more than a few weeks. This also reduces the onset of the probable start of arthritis inflammation.

Recommended Surgery

Before opting for any surgical procedure, it is better to weigh the pros and cons of each surgery.

1. Partial Knee Replacement Surgery (Makoplasty)

In this procedure, only the damaged portion of the knee is replaced with the plastic and metal pieces/parts. The healing time is quick and can be performed using smaller incisors.

2. Total Knee Replacement Surgery (Total Knee Arthroscopy)

It involves the replacement of damaged cartilage and bone with artificial kneecaps. The results are fatigue and the wear and tear process. Since it is major surgery, thus the healing time is also longer.

There are some other home remedies also available for knee pain treatment. What procedure you adopt, depends mainly upon the issue and cause of the knee injury and pain. It is always recommended to consult a doctor before going to any procedure.

What is Knee Replacement Surgery?

Knee replacement is a medical process which involves replacement of knee joint through surgery with any artificial material to ease problem in knee. People also know the process as makoplasty. Thus, the two terms are used interchangeably.

Knee is categorized as a hinge joint which helps in the motion of the body. It connects the lower leg with the thigh, thus provides support to the overall body and its movements as well. The process of knee replacement surgery involves removal of femur bone and is replaced with metal shell.

When to go for Knee Replacement?

Sometimes knee is damaged and individual is unable to perform normal, routine tasks. Even undergoing everyday activities like walking and climbing stairs become difficult and painful. Sometimes simply lying down or sitting also causes intense pain. In the beginning, specialist prescribe medications and normal routine which could help ease the pain. But in case the medications and therapy doesn’t work and pain aggravates then option of knee replacement is considered. Worn out parts of the knee can be replaced thus pain is relieved. Also one is able to carry out normal routine tasks with much comfort.

Statistics about Knee Replacement

The first ever knee replacement surgery was performed in the year 1968 by a orthopaedic surgeon. After the success of the surgery, the method was greatly adopted by other surgeons as well as an effective method for reducing pains of those suffering from knee issues. In the United States alone, each year as many as 581,000 knee replacement surgeries are performed.

Functions of Knee Replacement Surgery

It straightens the leg. Deformed leg or any bow in any part is corrected. It is similar to straightening the building so it doesn’t come down due to weakening structure. Such knee correction helps in attaining normal posture and reduces stress on other joints especially spine and hip joints, when a person walks.

Smooth and replacement of damaged cartilage. The process is similar to fixing of tyres of a car which are worn out and needs to be replaced.

Knee Replacement in Singapore; Money Matters

In case you plan to get your knee replacement in Singapore, you need to check how much it will cost you. As far as government hospitals are concerned, around $20,000 is needed to perform the overall surgery. Government in Singapore also give subsidies of around $10,000, thus you will end up paying only upfront of $3000 and rest of the $7000 can be claimed later on from Medisave.

In case, you plan to go to private hospital, then the overall process cost between $25000 to $30000. Due to involvement of implant, the overall cost of knee replacement is increased. Some precious metals are used in the manufacturing of these plants, mainly ceramics, steel, cobalt, titanium and chrome. These materials are long lasting and never corrode, also are very strong and long lasting in usage. Mainly for arthritis cases, strong, long lasting as well as robust implants are required.

The article provides an insight into knee replacement in case you plan to go for surgery. Make sure you get all the relevant information.

Recovering after Knee Replacement Surgery

Patients are normally given anesthesia for the surgery so they do not feel any pain when the incision is made on the knees during the surgical process, also to ease the movement of surgical instruments in and out of the knee. When the damaged knee is removed followed by replacement of the artificial knee joint with the help of adhesive material, the knee is put together and the patient is shifted to the recovery room from the operation theater.

How does the recovery phase start?

The recovery phase starts as soon as the patient is shifted to the recovery room. Though patient remains in anesthesia for some time, and is encouraged to start movement so things could become easy for him/her. It is important because patient might not have used that knee for long before the surgery due to intensive pain and thus there is always a fear of lock down in the knee.

It is also possible that muscles in that knee might have become weak due to being in the dormant position, thus one need to strengthen it, so they could take better control of the knee after replacement surgery.

Physical Therapy helps in fast recovery

At this point in time, doctor will refer the patient for physical therapy. Patient will be asked to maintain some exercises through physical therapy, which could be carried out at home as well. You can even discharge from the hospital in three days’ time, provided you start light walk and movement of the knee. But you will be needed to continue physical therapy as well as exercises as advised by the surgeon. In the initial phase you will move your knee with the help of crutches, once knee is able to take proper control of the muscles and the body, one is able to move without the crutches.

When to see the doctor again?

In the first three months after the surgical process, the knee is still in the recovery phase and patient has to be very careful in carrying out their normal routine tasks. Sometimes patient feel pain during this phase and get panicked, however this is very normal. Besides this, painkiller is also prescribed in case an intense pain is felt in the knee, however, one need not to rely too much on the pain killers because this way muscles become too much dependent on the painkillers. In case, the pain gets intense followed with swelling and redness along with sides of the surgical knee, then it is better to see the doctor before taking any self-medication. The first three months is the time when maximum knee strength could be regained and muscles along the knee could be strengthen.

The recovery time though varies for every patient undergoing knee replacement depending upon the strength of every individual, but first three months after surgery are main time when the muscles get strength and can hold the weight of the knee. Regaining the normal functions of the knee back is very difficult during the recovery phase especially after the surgery, but first three months after the surgery is pretty crucial for patient and they need to do as prescribed by the surgeon.

The article gives some basic information to all those who have just undergone knee replacement surgery and they can learn all Do’s and Don’ts for the recovery of knee.

Learn About the Ultimate Rotator Cuff Injury Treatments

Are you experiencing severe pain in the shoulders frequently? Then rotator cuff injury treatment could be considered as the perfect step to be implemented in order to be released from chronic discomfort. Rotator cuff refers to the group of tendons and muscles that work to keep your shoulder stabilized and aids in smooth mobility without any discomfort.

In today’s modern era people are going through severe inflammation and pain in the shoulders or upper arm because of sport injuries and normal wear and tear of muscles tendons or severe injuries caused in the shoulder rotator cuff area. Read about the various treatments for rotator cuff injuries here.

Symptoms of acute Rotator Cuff Injury

  • Lifting heavy materials can cause severe pain.
  • You will not be able to lift your arm.
  • Pain during movement of the arm
  • Weakness or stiffness in your shoulder
  • Clicking sound whenever you move the arm

Causes of rotator cuff injury

Rotator cuff injuries are basically categorized in to 3 types and rotator cuff injury treatmentdepends on the severity and cause of the inflammation.


Over usage of the rotator cuff usually leads to tendinitis injury that causes it to be inflamed. This painful injury condition is experienced by painters, tennis players and people who carry much burden or heavy loads in their shoulders.


Another common type of rotator cuff injury that requires treatment is caused by inflammation in the layers of bursa. Bursas are fluid filled sacs that are placed in between the rotator cuff bones and tendons for friction free movement.

Rotator cuff strain

Acute injury or over usage of the rotator cuff can lead to strains. In this case the connecting muscles or tendons can be strained or torn completely or partially. This type of injuries are caused due to accidents or fall or other injuries in that particular area, which might cause severe pain and inflammation.

Nonsurgical Rotator Cuff Injury Treatment

Rotator cuff injuries can be treated with following methods before the condition gets worse and end up in surgery.

  • Applying cold or hot packs on the shoulder affected.
  • Physiotherapy exercises for restoring mobility and strength of the rotator cuff tendons and muscles.
  • Reduce inflammation with steroid injections.
  • Reducing movement of affected arm by resting it in a sling.
  • Anti-inflammatory drugs to curb the swelling and pain.

Surgical Rotator Cuff Injury Treatment

In case the rotator cuff injury is severe and cannot be treated with non-surgical treatment methods, then your physician might opt for a rotator cuff surgery.

Arthroscopic surgery

Arthroscope is a tube fitted with tiny instruments and camera for analyzing and fixing the injury. In this Rotator cuff injury treatment method a small incision is made in the shoulder to insert the artroscope tube. Therefore recovery period of time is very short compared with other surgical methods.

Open Rotator Cuff surgery

In severe tear of the tendons it is necessary for the Doctors to make a much larger cut with well equipped instruments for fixing the inflammation and injury effectively.  

Mini-Open Surgery

This is a perfect blend of both Open surgery and Arthroscopic methods for fixing the issue. In this type the Doctors will initially starts by inserting the arthroscope tube and later treat the tear of tendons and muscles with perfectly designed instruments.

Important Things to Look Out For When You Visit an Aesthetic Clinic in Singapore

Every year, more and more men and women in Singapore are signing up for different aesthetic treatments because they are effective, affordable and have minimal downtime. So, if you have decided on the type of aesthetic treatment procedure you want to undergo, the next thing that you should do is to find a good aesthetic clinic. But finding a good clinic that will be able to cater to your needs is by no means an easy task because there are so many aesthetic clinics in Singapore.

While you have the freedom to opt for any one, you need to keep it in mind that they may not be able to address your issue. To ensure that you get the best results from the procedure you opted for, it is wise you choose a clinic that has a good track record and is reputable. Another thing you can do to determine if a clinic is reputable or not is to visit it in person.

In this article, we are going to be looking at some important things you should look out for during your visit to an aesthetic clinic in Singapore.


A good aesthetic clinic is always clean and organized. In fact, you should feel a relaxing sensation when you walk through its doors. Also, their staff and caregivers should look neat and smell nice. So, if you observed that a clinic is awfully smelling, dirty and its staff are sluggish, chances are they don’t know what they are doing and won’t be able to address your issues.

Friendly Staff

You should be welcomed with a warm and reassuring smile by the staff of the aesthetic clinic you are opting for. Also, the doctor at the clinic should be willing to listen to your fears and concerns. If the staff of the clinic you want to undergo your treatment at are rude or the doctors there aren’t really listening to what you have to say, it is wise that you leave that clinic and find another one with better service.


This is one of the most important things to look out for when you visit an aesthetic clinic. A great way to determine if a clinic will be able to deliver the results they promise is by checking out the before and after pictures of their previous patients. Another thing you could do is to read the reviews left by previous clients or ask them in person about their experience with the clinic.

Certified Doctors

Don’t be afraid to ask for the qualification and the experience level of the doctors that are going to be handling your case. As you probably know, a skilful doctor who has handled countless cases is able to address a vast array of skin issues with relative ease. And if there happen to be a complication of any sort during the procedure, they will be able to address it.


An aesthetic clinic without modern equipment may not be able to handle your issues effectively. So, during your visit, ask questions about their procedures and the equipment they use. You could even take an extra step to research and find out more about the equipment used online.


All in all, it is wise to look around at different aesthetic clinics and see what is being offered. Doing some research won’t hurt as well because in the end, it involves your own face and you will be the one that looks into the mirror each day. May you find the aesthetic clinic you are searching for and be satisfied with both the service and the results.



Top myths related to laser skin treatments debunked

Rumors and myths are everywhere and unless they are busted, they spread wrong notion and false claims. Medical/cosmetic world is no exemption and one such area where rumors and myths rule is laser skin treatment. It doesn’t matter if you stay in <Singapore> or different country, this modern technology capable of boosting self-confidence is under rated, thanks to those myths. So, if you are one of those people having wrong belief about laser treatment, read on as we debunk some of the myths revolve around it.

One such clinic in Singapore is IYAC Aesthetics and Anti-Aging Centre. Their attentive doctors will best advice whether you are suited for the treatment. In the case of laser skin treatment, Dr. Isabelle Yeoh will advise you according to your skin type. At IYAC, you can be assured the procedure will be pain-tolerable and fuss-free. You should visit their site if you are keen on IYAC laser skin rejuvenation Singapore.

Debunking color. Myth – I’m dark skinned, it is not for me!
Congratulations!! You are 100% wrong. Today’s modern laser equipment at your dermatologist’s clinic do not see your skin color and can very well treat dark skinned. These machines are adjustable to suit all or nearly all skin types. Before finalizing on this course, it is best to consult your dermatologist for the best recommendation.

Debunking time. Myth – laser skin treatment gives finger snapping results
It really depends on the type of treatment prescribed by your dermatologist for the type of problem you suffer. Most of these treatments sync with your body’s natural working process and hence, it will take time for the results to reflect – be it fading of acne/acne scars, fine lines, blemishes etc. Again, some treatment may take just one session and others a couple more. But, irrespective, your skin takes time to recuperate from the treatment.

Debunking aftermath. Myth – laser resurfacing leaves a residue after the treatment
This is not true! Though the earlier experiments of laser treatment (use of CO2 technology) used to leave a clear line, it is not the same anymore. Today’s lasers use fractionated CO2 technology helping skin rejuvenation with less healing time, superior results and no residual leaving behind.

Debunking recovery. Myth – recovery time post treatment is more
Again, it depends on the type of treatment you opt for. From example, fraxel laser skin resurfacing treatment, that changes skin texture irrespective of skin color and type, has a longer recovery period as compared to treatment for acne scars and blemishes. But laser treatments definitely have shorter recuperating period compared to surgeries.

Debunking type. Myth – lasers work only on top skin surface
That would be true if your area of problem is scars and blemishes which require surface level treatment only. But treatments like spider vein reduction and body sculpting, which is unwanted body fat removal, lasers dig deep into the skin to get the work done. The penetration depends on the wavelength of the light used.

Debunking fear. Myth – I will get cancer post laser treatment
Most people stay away from the laser skin treatment believing they will end up having cancer if they undergo it. But, this is not true in any sense whatsoever. The wavelengths of light used are operated under safe zone eliminating any possibility of harmful radiation.

Conclusion: You read and are still not convinced by the facts? Your dermatologist is the best person to guide you in person.

Get rid of your double chin problem through fat freezing

No one likes a double chin. Hardly any things influence you to look more seasoned than a twofold jaw or a turkey neck. We all want a prominent jawline that makes our face look lean.

One quick solution to this is CoolSculpting from IYAC Aesthetics & Anti-Aging Centre. This fat-freezing treatment is non-invasive, and has no downtime, which means you can attend the treatment and be ready to go out and meet friends after that. If you want to see results fast, do consider IYAC fat freeze procedure. You can check out their website here: https://www.iyac.com.sg/en/aesthetic-services/viewbya-z/coolsculpting.html

There are many reasons that make our face look fat with a double chin:

Age: with age the skin begins to sag. As the skin begins to lose its elasticity giving the look of an extra chin that sags. This contributes to the look of a double chin.

Weight due to imbalanced diet: gaining a lot of weight may not always contribute to having a double chin. However, at times it does lead to gaining a double chin. If you are having a diet that has a lot of calories and fat, it might lead to having a double chin.

Genetics: unfortunately genes also play a role in having a double chin. If there is a family history of double then one might have a double chin.

Posture: if you are always standing or sitting in a bad posture, then it might lead to a having a double chin. With the surrounding skin losing the elasticity, it might contribute to having a double chin.

How to get rid of double chin?
Exercise, lamentably, won’t make a big deal about a different leaner look woth no double chin. There’s uplifting news, however. The FDA as of late endorsed utilizing CoolSculpting techniques to dispose of fat underneath the chin. By chance if you haven’t known about CoolSculpting, it’s a safe, non-obtrusive strategy that slaughters off fat cells by solidifying them. This fat freezing in Singapore and other parts of the world is slowing gaining momentum.

Prepared specialists utilize controlled <fat freezing in Singapore> and other parts of the world, which focuses on the fat cells however not the cells of your skin around the double chin. The body at that point disposes of the fat cells normally. There’s next to no downtime, so after your treatment session, you can return to whatever you were doing.

Since the FDA has endorsed the utilization of CoolSculpting for the littler territory under the jaw, that opens up an awesome new treatment alternative for individuals experiencing the shame of twofold jaws. In case of have a fat neck or a double chin you don’t need to simply acknowledge it and attempt to live with it. You deserve to look at CoolSculpting and discover what this cutting edge treatment can improve the situation you.

Ask these questions before opting for a filler

The rising popularity of hyaluronic acid fillers as a cosmetic treatment can be seen worldwide as these fillers not only make your face look younger and more supple but are also not harmful. These are safe and dependable and the effects can last for months. Many people are now turning to these fillers in groves and consider a better and safer option than surgery or Botox. Hyaluronic acid is in fact naturally found in our skin and it works wonders to retain the skin’s moisture and make it look as good as possible.

IYAC Aesthetic & Anti-Aging Centre provides such services. With a combination of both invasive and non-invasive procedures, they also approach your treatment with professionalism and tailored advice. With prominent doctor Dr. Isabelle Yeoh at the centre, you can be assured your procedure will be pain-tolerable and fuss-free. You can check out IYAC hyaluronic filler at their website above.

But before you opt for these hyaluronic acid fillers, you should do your research and ask these questions:

What kind of credentials do you have?

For these fillers to have the desired effect, it is necessary to choose the right doctors, nurses and right practice. Once you do your research and zero in on a practice and a physician, you need to ask him about his credentials. It is necessary to pick an expert in facial anatomy who knows how to use these facial fillers properly. It is not enough that they are well-trained and qualified but you need to make sure that they are well-qualified and experienced in that particular field.

What kind of experience does he have?

It is necessary for the physician to have performed these kind of treatments before. Ask them about how many patients they had worked with and ask to see pictures of before and after the fillers. If possible , you can even try and talk to one of the former patients to get an idea of how good the physician is.

What are some side-effects?

In the case of <hyaluronic acid fillers>, there are little to no side-effects but it is still necessary to ask the physician what he thinks. Will these fillers be different for your particular skin and face and also check the needles that they will use.

Will the doctor be on the site?

It is necessary that in such cases, the physician is available on site and after the treatment in case of any complications. Suppose your face needs to be examined before and after the treatment, it is necessary that the trained doctor is hands on desk.

How long will the results last?

Make sure you ask the physician how long will these facial fillers have an effect on your particular skin type and face. Ask him to give a definitive time period as well as schedule regular follow-up examinations and check-ups.

Interior Design Education – InfoBarrel

When you choose it is time to suit your needs to start working in your backyard, you can find a couple of things that you’ll want to consider. This is definitely an opportunity to really flaunt your own personal unique style in a method that not really a professional could be able to get in touch with. This style is often referred to as Feng Shui, which is becoming very popular. Are you thinking of the career in Interior Design? Are you interested in physical spaces, and can you frequently notice your surroundings.

Unique but simple items of furniture can also complement color. It resembles a human tent and is also composed of ‘heavy-duty polyester’ and it has ‘nylon zipper’. Pretending that future casinos will play an upright, commendable role in the regeneration of cities is, at best, humorous. You can install a valance or cornice box over it to soften the harsh edges. by ArticleCity Blog.

The studio maintains a broad portfolio of projects including residential and commercial design, office planning, hospitality, retail and health care facility design. You don’t have to call home in the log where you can bring the powerful presence of natural wood in your living space. Eco Timber Hardwood Flooring, American Clay Interior Plaster, Blue Slide Art Tile, Plumbing Fixtures, Lighting, Window Coverings and much more.

At Artistic Windows, interior design is actually a collaborative effort between homeowners and designers. They are called eyelet curtains because they’ve got eyelets at the top the curtain, this is where the curtain rail is fitted to an easy gliding window treatment. For a monochromatic look just try changing up the textures and bringing in soft Egyptian cottons with cozy faux cashmere blankets and opulent silk curtains. . articledashboard.

Soft colors which have the look of nature are chosen to give the earthy furniture a peaceful, relaxing setting. This is completed in the entire text with every borrowed phrase or quotation having its very own citation. The software also includes textures for tiled floors, granite countertops and custom cabinetry. He can be known since the god of thunder. By: Michelle Spencer.

Article Directory: http://www. Rather than being outdated and old, retro takes the best of previous styles to produce a modern approach. It’s all a part of this trend to take away the formal aspect to living, the almost straitjacket feel where the interior is all lines and spaces and structured. Here certainly are a number of placement strategies that may be of benefit to you. Careers in Home Design directly affect the health, safety and overall wellness of the people that work well and live inside the spaces that Interior Designers design.

Photo Sources: Casa Batllo – Photograph by David Alan Harvey. home-decorating-reviews. . You will find more vital landscape design tips and data on Allen’s website, the Landscape Design Advisor.

Top Tension Adjustment

Start by looking at the machine.

As you sit at the machine most of them have a tension regulator directly facing the user. A numbered dial that may go from 1-9 or 1-4 or, on older machines, it may simply be a knob that turns. On some older machines, the tension regulator is at the end of the machine.

All tension regulators work on the same principle. The upper thread passes between two spring-loaded discs. By turning the dial clockwise or anticlockwise you increase or decrease the pressure on the thread as it passes through. Do not be afraid to turn your tension dial. A skilled operator may alter the tension many times while sewing a garment that varies in thickness.

Go try turning your dial.

First though, note where it is before you start and make sure you put it back to that mark.

Now did that feel good? Once you get used to adjusting your tension you will be able to impress friends and influence people. Well, not quite, but you will have the satisfaction of being the most popular person in your quilting class!

One important note. There are many machines on the market today that say AUTOMATIC tension. Is there really such a thing? I doubt it. Is there a little Pixie sitting inside your machine waiting for your fabric? Does he peek out of a small hole in the top of your machine? “Ah top of the morning to you, that material is thin but I reckon densely, so I’ll put your tension just there!”

In reality, most of these machines use the same old dials with the numbers removed and AUTOMATIC written on them. I know, I sell them. There are a few complex computer machines that also boast automatic tension, but they still can have trouble. It is a great selling point but you do need to learn to adjust your tension. There are those few computer machines that really do have self-adjusting mechanisms, but we are not concerned with them.

As you turn the dial clockwise, you are increasing the tension. Anticlockwise, decreasing it. The lighter the pressure on the dial the lighter the upper tension is in the fabric. What we are looking for, in a perfect stitch, is one that is interlocked evenly in the middle of the fabric layer.

For an illustration, open your hands and face them toward each other with your fingers apart. Now slide them together, interlocking your fingers. If you look at the palms of your cupped, joined, hands you will see the formation of a perfect interlocked stitch. This is what we are trying to get on your sewing machine. If the stitch is unbalanced the top or bottom thread can be easily pulled out. This gives you a weak, stitch.

There are the usual classic faults in tension. Loose threads, looping, puckering, bunching and many more. What we want to do is eliminate them all by understanding the simple procedure of tension adjustment. I have listed on my linked Fault Finding Page all the other faults that affect your sewing machine and that are not covered by tension adjustment.

OK, so here goes. We know that a simple twist of the wrist can be the difference between a perfect stitch and one that drives you crazy.

Firstly we must make sure the tension unit is working. Whatever number your tension dial goes up to, place it at half that, so you are in the middle of the dial. If your dial is un-numbered, turn from lowest to highest tension and judge the halfway point, set the adjustment to that point.

Put a reel of thread on your machine and thread the monster. Finally, pull the thread through the needle’s eye with the foot raised.

The reason the foot must be raised is that most machines have an automatic tension-disc release connected to the presser foot. As you raise the foot the disc’s release, allowing you to pull the thread through without bending the needle too much or breaking the thread.

Check that this is working. Pull the thread through with the foot up, then lower the foot and see what happens when you pull the thread with the foot down. It should become tight to pull.

If the thread is not tight enough to bend the needle—

  • your tension dial is not working properly, or
  • the tension so low that it does not work, or
  • the thread is not in the tension unit properly
  • At this point we must stop and talk about threads.

Some old threads cause so much trouble that they are better thrown away. Some threads are lumpy, some perish and some threads are riddled with knots.

When adjusting your machine always use a good quality thread. I, myself, prefer polyester threads as they give a good quality stitch with a bit of giving. Not many people realize that the top thread passes through the eye of the needle many times before it finally gets taken up in the fabric. You can see this, for yourself, by marking the thread above the needle and watching it as you turn the machine by hand. Polyester threads bear up to this rubbing—through the eye of the needle—much better than cotton. But, whatever threads you use, make sure it is of good quality.

You can carry out a little test here. Pull an arm’s length of thread off the reel and hold it between your hands so that the thread drops in front of you in a wide U shape. Move your hand’s closer together and see what the thread does. If you have a balanced thread nothing will happen. If you have an unbalanced thread the thread, as it gets closer together, suddenly twists around itself. This causes lots of problems, twisting around thread guides and jamming into tension disks. Do not use unbalanced thread.

In normal sewing, never mix threads on a machine unless you want to visit the lunatic asylum.

If the tension disks appear to be too loose, even on the tightest (clockwise) setting, and the thread is not being gripped, first check that the thread is between the disks, then check that there is nothing jammed between the disks that stops them from squeezing the thread (gently pry them apart, with minimum tension and look). You may have to dig out any remnents of thread that has become wound around the middle stud.

If the tension disks appear to be too tight, on the loosest setting, the disks may be rusty or there may be a foreign object lodged between them. Remove any foreign material. You might be able to polish lightly rusted disks by using light string around the disk slot and pulling it back and forth. In severe cases consult your repair person.

Back to business. Now that we have made sure the tension unit is working we need to adjust it to get a lovely stitch in your work. What we must do at this point is find an average balance for the average material. So get some normal fabric, say a strip of clothing-weight cotton cloth. Fold it double as if you were going to sew a seam. Place it under the machine and start to sew. Now examine the stitch. Remember what we are looking for—a balanced, even, stitch on the top and bottom, with the lock right in the middle of both layers.

A quick test you can carry out at this point is to get the end of one of the threads that is coming from the stitched material and pull it sharply. If it snaps on the first couple of stitches then it means the stitch is securely on the fabric. However, if the thread can be pulled out you will need to adjust your machine tension.

One point to note is that you can have a secure stitch that is too tight and puckers the work. We will deal with that shortly.

IMPORTANT At this point I must bring to your attention a really important factor. The top tension controls the quality of the underneath stitch in your fabric. It is the top thread that is being taken, by your machine, around the lower thread and then pulled back up. Too little top tension will not bring the lower thread far enough, too much will pull the lower thread right through both the fabric layers.

If you are still with me then things are looking good, have your eyes started to glaze over yet? Be patient we are on our way. Think of it as searching for the Holy Grail of tension balancing. At the end of your journey you will be enlightened and your path through the maze of tension adjusting will be clear.

Back to business. What we need to do now is to alter the stitch according to what the problem is. The lower section of the page deals with lower tension adjustment. I must impress on you that you should carry out Upper Tension Adjustment first, as this is much easier and the most common cause of a poor stitch, 9 times out of 10 in fact.

If you have a perfect underneath stitch but a straight-line stitch on top and turning the tension dial has no effect, go to lower thread adjustment, further down the page.

Note Some of the large reels of thread available today can alter a well balanced machine and throw the stitch balance out because they are harder to turn when the tread is unwinding. If you are having tension trouble and are using a large reel of thread, wind the thread onto a bobbin and place the bobbin on top of the machine and use it like a small reel of thread. Now continue.

What is the problem with your stitch? Is it all loopy underneath? This is the most common problem.

If you have a big mess underneath then your top tension is not functioning or you have threaded the machine wrongly. See the fault finding link.

So, here we are at last, down to the nitty-gritty. It is so simple that it hurts. By adjusting the top tension clockwise the loops will slowly disappear. Run along about 6 inches of fabric and examine the underneath stitch. Alter the numbers one at a time, say from 4 to 5, check each time you do. Keep going until you find that the top and bottom match. Remember the hands? Now, the number that you have reached on your dial is the BALANCE POINT.

It does not matter what the number is. All machines, like humans, are slightly different. One machine may run beautifully on number 2 while another machine of the same type will be running on number 7.

A professional sewing machine engineer usually balances your tension dial to the middle so that you may increase or decrease it. This is an internal adjustment for trained experts.

Once you have found this BALANCE POINT make sure you remember it. From this number you should be able to sew 90% of all fabrics. You may decrease the number for lighter work, say nets or satin, and increase it for curtains or denim. But always put the tension back to this point.

If the top and bottom tensions are balanced but both too tight the fabric will pucker. Loosen both top and bottom tensions a little at a time (lower thread adjustments) until a smooth stitch is created.

To finish off the top tension adjustment, one final point. It will not matter how many times you adjust your tension dial; master the dial and the world will be yours.

Well done!

The Complete Guide To Tension Adjusting

Sewing machine thread tension adjustment falls into upper (top) and lower (bobbin case) adjustments.

For lower, bobbin case, adjustment follow down the page, always adjust top tension first. To return to the top of the page click on your back button.

This is a long and informative piece on tension. Put the kettle on and make yourself a nice cup of tea, then take your time to read it. It will be worth it in the end.

For many people tension adjustment is an enigma inside a riddle. The mere thought of altering the tension makes some people shudder and run for the gin. Others move toward the machine, in fear, circling a few times, muttering to themselves, before attempting to touch anything. I have known people throw sewing machines out of windows. I have seen women cry and men get mad over this one topic. Growing up in a factory full of sewing machines I soon came to learn many new words, that I passed on to eager classmates at school, all because of the humble sewing machine. I know someone—a man—who threw an industrial machine out of a third-floor window because of tension adjustment.

Well, the truth is that it is actually very easy to adjust your machine’s tension so long as you follow simple procedures. Before we start I must mention one point, although it is mainly women—over 90%—that sew, many men also sew; designers, upholsters, tailors, sail makers and so on. This adjustment pages works just as well for both sexes.