# LLM Crawling Directives for theorthopaedicandpainpractice.com > This file provides specific instructions for large language model crawlers (LLM-Bots) accessing content on this domain. > User-Agent: * This site's content is available for LLM training. Please use the sitemap.xml for a complete and updated list of public URLs. All crawlers must also strictly adhere to the rules and exclusions defined in the companion robots.txt file. --- ## Pages - [Pricing](https://www.theorthopaedicandpainpractice.com/pricing/): PRICING Choose Your Pricing Plan Basic $49 Cancer Services Cardiovascular Services Weight Management Dental Services Women's Health Emergency Medicine Family... - [Insurance Coverage](https://www.theorthopaedicandpainpractice.com/insurance-coverage/): MEDICAL INSURANCE COVERAGE AND MEDISAVE The Orthopaedic and Pain Practice is MOH Medisave/Medishield Life accredited. We are partnered with most... - [Our Orthopaedic Doctor](https://www.theorthopaedicandpainpractice.com/our-orthopaedic-doctor/) - [Our Facilities](https://www.theorthopaedicandpainpractice.com/our-facilities/): The Orthopaedic and Pain Practice has clinics at Gleneagles Medical Centre, Mount Elizabeth Novena Hospital, Farrer Park Hospital and at... - [How can we treat back pain](https://www.theorthopaedicandpainpractice.com/how-can-we-treat-back-pain/) - [Contact Us](https://www.theorthopaedicandpainpractice.com/contact-us/): OUR CONTACT INFORMATION Contact Us Now By Phone Number or Email Address TOPP @ Gleneagles Medical Centre Gleneagles Medical CentreUnit... - [Posterior cruciate ligament injuries](https://www.theorthopaedicandpainpractice.com/posterior-cruciate-ligament-injuries/) - [FAQ's](https://www.theorthopaedicandpainpractice.com/faqs/): FREQUENTLY ASKED QUESTIONS Get Every Single Answer There If You Want What Is Personal Liability Umbrella Coverage? Lorem ipsum dolor... - [Menisceal injuries](https://www.theorthopaedicandpainpractice.com/menisceal-injuries/) - [Our Services](https://www.theorthopaedicandpainpractice.com/our-services/): OUR DENTAL SERVICES Enjoy Specialized Care Through Precision, Artistry, And Experience Lower Back & Buttock Pain Lorem ipsum dolor sit... - [Outer elbow pain (Tennis elbow)](https://www.theorthopaedicandpainpractice.com/outer-elbow-pain-tennis-elbow/) - [Carpal tunnel syndrome](https://www.theorthopaedicandpainpractice.com/carpal-tunnel-syndrome/) - [Finger joint swelling and pain](https://www.theorthopaedicandpainpractice.com/finger-joint-swelling-and-pain/) - [Mallet finger](https://www.theorthopaedicandpainpractice.com/mallet-finger/) - [Labral tear and FAI](https://www.theorthopaedicandpainpractice.com/labral-tear-and-fai/) - [Pain at back of heel (achilles tendinitis)](https://www.theorthopaedicandpainpractice.com/pain-at-back-of-heel-achilles-tendinitis/) - [Pain at base of heel (plantar fasciitis)](https://www.theorthopaedicandpainpractice.com/pain-at-base-of-heel-plantar-fasciitis/) - [Big toe pain](https://www.theorthopaedicandpainpractice.com/big-toe-pain/) - [Medical Conditions](https://www.theorthopaedicandpainpractice.com/medical-conditions/): Low Bone Density Lpsum dolor sit amet consectetur lor adipiscing elit convallis lorem purna quisque idok. Read More Fractures Lpsum... - [Ingrown toe nail](https://www.theorthopaedicandpainpractice.com/ingrown-toe-nail/) - [Clavicle fractures](https://www.theorthopaedicandpainpractice.com/clavicle-fractures/) - [Home](https://www.theorthopaedicandpainpractice.com/): Health Through Motion At The Orthopaedic & Pain Practice, we know that pain can limit your pursuit of health. Let... - [Olecranon fractures](https://www.theorthopaedicandpainpractice.com/olecranon-fractures/) - [Forearm fractures](https://www.theorthopaedicandpainpractice.com/forearm-fractures/) - [Metacarpal and finger fractures](https://www.theorthopaedicandpainpractice.com/metacarpal-and-finger-fractures/) - [Patella fracture](https://www.theorthopaedicandpainpractice.com/patella-fracture/) - [Our Projects](https://www.theorthopaedicandpainpractice.com/our-projects/): Our Recent Work Our Cases & Patient Stories We Create Beautiful Smiles Lorem ipsum dolor sit amet, consectetur adipiscing elit,... - [Our Orthopaedic Doctor](https://www.theorthopaedicandpainpractice.com/orthopaedic-doctor-singapore/): OUREXPERIENCEORTHOPAEDIC Orthopaedics Doctor Specialized And Experienced Our Orthopaedic Doctor Senior Orthopaedic Consultant and Medical Director - [What causes lower back pain (trauma, bad posture etc)](https://www.theorthopaedicandpainpractice.com/what-causes-lower-back-pain-trauma-bad-posture-etc/): example a tag. - [What other symptoms can be related to back problems](https://www.theorthopaedicandpainpractice.com/what-other-symptoms-can-be-related-to-back-problems/) - [When to seek urgent help (emergency)](https://www.theorthopaedicandpainpractice.com/when-to-seek-urgent-help-emergency/) - [What causes knee pain in younger patients](https://www.theorthopaedicandpainpractice.com/what-causes-knee-pain-in-younger-patients/) - [What other symptoms are associated with knee pain](https://www.theorthopaedicandpainpractice.com/what-other-symptoms-are-associated-with-knee-pain/) - [Tendon injuries](https://www.theorthopaedicandpainpractice.com/tendon-injuries/) - [What causes knee pain (degeneration of knee joint including cartilage, menisci and ligaments)](https://www.theorthopaedicandpainpractice.com/what-causes-knee-pain-degeneration-of-knee-joint-including-cartilage-menisci-and-ligaments/) - [Treatment options](https://www.theorthopaedicandpainpractice.com/treatment-options/) - [Sporting injuries](https://www.theorthopaedicandpainpractice.com/sporting-injuries/) - [Superior labral injuries](https://www.theorthopaedicandpainpractice.com/superior-labral-injuries/) - [Rotator cuff degeneration](https://www.theorthopaedicandpainpractice.com/rotator-cuff-degeneration/) - [Shoulder arthritis](https://www.theorthopaedicandpainpractice.com/shoulder-arthritis/) - [Swelling over elbow](https://www.theorthopaedicandpainpractice.com/swelling-over-elbow/) - [Thumb sided wrist pain](https://www.theorthopaedicandpainpractice.com/thumb-sided-wrist-pain/) - [Trigger finger](https://www.theorthopaedicandpainpractice.com/trigger-finger/) - [What causes neck pain (trauma, bad posture etc)](https://www.theorthopaedicandpainpractice.com/what-causes-neck-pain-trauma-bad-posture-etc/) - [What other symptoms can be related to neck pain](https://www.theorthopaedicandpainpractice.com/what-other-symptoms-can-be-related-to-neck-pain/) - [Proximal Humeral Fractures](https://www.theorthopaedicandpainpractice.com/proximal-humeral-fractures/) - [Proximal femur fractures (Neck of femur and intertrochanteric)](https://www.theorthopaedicandpainpractice.com/proximal-femur-fractures-neck-of-femur-and-intertrochanteric/) - [Subtrochanteric fractures](https://www.theorthopaedicandpainpractice.com/subtrochanteric-fractures/) - [Tibia plateau fracture](https://www.theorthopaedicandpainpractice.com/tibia-plateau-fracture/) - [Toe fractures](https://www.theorthopaedicandpainpractice.com/toe-fractures/) - [Terms of Services](https://www.theorthopaedicandpainpractice.com/terms-of-services/): Welcome To Rola Terms of Service Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum... - [Privacy Policy](https://www.theorthopaedicandpainpractice.com/privacy-policy/): Welcome To Rola Privacy Policy Lorem Ipsum is simply dummy text of the printing and typesetting industry. Lorem Ipsum has... --- ## Blog - [Best Treatment for Low Bone Density in Singapore: A Complete Guide](https://www.theorthopaedicandpainpractice.com/best-treatment-for-low-bone-density-in-singapore-a-complete-guide/): Low bone density (osteopenia or osteoporosis) affects thousands of Singaporeans every year, especially older adults and women after menopause. If... - [Alleviate Neck Pain in Singapore: Effective Treatments for Lasting Relief](https://www.theorthopaedicandpainpractice.com/alleviate-neck-pain-in-singapore-effective-treatments-for-lasting-relief/): Neck pain is one of the most common complaints among Singaporeans, especially office workers, students, and those in physically demanding... - [Foot Heel Pain Treatment in Singapore: Your Complete Guide to Lasting Relief](https://www.theorthopaedicandpainpractice.com/foot-heel-pain-treatment-in-singapore-your-complete-guide-to-lasting-relief/): Foot and heel pain can disrupt your routine, making even simple tasks like walking or standing a challenge. In Singapore,... - [Poor Posture Neck Pain Treatment: How to Relieve Discomfort and Realign Your Spine Naturally](https://www.theorthopaedicandpainpractice.com/poor-posture-neck-pain-treatment-how-to-relieve-discomfort-and-realign-your-spine-naturally/): Neck pain has become an increasingly common complaint in our tech-heavy world. Whether it’s long hours hunched over a laptop,... - [Lower Back Pain Treatment Stretches: A Simple, Effective Guide to Relief and Recovery](https://www.theorthopaedicandpainpractice.com/lower-back-pain-treatment-stretches-a-simple-effective-guide-to-relief-and-recovery/): Lower back pain is one of the most common complaints among adults today—affecting people of all ages, lifestyles, and occupations.... - [Understanding Burning Pain in the Upper Right Arm: Causes, Symptoms, and Treatment Options](https://www.theorthopaedicandpainpractice.com/understanding-burning-pain-in-the-upper-right-arm-causes-symptoms-and-treatment-options/): Burning pain in the upper right arm between the elbow and shoulder can be a distressing and disruptive experience. This... - [Treatment for Neck Pain Headaches](https://www.theorthopaedicandpainpractice.com/treatment-for-neck-pain-headaches/): Key Highlights Neck pain and headaches are common issues that can affect daily life. They can happen alone, but they... - [Neck Pain Relief Through Physiotherapy Treatment](https://www.theorthopaedicandpainpractice.com/neck-pain-relief-through-physiotherapy-treatment/): Key Highlights Neck pain is a common issue that can greatly affect your daily life. It can come from many... - [Neck Nerve Pain Treatments Explained](https://www.theorthopaedicandpainpractice.com/neck-nerve-pain-treatments-explained/): Key Highlights Neck pain is something many people face. It can really affect your overall health and how you live... - [Treatment for Neck Pain: Diagnosis and Solutions](https://www.theorthopaedicandpainpractice.com/treatment-for-neck-pain-diagnosis-and-solutions/): Key Highlights Neck pain is a regular issue for people of all ages. It can be a mild annoyance that... - [Ways to Alleviate Neck Pain](https://www.theorthopaedicandpainpractice.com/ways-to-alleviate-neck-pain/): Key Highlights Neck pain is a common problem that affects people of all ages. It can really lower a person’s... - [Foot Pain Treatment Options](https://www.theorthopaedicandpainpractice.com/foot-pain-treatment-options/): Key Highlights Foot pain is a very common problem that can greatly affect your daily life. It can be caused... - [Hip Pain Treatment Options Without Surgery](https://www.theorthopaedicandpainpractice.com/hip-pain-treatment-options-without-surgery/): Key Highlights Hip pain is a common problem for people of all ages in Singapore. It can greatly affect their... - [Orthopaedic Surgeons in Singapore](https://www.theorthopaedicandpainpractice.com/orthopaedic-surgeons-in-singapore/): Key Highlights Singapore is well-known for its high-quality patient care and modern medical facilities, especially for orthopaedic surgery. If you... - [Top Sleeping Positions for Neck Pain Relief](https://www.theorthopaedicandpainpractice.com/the-best-sleeping-positions-to-relieve-neck-pain/): The gentle and moderate facet-sleeping position can help increase the space between the joints in the lower back. The position... - [Lisfranc Injuries: Causes, Symptoms, and Treatment Options](https://www.theorthopaedicandpainpractice.com/what-is-a-lisfranc-fracture-dislocation/): Injuries to the articulations of the midfoot are not uncommon and thus are occasionally overlooked or misdiagnosed. The consequences of... - [Strategies to Manage Knee Pain in Older Adults](https://www.theorthopaedicandpainpractice.com/understanding-and-treating-elderly-knee-pain/): As we age, our bodies undergo various changes, and one area that often experiences the impact of these changes is... - [Understanding Knee Pain Singapore: Causes, Symptoms, Management Strategies, and Knee Pain in Elderly Treatment](https://www.theorthopaedicandpainpractice.com/understanding-knee-pain-and-how-to-manage-it-in-singapore/): Knee joint, the most complicated and the biggest joint of the body. It is more vulnerable to pain and swelling... - [Treatment Options for Lower Back and Knee Pain: Exploring Conservative and Surgical Approaches](https://www.theorthopaedicandpainpractice.com/treatment-options-for-lower-back-and-knee-pain/): Lower back and knee pain significantly impact the quality of life for those suffering from them. There are several treatment... - [Treatments for Neck Pain: Understanding the Causes and Management Options](https://www.theorthopaedicandpainpractice.com/understanding-neck-pain-and-effective-treatments/): Neck pain is a common encounter that disrupts our daily lives but you can do something about it. Comprehending neck... - [Comprehensive Guide to Foot Pain and Tendonitis Relief: Tips and Treatments](https://www.theorthopaedicandpainpractice.com/the-ultimate-guide-to-foot-pain-tendonitis-treatment/): When foot pain or tendonitis sets in, even basic activities can feel like obstacles. This comprehensive guide delves into the... - [Neck Pain Solutions: Your Complete Guide](https://www.theorthopaedicandpainpractice.com/the-comprehensive-guide-to-relieving-neck-pain/): People of all ages often experience neck pain, which can stem from reasons such as muscle strain, incorrect posture and... - [Mastering Lower Back Pain Relief: A Comprehensive Guide for a Healthier You](https://www.theorthopaedicandpainpractice.com/the-comprehensive-guide-to-managing-lower-back-pain/): Lower back pain is something that many of us have experienced and can disrupt our daily lives. But worry not,... - [Strategies for Neck Pain Treatment](https://www.theorthopaedicandpainpractice.com/the-benefits-of-seeing-a-neck-pain-treatment-doctor/): Picture starting your day with a lingering ache in your neck that just won’t go away. Every movement seems as... - [Banish Foot Pain: Uncover the Causes and Find Relief](https://www.theorthopaedicandpainpractice.com/exploring-the-causes-and-treatments-of-common-foot-pain/): Foot pain is a familiar, yet often underestimated, companion in our daily lives. We’ve all been there, haven’t we? That... - [Strategies for Chronic Neck and Shoulder Pain Relief: Transforming Discomfort into Vitality](https://www.theorthopaedicandpainpractice.com/chronic-neck-and-shoulder-pain-relief-strategies-to-reduce-discomfort-2/): Struggling with neck and shoulder pain can take a toll on you, both physically and emotionally. Whether it stems from... - [Tips for Relieving Foot and Heel Pain: A Complete Guide](https://www.theorthopaedicandpainpractice.com/a-comprehensive-guide-to-treating-foot-heel-pain/): Imagine the discomfort of every step feeling like a small agony, a daily reminder that your feet, the unsung heroes... - [Strategies to Relieve Foot Arch Pain: Your Path to Pain-Free Walking](https://www.theorthopaedicandpainpractice.com/using-orthopaedic-and-pain-management-strategies-to-tackle-foot-pain-near-the-arch/): Foot pain near the arch can be a real downer, disrupting your daily routine and making each step feel like... - [Ultimate Guide to Relieving Foot Nerve Pain: ETips for Lasting Relief](https://www.theorthopaedicandpainpractice.com/foot-nerve-pain-treatment-comprehensive-guide-to-foot-pain-relief/): We often go through our daily routines without giving much thought to our feet and ankles, yet they are always... - [Conquer Chronic Neck and Shoulder Pain: Strategies for Long-Lasting Relief](https://www.theorthopaedicandpainpractice.com/chronic-neck-and-shoulder-pain-relief-strategies-to-reduce-discomfort/): Our necks are incredibly handy for everyday tasks, like turning our heads to look around, finding a comfy sleeping position,... - [Conquer Shoulder Pain: Solutions from Orthopedic and Pain Management Doctor](https://www.theorthopaedicandpainpractice.com/easing-shoulder-pain-through-medical-orthopaedic-and-pain-management-solutions/): Introduction to the Challenges of Shoulder Pain Shoulder pain is a common problem in Singapore, and it can affect people... - [Comprehensive Solutions for Lower Back Pain: A Holistic Approach](https://www.theorthopaedicandpainpractice.com/exploring-lower-back-pain-and-its-comprehensive-treatment-options/): Lower back pain is an issue which is the result of a complex set of factors like lifestyle, medical issues,... - [Exploring New Therapies for Nerve Pain and Knee Discomfort](https://www.theorthopaedicandpainpractice.com/exploring-new-therapies-for-nerve-pain-and-knee-discomfort/): Nerve pain and knee discomfort are two issues that can have an impact on someone’s quality of life. Despite the... - [Solutions for Lower Back & Buttock Pain Relief](https://www.theorthopaedicandpainpractice.com/exploring-non-invasive-treatment-options-for-relieving-lower-back-buttock-pain/): Back pain can stem from a multitude of factors, including mechanical issues with the spine, inflammatory conditions, medical ailments, and... - [Comprehensive Chronic Lower Back Pain Treatment | Expert Care for Relief](https://www.theorthopaedicandpainpractice.com/find-relief-from-lower-back-pain-with-orthopaedic-and-medical-care/): Back pain is an issue that impacts individuals of every age group. It can arise from reasons such as injury,... - [Treatments for Lower Back and Buttock Pain in Singapore](https://www.theorthopaedicandpainpractice.com/alleviating-aches-exploring-lower-back-buttock-pain-relief-solutions-in-singapore/): What is Lower Back & Buttock Pain? Lower back pain is a complicated problem affected by the interplay of several... - [Osteoporosis:Orthopaedic and Pain Management Strategies](https://www.theorthopaedicandpainpractice.com/orthopaedic-and-pain-management-osteoporosis-treatments-for-singaporeans/): Introduction to Orthopaedic and Pain Management In the journey of life, we all experience aches, pains, and physical discomfort at... - [Strategies to Alleviate Post-Workout Lower Back Pain](https://www.theorthopaedicandpainpractice.com/how-to-manage-lower-back-pain-after-physical-activity/): The spine is the main component of the back, it is made up of the vertebrae, the spinal cord, the... - [AComprehensive Guide to Treating Neck Pain](https://www.theorthopaedicandpainpractice.com/a-comprehensive-guide-to-treating-neck-pain/): The neck is a very sensitive part of the body that joins the head and the torso and is made... - [Understanding Neck Pain in Singapore: Causes, Symptoms, and Treatment Options](https://www.theorthopaedicandpainpractice.com/understanding-neck-pain-various-causes-symptoms-and-treatment-options-for-singaporeans/): The neck is a crucial part of our spine that supports the weight of our head while allowing for a... - [Conquer Lower Back Pain: Insights from an Orthopaedic Surgeon](https://www.theorthopaedicandpainpractice.com/a-comprehensive-guide-to-lower-back-pain-insights-from-an-orthopaedic-surgeon/): An estimated 60-90% of adults will experience lower back pain at some point in their lives. The risk is notably... - [A Singaporean’s Guide to Low Bone Density Treatment](https://www.theorthopaedicandpainpractice.com/a-singaporeans-guide-to-low-bone-density-treatment/): Taking good care of our bones is important because they act as the body’s support system. Think of them as... - [Eliminate Foot and Ankle Pain with These Simple Home Treatments](https://www.theorthopaedicandpainpractice.com/treating-foot-and-ankle-pain-at-home/): Dealing with foot and ankle pain can be a real challenge, impacting your daily activities and overall quality of life.... - [Foot Arch Pain? Get Back on Your Feet with Orthopaedic Care](https://www.theorthopaedicandpainpractice.com/treating-foot-arch-pain-with-modern-orthopaedic-pain-management-techniques/): Foot arch pain, also known as arch strain or arch discomfort, refers to a sensation of pain or discomfort in... - [Decoding Knee Replacement Surgery: Your Complete Guide to Pain Relief and Mobility](https://www.theorthopaedicandpainpractice.com/unlocking-the-mystery-of-knee-replacement-surgery-everything-you-need-to-know/): The subject of knee replacement and what criteria are used to determine the need for surgery is actually quite involved.... - [Knee Replacement Surgery: Understanding the Benefits and Risks for Effective Decision-Making](https://www.theorthopaedicandpainpractice.com/the-benefits-and-risks-of-knee-replacement-surgery/): All About the Knee & Common Knee-related Conditions The knee, which is the largest joint in the body, connects the... - [Non-Surgical Solutions for Knee Pain: Enhancing Mobility and Comfort](https://www.theorthopaedicandpainpractice.com/non-surgical-treatments-for-knee-joint-pain/): Non-surgical methods for treating knee pain offer a variety of choices to assist individuals in relieving discomfort and enhancing their... - [Comprehensive Guide to Knee Cap Replacement: Understanding Orthopaedic Surgery Essentials](https://www.theorthopaedicandpainpractice.com/knee-cap-replacement-understanding-the-basics-of-this-orthopaedic-surgery/): Knee cap replacement, also known as patellofemoral replacement, is a specialized orthopaedic surgery aimed at relieving knee pain and restoring... - [Comprehensive Guide to Knee Surgery in Singapore: Insights and Tips](https://www.theorthopaedicandpainpractice.com/everything-you-need-to-know-about-knee-surgery-in-singapore/): Knee surgery plays a role in enhancing the quality of life for individuals dealing with knee related issues. Singapore is... - [Hip Pain Treatment Options for Relief](https://www.theorthopaedicandpainpractice.com/exploring-the-treatment-options-for-hip-pain-management/): Introduction to Hip Pain Although sharing a general vicinity, hip and gluteal (buttock) pain represent distinct forms of discomfort that... - [Tennis Elbow Relief: Strategies for Pain Management](https://www.theorthopaedicandpainpractice.com/how-to-alleviate-tennis-elbow-pain-tips-from-a-medical-expert/): The elbow joint links the upper arm bone (humerus) to the two forearm bones (radios and ulna). It enables us... - [Ankle Pain Relief: Guide to Diagnosis and Treatment in Singapore](https://www.theorthopaedicandpainpractice.com/the-definitive-guide-to-diagnosing-and-treating-ankle-pain-in-singapore/): Where can I seek ankle pain treatment Singapore? Where can I find more information about ankle pain diagnosis and ankle... - [Treatments to Relieve Ball of Foot Pain](https://www.theorthopaedicandpainpractice.com/effective-treatments-for-ball-of-foot-pain/): Our feet play a crucial role in facilitating movement and supporting our entire body. With every step, an intricate system... - [Elbow Nerve Pain Relief: The Latest Breakthroughs & Treatments](https://www.theorthopaedicandpainpractice.com/the-latest-advances-in-elbow-nerve-pain-treatment/): Diagnosing this form of bursitis is much like any other diagnosis of bursitis, but should be done with extra caution.... - [Orthopaedic Care and Personalized Pain Management Solutions](https://www.theorthopaedicandpainpractice.com/pain-management-and-orthopaedic-care-what-you-need-to-know/): Is there an orthopaedic surgeon, bone specialist, or bone doctor orthopaedic near me? From head to toe, our body is... - [What It Means to Have Low Bone Density](https://www.theorthopaedicandpainpractice.com/what-does-it-mean-if-i-have-low-bone-density/): Very low bone density is known as osteoporosis. It can predispose you to fractures and impact many areas of your... - [Shoulder Pain Relief: Treatment Options for Long-Term Recovery](https://www.theorthopaedicandpainpractice.com/what-are-some-shoulder-pain-treatments/): If you have been suffering from shoulder pain, fret not! Here are some treatment options you should consider to aid... - [Understanding Back Pain: Causes, Symptoms, and Treatment Options](https://www.theorthopaedicandpainpractice.com/what-are-some-conditions-associated-with-back-pain/): What Causes Lower Back Pain? A. TraumaticDuring trauma, fractures or dislocations in the spine may occur, leading to lower back... - [Treatments for Joint Pain: Causes and Solutions](https://www.theorthopaedicandpainpractice.com/joint-pain-what-causes-it-and-what-are-some-treatments-offered/): Looking for a joint pain specialist Singapore? Joint pain is a very common medical condition that can have a range... - [Essential Steps for Treating a Broken Bone](https://www.theorthopaedicandpainpractice.com/i-have-a-broken-bone-what-should-i-do/): Broken bones are known as fractures, which are serious injuries that can have wide ranging effects. Let us help you... - [Overcoming Joint Pain: Treatment Options from Specialists](https://www.theorthopaedicandpainpractice.com/how-can-a-joint-pain-specialist-treat-your-pain/): Joint pain affects many people, and its causes can vary greatly. Depending on your age group and demographic, the type... - [Chondromalacia Patellae: Causes, Symptoms, and Treatment Options](https://www.theorthopaedicandpainpractice.com/chondromalacia/): It occurs when the cartilage – which cushions the moving parts of the knee and prevents them from being damaged... - [Osteoarthritis 101: Causes, Symptoms, Diagnosis, and Treatment Options](https://www.theorthopaedicandpainpractice.com/all-you-need-to-know-about-osteoarthritis/): Causes, Symptoms, Diagnosis, and Osteoarthritis treatment, Singapore WHAT IS OSTEOARTHRITIS? Osteoarthritis is the most common form of arthritis, with around... - [Don't Delay: Advice on Managing Pain](https://www.theorthopaedicandpainpractice.com/heres-why-you-shouldnt-wait-to-see-a-doctor-for-your-pain/): Are you experiencing any pain or any other related symptoms? In this article, here’s why you should not wait to... - [Treatment Insights from a Knee Pain Specialist](https://www.theorthopaedicandpainpractice.com/how-can-a-knee-pain-treatment-specialist-help-me/): If you are currently experiencing knee pain Singapore, the best course of action would be to see a specialist. As... - [Navigating Life with Osteoarthritis: A Comprehensive Guide](https://www.theorthopaedicandpainpractice.com/living-with-osteoarthritis/): Home remedies as osteoarthritis treatment, Singapore. Osteoarthritis is a condition where the wear and tear of the cartilage in the... - [Osteoarthritis Treatment in Singapore: FAQs and Solutions](https://www.theorthopaedicandpainpractice.com/osteoarthritis-treatment-singapore-faqs/): Considering different treatment options and receiving the treatment is never easy, and you are bound to have questions. This article... - [When to Worry About Back Pain: Understanding the Signs and Symptoms"](https://www.theorthopaedicandpainpractice.com/back-pain-should-i-be-concerned-about-back-pain/): What is Back Pain? Back pain is one of the most common reasons for seeking medical treatment and is a... - [Is Your Shoulder Pain Caused by a Rotator Cuff Tear?](https://www.theorthopaedicandpainpractice.com/is-my-shoulder-pain-caused-by-a-rotator-cuff-tear/): What does it mean by a rotator cuff degeneration and how does this happen? The rotator cuff consists of a... - [Solutions for Knee Pain at The Orthopaedic and Pain Practice](https://www.theorthopaedicandpainpractice.com/my-knee-hurts/): Knee pain is an extremely common problem across all ages, though the chances of getting knee pain increase with age,... - [Understanding Heel Spurs: Causes, Symptoms, and Treatments](https://www.theorthopaedicandpainpractice.com/what-are-spurs-on-the-foot/): What are spurs on the foot? Many people might not even know that they have spurs on their feet. Foot... - [Solutions for Swollen Arthritic Knees: Treatment Insights](https://www.theorthopaedicandpainpractice.com/treatment-for-swollen-arthritic-knee/): What Is Knee Arthroplasty Knee arthroplasty is a surgical procedure for the treatment of end-stage knee osteoarthritis. It is commonly... - [Understanding Knee Arthritis: Causes, Symptoms, and Treatment Options](https://www.theorthopaedicandpainpractice.com/what-is-knee-arthritis/): Knee arthritis is an umbrella term that refers to a group of conditions that affect the cartilage in the knee... - [Comprehensive Guide to Lower Back and Buttock Pain Management](https://www.theorthopaedicandpainpractice.com/lower-back-and-buttock-pain/): If you’re like many adults, you experience pain in your lower back and buttocks at some point. Lower Back and... - [Osteoporosis: Causes, Symptoms, and Treatment Options for Low Bone Density](https://www.theorthopaedicandpainpractice.com/low-bone-density/): Low bone density can lead to a number of problems, including fractures and osteoporosis. Bone health deteriorates over time, so... - [Unlock the Secret to Pain-Free Heels: Insights on Heel Pain Causes and Solutions](https://www.theorthopaedicandpainpractice.com/why-is-the-bottom-of-my-heel-painful/): What is plantar fasciitis? The plantar fascia, also known as the plantar aponeurosis, is the tissue that stretches across the... - [Causes and Treatment for Finger Tip Contracture](https://www.theorthopaedicandpainpractice.com/why-cant-i-straighten-the-tip-of-my-finger/): What is a mallet finger? Mallet finger is a finger deformity that occurs when the extensor tendon (the tendon that... - [Understanding Finger Joint Pain: Causes, Symptoms, and Relief](https://www.theorthopaedicandpainpractice.com/why-are-my-finger-joints-swollen-and-painful/): What causes finger joint swelling and pain? Finger joint swelling can be due to traumatic (injury) or atraumatic (not from... - [Unlocking the Mystery of Frozen Shoulder: Causes, Symptoms, and Treatment Options](https://www.theorthopaedicandpainpractice.com/what-does-it-mean-to-have-a-frozen-shoulder/): Frozen shoulder is a condition that affects your shoulder joint. It usually involves pain and stiffness that develops gradually, gets... - [Managing Knee Osteoarthritis Symptoms in the Elderly](https://www.theorthopaedicandpainpractice.com/knee-pain-in-older-patients-ages-55/): Why is my knee in pain? The most common cause of knee pain in older patients is Osteoarthritis of the... - [Understanding Cartilage Injuries: Symptoms, Causes, and Treatment Options](https://www.theorthopaedicandpainpractice.com/what-are-cartilage-lesions/): Joint cartilage is a connective tissue with a smooth and slippery surface, found in joints such as the knee. It... - [Understanding Ankle Fractures: Causes, Symptoms, and Treatment Options](https://www.theorthopaedicandpainpractice.com/what-are-ankle-fractures/): An ankle fracture refers to broken bones around the ankle joint. Three bones make up the ankle joint. These are... - [What are Patella Fractures?](https://www.theorthopaedicandpainpractice.com/what-are-patella-fractures/): The patella, also known as the kneecap bone, is a flat and rounded triangular bone which connects the thigh bone... - [Understanding Forearm Fractures: Causes, Symptoms, and Treatment Options](https://www.theorthopaedicandpainpractice.com/what-is-a-forearm-fracture/): A forearm fracture is a break in one or both of the bones in the forearm. There are two bones... - [What other symptoms can be related to neck pain?](https://www.theorthopaedicandpainpractice.com/what-other-symptoms-can-be-related-to-neck-pain/): Patients with underlying neck conditions may not realise that they have neck problems, as their neck conditions may cause symptoms... - [Unveiling the Truth About Ingrown Toenails: Causes, Symptoms, and Treatment](https://www.theorthopaedicandpainpractice.com/what-is-an-ingrown-toenail/): An ingrown toenail is a common condition where the side or corner of the toenail curves down and digs into... - [Understanding Femoroacetabular Impingement: A Guide to Diagnosing and Managing Hip Impingement Syndrome](https://www.theorthopaedicandpainpractice.com/i-have-pain-over-the-front-of-my-hip-do-i-have-femoral-acetabular-impingement/): What is Hip Impingement? The hip joint is formed by the acetabulum (part of the pelvic bone) and the head... - [Why do my Inner Elbows hurt?](https://www.theorthopaedicandpainpractice.com/why-do-my-inner-elbows-hurt/): What is a common cause of inner elbow pain? Medial epicondylitis, or golfer’s elbow is a painful condition that occurs... - [Shoulder Pain? Could It Be Osteoarthritis?](https://www.theorthopaedicandpainpractice.com/i-have-shoulder-pain-do-i-have-shoulder-osteoarthritis/): What is shoulder osteoarthritis? Shoulder osteoarthritis (OA) refers to the loss of joint cartilage that is normally found over the... - [Knee Osteoarthritis Treatments: Insights and Solutions](https://www.theorthopaedicandpainpractice.com/how-is-knee-osteoarthritis-treated/): Treatment of knee osteoarthritis (OA) depends on the stage of the disease. In the early stages of the disease, non-surgical... - [Understanding Kneecap Dislocation: Causes, Symptoms, and Treatment Options](https://www.theorthopaedicandpainpractice.com/is-my-kneecap-dislocated/): What is kneecap dislocation? Kneecap dislocation, also known as patellar dislocation, occurs when the kneecap (patella) moves out of its... - [Proximal Humeral Fractures: Causes, Symptoms, and Treatment](https://www.theorthopaedicandpainpractice.com/what-is-a-proximal-humeral-fracture/): The humerus is the bone between the shoulder and the elbow. The proximal humerus is the upper part of the... - [Understanding High Ankle Sprains: Causes, Symptoms, and Treatment Options](https://www.theorthopaedicandpainpractice.com/what-is-a-high-ankle-sprain/): High Ankle Sprain A high ankle sprain is an injury to the syndesmosis (a joint at the lower leg). The... - [Understanding the Causes of Heel Pain: A Comprehensive Guide](https://www.theorthopaedicandpainpractice.com/why-does-the-back-of-my-heel-hurt/): The achilles tendon is the largest tendon in the body that stretches from calf muscles to the heel bone. Achilles... - [Understanding Groin Pain: Unveiling the Link to Hip Osteoarthritis](https://www.theorthopaedicandpainpractice.com/is-my-groin-pain-caused-by-hip-osteoarthritis/) - [Understanding SLAP Tears: Causes, Symptoms, and Treatment Options](https://www.theorthopaedicandpainpractice.com/what-is-a-slap-tear/) - [Understanding Meniscal Injuries: Causes, Symptoms, and Treatment Options](https://www.theorthopaedicandpainpractice.com/what-is-a-meniscal-injury/): Meniscal Injury The meniscus is a C-shaped piece of cartilage (a type of connective tissue)within the knee. There is an... - [What happens if I injure my Posterior Cruciate Ligament?](https://www.theorthopaedicandpainpractice.com/what-happens-if-i-injure-my-posterior-cruciate-ligament/): What is a Posterior Cruciate Ligament injury? The posterior cruciate ligament (PCL) is located at the back of the knee.... - [What is an anterior cruciate ligament (ACL) injury?](https://www.theorthopaedicandpainpractice.com/what-is-an-anterior-cruciate-ligament-acl-injury/): What is the ACL? The anterior cruciate ligament (ACL) is one of the main ligaments in the knee joint. It... - [Understanding Long Bone Fractures: Causes, Symptoms, and Treatment](https://www.theorthopaedicandpainpractice.com/what-is-a-long-bone-fracture/): eA long bone is a bone that is longer than it is wide. It makes up most of the length... - [Subtrochanteric Fractures: Causes, Symptoms, and Treatment Options](https://www.theorthopaedicandpainpractice.com/subtrochanteric-fractures-what-is-it-2/): What are Subtrochanteric Fractures? The subtrochanteric region is a part of the thigh bone (femur). It is the area proximally... - [Understanding Olecranon Fractures: Causes, Treatment, and Recovery](https://www.theorthopaedicandpainpractice.com/what-is-an-olecranon-fracture-2/): The olecranon is part of the upper end of one of the bones in the forearm. It forms part of... - [Understanding Tibial Plateau Fractures: Causes, Types, and Treatment Options](https://www.theorthopaedicandpainpractice.com/what-are-tibial-plateau-fractures/): What is a Tibia? The shin bone is also known as the tibia and forms part of the knee joint.... - [Subtrochanteric Fractures? What is it?](https://www.theorthopaedicandpainpractice.com/subtrochanteric-fractures-what-is-it/): What are Subtrochanteric Fractures? The subtrochanteric region is a part of the thigh bone (femur). It is the area proximally... - [Understanding the Different Bones in Your Hand](https://www.theorthopaedicandpainpractice.com/what-are-the-different-bones-found-in-my-hand/): What are the bones of the hand? The hand contains numerous bones which are essential to its function. The hands... - [Olecranon Fractures: Causes, Symptoms, and Treatment](https://www.theorthopaedicandpainpractice.com/what-is-an-olecranon-fracture/): The elbow joint is a joint of the upper limbs, formed between the arm bone (humerus) and the forearm bones... - [Why do I have Neck Pain? Understanding Neck Pain](https://www.theorthopaedicandpainpractice.com/why-do-i-have-neck-pain-understanding-neck-pain/): The Neck The neck is a complex structure in humans that connects the body to the head. Of particular importance... - [My Joints Hurt, do I have Gout?](https://www.theorthopaedicandpainpractice.com/my-joints-hurt-do-i-have-gout/): Gout is a condition caused by excess uric acid in the body. Uric acid is a byproduct of the breakdown... - [Why does the Side of my Wrist Hurt?](https://www.theorthopaedicandpainpractice.com/why-does-the-side-of-my-wrist-hurt/): What are the common causes of thumb-sided wrist pain? There are many causes of thumb-side wrist pain, with the two... - [Why do my outer Elbows hurt?](https://www.theorthopaedicandpainpractice.com/why-do-my-outer-elbows-hurt/): What is a Tennis Elbow? Lateral epicondylitis, or tennis elbow, is a painful condition that occurs when a tendon located... - [What are Shoulder Joint Dislocations?](https://www.theorthopaedicandpainpractice.com/what-are-shoulder-joint-dislocations/): Why do Shoulder Joints dislocate? Dislocation of a joint is a condition in which the joint surfaces of a particular... - [What are Proximal Femur Fractures?](https://www.theorthopaedicandpainpractice.com/what-are-proximal-femur-fractures/): What are proximal femur fractures? Proximal femur fractures are fractures that occur within the hip region. They mainly occur in... - [What is a Distal Radius Fracture?](https://www.theorthopaedicandpainpractice.com/what-is-a-distal-radius-fracture/): What is a distal radius fracture? A distal radius fracture is a break of the radius (one of the bones... - [What is a Clavicle Fracture? Is it serious?](https://www.theorthopaedicandpainpractice.com/what-is-a-clavicle-fracture-is-it-serious/): What is a clavicle fracture? It is a fracture at the collarbone, which is connected to the breastbone (sternum) and... - [What is an Ankle Sprain and what to do?](https://www.theorthopaedicandpainpractice.com/what-is-an-ankle-sprain-and-what-to-do/): An ankle sprain occurs when ligaments in the ankle are stretched or torn. Ligaments in the ankle are bands of... - [What is Avascular Necrosis of the hip?](https://www.theorthopaedicandpainpractice.com/what-is-avascular-necrosis-of-the-hip/): What is avascular necrosis? Avascular necrosis (AVN), or osteonecrosis, is a disease that arises as a result of temporary or... - [Why does my finger “Get stuck”?](https://www.theorthopaedicandpainpractice.com/why-does-my-finger-get-stuck/): What is a trigger finger? Trigger finger, a type of stenosing tenosynovitis, is a condition in which your fingers catch... - [I have finger numbness, is it Carpal Tunnel Syndrome?](https://www.theorthopaedicandpainpractice.com/i-have-finger-numbness-is-it-carpal-tunnel-syndrome/): How does carpal tunnel syndrome occur? The carpal tunnel is a passageway in the wrist that contains tendons and the... - [Swollen Elbow Causes: Identifying and Treating Elbow Inflammation](https://www.theorthopaedicandpainpractice.com/why-is-my-elbow-swollen/): What causes a swollen elbow? Many conditions can cause elbow swelling. In general, these conditions can be considered either trauma... - [Is my shoulder pain caused by an Acromio-clavicular dislocation?](https://www.theorthopaedicandpainpractice.com/is-my-shoulder-pain-caused-by-an-acromio-clavicular-dislocation/): How does an Acromio-clavicular dislocation occur? The Acromio-clavicular (AC) joint is the joint formed between the end of the collar... - [What should I do if I have a collateral ligament injury of the knee?](https://www.theorthopaedicandpainpractice.com/what-should-i-do-if-i-have-a-collateral-ligament-injury-of-the-knee/): What is a collateral ligament injury? A ligament is a connective tissue which connects two bones together. Collateral ligaments of the... --- ## All FAQs --- ## Services - [Knee Pain](https://www.theorthopaedicandpainpractice.com/service/knee-pain/): Knee pain is a common complaint in modern society. Knee pain can be debilitating, and a source for concern. - [Hand & Wrist Pain](https://www.theorthopaedicandpainpractice.com/service/hand-wrist-pain-2/): Wrists and hands are important parts of the body. They allow us to interact and manipulate our environment. - [Fractures](https://www.theorthopaedicandpainpractice.com/service/fractures/): Broken bones are common injuries. A broken bone is known as a fracture. Fractures usually occur as a result of... - [Hip & Groin Pain](https://www.theorthopaedicandpainpractice.com/service/hip-groin-pain/): Groin pain can mean underlying problems with the hip joint. The hip is a joint formed by the pelvis bone... - [Shoulder Pain](https://www.theorthopaedicandpainpractice.com/service/shoulder-pain/): Shoulder pain is a common complaint among adults in Singapore. Whether you are a young active sports person, or an... - [Neck Pain](https://www.theorthopaedicandpainpractice.com/service/neck-pain/): Neck pain is a common issue especially amongst working adults in Singapore. Long hours in front of computers can place... - [Lower Back & Buttock Pain](https://www.theorthopaedicandpainpractice.com/service/lower-back-buttock-pain/): Back pain is one of the most common afflictions of modern society. 60-90% of adults will experience back pain at... - [Low Bone Density](https://www.theorthopaedicandpainpractice.com/service/low-bone-density/): Our bones are made up of a hard living material that builds up strength during our youth, reaching its peak... - [Foot & Ankle Pain](https://www.theorthopaedicandpainpractice.com/service/foot-ankle-pain/): Pain around the foot and ankle is a common problem in modern shoe-wearing society. - [Elbow Pain](https://www.theorthopaedicandpainpractice.com/service/elbow-pain/): Elbow pain can cause a lot of problems with daily life, as the elbow is an important part of the... --- ## Doctor - [Our Orthopaedic Doctor](https://www.theorthopaedicandpainpractice.com/doctor/our-orthopaedic-doctor/): Our Orthopaedic Doctor Senior Orthopaedic Consultant and Medical Director Qualifications MBBS (Singapore) MMed (Orthopaedic) FRCSed (Orthopaedic) Specialty Orthopaedic (Hip &... --- # # Detailed Content ## Pages - Published: 2024-06-19 - Modified: 2024-06-20 - URL: https://www.theorthopaedicandpainpractice.com/pricing/ PRICING Choose Your Pricing Plan Basic $49 Cancer Services Cardiovascular Services Weight Management Dental Services Women's Health Emergency Medicine Family Medicine Gynecologic Oncology Neurosurgery Radiation Oncology Buy Now Standard $79 Cancer Services Cardiovascular Services Weight Management Dental Services Women's Health Emergency Medicine Family Medicine Gynecologic Oncology Neurosurgery Radiation Oncology Buy Now Premium $99 Cancer Services Cardiovascular Services Weight Management Dental Services Women's Health Emergency Medicine Family Medicine Gynecologic Oncology Neurosurgery Radiation Oncology Buy Now --- - Published: 2024-06-19 - Modified: 2025-04-24 - URL: https://www.theorthopaedicandpainpractice.com/insurance-coverage/ MEDICAL INSURANCE COVERAGE AND MEDISAVE The Orthopaedic and Pain Practice is MOH Medisave/Medishield Life accredited. We are partnered with most insurance companies for Corporate & Personal (including integrated shield plans – IPs) Insurance Plans. Patients can have their medical bills fully or partially covered by insurance and Medisave, depending on the type of insurance coverage and treatments conducted. We work alongside our patients and their insurance company to apply for the Letter of Guarantee (LOG) to have a cashless experience. We work with the following insurance companies: AIA Prudential HSBC Great Eastern Fullerton Health Group Alliance Medinet Cigna Adept Health MSH China Mayfair Insurance Prestige International (S) Pte Ltd Bupa Global Henner Insurance *Subjects to terms, conditions and policy coverage. Kindly inform us of your type of coverage and forms required by your insurance provider and we are happy to help you with the necessary paperwork. --- - Published: 2024-06-19 - Modified: 2025-04-24 - URL: https://www.theorthopaedicandpainpractice.com/our-facilities/ The Orthopaedic and Pain Practice has clinics at Gleneagles Medical Centre, Mount Elizabeth Novena Hospital, Farrer Park Hospital and at Novena Specialist Centre. At our Centre, patients can consult our Specialist, undergo diagnostic tests and if needed, they can undergo operations without the need for hospital admission for a smooth experience at one location. Patients will also receive highly personalised and professional care for speedy post-operative recovery if necessary. Our one-stop Centre sits on 4000 square feet and houses a hybrid operating theatre, a recovery suite, a treatment room and consultation rooms. Our hybrid operating theatre is fitted with the latest Philips Azurion Clarity Flexarm C20 Advanced Fluoroscopy System which is the first of its kind to be installed in Asia and Singapore. With its installation, our procedures are more safe and efficient. Our facility also houses X-ray and ultrasound machines that aid in diagnosis. Thus, there will be faster treatments as there is no need to go to another location for radiology. As patient recovery and safety remains one of the key focuses of our Centre, we have installed a Hepa-air filtration system in our hybrid operating theatre to ensure excellent air quality during procedures to ensure minimal risk of infection. Stringent tests for bacterial count, particle count and air exchange rates also ensure a safe environment for our patients. Our centre has an integrated wound care team with expertise to aid in post-operation recovery. Our Centre which is fully accredited and licensed by the Ministry of Health Singapore is also a Medisave accredited facility for patients who wish to utilise their Medisave funds for procedures done at our Centre. --- - Published: 2024-06-19 - Modified: 2024-06-20 - URL: https://www.theorthopaedicandpainpractice.com/contact-us/ OUR CONTACT INFORMATION Contact Us Now By Phone Number or Email Address TOPP @ Gleneagles Medical CentreGleneagles Medical CentreUnit 09-146 Napier RoadSingapore 258499Tel: +65 6270 0255Fax: +65 6270 9255TOPP Day Surgery @ Novena Specialist CenterNovena Specialist CenterUnit 06-08, 16, 17, 18, 198 Sinaran Drive Singapore 307470Tel: +65 6694 6270Fax: +65 6694 6245TOPP @ Mount Elizabeth Novena HospitalMt Elizabeth NovenaSpecialist Center, Unit 07-3838 Irrawaddy RoadSingapore 329563Tel: +65 6334 5120Fax: +65 6684 2194 MAKE AN APPOINTMENT Fill In Your Information & We Will Be In Touch As Soon As We Can 09:00-10:0010:00-11:0011:00-12:0012:00-13:0013:00-14:0014:00-15:0015:00-16:0016:00-17:00 Send Message --- - Published: 2024-06-19 - Modified: 2024-06-20 - URL: https://www.theorthopaedicandpainpractice.com/faqs/ FREQUENTLY ASKED QUESTIONS Get Every Single Answer There If You Want What Is Personal Liability Umbrella Coverage? Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. How Do I Print My Auto Insurance ID Card? Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. What Kinds Of Auto Insurance Discounts Are Available? Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. How Do I Know What Deductible Applies To My Policy? Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. If I Am Moving, Will I Need To Request A New Agent? Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum. --- - Published: 2024-06-19 - Modified: 2024-06-20 - URL: https://www.theorthopaedicandpainpractice.com/our-services/ OUR DENTAL SERVICES Enjoy Specialized Care Through Precision, Artistry, And Experience Lower Back & Buttock Pain Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut Read More Knee Pain Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut Read More Neck Pain Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut Read More Shoulder Pain Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut Read More Hand & Wrist Pain Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut Read More Hip & Groin Pain Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut Read More Elbow Pain Lpsum dolor sit amet consectetur lor adipiscing elit convallis lorem purna quisque idok. Read More Foot & Ankle Pain Lpsum dolor sit amet consectetur lor adipiscing elit convallis lorem purna quisque idok. Read More Fractures Lpsum dolor sit amet consectetur lor adipiscing elit convallis lorem purna quisque idok. Read More Low Bone Density Lpsum dolor sit amet consectetur lor adipiscing elit convallis lorem purna quisque idok. Read More --- - Published: 2024-06-19 - Modified: 2025-04-24 - URL: https://www.theorthopaedicandpainpractice.com/medical-conditions/ Low Bone Density Lpsum dolor sit amet consectetur lor adipiscing elit convallis lorem purna quisque idok. Read More Fractures Lpsum dolor sit amet consectetur lor adipiscing elit convallis lorem purna quisque idok. Read More Foot & Ankle Pain Lpsum dolor sit amet consectetur lor adipiscing elit convallis lorem purna quisque idok. Read More Elbow Pain Lpsum dolor sit amet consectetur lor adipiscing elit convallis lorem purna quisque idok. Read More Hip & Groin Pain Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna. Read More Hand & Wrist Pain Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna. Read More Shoulder Pain Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna. Read More Neck Pain Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Read More Knee Pain Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Read More Lower Back & Buttock Pain Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Read More --- - Published: 2024-06-19 - Modified: 2025-08-26 - URL: https://www.theorthopaedicandpainpractice.com/ Health Through Motion At The Orthopaedic & Pain Practice, we know that pain can limit your pursuit of health. Let us help you relieve your pain and restore motion to your life. Contact Us Experience Specialized Care With Precision & Empathy View All Services Lower Back & Buttock Pain Back pain is one of the most common afflictions of modern society. 60-90% of adults will experience back pain at some point in time in their lives. Read More Low Bone Density Our bones are made up of a hard living material that builds up strength during our youth, reaching its peak in our 4th decade of life (30s). Read More Foot & Ankle Pain Pain around the foot and ankle is a common problem in modern shoe-wearing society. Read More Elbow Pain Elbow pain can cause a lot of problems with daily life, as the elbow is an important part of the arm that is essential to arm movement and function. Read More Hip & Groin Pain Groin pain can mean underlying problems with the hip joint. The hip is a joint formed by the pelvis bone and the hip bone (femur). Read More Hand & Wrist Pain Wrists and hands are important parts of the body. They allow us to interact and manipulate our environment. Read More Shoulder Pain Shoulder pain is a common complaint among adults in Singapore. Whether you are a young active sports person, or an elderly individual, shoulder pains can severely impact your lifestyle. Read More Neck Pain Neck pain is a common issue especially amongst working adults in Singapore. Long hours in front of computers can place unnecessary strain on neck muscles. Read More Fractures Broken bones are common injuries. A broken bone is known as a fracture. Fractures usually occur as a result of injury. Read More Wound Care Broken bones are common injuries. A broken bone is known as a fracture. Fractures usually occur as a result of injury. Read More Make An Appointment 09:00-10:00 10:00-11:00 11:00-12:00 12:00-13:00 13:00-14:00 14:00-15:00 15:00-16:00 16:00-17:00 Send Message Experience Specialized Care With Precision & Empathy The essence of life is Motion. One of the defining characteristics of humans is our abilities of locomotion, and manipulation of our environment using our limbs. The loss of movement in your limbs can lead to deterioration in your health and physical well-being, leading to a loss in your quality of life. At The Orthopaedic and Pain Practice, we recognize that pain, whether it be from your limbs, joints or back, can severely limit your pursuit of health. As an experienced orthopaedic surgical outfit, let us help you relieve your pain and take that step towards restoring motion to your life. Our Own Day Surgery Facility Work with Major Hospitals Work with Major Insurance Companies Multiple Clinic Locations Certified Specialist Our Recent Services Our Cases & Patient Stories We Create Beautiful Smiles Our Specialized and Orthopaedic Doctor Our Orthopaedic Doctor Senior Orthopaedic Consultant and Medical Director Our Clients Review Real Review From Our Real Customer View All Review Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Sarah Taylor Developer Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Aiken Ward Designer Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Eachann Jhon Founder Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Smith Jorge Designer Stay Updated With Our Latest News And Blog Articles View Our Resources Relieve Burning Pain in Your Upper Right Arm: Expert Diagnosis and Care Targeted Orthopaedic Solutions for Persistent Arm Pain Between the Elbow and Shoulder If you're experiencing burning pain in your upper right arm between the elbow and shoulder, you're not alone—and you don't have to endure it any longer. This type of discomfort can be linked to nerve irritation, muscle strain, or shoulder impingement, and without the right treatment, it may worsen over time. At The Orthopaedic & Pain Practice, we provide in-depth evaluations using advanced diagnostic tools to pinpoint the exact cause of your pain and offer tailored solutions for lasting relief. Our orthopaedic specialists are experienced in treating complex arm and shoulder issues with non-surgical and minimally invasive options. Whether your condition stems from repetitive motion, poor posture, or an underlying nerve issue, we’ll guide you through a comprehensive treatment plan to restore mobility and eliminate pain. Don’t let burning arm pain interfere with your quality of life—get the expert care you deserve today. https://www. theorthopaedicandpainpractice. com Best Lower Back Pain Treatment Stretches to Relieve Discomfort Naturally Improve Flexibility, Posture, and Pain Management with Targeted Stretching Routines Lower back pain can disrupt your daily life, but the right stretches can make all the difference. At The Orthopaedic & Pain Practice, we teach patients lower back pain treatment stretches that are medically approved and customized for each individual’s condition. These stretches help relieve tension, promote flexibility, and strengthen the lower spine—without relying solely on medication. Our specialists work closely with you to identify the cause of your lower back pain and design a stretching routine that fits your body and lifestyle. Whether it’s muscle tightness, disc degeneration, or poor ergonomics, we focus on natural recovery methods that support long-term spine health. Consistent practice of our guided stretches can significantly reduce pain and prevent future injury. https://www. theorthopaedicandpainpractice. com Effective Neck Pain Treatment for Poor Posture-Related Strain Restore Neck Alignment and Relieve Tension with Expert-Backed Therapies Poor posture is a common but often overlooked cause of chronic neck pain. Slouching over devices or desks can lead to spinal misalignment and muscle fatigue, resulting in persistent aches and stiffness. At The Orthopaedic & Pain Practice, we specialize in treating neck pain caused by poor posture through evidence-based techniques that realign and restore. Our treatments focus on correcting posture through physical therapy, ergonomic guidance, and targeted exercises. We also address inflammation and muscle tightness with non-invasive therapies to help you feel better, faster. If you're suffering from neck pain due to bad posture, our clinic offers holistic solutions that not only reduce pain but also improve your spinal health for the long term. https://www. theorthopaedicandpainpractice. com Specialized Care for Proximal Femur Fractures in Adults and Seniors Accelerate Recovery with Advanced Orthopaedic Treatment and Supportive Rehabilitation A proximal femur fracture is a serious injury often affecting the hip region, especially among older adults. Quick diagnosis and treatment are critical to ensuring mobility and reducing complications. At The Orthopaedic & Pain Practice, our experienced orthopaedic surgeons provide precise, compassionate care for patients with proximal femur fractures, using minimally invasive surgical methods when needed. Rehabilitation begins immediately post-treatment to encourage bone healing and reduce the risk of future falls. We offer integrated care that includes pain management, physical therapy, and mobility support. Whether due to trauma or bone weakening conditions like osteoporosis, our multidisciplinary team is equipped to help you regain strength and independence. https://www. theorthopaedicandpainpractice. com Understanding the Link Between Shingles and Lower Back Pain Get Relief from Nerve Pain Caused by Shingles with Proven Orthopaedic Interventions Shingles, a viral infection affecting the nerves, can often present as intense burning or stabbing pain in the lower back. If you're experiencing lower back pain alongside a rash or tingling sensation, shingles may be the underlying cause. At The Orthopaedic & Pain Practice, we offer targeted treatments that address nerve inflammation and provide relief from shingles-related discomfort. Our approach includes antiviral medication guidance, pain-blocking therapies, and gentle rehabilitation strategies to support healing. Shingles and lower back pain can severely affect your day-to-day function, but with early intervention and expert care, you can recover comfortably and safely. Let us help you manage both the cause and the symptoms for faster relief. https://www. theorthopaedicandpainpractice. com Effective Treatment for Neck Pain That Triggers Headaches Find Relief with Integrated Solutions That Address Both Cervical Pain and Headache Origins Neck pain that leads to headaches—often known as cervicogenic headaches—can be both frustrating and debilitating. These headaches typically originate from muscle tension or nerve compression in the cervical spine. At The Orthopaedic & Pain Practice, we treat neck pain causing headaches through a combination of advanced diagnostics and personalised care strategies. Our treatments include manual therapy, posture correction, and non-invasive pain relief techniques that target the root of the problem. By easing pressure in the neck and improving spinal alignment, we not only relieve pain but also prevent headaches from returning. If you’re tired of dull, nagging headaches caused by neck stiffness, it's time to get the focused treatment you need. https://www. theorthopaedicandpainpractice. com Fast, Lasting Relief: Treatment for Plantar Fasciitis and Foot Pain Walk Comfortably Again with Orthopaedic Solutions Designed to Heal Heel and Arch Pain Plantar fasciitis is one of the most common causes of foot pain, especially in the heel and arch. Whether you’re an active individual or spend hours on your feet, this condition can severely limit your mobility. At The Orthopaedic & Pain Practice, we provide evidence-based treatment for plantar fasciitis foot pain that helps you recover quickly and walk pain-free. Our orthopaedic team may recommend a combination of stretching exercises, custom orthotics, shockwave therapy, or minimally invasive procedures depending on the severity of your condition. Early treatment can significantly reduce inflammation and prevent long-term complications. If foot pain is affecting your daily life, we’re here to help you get back on your feet—comfortably. https://www. theorthopaedicandpainpractice. com Comprehensive Back and Neck Pain Treatment Tailored to You Reclaim Your Mobility and Comfort with Personalized Orthopaedic Care Plans Back and neck pain are among the leading causes of missed workdays and reduced quality of life. Whether your pain stems from poor posture, disc degeneration, or an injury, The Orthopaedic & Pain Practice offers expert back and neck pain treatment that’s tailored to your needs. We don’t believe in one-size-fits-all solutions—only precision and care. Our multidisciplinary approach includes diagnostic imaging, manual therapy, targeted injections, and rehabilitation exercises. We aim to treat the root cause of your pain, not just the symptoms, so you can move freely and confidently. If you’re tired of temporary fixes and want long-term relief, our clinic is your trusted partner in recovery. https://www. theorthopaedicandpainpractice. com Trusted Orthopaedic Clinic in Singapore for Pain Relief and Mobility Solutions Advanced Orthopaedic Treatments Backed by Experience, Compassion, and Innovation When searching for a reputable orthopaedic provider in Singapore, it’s crucial to choose a clinic that combines experience with cutting-edge treatment. At The Orthopaedic & Pain Practice, we offer comprehensive services for bone, joint, and muscular pain. From sports injuries to age-related joint issues, our expert-led team delivers the care you can rely on. Patients throughout Singapore trust our clinic for minimally invasive procedures, personalized therapy plans, and long-term pain management. We emphasize patient education, prevention, and early intervention to ensure faster healing and better outcomes. If you’re looking for an orthopaedic Singapore clinic with a track record of results, we’re here to support your journey to recovery. https://www. theorthopaedicandpainpractice. com --- - Published: 2024-06-19 - Modified: 2024-06-20 - URL: https://www.theorthopaedicandpainpractice.com/our-projects/ Our Recent Work Our Cases & Patient Stories We Create Beautiful Smiles Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Quis ipsum suspendisse ultrices gravida. Prosthodontists Dentistry Prosthodontics Dentist Pediatric Dentistry Prosthodontics Dentist Orthodontics Dentistry Prosthodontics Dentist Periodontists Dentistry Prosthodontics Dentist General Dentistry Prosthodontics Dentist Aesthetic Dentistry Prosthodontics Dentist 1 2 --- - Published: 2024-06-19 - Modified: 2024-06-20 - URL: https://www.theorthopaedicandpainpractice.com/orthopaedic-doctor-singapore/ OUREXPERIENCEORTHOPAEDIC Orthopaedics Doctor Specialized And Experienced Our Orthopaedic Doctor Senior Orthopaedic Consultant and Medical Director --- - Published: 2021-12-27 - Modified: 2022-01-09 - URL: https://www.theorthopaedicandpainpractice.com/what-causes-lower-back-pain-trauma-bad-posture-etc/ example a tag. --- - Published: 2021-08-01 - Modified: 2021-08-11 - URL: https://www.theorthopaedicandpainpractice.com/terms-of-services/ Welcome To Rola Terms of Service Lorem Ipsum is simply dummy text of the printing and typesetting industry. 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It has survived not --- --- ## Blog - Published: 2025-09-29 - Modified: 2025-09-29 - URL: https://www.theorthopaedicandpainpractice.com/best-treatment-for-low-bone-density-in-singapore-a-complete-guide/ - Categories: Articles by Doctor Low bone density (osteopenia or osteoporosis) affects thousands of Singaporeans every year, especially older adults and women after menopause. If untreated, it can increase the risk of fractures, mobility issues, and long-term health costs. This article explains the best treatment for low bone density in Singapore, highlights real examples, and shares how you can discover personalised solutions at The Orthopaedic & Pain Practice. What Is Low Bone Density? Low bone density means your bones are thinner and weaker than normal. It’s often discovered through bone mineral density (BMD) tests such as a DEXA scan. Common risk factors in Singapore include: Ageing population (especially women over 50). Sedentary lifestyle common in office-based jobs. Low calcium and vitamin D intake due to diet or limited sun exposure. Early detection and proper management are key to preventing fractures. Best Treatment Options for Low Bone Density in Singapore 1. Medical Treatment: Medications and Supplements Doctors may prescribe medications such as bisphosphonates or hormone-related therapies to slow bone loss. In Singapore, these are available under specialist supervision. Many patients also benefit from calcium and vitamin D supplementation tailored to their dietary habits. Case study: A 58-year-old executive in Raffles Place discovered osteopenia during a health screening. With a customised plan of oral bisphosphonates and vitamin D supplements prescribed at The Orthopaedic & Pain Practice, her bone density stabilised within a year. 2. Lifestyle and Exercise Programmes Weight-bearing exercises like brisk walking, stair climbing, and resistance training can strengthen bones. Many Singapore gyms and community centres (such as ActiveSG facilities) offer senior-friendly classes. Customer story: Mr. Tan, 62, from Tampines joined a weekly low-impact resistance training group after consulting the clinic. His follow-up scan showed improved bone strength after eight months. 3. Nutrition and Local Dietary Habits Singapore’s multicultural diet can be adapted to support bone health. Examples include: Adding calcium-rich tofu, ikan bilis, or milk to meals. Getting safe morning sun for vitamin D synthesis. Trying fortified plant-based milks for lactose-intolerant individuals. The Orthopaedic & Pain Practice offers nutritional counselling as part of a holistic approach. 4. Minimally Invasive Procedures For those with fractures or severe osteoporosis, procedures like vertebroplasty or kyphoplasty may be recommended. These treatments are available in Singapore hospitals and specialist clinics. Local scenario: A 70-year-old retired teacher underwent kyphoplasty for a compression fracture. She was able to return to normal activities much faster than expected. How to Get Started with Low Bone Density Treatment If you’ve been told you have low bone density or are at risk, don’t wait. Early intervention can prevent fractures and maintain independence. Book now for a consultation at The Orthopaedic & Pain Practice. Discover a personalised treatment plan tailored to your lifestyle. Learn more about our comprehensive screening and management programmes. Frequently Asked Questions {"@context":"https://schema. org","@type":"FAQPage","@id":"https://www. theorthopaedicandpainpractice. com/auto-draft/","mainEntity":} What causes low bone density in Singapore? Age, genetics, diet low in calcium/vitamin D, and sedentary lifestyles are common factors. How is low bone density diagnosed? A bone mineral density (DEXA) scan measures bone health and guides treatment. What is the best treatment for low bone density? A mix of medications, lifestyle changes, exercise, and nutrition tailored by a specialist. Can exercise really improve bone densityYes. Weight-bearing and resistance exercises can slow or reverse bone loss over time. Are supplements necessary? They’re often recommended when dietary intake is insufficient, especially vitamin D in Singapore’s indoor-working population. How soon can I see results? Improvements may take 6–12 months depending on the treatment plan. Why choose The Orthopaedic & Pain Practice? They provide personalised care, access to advanced diagnostics, and culturally relevant dietary and exercise advice for Singaporeans. --- - Published: 2025-09-01 - Modified: 2025-09-01 - URL: https://www.theorthopaedicandpainpractice.com/alleviate-neck-pain-in-singapore-effective-treatments-for-lasting-relief/ - Categories: Articles by Doctor, Blog Neck pain is one of the most common complaints among Singaporeans, especially office workers, students, and those in physically demanding jobs. Long hours at the computer, poor posture, and stress often contribute to discomfort that can affect daily life. If you are struggling with persistent stiffness, soreness, or limited mobility, you’re not alone. Fortunately, with the right approach, it’s possible to alleviate neck pain effectively and prevent it from recurring. What Causes Neck Pain? Neck pain may develop gradually or suddenly, depending on your lifestyle or injury. Common causes in Singapore include: Prolonged desk work: Many office workers in the CBD report tension after sitting for 8–10 hours daily. Poor posture: Constant phone use (“text neck”) places strain on the cervical spine. Sports injuries: Badminton, dragon boating, or even recreational running can trigger muscle strain. Stress and tension: High-pressure environments common in Singapore’s corporate culture often cause stiff neck muscles. Underlying conditions: Herniated discs, cervical spondylosis, or nerve compression may require medical intervention. How to Alleviate Neck Pain Naturally 1. Try Simple Home Remedies Stretching exercises: Gentle neck rotations or shoulder rolls relieve tight muscles. Heat therapy: Warm compresses improve blood flow and reduce stiffness. Posture correction: Adjusting your workstation to be ergonomically friendly can reduce strain. 2. Lifestyle Adjustments Take regular breaks from screens every 45–60 minutes. Invest in an ergonomic chair or standing desk. Stay active with light exercises such as swimming or yoga. When Should You See a Specialist in Singapore? If neck pain persists beyond two weeks, worsens at night, or radiates to the shoulders and arms, it may signal something more serious. Consulting an orthopaedic and pain specialist in Singapore ensures accurate diagnosis and effective treatment. Effective Medical Treatments for Neck Pain At The Orthopaedic & Pain Practice in Singapore, treatments are personalised to suit your needs: Physiotherapy: Customised exercise plans to restore mobility. Minimally invasive injections: Targeted pain relief for nerve-related conditions. Medication management: Short-term use of pain relievers or anti-inflammatories. Advanced procedures: Radiofrequency ablation or nerve blocks for chronic cases. How to Prevent Neck Pain from Returning Maintain proper sitting posture with your screen at eye level. Stay active and include stretching exercises in your routine. Manage stress through mindfulness, yoga, or deep-breathing techniques. Book regular check-ups with an orthopaedic specialist for preventive care. Ready to Alleviate Your Neck Pain? Don’t let neck pain interfere with your work, family, or social life. At The Orthopaedic & Pain Practice, you can discover customised solutions designed for your lifestyle in Singapore. Book now to start your journey toward pain-free living. {"@context":"https://schema. org","@type":"FAQPage","@id":"https://www. theorthopaedicandpainpractice. com/auto-draft/","mainEntity":} What is the fastest way to relieve neck pain at home? Apply a warm compress, perform gentle stretches, and rest. If pain persists, consult a doctor. Can poor posture really cause neck pain? Yes, “text neck” and slouching are leading contributors, especially among office workers and students. How do I know if my neck pain is serious? Seek immediate medical attention if you experience numbness, weakness, or radiating pain into your arms. What treatments are available at The Orthopaedic & Pain Practice? We offer physiotherapy, pain management, minimally invasive procedures, and personalised care plans. How long does it take to recover from neck pain? Mild pain may resolve in days, while chronic cases may require weeks to months of structured treatment. Is neck pain common among Singaporeans? Yes, due to long desk hours, high stress, and heavy screen time, neck pain is highly prevalent locally. Can exercise help prevent neck pain? Yes, low-impact activities like yoga, swimming, and stretching are highly effective in prevention. --- - Published: 2025-08-28 - Modified: 2025-08-28 - URL: https://www.theorthopaedicandpainpractice.com/foot-heel-pain-treatment-in-singapore-your-complete-guide-to-lasting-relief/ - Categories: Articles by Doctor, Blog - Tags: Achilles tendon injury care, Foot pain treatment Singapore, Heel spur therapy, Orthopaedic clinic Singapore, Plantar fasciitis treatment, Shockwave therapy Singapore, Sports injury treatments Foot and heel pain can disrupt your routine, making even simple tasks like walking or standing a challenge. In Singapore, where daily commutes, long working hours, and active lifestyles are the norm, finding effective foot heel pain treatment is crucial to maintaining mobility and comfort. At The Orthopaedic & Pain Practice, we specialize in tailored solutions to help you move pain-free. Why Addressing Foot Heel Pain Early Matters What Causes Foot and Heel Pain? Foot and heel pain in Singaporeans often results from: Plantar fasciitis due to prolonged standing or walking on hard surfaces. Heel spurs or bony growths irritating surrounding tissues. Achilles tendonitis from sports or exercise. Improper footwear commonly seen among office workers and commuters. Benefits of Seeking Professional Treatment Early diagnosis prevents long-term complications and supports quicker recovery. Timely care is especially important for professionals, athletes, and seniors who need mobility to stay active in Singapore's fast-paced environment. Best Foot Heel Pain Treatments Available in Singapore 1. Non-Surgical Treatments Our clinic emphasizes non-invasive methods, including: Custom orthotics and footwear advice for better foot support. Shockwave therapy to promote healing and reduce inflammation. Physiotherapy for strengthening muscles and improving balance. 2. Minimally Invasive Procedures For persistent cases, advanced solutions may include: Ultrasound-guided corticosteroid injections. Platelet-rich plasma (PRP) therapy for tissue repair. Small-incision procedures to release tension in affected areas. 3. Lifestyle and Home Care Tips Simple changes can make a big difference: Choosing well-cushioned shoes ideal for Singapore’s long walks and MRT commutes. Stretching routines to ease heel tension. Managing weight to reduce strain on the feet. Real-Life Singapore Examples of Heel Pain Relief Case Study 1: A 42-year-old bank executive experienced morning heel pain from plantar fasciitis. With shockwave therapy and footwear changes, she resumed jogging in six weeks. Case Study 2: A university student had Achilles tendonitis from regular badminton games. After three sessions of physiotherapy, he returned to sports pain-free. Case Study 3: A retiree struggled with heel spurs, limiting daily walks. Ultrasound-guided injections reduced discomfort, allowing her to enjoy family outings again. How to Get Started with Foot Heel Pain Treatment in Singapore Don’t let heel pain stop you. Discover proven solutions today at The Orthopaedic & Pain Practice. Book now to explore tailored treatments and regain comfort. {"@context":"https://schema. org","@type":"FAQPage","@id":"https://www. theorthopaedicandpainpractice. com/auto-draft/","mainEntity":} What is the most common cause of heel pain in Singapore? Plantar fasciitis is the leading cause due to prolonged walking or standing on hard surfaces. Are foot heel pain treatments covered by insurance? Many procedures can be claimed under Medisave or private insurance, but confirm with your provider. How soon will I feel better after treatment? Mild cases may improve in days, while chronic conditions might need several weeks of therapy. Can I prevent heel pain from coming back? Yes, proper footwear, regular stretching, and weight management are key. Do you treat sports-related heel injuries? Absolutely. We specialize in treating athletes and active individuals, with solutions customized for each sport. Are minimally invasive treatments painful? Most are well-tolerated and performed under local anesthesia for maximum comfort. How do I schedule a consultation? Visit our website or contact us directly to book your appointment. --- - Published: 2025-08-01 - Modified: 2025-08-01 - URL: https://www.theorthopaedicandpainpractice.com/poor-posture-neck-pain-treatment-how-to-relieve-discomfort-and-realign-your-spine-naturally/ - Categories: Articles by Doctor, Blog - Tags: poor posture neck pain treatment Neck pain has become an increasingly common complaint in our tech-heavy world. Whether it's long hours hunched over a laptop, scrolling through your phone, or slouching on the couch, poor posture can lead to persistent neck discomfort and long-term musculoskeletal problems. But here’s the good news—most posture-related neck pain is treatable and reversible, especially when identified early. In this comprehensive guide, we’ll explore the link between poor posture and neck pain, and walk you through effective treatment options that don’t just mask symptoms but address the root cause. Understanding the Connection: How Poor Posture Leads to Neck Pain The neck, also known as the cervical spine, supports the weight of your head—about 10 to 12 pounds. That’s already a demanding job, and poor posture adds strain by misaligning your head, neck, and shoulders. Here’s what happens: Forward Head Posture (FHP): Common in people who use computers or mobile devices. It shifts the head forward from its natural alignment, increasing pressure on the neck muscles and joints. Rounded Shoulders: Slouching causes the shoulders to roll forward, tightening chest muscles and weakening upper back muscles. Text Neck Syndrome: Caused by prolonged phone use with the head bent down. This can compress the discs in your cervical spine. Over time, poor posture can cause muscle imbalances, reduced mobility, nerve irritation, and chronic pain. It also leads to tension headaches, fatigue, and stiffness. Signs and Symptoms of Posture-Related Neck Pain You might not notice poor posture right away, but your body gives subtle clues. Symptoms include: Aching or burning pain in the neck and upper shoulders Muscle tightness or spasms Headaches that start at the base of the skull Numbness or tingling in the arms or hands Reduced range of motion in the neck Fatigue after sitting or working for long periods If these symptoms are familiar, you may be experiencing posture-induced neck pain—and you’re not alone. Poor Posture Neck Pain Treatment: A Holistic Approach Treating neck pain caused by poor posture involves a mix of lifestyle changes, corrective exercises, hands-on therapies, and ergonomic improvements. Let’s explore the most effective options: 1. Postural Correction Exercises One of the most important aspects of poor posture neck pain treatment is re-educating your muscles to hold your body correctly. Try these simple, daily exercises: Chin Tucks Sit or stand upright, look straight ahead. Gently tuck your chin in without tilting your head. Hold for 5 seconds and release. Repeat 10–15 times, 2–3 times a day. Benefit: Strengthens deep neck flexors and reverses forward head posture. Wall Angels Stand with your back against a wall, feet 6 inches from it. Keep your head, upper back, and buttocks in contact with the wall. Raise your arms like a goalpost and slide them up and down. Do 2 sets of 10 reps. Benefit: Opens up the chest and strengthens upper back muscles. Scapular Retraction Sit or stand tall and squeeze your shoulder blades together. Hold for 5 seconds, then relax. Do 10–15 reps. Benefit: Reverses rounded shoulders and activates the postural muscles. 2. Stretching Tight Muscles Poor posture often causes muscle imbalances—some get tight, others get weak. Focus on stretching the tight areas: Upper Trapezius Stretch Tilt your head to one side, bringing your ear toward your shoulder. Use your hand for gentle pressure. Hold for 30 seconds and repeat on the other side. Levator Scapulae Stretch Turn your head to the right, then look down toward your armpit. Gently pull your head forward with your right hand. Hold for 30 seconds per side. Chest Stretch Stand in a doorway, arms at shoulder height. Step forward until you feel a stretch in your chest. Hold for 30 seconds. Incorporate these stretches daily, especially if you sit for long periods. 3. Heat and Cold Therapy Applying heat or cold can reduce inflammation, improve blood flow, and ease pain. Use cold packs in the first 24–48 hours if there’s swelling or sharp pain. Switch to heat therapy (heating pads or warm showers) for chronic stiffness. Always protect your skin by wrapping hot or cold packs in a towel and limiting use to 15–20 minutes at a time. 4. Ergonomic Adjustments Many posture issues stem from poor workspace setup. Here's how to fix that: Desk Height: Your computer screen should be at eye level. Chair Support: Use a chair with good lumbar and neck support. Keyboard and Mouse: Keep them at elbow height and close to your body. Posture Check: Sit with your feet flat on the floor, back straight, shoulders relaxed. If you work on a laptop, consider an external keyboard and stand to raise your screen to eye level. Every 30 minutes, take a short break to stand, walk, or stretch. 5. Manual Therapy and Physiotherapy If self-treatment isn’t enough, professional help can make a big difference. Chiropractic Care: Adjustments help realign your cervical spine and relieve nerve pressure. Physical Therapy: Therapists create tailored programs to correct posture, strengthen muscles, and reduce pain. Massage Therapy: Reduces muscle tension and promotes relaxation. Myofascial Release: Targets trigger points that refer pain to the neck and shoulders. These hands-on techniques work best when combined with posture retraining and at-home exercises. 6. Mindfulness and Habit Change Bad posture often stems from poor habits. Use mindfulness techniques to become aware of your posture throughout the day. Set reminders to sit up straight every 30 minutes. Use a posture app or wearable to alert you when you slouch. Practice deep breathing to relax tight shoulder and neck muscles. Try yoga or tai chi, which improve body awareness and alignment. Small changes, done consistently, can lead to long-term improvements. 7. Supportive Devices (Use With Caution) Some people use posture correctors or neck braces, but they should be temporary tools, not long-term fixes. Use posture braces only for short periods to retrain your body. Cervical pillows can improve alignment while sleeping. Standing desks can reduce slouching, but remember to stand tall. These tools support recovery, but active engagement (exercise and awareness) is what truly corrects poor posture. When to See a Doctor If neck pain persists despite treatment or is accompanied by other symptoms, seek medical advice. Warning signs include: Pain radiating to arms or hands Numbness, tingling, or weakness Difficulty moving your neck or head Pain that worsens at night Fever or unexplained weight loss Your doctor may recommend imaging (X-rays or MRI), prescribe medication, or refer you to a specialist. Preventing Posture-Related Neck Pain Once you’ve found relief, it’s important to prevent future flare-ups. Here’s how: Move often: Avoid staying in one position for too long. Strengthen your core and upper back: A strong body supports good posture. Stay active: Regular walking, swimming, or stretching helps keep muscles balanced. Sleep smart: Use a pillow that keeps your neck in neutral alignment. Stay hydrated: Spinal discs need water to function properly. Remember, consistency is key. Good posture is a habit that can be developed over time. Final Thoughts Modern life makes poor posture nearly unavoidable—but neck pain doesn’t have to be your new normal. With the right combination of postural correction, stretching, ergonomic changes, and mindful movement, you can relieve pain and prevent it from coming back. Treating poor posture neck pain is not just about getting temporary relief—it’s about reclaiming your body’s natural alignment and learning to move through life with strength and ease. Feel better, one posture check at a time. If you're struggling with posture-related neck pain, start small. A few minutes of stretching, a better chair, or mindful breathing can go a long way toward restoring comfort and confidence. --- - Published: 2025-07-28 - Modified: 2025-07-29 - URL: https://www.theorthopaedicandpainpractice.com/lower-back-pain-treatment-stretches-a-simple-effective-guide-to-relief-and-recovery/ - Categories: Articles by Doctor, Blog - Tags: Back pain posture correction Singapore, Back pain recovery guide Singapore, Back pain relief Singapore, Cat‑cow stretch Singapore, Chronic lower back pain Singapore, Core strengthening Singapore, Effective Guide to Relief and Recovery, Ergonomic lower back Singapore, Glute bridge exercise Singapore, Hamstring stretch lower back Singapore, Home back pain exercises Singapore, Knee‑to‑chest stretch Singapore, Lower back pain Singapore, Lower back pain stretches Singapore, Lower back pain treatment Singapore, Lower Back Pain Treatment Stretches: A Simple, Lower back physiotherapy Singapore, Lower back rotational stretch Singapore, Lumbar stabilization Singapore, Non‑surgical back pain treatment Singapore, Pelvic tilt exercise Singapore, Spinal flexibility exercise Singapore Lower back pain is one of the most common complaints among adults today—affecting people of all ages, lifestyles, and occupations. Whether it’s caused by poor posture, overexertion, a sedentary job, or chronic conditions, lower back discomfort can make daily life difficult. The good news? One of the most effective and natural ways to relieve pain and improve mobility is through lower back pain treatment stretches. In this comprehensive guide, we’ll explore why stretching works, which stretches are best for treating lower back pain, how to do them safely, and tips to incorporate them into your daily routine. Let’s get your back on track—literally. Why Stretching Helps with Lower Back Pain Stretching is a low-impact, highly effective treatment for many causes of lower back pain. Here’s why: Increases flexibility and range of motion: Gentle stretches improve spinal flexibility and allow better movement, reducing stiffness. Reduces tension in muscles: Back pain often stems from tight muscles in the lower back, hips, and hamstrings. Stretching eases this tension. Improves blood flow and healing: Movement stimulates circulation, which promotes healing and reduces inflammation. Corrects posture imbalances: Regular stretching, especially when paired with strengthening exercises, can fix postural issues that contribute to lower back pain. Always consult with a medical professional before starting a stretching regimen, especially if your pain is severe or related to an injury. Best Lower Back Pain Treatment Stretches Here are 10 lower back pain treatment stretches you can try at home. These are safe, simple, and require no equipment. Child’s PoseHow it helps: This yoga pose gently stretches your lower back, hips, and thighs while promoting relaxation. How to do it: Kneel on the floor, sit back on your heels. Lower your torso forward, stretching your arms out in front of you. Let your forehead rest on the mat. Hold for 20–30 seconds, breathing deeply. Cat-Cow StretchHow it helps: This dynamic stretch improves spine mobility and warms up the back muscles. How to do it: Start on all fours, hands under shoulders, knees under hips. Inhale and arch your back (cow pose), lifting your head and tailbone. Exhale and round your spine (cat pose), tucking your chin to your chest. Repeat for 30 seconds. Knee-to-Chest StretchHow it helps: Relieves tightness in the lower back and hips. How to do it: Lie on your back, legs extended. Pull one knee toward your chest, keeping the other leg straight. Hold for 20–30 seconds, switch sides. Do 2–3 repetitions per leg. Supine TwistHow it helps: Loosens the spinal muscles and improves rotation in the lower back. How to do it: Lie on your back, arms outstretched in a T-shape. Bend your knees and let them fall to one side while keeping your shoulders flat. Hold for 30 seconds, switch sides. Pelvic TiltHow it helps: Strengthens the abdominal muscles and supports the lower back. How to do it: Lie on your back, knees bent, feet flat. Tighten your stomach and flatten your lower back against the floor. Hold for 5–10 seconds, then release. Repeat 10–15 times. Seated Forward FoldHow it helps: Stretches the hamstrings and lower back—great if your pain stems from tight legs. How to do it: Sit with legs extended straight. Hinge at the hips and reach for your feet. Keep your spine long, don’t round your back. Hold for 30 seconds. Figure Four StretchHow it helps: Targets the piriformis muscle in the glutes, which can aggravate the sciatic nerve and cause lower back pain. How to do it: Lie on your back, bend both knees. Cross one ankle over the opposite thigh. Thread your hands behind the thigh and pull toward your chest. Hold for 30 seconds, switch sides. Wall Hamstring StretchHow it helps: Loosens tight hamstrings that can pull on the lower back. How to do it: Lie near a wall, one leg extended upward against it. Keep the other leg flat on the floor. Hold for 1–2 minutes, switch legs. Cobra StretchHow it helps: Encourages lumbar extension, relieving pressure on spinal discs. How to do it: Lie on your stomach, hands beneath shoulders. Press into your palms and lift your chest, keeping hips grounded. Hold for 15–30 seconds. Hip Flexor StretchHow it helps: Releases tight hip flexors, which can tilt the pelvis and cause lower back strain. How to do it: Kneel on one knee, other foot in front (like a lunge). Gently press your hips forward, keeping your back straight. Hold for 20–30 seconds, switch sides. Tips for Getting the Most Out of Lower Back Pain Treatment Stretches Warm up first: A 5-minute walk or gentle movement gets blood flowing and reduces injury risk. Breathe deeply: Inhale and exhale through each movement. Breathing helps you relax into the stretch. Don’t push through pain: Stretching should feel like tension, not sharp pain. If it hurts, ease off. Be consistent: Aim to stretch daily or at least 3–4 times a week for the best results. Pair with strengthening exercises: Stretching alone isn’t enough. Core and glute strength help stabilize the spine and prevent future pain. When to Avoid Certain Stretches Although these lower back pain treatment stretches are generally safe, avoid them if: You have a herniated disc and your doctor has restricted movement. You’ve recently had back surgery. The pain worsens or radiates down the leg. You feel numbness or tingling. If in doubt, always speak with a physiotherapist or medical professional before trying a new stretch. Incorporating Stretches into Your Daily Routine Making stretching a habit is key to long-term relief. Here are a few ways to fit them into your lifestyle: Morning routine: Start the day with 5–10 minutes of stretching to wake up the spine. Desk breaks: If you work at a computer, take a 2-minute break every hour to stretch. Before bed: Use calming stretches like child’s pose or the supine twist to relax the body before sleep. Combine with yoga or Pilates: These practices naturally incorporate lower back pain treatment stretches and offer full-body benefits. Final Thoughts: Move Your Way to a Pain-Free Back Lower back pain doesn’t have to take over your life. While rest and medication may help temporarily, lower back pain treatment stretches offer a long-term, sustainable solution. With consistency, care, and proper technique, stretching can ease pain, improve posture, and strengthen your body from the inside out. Remember, your back is the support system for your entire body—treat it well. Begin with just a few minutes a day, listen to your body, and over time, you’ll notice less pain and more freedom in your movements. --- - Published: 2025-07-15 - Modified: 2025-07-29 - URL: https://www.theorthopaedicandpainpractice.com/understanding-burning-pain-in-the-upper-right-arm-causes-symptoms-and-treatment-options/ - Categories: Articles by Doctor, Blog - Tags: Arm nerve pain specialist Singapore, Arm weakness upper arm Singapore, Biceps triceps muscle strain Singapore, Burning pain in the upper right arm between the elbow and shoulder, Burning pain upper right arm Singapore, Cervical radiculopathy upper arm Singapore, Electric shock sensation arm Singapore, Ergonomic arm pain solutions Singapore, Nerve irritation upper arm Singapore, Non‑surgical arm nerve relief Singapore, Physical therapy upper arm pain Singapore, Posture correction arm pain Singapore, Radial nerve compression Singapore, Rotator cuff pain radiating arm Singapore, Shoulder‑related arm pain Singapore, Thoracic outlet syndrome Singapore, Upper arm burning recovery Singapore, Upper arm nerve pain Singapore, Upper arm pain diagnosis Singapore, Upper arm pain treatment Singapore, Upper arm tingling numbness Singapore Burning pain in the upper right arm between the elbow and shoulder can be a distressing and disruptive experience. This type of pain, often described as a hot, searing, or electric sensation, can significantly impact daily activities and quality of life. Understanding the potential causes and available treatment options is crucial for effective management and recovery. Common Causes of Burning Arm Pain Nerve Compression and Irritation The most frequent cause of burning pain in the upper arm is nerve involvement. The radial nerve, which runs along the back of the upper arm, can become compressed or irritated, leading to characteristic burning sensations. This condition, sometimes called "Saturday night palsy," can occur from prolonged pressure on the nerve, such as sleeping with the arm draped over a chair. Cervical Radiculopathy Problems in the neck can radiate pain down the arm. When nerve roots in the cervical spine become compressed or inflamed due to herniated discs, bone spurs, or spinal stenosis, the resulting pain often presents as burning sensations that travel from the neck down through the shoulder and into the upper arm. Muscle Strain and Overuse Repetitive motions or sudden forceful movements can strain the muscles in the upper arm, particularly the biceps and triceps. While muscle strains typically cause aching pain, severe cases can produce burning sensations, especially when accompanied by inflammation or nerve irritation. Thoracic Outlet Syndrome This condition occurs when blood vessels or nerves in the space between the collarbone and first rib become compressed. The resulting symptoms can include burning pain, numbness, and tingling that radiates from the shoulder down the arm. Rotator Cuff Injuries Damage to the rotator cuff muscles and tendons can cause referred pain that extends down the upper arm. The inflammatory response associated with these injuries can sometimes produce burning sensations. Identifying Associated Symptoms Burning arm pain rarely occurs in isolation. Associated symptoms can provide important clues about the underlying cause: Numbness or tingling suggests nerve involvement Weakness in grip strength or arm movement indicates potential nerve compression Pain that worsens with neck movement points to cervical spine issues Swelling or visible inflammation may indicate injury or infection Pain that increases with arm elevation could suggest rotator cuff problems When to Seek Medical Attention While some cases of burning arm pain resolve on their own, certain situations require prompt medical evaluation: Sudden onset of severe burning pain Pain accompanied by chest discomfort, shortness of breath, or jaw pain Progressive weakness or numbness Symptoms that worsen despite rest and self-care Pain that interferes with sleep or daily activities for more than a few days Treatment Approaches Conservative Management Initial treatment typically focuses on reducing inflammation and pain while promoting healing. Rest from aggravating activities, ice application during the acute phase, and gentle stretching exercises can provide relief. Over-the-counter anti-inflammatory medications like ibuprofen or naproxen can help manage pain and reduce inflammation. Physical Therapy A structured physical therapy program can address underlying muscle imbalances, improve posture, and strengthen supporting muscles. Therapists may use techniques such as manual therapy, therapeutic exercises, and modalities like ultrasound or electrical stimulation to promote healing. Ergonomic Modifications For pain related to repetitive activities or poor posture, workplace or lifestyle modifications can prevent recurrence. This might include adjusting computer workstation setup, using ergonomic tools, or modifying technique in sports or recreational activities. Medical Interventions In cases where conservative treatment is insufficient, medical interventions may be necessary. These can include prescription medications for nerve pain, corticosteroid injections to reduce inflammation, or in severe cases, surgical procedures to address structural problems. Prevention Strategies Preventing burning arm pain involves addressing risk factors and maintaining good arm and shoulder health: Maintain proper posture during daily activities Take regular breaks from repetitive tasks Strengthen supporting muscles through targeted exercises Use proper technique in sports and physical activities Avoid prolonged pressure on the arms while sleeping or sitting Recovery and Prognosis The outlook for burning arm pain depends largely on the underlying cause and how quickly treatment begins. Nerve-related pain may take longer to resolve than muscle strains, but most cases improve with appropriate treatment. Early intervention typically leads to better outcomes and can prevent the development of chronic pain conditions. Recovery time varies significantly, ranging from a few days for minor muscle strains to several weeks or months for nerve-related issues. Patience and adherence to treatment recommendations are essential for optimal recovery. Living with Burning Arm Pain While recovering from burning arm pain, it's important to maintain realistic expectations and work closely with healthcare providers to develop an appropriate treatment plan. Keeping a pain diary can help identify triggers and track progress. Stress management techniques and adequate sleep also support the healing process. Understanding that burning arm pain is often treatable and temporary can provide reassurance during the recovery process. With proper diagnosis and treatment, most people can expect significant improvement in their symptoms and return to normal activities. Remember that this information is for educational purposes and should not replace professional medical advice. If you're experiencing persistent or severe burning pain in your upper arm, consult with a healthcare provider for proper evaluation and personalized treatment recommendations. --- - Published: 2025-06-26 - Modified: 2025-06-26 - URL: https://www.theorthopaedicandpainpractice.com/treatment-for-neck-pain-headaches/ - Categories: Articles by Doctor, Blog - Tags: treatment for neck pain causing headaches Key Highlights Neck pain and headaches often happen together. Some headaches come from neck problems, and some neck issues can lead to headaches. Cervicogenic headaches start in the neck but make the head hurt too. Tension headaches can give pain to both the head and neck. Issues like pinched nerves, poor posture, and injuries can lead to neck pain. This neck pain can then trigger headaches. Good treatment usually needs a team approach. This can include physical therapy, pain management, and changes in lifestyle. It's important to get professional medical advice. This helps with accurate diagnosis and a treatment plan tailored to you(Treatment for neck pain causing headaches). Neck pain and headaches are common issues that can affect daily life. They can happen alone, but they often occur together. The type of headache matters a lot. It can be a tension headache or a cervicogenic headache. Knowing the type of headache helps to find the cause and the best treatment plan. Treating neck pain can often ease headaches. This shows how these two conditions are linked. Understanding Neck Pain and Headaches Neck pain can come from different reasons. These include muscle strain, joint problems, and pinched nerves. When someone has neck pain, it can lead to headaches. These headaches can vary in how strong they are and where they hurt. For example, a pinched nerve in the neck may cause pain that spreads to the head, leading to a headache. Neck pain and headaches are linked in a complicated way. Sometimes, neck pain is the main problem. Other times, it is a sign of a headache issue. So, knowing more about this relationship is important for finding the right treatment. The Anatomy of Neck Pain The cervical spine, or neck, has seven vertebrae. These bones help support and move the head. Many neck muscles work together to allow the head to turn and tilt. Tendons link these muscles to the bones. If these parts get stressed or hurt, it can lead to neck pain. Muscle strain is a common cause of neck pain. This often happens from poor posture or using the muscles too much. It can cause muscle spasms, stiffness, and discomfort. This makes it hard to move the head and can result in a stiff neck. Also, as people age, the joints in the cervical spine can wear down. This wear and tear can add to pain and stiffness. Knowing the body’s structure is important for making a treatment plan for neck pain. How Neck Pain Contributes to Headaches Neck pain can lead to different types of headaches. One common type is cervicogenic headaches, which start in the cervical spine. They can cause pain that travels to the head, often seeming like a migraine. Another common type is tension headaches. These can get worse with neck pain and usually feel like a tight band around the head. People often feel tenderness in the neck and shoulders with this type of headache. Additionally, occipital neuralgia happens when there is pain along the occipital nerve. This can be caused by tight neck muscles or an injury. It often creates sharp, shooting pains from the back of the head to the scalp. Identifying Different Types of Headaches Linked to Neck Pain Knowing the type of headache is important for the right treatment plan. Cervicogenic headaches come from issues in the neck. Tension headaches can get worse due to stress, bad posture, or tight muscles. Occipital neuralgia affects the occipital nerve, causing unique pain patterns. It's also important to remember that headache symptoms can be similar. This can make it hard to self-diagnose. That’s why you should see a healthcare professional for an accurate diagnosis and a plan that fits your needs. Cervicogenic Headaches: The Direct Link Cervicogenic headaches come from issues in the cervical spine. These issues can be joint problems, muscle strain, or nerve compression. The pain usually starts in the neck. It can spread to the back of the head and may also go to the temples, forehead, or behind the eyes. These headaches can be very painful and can stop you from doing daily activities. Unlike tension headaches, cervicogenic headaches usually affect one side of the head. People with these headaches might also have other symptoms. These can include neck stiffness and trouble moving their head. The pain can get worse with specific movements like turning or tilting the head. Knowing these key symptoms can help doctors diagnose and treat the problem early. Tension-Type Headaches and Neck Strain Tension headaches are the most common type of headache. People often feel a dull, aching pain that seems like a tight band around their heads. These headaches are often linked to muscle strain in the neck, shoulders, and scalp. We don’t fully know what causes tension headaches, but stress is a big part of it. High stress levels can cause muscle tension, mainly in the neck and shoulders, which can lead to or make these headaches worse. By using some methods to relieve neck strain, people can feel better. Options like physical therapy, massage, and stress management techniques can help reduce tension headaches and improve your overall well-being. Common Causes Behind Neck Pain and Headaches Neck pain and headaches often happen together due to several reasons. One main reason is poor posture, especially when sitting for long times or slouching. This adds strain to the neck muscles and joints, leading to more pain and headaches. Also, lifestyle choices like not exercising, bad sleep, and poor work setup can make the problems worse. It is important to find and fix these issues for long-lasting relief. Poor Posture and Its Effects Poor posture is a big cause of neck pain and headaches. Sitting or standing slouched, hunching over devices, and having a forward head posture put too much stress on the neck muscles, tendons, and joints. Forward head posture, where the head pushes out in front of the shoulders, is especially bad. It makes neck muscles work harder to hold up the head, causing tiredness, stiffness, and pain. This can also lead to headaches or make them worse. It is important to fix poor posture by making some changes. Using good chairs and placing computer monitors at eye level can make a big difference. Also, adding exercises to strengthen the neck and upper back muscles can help with better alignment and lower the chances of pain and headaches. Occupational Hazards and Lifestyle Factors In today's busy world, work hazards and life habits can cause neck pain and headaches. Jobs that require sitting for a long time, doing the same movements over and over, or lifting heavy things can affect the neck and upper back. For example, desk jobs can result in poor posture and strain on the neck. Jobs that need you to reach overhead often can lead to muscle problems and pain. Also, carrying heavy backpacks or purses can put pressure on the neck and shoulder muscles, raising the chance of headaches. We can reduce these problems by using ergonomic ideas at work, taking regular breaks to stretch and move, and living a healthy lifestyle. Exercise, good sleep, and managing stress are important to cut down on neck pain and headaches. Diagnosis Approaches for Neck-Related Headaches Diagnosing headaches related to the neck usually requires a thorough approach. This includes looking at medical history, doing physical exams, and sometimes using imaging tests. It's important to have a clear description of the patient’s symptoms, like where the pain is, how long it lasts, and what it feels like. This information helps doctors figure out what's wrong. The doctor will do a physical exam to check posture, range of motion, muscle tenderness, and nerve function. This hands-on check helps find out where the pain is coming from and rule out other possible issues. Clinical Evaluation Techniques A careful physical exam is very important for diagnosing the cause of neck pain and headaches. The doctor will first look at the patient's medical history. They will check for any past injuries or medical conditions, along with lifestyle habits that might be causing the pain. After that, they will perform a physical exam. The doctor will look at the patient's posture and range of motion. They will also feel the muscles and joints in the neck and shoulders to find any tenderness, stiffness, or issues. Additionally, they will check how well the nerves are working by testing reflexes, sensation, and muscle strength. It’s important to get medical attention right away if neck pain and headaches last or get worse. Early diagnosis and treatment can lead to better results and help avoid chronic pain. Imaging Tests: When Are They Necessary? While a physical exam often suffices for diagnosing neck-related headaches, imaging tests may be necessary in certain cases. For instance, if the physician suspects a structural issue in the cervical spine, such as a herniated disc or spinal stenosis, they may order X-rays, CT scans, or MRIs. Imaging tests provide detailed images of the bones, discs, nerves, and soft tissues in the neck, enabling the physician to visualize any abnormalities or damage. This information is crucial in guiding treatment decisions and ensuring appropriate interventions. Imaging TestDescriptionX-rayDetects bone fractures and degenerative changes. CT scanProvides detailed cross-sectional images of bones and soft tissues. MRIProduces high-resolution images of soft tissues, including discs, nerves, and muscles. Comprehensive Treatment Strategies Treatment for headaches related to the neck usually requires a mix of different methods that focus on what each person needs. First, doctors often recommend simple treatments like physical therapy, medication, and changes to daily habits. If these options do not work well enough, other therapies like acupuncture or chiropractic care might be looked at. The main aim is to ease the pain, help the body work better, and stop the headaches from coming back. Physical Therapy: Exercises and Techniques Physical therapy is very important for dealing with neck pain and headaches. A physical therapist can create a special exercise plan just for you. This plan will focus on the muscles that need work, help you move better, and make your neck and upper back stronger. Gentle stretches can reduce muscle tension. At the same time, strengthening exercises can give better support and stability to your head and neck. The physical therapist might also use hands-on techniques like mobilization and soft tissue massage to help with tight muscles and problems in the joints. They will teach you about good posture, how to set up your work area, and how your body moves. This knowledge helps to prevent pain from coming back and ensures longer-lasting pain relief. Medications and Pain Management In addition to physical therapy, doctors may suggest medications to help with pain and swelling. Over-the-counter pain relievers, like ibuprofen or acetaminophen, can effectively treat mild to moderate pain. For more severe pain, you might need muscle relaxants or stronger prescription pain medications. It's important to use these medications (Treatment for neck pain causing headaches) carefully and follow a healthcare professional's advice. Using them for a long time can cause dependence and side effects. It’s also crucial to look for the main cause of the pain through other treatments, so you do not have to rely on medications for managing chronic pain. For long-lasting pain, a team approach can be helpful. Pain specialists can offer various treatments, like nerve blocks, injections, or alternative therapies that fit the person's needs. Alternative Therapies: Acupuncture and Chiropractic Care For people looking for different ways to treat their issues, acupuncture and chiropractic care could help with neck pain and headaches. Acupuncture is a traditional practice from China. It uses thin needles placed in certain spots on the body. This method helps energy flow and speeds up healing. Research shows that acupuncture may lower pain levels and how often headaches happen, especially in people who also have neck pain. Chiropractic care looks at how to diagnose and treat problems with the muscles and bones, mainly those affecting the back. Chiropractors use their hands to adjust the spine.... --- - Published: 2025-06-23 - Modified: 2025-06-23 - URL: https://www.theorthopaedicandpainpractice.com/neck-pain-relief-through-physiotherapy-treatment/ - Categories: Articles by Doctor, Blog - Tags: physiotherapy treatment for neck pain Key Highlights Neck pain is a common problem in Singapore. It can come from things like poor posture, muscle strains, or health issues. Physiotherapy offers a personalized way to relieve neck pain. It looks for the main reason behind your discomfort to treat it effectively. Treatment plans may include different methods like manual therapy, exercises, and changes to your lifestyle. Physiotherapy not only reduces pain but also helps you learn how to manage your condition in the long run. If you have neck pain, seeing a qualified physiotherapist can be the first step to getting back to a pain-free life. Neck pain is a common issue that can greatly affect your daily life. It can come from many things, so it's important to find out the main cause to treat it effectively. Physiotherapy provides a complete way to relieve neck pain. It does more than just help with the symptoms. It works on making a personal treatment plan that helps reduce pain and improves movement. This approach also aims to stop pain from coming back. This article looks at how physiotherapy can help you take control and live without pain. Understanding Neck Pain in Singapore Neck pain is a common issue in Singapore. It affects people of different ages and day-to-day activities. Many of us spend long hours bent over computers, which adds to the problem. Daily life can also create stress that leads to neck pain. It's key to know that you don't have to live with this pain. Physiotherapy is a great way to understand and manage neck pain. It helps not just with quick relief but also with long-term ways to feel better and live comfortably. With this special care, you can take charge of your body and improve your quality of life. Common Causes and Triggers of Neck Pain The complex system of muscles, bones, and nerves in your neck can have problems that cause pain. One major reason is poor posture. This often gets worse if you spend a lot of time looking at a computer or sleep in the wrong way. This leads to muscle tension, stiffness, and pain. Muscle strain is another common issue. It usually comes from overusing your muscles or making sudden, quick movements. This can occur in sports, accidents, or even your everyday tasks. Additionally, herniated discs can be a problem. This happens when the soft cushions between your vertebrae bulge and put pressure on nerves. This can lead to neck pain that sometimes spreads down to your arms. Recognizing these causes is important. It helps create an effective treatment plan that focuses on the specific issues causing your neck pain. Differentiating Between Acute and Chronic Neck Pain Understanding the difference between acute and chronic neck pain is important for proper care. Acute neck pain happens quickly, often due to injuries like a fall or whiplash. It can hurt a lot, but it usually goes away in a few days or weeks with the right treatment. Chronic neck pain lasts longer, often over three months. It can come from issues like degenerative disc disease, arthritis, or bad posture over time. This type of pain often feels like a steady ache and can make everyday life difficult. The ways to treat acute and chronic neck pain are quite different. For acute pain, rest and medication can help. In contrast, chronic pain needs a more detailed approach, including physiotherapy, changes in lifestyle, and pain management methods. The Role of Physiotherapy in Managing Neck Pain Physiotherapy treatment for neck pain is very important for dealing with neck pain. It looks at why the pain happens, not just covering it up. It helps people take part in their own recovery. This is done through specific exercises, education, and manual therapy techniques. This method helps bring back normal movement, lowers pain, and avoids future issues. Physiotherapists are good at finding, diagnosing, and treating muscle and bone problems like neck pain. They build personal treatment plans that fit each patient’s needs and goals. This way, there is a complete and effective method for pain relief and managing neck pain over time. How Physiotherapy Offers Relief Physiotherapy provides a special way to relieve neck pain. One main part of this is manual therapy. This type of therapy uses hands-on methods to help improve joint movement, ease muscle tension, and correct alignment. It may include joint mobilization, soft tissue work, and specific manipulations made just for you. Along with manual therapy, your physiotherapist will make a personalised treatment plan. This plan may include exercises to strengthen neck muscles, improve your posture, and boost flexibility. These workouts are often adapted to fit your current abilities and needs. They help prevent future pain and keep your neck healthy. The main goal of physiotherapy is pain relief. This is done through combining techniques and teaching. Your physiotherapist will give you the knowledge and tools to manage your condition. This helps you enjoy a life without pain. Techniques and Therapies Used in Physiotherapy for Neck Pain Navigating neck pain often requires a multi-pronged physiotherapy approach. Techniques can range from manual therapy to exercises and modalities to target the specific cause of your discomfort. Joint mobilisation techniques gently restore movement to stiff joints in your cervical spine, alleviating pain and improving mobility. Soft tissue mobilization techniques, on the other hand, address muscle tension and improve flexibility by releasing tightness in the muscles surrounding your neck and shoulder blades. Dry needling, a technique using thin needles to target trigger points in muscles, can effectively reduce pain and improve muscle function. Alongside these, your physiotherapist may incorporate modalities like: ModalityDescriptionUltrasound TherapyUses sound waves to generate heat, promoting tissue healing and reducing painTENS (Transcutaneous Electrical Nerve Stimulation)Delivers low-voltage electrical currents to relieve pain and relax musclesHeat TherapyRelaxes muscles, increases blood flow, and reduces stiffness Preparing for Your Physiotherapy Session Getting ready for your physiotherapy treatment for neck pain session is easy and helps you get the most out of it. Start by writing down your symptoms. Note how long you have had them and what movements or activities make the pain worse. This information will help your physiotherapist understand your condition better. Also, think about wearing loose and comfortable clothes that let you move easily during the session. Feel free to share any worries or questions you have with your physiotherapist. Good communication is important for a successful treatment. What to Expect During Your First Visit Your first visit to the physiotherapist will focus on your unique needs. The physiotherapist will do a complete assessment. They will look into your medical history, current symptoms, and lifestyle. You will answer questions about your pain, what causes it, and any past treatments you've had. There will also be a physical exam. This will check the range of motion in your neck, your posture, muscle strength, and flexibility. The physiotherapist may ask you to do certain movements. They want to see how well your neck moves and find any areas that cause pain. After this assessment, the physiotherapist will talk to you about possible treatment options. They will create a plan just for you to help relieve your pain. This plan may include manual therapy, exercises, and other methods to help you feel better. How to Maximize the Benefits of Physiotherapy To get the most out of physiotherapy for neck pain, you need to engage in your recovery. It is very important to keep a good posture all day. This means paying attention to how you sit at your desk, stand, and sleep. Your physiotherapist can help you with ergonomic changes and the right techniques. Doing the neck exercises your physiotherapist gives you is just as crucial. These exercises build strength, improve flexibility, and help with long-term pain relief. Stick to them every day to see the best results. Lastly, follow-up care is important. Going to your follow-up appointments helps your physiotherapist check your progress. They can change the treatment plan if necessary and tackle any new issues. Remember, working together is the best way to achieve lasting pain relief. The Impact of Physiotherapy on Quality of Life Physiotherapy does more than just help with pain management. It greatly enhances your overall quality of life. It gives you the tools and knowledge to do normal activities with comfort and confidence. Simple joys, like turning your head without pain or having a good night's sleep, become possible again. Physiotherapy also helps you feel better by looking at both the physical and emotional sides of pain. It helps you take charge of your condition, which reduces the fear of pain taking over your life. This complete method positively affects your mental and emotional health. This leads to a happier and more fulfilling life. You can go back to your favourite activities, enjoy your hobbies, and meet friends again with fresh energy and confidence. Physiotherapy is very important for reducing neck pain. It offers specific methods to help you feel better. Knowing what causes neck pain and telling the difference between acute and chronic pain can help you get the most benefit from your physiotherapy sessions. This can really make your life better. There are many success stories from Singapore that show how helpful physiotherapy is for recovery. If you want to manage your neck pain well, think about using physiotherapy. It can improve your overall well-being. Remember, being consistent and getting personalized care are important for getting long-lasting relief and better movement. Book your physiotherapy session today and start your journey to a pain-free neck. {"@context":"https://schema. org","@type":"FAQPage","@id":"https://www. theorthopaedicandpainpractice. com/auto-draft/","mainEntity":} How Often Should I Visit a Physiotherapist for Neck Pain? The number of physiotherapy sessions you need for neck pain varies. It depends on how bad your pain is, whether it’s acute or chronic, and how your body reacts to the treatment. Your treatment plan will show how often you should go. This can change as you improve. Can Physiotherapy Completely Cure Neck Pain? Physiotherapy is a helpful way to manage and lower neck pain for many people. Even though complete cures would depend on the underlying cause, physiotherapy focuses on restoring function and improving movement. It also teaches you self-management techniques that can provide long-term relief. What Are Some Exercises I Can Do at Home for Neck Pain Relief? Your physiotherapist will help you with neck exercises and stretches that fit your condition. Simple range of motion exercises, chin tucks, and shoulder rolls are helpful for making your muscles stronger and more flexible. How Long Does It Typically Take to See Improvements? The time it takes to see clear improvements can be different for each person and depends on how serious the condition is. Some people feel better after just a few sessions. Others might need more time. Your physiotherapist will talk with you about a realistic timeline for your progress based on what you need. Is Physiotherapy Suitable for All Ages? Yes, physiotherapy is a safe and effective way to treat neck pain for people of all ages. Physiotherapists are trained to change their techniques and treatment plans to fit each person's specific needs, no matter their age. --- - Published: 2025-06-16 - Modified: 2025-06-16 - URL: https://www.theorthopaedicandpainpractice.com/neck-nerve-pain-treatments-explained/ - Categories: Articles by Doctor, Blog - Tags: Cervical radiculopathy Singapore, Cervical spine physiotherapy Singapore, Cold therapy neck Singapore, Epidural steroid injection Singapore, Facet joint injection Singapore, Heat therapy neck Singapore, Muscle relaxants neck pain Singapore, Neck nerve pain diagnosis Singapore, neck nerve pain treatment, Neck nerve pain treatment Singapore, Neck traction therapy Singapore, Nerve block injection Singapore, NSAIDs neck pain Singapore, Oral corticosteroids neck Singapore, Pinched nerve neck Singapore, Radiofrequency ablation neck Singapore, Soft cervical collar Singapore, TENS therapy neck Singapore Key Highlights Neck nerve pain is often known as a "pinched nerve" or cervical radiculopathy. It happens when nerves in the cervical spine are pressed on. This problem usually comes from aging or sudden injuries, such as herniated disks. Common signs are pain that goes down the arm, muscle weakness, numbness, tingling, and less feeling in the affected areas. To diagnose this, doctors often do physical exams, imaging tests like X-rays, CT scans, MRIs, and nerve conduction studies. Treatment often starts with safer methods like medication, physical therapy, and steroid injections. Surgery is an option for serious and long-lasting cases. Neck pain is something many people face. It can really affect your overall health and how you live your life. When neck pain happens due to a nerve getting pressed in the cervical spine, it is called cervical radiculopathy, or a "pinched nerve. " This issue can make it hard to move and can be very uncomfortable. Knowing the causes, signs, and treatments can help you manage it better and regain your ability to move. Understanding Neck Nerve Pain Neck nerve pain, known as cervical radiculopathy, happens when a nerve in your neck gets squeezed or irritated. This can occur for different reasons. The most common ones are normal aging or a sudden injury. As we get older, the disks that cushion our neck bones can wear down. This leads to herniation or bone spurs, which can push against the nerves. The pain from cervical radiculopathy usually starts in the neck and moves down the arm. It follows the way of the affected nerve. Symptoms can be mild or really sharp. You might also feel numbness, weakness, or tingling in the arm and hand. Anatomy of the Neck and Nervous System The cervical spine, or neck, is a complicated structure made up of seven vertebrae. These vertebrae help support the head and allow for flexibility. They are separated by intervertebral disks, which act like shock absorbers and give a wide range of motion. The spinal cord, an important part of the central nervous system, goes through a protective channel formed by the vertebrae. Nerve roots come out from the spinal cord and branch between the vertebrae. They connect to different parts of the body, like the arms and hands. The nerve roots transmit signals for feeling and movement between the brain and the rest of the body. When a nerve root in the cervical spine gets compressed or irritated, it affects these signals. This leads to symptoms of cervical radiculopathy, which include pain, numbness, tingling, and weakness in the arms and hands. By knowing the structure of the neck and nervous system, we can understand how cervical radiculopathy happens and why it causes these specific symptoms. Common Causes of Neck Nerve Pain in Singapore One common reason for neck nerve pain is a herniated disk. The intervertebral disks are cushions between the vertebrae. They can bulge or break due to injury or changes over time. When this happens, the herniated part of the disk can press on nearby nerve roots, causing pain and other symptoms. Another reason is the growth of bone spurs, or osteophytes. These bony bumps often develop because of degenerative changes in the spine, like arthritis. Bone spurs can stick out into the area's spaces where nerve roots leave the spinal canal. This can cause pressure and irritation to the nerves. Additionally, normal wear and tear from aging can add to neck nerve pain. As we get older, the disks in our spine tend to dry out. This process makes them less flexible and more likely to get damaged. As a result, the spaces where nerve roots exit can become narrower, increasing the chances of compression. Identifying Symptoms of Neck Nerve Pain Recognizing the signs of neck nerve pain is important for getting help on time. The pain can feel different depending on which nerve root is affected. Often, the pain travels down the arm. You might also feel tingling or numbness in your fingers. Additionally, some people may notice muscle weakness in their arm, shoulder, or hand. This can make it hard to lift things or do everyday tasks. Knowing these signs and what they might mean can help encourage people to seek the right evaluation and treatment for neck nerve pain. Early Signs to Watch For In the beginning, neck nerve pain might start as a dull ache or stiffness in the neck. This can get worse over time or when you move in certain ways. You may also feel a loss of sensation, numbness, or tingling in your shoulders, arms, or hands. These feelings can be like "pins and needles" and can happen now and then or all the time, depending on how severe the nerve compression is. Muscle weakness is another important sign. You might find it harder to lift your arm, hold things tightly, or do tasks that need good control. This weakness happens because the nerve signals that help your muscles work are affected. Some people might feel temporary pain relief by lifting their arms or putting their hands on their heads. This is called abduction relief. But, this relief doesn't last long, and it’s important to treat the main issue of nerve compression. When to Seek Medical Attention Occasional neck pain is common, but if you feel severe pain that moves down your arm and causes numbness or weakness, you need to see a doctor right away. Ignoring these signs can lead to serious problems from untreated nerve compression, which may cause permanent damage. If the pain keeps you from sleeping well, affects your daily life, or spreads to other parts of your body, it's important to talk to a healthcare professional. These could be signs of a bigger issue beyond just home treatment. When you go to your appointment, be ready to share your medical history. Include any past injuries, health issues you have now, and any medicines you take. This will help the doctor give you the right diagnosis and treatment options for your neck pain. Professional Diagnosis Methods When you look for help with neck nerve pain, getting the right diagnosis is very important for good treatment. Doctors use different methods. They will ask about your symptoms, do a physical check, and might do some tests to see how well your nerves are working and check for other problems. These tests can include imaging like X-rays, CT scans, or MRI scans to look at your neck. They will search for causes of nerve compression. There are also electrodiagnostic tests, such as electromyography (EMG) and nerve conduction studies. These tests check the health of your nerves and muscles. The Role of Physical Examinations A complete physical exam is usually the first step in checking for neck nerve pain. The doctor will ask you about your medical history. This includes any past injuries or current health issues. They will also want to know about your pain. They will ask where it hurts, how strong the pain is, and how long it lasts. This information helps the doctor understand your problem better. After that, the doctor will assess how well you can move your neck. They’ll ask you to turn your head in different ways. The doctor will look at your posture and feel for muscle spasms or soreness in your neck. They will also check how strong your arms and hands are and test your reflexes. This helps them see if the nerves in your neck are affected. The physical exam allows the doctor to evaluate your overall health and narrow down what may be causing your neck nerve pain. Based on what they find during the exam, the doctor may suggest further tests. These tests can help confirm the diagnosis and eliminate other possible conditions. Diagnostic Tests and Imaging In situations where a physical exam doesn't provide sufficient information, doctors may use advanced diagnostic tests and imaging techniques to confirm the presence and extent of neck nerve pain. These tests help visualize the spine's bony structure, assess the health of soft tissues, and evaluate nerve function. One of the most commonly ordered imaging tests is an MRI scan, which uses a magnetic field and radio waves to create detailed images of the neck's internal structures, including the spinal cord, nerve roots, and intervertebral disks. Similarly, CT scans, which use X-rays to produce cross-sectional images, can help identify bone spurs, disk herniations, or other abnormalities that may be causing nerve compression. Furthermore, nerve conduction studies (NCS) and electromyography (EMG) are frequently utilized to assess the electrical activity of nerves and muscles, providing insights into nerve damage or compression. The table below outlines the common diagnostic tests used: TestDescriptionX-rayProvides images of dense structures like bones, revealing alignment and potential narrowing of spaces where nerves exit. CT ScanMore detailed than X-rays, offering cross-sectional images to visualize bones, soft tissues, and potential compressions. Magnetic Resonance Imaging (MRI)Creates detailed images of soft tissues like spinal cord, nerve roots, and disks, effectively detecting herniations or compressions. Nerve Conduction Studies (NCS)Measures the speed at which electrical impulses travel through your nerves, identifying potential nerve damage or dysfunction. Electromyography (EMG)Assesses the electrical activity of muscles, aiding in the diagnosis of nerve compression or other neuromuscular disorders. Comprehensive Treatment Approaches The treatment for neck nerve pain treatment usually depends on what causes it, how severe the symptoms are, and the patient’s personal needs. Most people do well with simple, non-surgical treatments. These methods can bring good relief and improve daily life. These treatments often include a mix of rest, medication, physical therapy, and changes in lifestyle. This can help reduce pain, lessen inflammation, and avoid more nerve compression. Yet, if the nerve compression is serious or if these treatments do not work, surgery might be needed. Surgery can help ease pressure on the nerves and fix the main problem causing the pain. Non-Surgical Interventions for Relief For many people dealing with neck nerve pain, non-surgical methods can offer relief and help healing. One common method is physical therapy. This includes exercises and stretches that aim to strengthen neck muscles, improve posture, and reduce pressure on the nerves. Physical therapists may also use techniques like traction. This gently stretches the neck and creates more space for the nerves. Medications like over-the-counter pain relievers or stronger anti-inflammatories can help with pain and swelling. Sometimes, doctors might suggest epidural steroid injections. With this, corticosteroids are directly injected into the area around the spinal cord to reduce inflammation and pain. Wearing a cervical collar for a short time can give support to the neck, limit movement, and help the muscles rest. This can decrease nerve compression. However, using a cervical collar for too long can weaken neck muscles, so it is usually advised for short-term use only. Exploring Surgical Options for Severe Cases Most cases of cervical radiculopathy get better with nonsurgical treatment. However, sometimes surgery is needed. This is usually considered when symptoms are severe, last a long time, and do not improve with non-surgical options. It may also be needed if there are signs of worsening nerve problems, like major weakness. Surgical procedures focus on relieving pressure on the affected spinal nerve roots. This can involve a discectomy, where part of the herniated disk that presses on the nerve is taken out. Another option is a foraminotomy, which makes the entrance where the nerve root leaves the spinal canal larger. In some cases, a spinal fusion might be suggested. This joins two or more vertebrae together to stabilize the spine and stop painful movements. Like any surgery, these options come with risks and rewards. The choice to have surgery is made after a careful look at the patient’s situation and detailed talks with their healthcare provider. Preventative Measures and Lifestyle Adjustments It is important to not only treat existing neck nerve pain but also to take steps to prevent it from happening again. This helps keep your spine healthy for the long term. Making some simple lifestyle changes... --- - Published: 2025-06-12 - Modified: 2025-06-13 - URL: https://www.theorthopaedicandpainpractice.com/treatment-for-neck-pain-diagnosis-and-solutions/ - Categories: Articles by Doctor, Blog - Tags: best treatment for neck pain, Cervical collar Singapore, Cold therapy neck pain Singapore, Electromyography Singapore, Heat therapy neck pain Singapore, Neck CT scan Singapore, Neck MRI Singapore, Neck pain causes Singapore, Neck pain diagnosis Singapore, Neck pain exercises Singapore, Neck pain imaging Singapore, Neck pain relief Singapore, Neck pain specialist Singapore, Neck pain treatment Singapore, Neck physiotherapy Singapore, Neck X-ray Singapore, Non-surgical neck pain Singapore, NSAIDs for neck pain Singapore, Pain medication Singapore, Steroid injection neck Singapore, TENS therapy Singapore Key Highlights Neck pain is a common issue. It can come from many things, like poor posture, muscle strain, or medical problems. It's very important to get medical help quickly. This is especially true if your neck pain is really bad or lasts a long time. There are many ways to treat neck pain. Non-surgical options include physical therapy, medications, and changing your lifestyle. In some cases, surgery may be needed. When you understand the causes, symptoms, and treatments for neck pain, you can make better choices about your neck health. Simple steps like keeping good posture, using ergonomic ideas, and doing neck exercises regularly can help reduce the risk of neck pain. Neck pain is a regular issue for people of all ages. It can be a mild annoyance that goes away quickly, or it can be severe and last a long time, making daily life hard. Luckily, there are many neck pain treatment options that can help. This article will look at some common causes of neck pain, explain how it is diagnosed and treated, and share tips to prevent neck pain in the future. Understanding Neck Pain in Singapore In a busy city like Singapore, many people face neck pain. This problem happens more because of long working hours and a fast lifestyle. Poor posture while using gadgets, sitting too long at desks, and not enough physical activity can lead to muscle strain. These habits can also cause imbalances in the body, which results in neck pain. Stress is another factor. It is common in tough urban settings. Stress can create muscle tension, especially in the neck and shoulders, making neck pain worse. It is important to know how daily life affects neck pain. This knowledge helps in preventing and managing this problem. Common Causes of Neck Pain Neck pain can come from many things. It can be as simple as a muscle strain or more complex medical issues. Here are some common causes of neck pain: Muscle strain is often due to poor posture, overuse, or injury. This is a frequent cause of neck pain. Degenerative disc disease affects the discs that cushion your neck vertebrae. This condition can cause pain, stiffness, and limit your range of motion. As we grow older, these discs can dry out and don't absorb shock as well. Other factors that lead to neck pain include injuries like whiplash, pinched nerves, herniated discs, and spinal stenosis. Spinal stenosis is when the spinal canal narrows, which can put pressure on nerves. Symptoms to Watch For Identifying the specific symptoms that come with neck pain is important. This helps find out what may be causing it and decide on the right treatment. Pain is a main signal, but it can vary in strength and where it is felt. Other common signs of neck pain are stiffness, which can affect the neck's range of motion, tenderness in the painful area, and headaches, especially those starting at the back of the head. Sometimes, people may feel pain that spreads down to the arms or shoulders. They may also notice numbness or tingling in these areas. Muscle weakness in the arms or hands can happen too. If you have severe pain or any of these other symptoms, it’s best to get medical help quickly. Your doctor can assess your symptoms, find the underlying cause of your discomfort, and suggest treatment options. These may include medicines like muscle relaxers or physical therapy. Diagnosing Neck Pain Effectively Finding the cause of neck pain is very important. It helps in choosing the right medical treatments. A health professional, like a doctor or a physical therapist, usually starts by looking into your medical history and doing a physical exam. This exam checks the range of motion in your neck, looks for muscle weakness or tenderness, and tests your reflexes. Based on what they find at first, they might suggest more tests. These could be X-rays, MRIs, or CT scans. These tests give a clearer view of your neck's structures and help to find any problems that could be causing your pain. When to Seek Medical Advice Many cases of neck pain can get better on their own with home care. However, some situations need you to see a health professional right away. It's very important to get help if your neck pain comes from a serious injury, like a car accident or fall. If your neck pain lasts longer than a few weeks, especially if it does not get better with rest and pain relievers, you should see a doctor. This is also true if you have severe neck pain along with other worrying signs, such as numbness or weakness in your arms or hands, trouble with balance or coordination, or changes in bowel or bladder control. In these cases, get medical help right away. Finding out what is wrong early and getting treatment can help avoid complications and improve your chances of recovery. A health professional can check your condition, find the cause of your pain, and suggest the best treatment plan just for you. Diagnostic Tests for Neck Pain Diagnostic tests can help identify the underlying causes of neck pain and guide treatment decisions. These tests allow healthcare professionals to visualize the structures of the cervical spine and surrounding tissues, providing valuable insights into the source of pain. TestDescriptionX-rayCan reveal bone spurs, fractures, or alignment issues in the cervical spine. MRI (Magnetic Resonance Imaging)Provides detailed images of soft tissues, including discs, muscles, and nerve roots. It can help diagnose herniated discs, spinal stenosis, or nerve compression. CT (Computed Tomography) scanOffers cross-sectional images of the bones in the cervical spine. A CT scan is particularly useful for evaluating complex fractures or bone abnormalities. Electromyography (EMG) and nerve conduction studies may be conducted if nerve damage is suspected, measuring the electrical activity of nerves and muscles. The results of these diagnostic tests help healthcare professionals determine the most appropriate treatment approach. Non-Surgical Treatment Options For many people, non-surgical treatment options can help with best treatment for neck pain relief. These methods focus on easing pain, lowering inflammation, improving movement, and fixing the main reasons for discomfort. Physical therapy is key in managing neck pain without surgery. It works on strengthening neck muscles, increasing flexibility, and fixing posture. Besides physical therapy, other methods like acupuncture and massage therapy can also help reduce neck pain. While these methods may not work for everyone, they can be helpful parts of a complete treatment plan for some individuals. Physical Therapy Techniques Physical therapy is an important way to treat neck pain without surgery. Its goal is to help you move better, strengthen your muscles, and reduce pain. A physical therapist will look at your condition and create a special exercise plan just for you. This plan may include different methods to help with your neck pain: Manual therapy: This hands-on method helps improve joint movement, lessen muscle tension, and reduce pain using techniques like mobilization and manipulation. Therapeutic exercises: These exercises focus on making the muscles that support your neck stronger, while flexibility exercises help increase your range of motion. Modalities: Physical therapists might use methods like heat therapy to relax muscles and boost blood flow, or transcutaneous electrical nerve stimulation (TENS) to stop pain signals. Your physical therapist will show you the right techniques. This way, you will do the exercises safely and correctly, which helps in easing your neck pain. Medication Management Medications are very important in treating neck pain. They can help you feel better and reduce swelling. Your doctor may suggest over-the-counter pain relievers like acetaminophen or ibuprofen. These are good for mild to moderate neck pain. They help with pain and can also lower fevers. If you have more serious cases of neck pain, your doctor might give you stronger pain relievers or muscle relaxants. These can help relieve muscle spasms that cause discomfort. Anti-inflammatory drugs are also used to help manage inflammation linked to neck pain. You should always talk about side effects with your healthcare provider. They can help you understand the benefits and risks of each medication. This way, you can find out the best medication and dose for your needs. Alternative Therapies for Relief Many people find relief from neck pain with alternative therapies, along with regular medical treatments. Acupuncture uses thin needles placed in certain points on the body to help with energy flow. Some studies show that acupuncture can reduce chronic pain, including neck pain. Massage therapy is another well-known alternative. It uses hands-on techniques to work on soft tissues, easing muscle tension and promoting blood flow. This may help lower pain. Also, adding mindfulness practices like meditation and deep breathing to your day can help manage pain. They promote relaxation and cut down on stress, factors that can make muscle tension worse. Surgical Treatments: Last Resort Solutions Most cases of neck pain respond well to treatments that do not involve surgery. However, sometimes surgery is needed. This usually happens when other treatments do not work or when there is pressure on the spinal cord or nerve roots. Surgery aims to fix problems that cause neck pain, like herniated discs, bone spurs, or spinal instability. It is very important to understand that surgery has risks and possible complications. It should be the last option after trying other treatments. You should talk with your healthcare provider about whether to have surgery. They will consider your situation, how severe your condition is, and your general health. Types of Neck Surgery The kind of neck surgery you need will depend on what is causing your neck pain and the symptoms you have. For example, a discectomy may be done to take out part of a herniated disc that is pressing on a nerve. If you have cervical degenerative disc disease, a spinal fusion might be suggested to stabilize your spine. Minimally invasive methods, like radiofrequency ablation, can help with pain from facet joints. This treatment uses heat to damage the nerve fibers that send pain signals. It’s very important to talk openly with your surgeon to understand the risks, benefits, and possible results of each surgery. Your surgeon will also go over the recovery process and what you can expect after the operation. Recovery and What to Expect Recovery from neck surgery can differ based on the type of surgery and your health. Your doctor will give you clear instructions for care after surgery. This will include how to care for your wound, manage pain, and what activities you should avoid. Physical therapy is important for recovery after neck surgery. A physical therapist will help you with exercises and stretches. These are meant to strengthen your neck and improve flexibility and range of motion. The therapist will also help you correct your posture and body mechanics to avoid any future injuries. If you follow your doctor's advice and stick to your physical therapy plan, it can help you recover better and lead to better long-term results. Lifestyle Changes and Home Remedies Incorporating simple lifestyle changes and home remedies can really help reduce neck pain and stop it from coming back. One important thing is to keep a good posture when you sit, stand, or sleep. Keeping your spine in the right position helps take the stress off your neck muscles and avoid strain. Also, making your workspace more comfortable can help. Use an ergonomic chair, set your computer monitor at eye level, and remember to take breaks to stretch and move. These steps can lower the chances of getting neck pain. Ergonomics and Posture Correction Proper ergonomics is very important for stopping and easing neck pain. This is especially true for people who sit at a desk for a long time. First, make sure your computer screen is at eye level. This helps you avoid tilting your neck up or down. Next, adjust your chair height so your feet rest flat on the floor. Your elbows should be bent at a 90-degree angle when typing.... --- - Published: 2025-06-09 - Modified: 2025-06-09 - URL: https://www.theorthopaedicandpainpractice.com/ways-to-alleviate-neck-pain/ - Categories: Articles by Doctor, Blog - Tags: alleviate neck pain, Cervical collar support Singapore, Chin tuck exercise Singapore, Chronic neck pain management Singapore, Cold therapy neck pain Singapore, Desk ergonomics Singapore, Ergonomic tips Singapore, Heat therapy for neck pain Singapore, Home remedies for neck pain Singapore, Isometric neck exercise Singapore, Neck pain exercises Singapore, Neck pain massage Singapore, Neck pain prevention Singapore, Neck pain relief Singapore, Neck pain stretches Singapore, Neck pain treatment Singapore, Neck physiotherapy Singapore, Neck posture correction Singapore, Non-surgical neck pain Singapore, Shoulder shrug exercises Singapore, Sleep pillow support Singapore Key Highlights Alleviate Neck pain is something many people have. It often happens because of poor posture, muscle strain, or stress. You can help prevent neck pain by making simple changes. Maintaining good posture, taking stretch breaks, and setting up your workspace well can really help. You can try home remedies for neck pain. Applying heat or cold, doing gentle neck stretches, and using pain relievers from the store can make you feel better. If your neck pain doesn’t go away, you might need professional help. Physical therapy is a great option. It can help strengthen muscles and improve flexibility. If your neck pain is severe or gets worse, it’s important to see a healthcare provider. They can check for any serious issues. Neck pain is a common problem that affects people of all ages. It can really lower a person's quality of life. A stiff neck can cause mild discomfort, while sharper pain can make daily activities difficult. The good news is, by knowing what causes neck pain and using smart ways to manage it, people can tackle this issue. This helps them feel good again and move better in their everyday lives. Understanding Neck Pain and Its Impact Neck pain can come from many different sources. This includes muscle strain or other health issues. The pain may be felt from the back of your head down to your upper back. It is important to understand how neck pain can show itself and how it can affect your daily life. Most of the time, neck pain is a short-term problem. It can often be treated with simple self-care. However, if the pain continues or gets worse, it is a good idea to see a doctor. They can help find the cause and the right treatment for your neck pain. Defining Neck Pain in the Context of Daily Activities Neck pain can feel like a dull ache, sharp stabs, or constant stiffness. This stiffness can make it hard to move your head. When your neck muscles get hurt or strained, they send pain signals to your brain. This can lead to discomfort. Neck pain can make it tough to do everyday activities. It can affect things like turning your head to look for blind spots while driving, looking up for a long time, or finding a good position to sleep. In worse cases, neck pain can spread to your shoulders, arms, or back. This makes simple tasks harder and affects your range of motion. The Prevalence of Neck Pain in Singapore's Working Population The modern workplace, which often involves long hours at a desk and frequent computer use, has led to more cases of neck pain, especially in Singapore. Spending too much time bent over keyboards can put a strain on neck muscles and cause poor posture. This tension can also affect the upper back muscles, making the discomfort worse. Additionally, stress from tough jobs can lead to muscle tension, adding to neck pain. To deal with this issue, we need a plan that includes better work setups, reminders to take stretching breaks, and support for workers to focus on their health. Common Causes of Neck Pain As we get older, our spine can wear down. This can lead to conditions like osteoarthritis, which may cause neck pain. However, our daily habits and lifestyle choices also play a big part in this. Knowing these common causes is the first step in preventing and treating neck pain. By tackling these root issues, people can lower their chances of having neck pain, be it frequent or long-lasting. Poor Posture and Its Long-Term Effects Keeping a poor posture, like slouching or leaning your neck forward while using a computer or phone, puts too much pressure on the neck muscles. This can cause a stiff neck, muscle imbalance, and even headaches over time. When your head is always leaning forward, the muscles in the back of your neck work hard to keep it balanced, which can lead to tiredness and pain. Round shoulders can make this worse by pulling the head even more forward. Fixing poor posture is very important to avoid long-term neck pain. By being careful about how you sit or stand, using good furniture, and doing exercises to strengthen your back and neck, you can reduce strain and help your spine stay healthy. The Role of Stress in Exacerbating Neck Discomfort Stress can show up in our bodies, and one common area for this is the neck. When people feel stressed, they might tighten their shoulder and neck muscles without even realizing it. This can lead to muscle spasms and stiffness. That muscle tension can cut off blood flow to the neck, which adds to pain and discomfort. Ongoing stress can create a cycle of tension and pain, so it's important to find ways to handle stress. This can be done through relaxation techniques, exercise, or getting help from a professional. Doing things like deep breathing exercises, meditation, or yoga can reduce stress. This, in turn, can lessen muscle tension in the neck and the rest of the body. By focusing on what causes the stress, people can find relief from pain and avoid more neck discomfort in the future. Practical Tips for Preventing Neck Pain To prevent neck pain, you need to make easy and thoughtful changes in your daily life. By paying attention to your posture, exercising regularly, and reducing the stress on your neck, you can lower your chances of getting neck pain. These steps not only help keep your neck safe but also improve your overall posture and physical health. Ergonomic Adjustments for a Healthier Workspace A key part of preventing neck pain is how your workspace is set up. Spending long hours in front of a computer screen without proper alignment can really hurt your neck. Here are some ways to make your workspace more ergonomic: Monitor Position: Move your computer screen so that the top is at eye level. This will help you avoid tilting your head up or down for long times, which can harm your neck. Keyboard and Mouse Placement: Make sure your keyboard and mouse are set up so your elbows can rest comfortably at a 90-degree angle. This setup reduces stress on your wrists and forearms, which helps ease tension in the neck. Ergonomic Chair: Get an ergonomic chair that gives good lower back support and helps keep your posture right. It's best to find one with adjustable features, so you can set it up to fit your body well. This will let you be comfortable and help relieve neck pain. Importance of Regular Breaks and Movement In our busy world, it's easy to get focused on work and forget about taking care of our bodies. But including breaks and movement in your day is key to avoiding neck pain. Sitting for hours in the same position can make your muscles tired and sore. If you take short breaks every hour to stand, stretch, and move, you can reduce muscle tension and help blood flow. You can do simple stretches, like shoulder rolls, head tilts, and gentle neck rotations, during your breaks to help your neck muscles stay flexible. These small changes in your daily habits can help you avoid muscle strain and keep your neck feeling good. Home Remedies to Ease Neck Pain For a lot of people, neck pain is a short-term problem. It can be treated well with easy home remedies. These methods aim to lower pain and swelling, relax muscles, and boost blood flow to the sore area. Though home remedies can help a lot, it’s good to keep in mind that they work best when you pair them with healthy lifestyle changes. Sometimes, getting advice from a professional can be helpful too. Simple Stretches to Relieve Tension Gentle stretches can be very helpful for easing neck pain. They reduce muscle tension and improve flexibility. Consider adding these easy stretches to your daily routine: Shoulder rolls: While sitting or standing straight, slowly roll your shoulders up and back in a circle. Do this for 10-15 times to help relax your shoulders and upper back, which can help with neck pain. Head tilts: Carefully tilt your head to the right and bring your ear close to your shoulder. Hold it for a few seconds and feel a light stretch on the left side of your neck. Switch to the left side and repeat 5-10 times on each side. Chin tucks: Stand or sit up straight and gently pull your chin towards your chest. Hold for a few seconds, feeling a stretch in the back of your neck. Do this 5-10 times to reduce neck pain and help improve your posture. By adding these stretches to your daily routine, you can keep your neck muscles flexible and lower the chance of pain or stiffness. Heat Therapy vs. Cold Therapy: What Works Best? Both heat therapy and cold therapy offer unique benefits for neck pain relief, and choosing the right one depends on the nature and duration of your discomfort. TherapyBenefitsHow to UseHeat therapyRelaxes muscles, improves blood circulation, relieves stiffnessApply a heating pad on a low setting for 15-20 minutes on the affected area. A warm shower or bath can also provide soothing relief. Cold therapyReduces inflammation, numbs pain, best for acute injuriesApply an ice pack wrapped in a towel to the affected area for 15-20 minutes at a time. Repeat every few hours as needed. For acute neck pain or injuries, cold therapy is generally recommended within the first 48 hours to reduce swelling and numb the pain. Heat therapy is more beneficial for chronic neck pain or stiffness, helping to relax muscles and increase blood flow. Always listen to your body and discontinue any therapy that worsens your pain. Professional Treatments for Persistent Neck Pain Home remedies and lifestyle changes can help with mild neck pain. However, if the pain keeps coming back or gets worse, you may need to see a professional. A healthcare provider can make sure you get the right diagnosis and find any other problems that may exist. They can also create a treatment plan just for you. With options like physical therapy and other types of treatments, getting professional help is key for long-lasting relief. When to Consider Physiotherapy Physiotherapy is often suggested for lasting neck pain. It helps to find and fix the main issue so that you can move normally again. A physical therapist will check your posture, range of motion, and muscle strength. They will then make a treatment plan just for you. Physical therapy for neck pain might include: Therapeutic exercises: Special stretches and exercises to make neck and shoulder muscles stronger. This will help with flexibility and improve how you move. Manual therapy: The physical therapist will use their hands to help move your joints, ease muscle tightness, and fix spinal alignment. Education on posture and ergonomics: You will get advice on how to keep good posture, make your workspace better, and form healthy movement habits. This will help to stop future pain. By fixing muscle imbalances and movement issues, physiotherapy can give you lasting neck pain relief. Exploring Chiropractic Care for Neck Pain Relief Chiropractic care is a way to help with neck pain. It looks at the diagnosis, treatment, and prevention of problems related to the muscles and skeleton, especially those involving the spine. Chiropractors use many techniques, but they mainly focus on spinal manipulation. Spinal manipulation, or chiropractic adjustment, means using controlled force on the joints in the spine. This helps to get them back into the right position and moving well. It can be especially useful for neck pain caused by: Joint restrictions: The small joints in the neck can become tight or stuck. This can lead to pain and stiffness. Chiropractic adjustments can help these joints move more freely. Nerve irritation: When the spine is not aligned properly, it can press on nearby nerves. This may cause pain, tingling, or numbness. Adjustments... --- - Published: 2025-06-02 - Modified: 2025-07-24 - URL: https://www.theorthopaedicandpainpractice.com/foot-pain-treatment-options/ - Categories: Articles by Doctor, Blog - Tags: Achilles tendonitis treatment Singapore, Corticosteroid injection foot Singapore, Custom orthotics Singapore, Foot and ankle pain Singapore, Foot massage therapy Singapore, Foot pain clinic Singapore, Foot pain diagnosis Singapore, Foot pain exercises Singapore, Foot pain imaging Singapore, Foot pain prevention Singapore, Foot pain relief Singapore, Foot pain specialist Singapore, foot pain treatment, Foot pain treatment Singapore, Foot physiotherapy Singapore, Heel pain treatment Singapore, Night splints Singapore, Non-surgical foot pain Singapore, Plantar fasciitis treatment Singapore, Podiatrist Singapore, Shockwave therapy foot Singapore Key Highlights Foot pain treatment is very common. It can come from many reasons like injuries, using the feet too much, and health issues. Learning about the foot's structure, including its bones, muscles, ligaments, and tendons, can help us understand foot pain better. There are several treatment options. You can start with home remedies like RICE (rest, ice, compression, elevation), use pain relievers from the store, or do gentle exercises. For more help, you can see a professional for physical therapy or use orthotics. Sometimes, surgery might be needed for long-term foot problems, especially if other treatments do not work. Prevention is very important for foot pain. Wearing the right footwear, keeping feet clean, and doing regular exercises to strengthen your feet are all good ways to keep your feet healthy. Foot pain is a very common problem that can greatly affect your daily life. It can be caused by different things, such as injuries, overuse, or health issues. Luckily, there are many treatment options to help with common foot problems and reduce pain. You can try home remedies and make changes to your daily habits. You might also consider getting help from professionals or advanced medical procedures. This guide will look at different ways to understand, treat, and prevent foot pain. Understanding Foot Anatomy and Common Pain Points To understand foot pain, you need to know some basics about foot anatomy. The foot has 26 bones, 33 joints, and more than 100 muscles, tendons, and ligaments. Together, this structure supports movement and balance. Because the foot bears weight and has a complex design, some areas often feel pain or discomfort. Knowing where these common pain points are can help identify the cause of your pain and lead you to the right treatment. The Structure of the Foot: Bones, Muscles, and Joints The foot has a very smart design. It has 26 small bones that fit together in a special way. The heel bone, known as the calcaneus, is at the back and is the largest bone in the foot. In front of the heel, there are bones called metatarsals, which form the arch of the foot and connect to the toes. These bones stay connected and supported with strong tissues called ligaments. Ligaments are important because they help keep the joints tight. They stop too much movement and give support. Muscles also help the foot work well. They control how we move, keep us steady, and absorb shock with each step we make. Some muscles are in the foot, while others are in the lower leg, and they connect to the foot bones by tendons. Identifying Common Areas for Foot Pain Heel pain is one of the most common types of foot pain. It usually occurs under the heel or at the back of the heel, where the Achilles tendon meets the foot. This pain can come from issues like plantar fasciitis, heel spurs, or Achilles tendonitis. Another common area for pain is the ball of the foot, which is right behind the toes. Pain here can come from conditions such as metatarsalgia, Morton's neuroma, or stress fractures in the metatarsal bones. The big toe can also hurt, often because of problems like bunions, gout, or sesamoiditis. Pain can also show up in other parts of your foot, like the arch, other toes, and the top of the foot. The cause of your pain may change based on where it is and how it feels. Causes and Symptoms of Foot Pain Foot pain can happen for many reasons. This includes injuries like sprains and fractures. It can also result from overuse, such as in plantar fasciitis and Achilles tendonitis. Medical conditions, like arthritis and diabetes, may lead to foot pain too. Other factors are wearing shoes that don’t fit well, being overweight or obese, and having certain biomechanical problems. It is important to identify the specific symptoms you have to find out what is causing your foot pain. Some common symptoms are sharp or stabbing pain, dull aches, throbbing feelings, tingling or numbness, swelling, stiffness, and trouble standing on the affected foot. Primary Causes of Foot Pain in Adults Plantar fasciitis is a common cause of heel pain. It happens when the plantar fascia, a thick band of tissue on the bottom of your foot, becomes inflamed. This issue often comes from overuse, especially in runners and people who stand for long periods on hard surfaces. Achilles tendonitis is another common condition. It causes inflammation of the Achilles tendon, which connects your calf muscles to your heel bone. Repetitive strain from activities like running and jumping often leads to this problem. Arthritis includes a group of diseases that cause joint inflammation and can make your feet hurt. This can lead to pain, stiffness, and swelling. Osteoarthritis happens more in older adults and is due to wear and tear. Rheumatoid arthritis can affect anyone, regardless of age. Finally, flat feet can also lead to foot pain, particularly in the arch area. Recognizing Symptoms: When to Seek Treatment Many cases of foot pain can be treated with home remedies. However, some symptoms need quick medical care. If you have severe pain that makes it hard or impossible to walk or put weight on your foot, you should see a healthcare professional. Swelling that lasts more than a few days also needs medical help, especially if it comes with redness or warmth. This could mean an infection or a serious issue. If you feel numbness or tingling in your toes and it’s not due to something temporary like your foot "falling asleep," you should get it checked. This could mean nerve damage or compression. Other warning signs include changes in skin color, like redness or blue spots, open sores that do not heal, and stiffness that restricts your movement. Home Remedies for Managing Foot Pain For many people with foot pain, home remedies can help a lot. The RICE method – rest, ice, compression, and elevation – is a common approach for sudden foot pain from injuries or overuse. This method helps lower inflammation, swelling, and pain. Also, taking good care of your feet and making some easy lifestyle changes can help manage your pain. These steps focus on taking care of your feet, minimizing strain, and encouraging healing. Essential Foot Care Practices for Pain Relief Choosing the right shoes is very important for keeping your feet healthy. Look for shoes that give good arch support, have enough space for your toes, and provide good cushioning to soak up shock. You might want to use shoe inserts or orthotics for extra support or comfort. Living a healthy lifestyle with regular exercise and good food is also key for your feet. Working out helps make the muscles in your feet stronger, while healthy foods give you the nutrients you need to repair tissues and feel good overall. Getting regular foot massages can really help with foot pain and help you relax. Massaging your feet can improve blood flow, ease muscle tension, and reduce stress in your feet. Use gentle, circular motions when you massage your feet, paying extra attention to sore spots. DIY Treatments: Ice Packs, Epsom Salts, and Gentle Exercises To help manage foot pain, besides the RICE protocol, you can use other simple methods. Putting ice packs on the painful area for 15-20 minutes, several times a day, can help lessen swelling and numb the pain. Soaking your feet in warm water with Epsom salts can also be a good home remedy. Epsom salt has magnesium sulfate, which helps relax sore muscles and cut down on inflammation. Lastly, doing gentle exercises can strengthen your foot muscles and increase flexibility, which can lead to less pain. Here are a few examples: Toe curls: Sit with your feet flat on the floor. Curl your toes under and hold for a few seconds, then release. Repeat this several times. Marble pickup: Put a few marbles on the floor and use your toes to pick them up one by one, dropping them into a container. Calf stretches: Stand facing a wall with your feet shoulder-width apart. Lean forward while keeping your back straight and heels on the ground. Do this until you feel a stretch in your calves. Hold for 30 seconds and repeat several times a day. These exercises can help with common causes of foot pain. They work by improving flexibility, strengthening muscles, and enhancing range of motion. Professional Foot Pain Treatments Home remedies can help manage mild to moderate foot pain, but sometimes you may need professional help. It's important to see a podiatrist or another qualified healthcare expert for a proper diagnosis and treatment plan just for you. Professional treatments might include prescription medications, special shoe inserts, physical therapy, or even surgery in some cases. The best treatment will depend on the cause, how bad the pain is, and where it is in your foot. When to Consider Orthotic Devices Orthotics are shoe inserts that can be made just for you or bought from a store. They help to support your feet and keep them aligned. This can improve how your feet work and cut down on pain. A podiatrist can check how your feet move and suggest the right orthotics for your foot problems. These shoe inserts can help fix issues with how your feet move. For example, they can assist with overpronation, which is when your foot rolls too much inward, or supination, which is when it rolls outward. These problems can lead to different foot conditions. It's important to listen to your podiatrist when using orthotics. If you use them too much or depend on them without solving the main issue, it could make some conditions worse. The Role of Physical Therapy in Foot Pain Management Physical therapy is very important for managing foot pain. This is especially true for issues like muscle weakness, tendonitis, or limited range of motion. A physical therapist can create a special exercise plan just for you. Your treatment may include stretching exercises to make your foot more flexible and improve the range of motion. You might also do strengthening exercises to help support your muscles and keep them stable. Manual therapy techniques can relieve muscle tension and help your joints move better. Physical therapy mainly works on getting your foot back to its normal range of motion. It also helps to strengthen weak muscles and improve how your foot works overall. Often, physical therapy is used along with other treatments like pain relievers, orthotics, or lifestyle changes for the best results. Treatment Options In some cases, when home remedies, physical therapy, and orthotics do not help, people might need advanced treatment options. These options usually include minimally invasive procedures or sometimes surgery. These advanced treatments focus on fixing the root problems causing your foot pain and making your life better. However, it's important to try all conservative treatments first before thinking about more invasive procedures. Exploring Surgical Solutions for Chronic Foot Issues Surgery for foot pain is usually done for long-lasting issues that do not improve with regular treatments. Some conditions that might require surgery are bad bunions, hammertoes, certain fractures, and ongoing nerve problems. The type of surgery you need will depend on your specific issue and how serious it is. For instance, bunion surgery mostly involves adjusting the bones in the big toe joint. Hammertoe surgery may include moving tendons or fusing joints to fix the problem. If you have sesamoiditis, which is inflammation of the small bones under the big toe joint, you might need surgery to remove one of these bones if other treatments don't work. It's very important to talk with your surgeon about the risks, benefits, and recovery time for any surgery you may need. Innovations in Foot Pain Treatment: Laser Therapy and More In recent years, new treatment options have come up. They offer good results for certain foot problems. For example, laser therapy has become popular as a painless treatment. It helps with... --- - Published: 2025-05-29 - Modified: 2025-05-29 - URL: https://www.theorthopaedicandpainpractice.com/hip-pain-treatment-options-without-surgery/ - Categories: Articles by Doctor - Tags: Hip arthritis treatment Singapore, Hip bursitis treatment Singapore, Hip impingement therapy Singapore, Hip labral tear treatment Singapore, Hip osteoarthritis management Singapore, Hip pain acupuncture Singapore, Hip pain chiropractor Singapore, Hip pain clinical Pilates Singapore, Hip pain electromagnetic therapy Singapore, Hip pain exercises Singapore, Hip pain INDIBA therapy Singapore, Hip pain manual therapy Singapore, Hip pain physiotherapy Singapore, Hip pain rehabilitation Singapore, Hip pain relief Singapore, Hip pain shockwave therapy Singapore, Hip pain specialist Singapore, hip pain treatment without surgery, Hip physiotherapy Singapore, Hip tendonitis treatment Singapore Key Highlights Hip pain is a common issue that can greatly affect your quality of life. Although surgery might be needed at times, there are many non-surgical treatments that can help reduce hip pain and improve mobility. Physical therapy, lifestyle changes, and alternative methods like acupuncture can be important in managing pain. This blog will look at different non-surgical treatment options available in Singapore. It is important to understand the causes and symptoms of your hip pain to choose the best treatment option. Hip pain is a common problem for people of all ages in Singapore. It can greatly affect their quality of life. The good news is that surgery isn’t always needed. This blog will discuss various hip pain treatment without surgery. Our aim is to help relieve your pain and improve your daily life. Understanding Hip Pain in Singapore The hip joint is very important for our ability to move. It can suffer from different problems that cause pain. It's important to know these causes to treat them properly. Osteoarthritis is one big reason for hip pain, especially in older adults. Other causes can be bursitis, tendonitis, and muscle strains. Problems with the hip joint structure, like hip impingement or dysplasia, can also be reasons for pain. Injuries from falls or stress, especially in athletes, are other causes. By finding out what is causing the pain, we can better manage it and fix the main problem. Identifying Common Symptoms of Hip Pain Recognizing the signs of hip pain can help find out the cause and guide treatment. Pain can feel different, from a dull ache to sharp, shooting discomfort. The area where you feel pain can give hints, like in the groin, outer thigh, buttock, or even down the leg. Stiffness is another common sign, especially after sitting still for a while. This can make it hard to move the hip easily. It usually happens with arthritis, where inflammation in the joint limits movement. Swelling around the hip joint could also mean bursitis or an injury causing inflammation. A reduced range of motion can make daily tasks tough, like walking, climbing stairs, or bending down. This often happens with stiffness and may mean there’s a more serious problem in the hip joint. Recognizing when Hip Pain Needs Attention Feeling some discomfort now and then is normal. However, if you have hip pain that keeps bothering you and changes your daily life, it is important to get it checked. If you have trouble sleeping, walking, or doing regular tasks even after taking over-the-counter pain relief, you should talk to a healthcare professional. Athletes who play high-impact sports have a higher risk of getting injuries like labral tears. It's important to notice any pain that happens during or after these activities. Ignoring ongoing pain can lead to more serious problems in the future. If you suddenly have strong pain, especially after a fall, you need medical help right away. This could mean you have a fracture. Always keep in mind that getting diagnosed and treated early is key for a good recovery and avoiding long-term complications. Non-Surgical Treatment Approaches Many non-surgical treatment options can help with hip pain. Physical therapy is important. It helps strengthen the muscles around the hip, improves joint mobility, and reduces pain. Making lifestyle changes, like keeping a healthy weight and being active, can also help manage pain. Additionally, alternative therapies like acupuncture can offer extra relief. Using these different approaches together creates a complete plan for managing hip pain without surgery. These strategies focus on improving joint health and restoring mobility. The Role of Physical Therapy in Alleviating Hip Pain Physical therapy is a key part of treating hip pain without surgery. A physical therapist will use different methods that fit your needs to ease your discomfort and help you move better. They will look at your pain level, how you move, and your overall health. One main goal is to boost joint mobility. Through specific exercises and stretches, physical therapy helps increase flexibility and range of motion in the hip joint, which is often limited due to pain and stiffness. A tailored exercise plan, including strength training, is important. It supports the hip joint and helps reduce strain and pain. In addition to exercises, physical therapists may use hands-on techniques like massage and joint mobilization. These methods help with soft tissue issues and improve how the joint works. They will also teach you about good posture and body mechanics. This helps lessen strain on your hips in daily activities and supports long-term pain relief. Lifestyle Modifications for Managing Hip Pain Simple lifestyle changes can greatly help manage hip pain. Keeping a healthy body weight is very important. Extra weight adds pressure to the hip joints, making pain and inflammation worse. Even losing a little weight can help reduce stress on the hips. Staying active is key for healthy joints. Exercise strengthens the muscles around the hips, giving them support and stability. Low-impact activities like swimming, cycling, or walking are great for your heart without overworking the joints. Besides exercise, other lifestyle changes can help, too. Using a cane can ease the strain on the hip while walking. Wearing supportive shoes can also make a difference. By using these tips, you can manage hip pain better and feel healthier overall. Home Remedies and Self-Care Strategies Using home remedies and self-care techniques can help relieve hip pain and support healing. These methods work well alongside professional treatments and can fit easily into your daily routine for ongoing pain relief. These approaches mainly aim to lower pain and inflammation. Heat therapy can help relax stiff joints, and cold therapy can reduce swelling. Over-the-counter medications, like ibuprofen or acetaminophen, can offer temporary relief from discomfort. Exercises to Strengthen the Hip Strengthening the muscles around the hip joint is very important. It helps provide support, improve stability, and reduce pain. Adding specific exercises to your routine can help your hip health a lot. I always suggest talking to a physical therapist. They can help create a program just for you. Range of motion exercises are important for keeping flexibility and stopping stiffness. Simple moves like hip circles, leg raises, and knee bends can help keep the joint working well and improve mobility. Do these exercises gently and only within a range that does not cause pain. Resistance training is also key when it comes to strengthening the hip muscles. Here are some examples: Clamshells: These help strengthen the hip abductors, which are important for stabilizing the pelvis. Bridges: These work the glutes and hamstrings, providing support for the back and hips. Straight Leg Raises: These help strengthen the hip flexors, which are important for walking and climbing stairs. Make sure to start slowly. Gradually increase the intensity as your hip strength gets better. Being consistent is important for keeping your hip joints strong and healthy. Heat and Cold Therapy for Symptom Relief Heat and cold therapy are easy and effective ways to help relieve hip pain. Knowing when to use each type can make them more helpful. Heat therapy is great for dealing with stiffness and muscle spasms. It helps relax muscles and boosts blood flow to the area, which can reduce pain. Cold therapy is good for sudden injuries or swelling. It makes blood vessels smaller, which reduces swelling and numbs the area to decrease pain signals. You can get quick relief by applying an ice pack wrapped in a towel to the sore spot for 15 to 20 minutes. It’s important to use these therapies carefully. Avoid putting them directly on the skin to prevent burns or ice burns. It's also best to talk to a healthcare professional to find out which method is right for your situation. In conclusion, looking at non-surgical treatments for hip pain can help reduce discomfort and improve your quality of life. You can try different methods, such as physical therapy, changing your lifestyle, and using home remedies. These options can ease pain and help you move better. They not only help with symptoms but also support long-term hip health. It’s important to talk to a healthcare professional to create a treatment plan that works best for you. Your path to managing hip pain starts with making smart choices and taking care of yourself. Focus on your well-being and make your hip health a priority today. {"@context":"https://schema. org","@type":"FAQPage","@id":"https://www. theorthopaedicandpainpractice. com/hip-pain-treatment-options-without-surgery/","mainEntity":} What exercises are best for reducing hip pain? The best exercises for hip pain aim to make your hips stronger and improve movement. You can try gentle stretches, resistance training that works on hip muscles, and low-impact activities such as swimming or walking. It's a good idea to talk to a physical therapist for a plan made just for you. Can diet influence hip pain severity? Yes, your diet can affect how bad your hip pain is. Keeping a healthy body weight can lessen the pressure on your hip joints. Plus, eating an anti-inflammatory diet that includes plenty of fruits, vegetables, and omega-3 fatty acids can help control the inflammation that leads to hip pain. How long does it typically take to see improvement? The time it takes to find relief from hip pain depends on the cause and the person's situation. Some people notice less pain and better joint mobility within a few weeks of starting their treatment. For others, it could take longer. Sticking to your treatment plan and talking openly with your doctors is very important. Are there any specific stretches to avoid? It is best to steer clear of stretches that put too much pressure on the hip joint or cause pain. Deep squats, very intense lunges, and strong twisting movements can harm the hip joint and lower back. You should focus on movements that feel comfortable and are within your pain-free range of motion. When should I consider seeing a specialist? If your hip pain is really bad, lasts even with home care, or keeps you from doing your daily activities, it's best to see a specialist. They can look at advanced treatment options like hip arthroscopy or, in some cases, hip replacement surgery. --- - Published: 2025-05-26 - Modified: 2025-05-29 - URL: https://www.theorthopaedicandpainpractice.com/orthopaedic-surgeons-in-singapore/ - Categories: Articles by Doctor - Tags: Bone and joint specialist Singapore, Elbow surgery Singapore, Foot and ankle specialist Singapore, Hand and wrist specialist Singapore, Hip replacement Singapore, Joint replacement Singapore, Knee replacement Singapore, Minimally invasive orthopaedic surgery Singapore, Musculoskeletal specialist Singapore, Orthopaedic clinic Singapore, Orthopaedic consultation Singapore, Orthopaedic doctor Singapore, orthopaedic singapore, Orthopaedic specialist Singapore, Orthopaedic surgeons Singapore, Orthopaedic surgery Singapore, Orthopaedic treatment Singapore, Robotic orthopaedic surgery Singapore, Shoulder surgery Singapore, Spine surgery Singapore, Sports injury specialist Singapore Key Highlights Singapore has an amazing healthcare system, especially for orthopaedic surgery, with many skilled specialists. It is important to choose the right orthopaedic surgeon for proper treatment and recovery. This guide offers key information on how to find and pick the best orthopaedic Singapore. It covers everything from understanding specializations to understanding insurance coverage. This resource helps you make informed choices. Explore top clinics like Specialist Orthopaedic Centre and learn about famous surgeons like Dr Kannan Kaliyaperumal. Singapore is well-known for its high-quality patient care and modern medical facilities, especially for orthopaedic surgery. If you have muscle or bone problems, choosing the right orthopaedic surgeon is very important for your recovery and for living better. This helpful guide shares useful tips on how to find and choose the best orthopaedic surgeons in Singapore. It will help you make smart choices about your orthopaedic health. Evaluating Orthopaedic Surgeons in Singapore When looking for an orthopaedic surgeon in Singapore, there are many important things to think about. These points help you see the surgeon’s skills, experience, and if they are right for you. It's not just about their qualifications. You should also consider their way of talking, how much they care for you, and if they respond to your concerns. Having a good relationship with your doctor is important. Trust and clear communication can lead to better results for your treatment. Understanding Their Specializations Orthopaedic surgery covers many areas. Each part focuses on different issues in the musculoskeletal system. It is important to choose an orthopaedic surgeon who specializes in your specific condition. For example, if you are an athlete with a sports injury, it's wise to choose a senior consultant orthopaedic surgeon who is an expert in sports medicine. If you have complicated issues with your foot or ankle, you may want to visit clinics like the Specialist Orthopaedic Clinic in Singapore. They have skilled surgeons like Dr. Kannan Kaliyaperumal. Dr. Kaliyaperumal is known for his work in foot and ankle surgery. He also conducts research on cartilage regeneration. This shows how trained professionals are available in Singapore for specialized care in orthopaedic surgery. Recognizing Board Certifications and Accreditations Board certifications and accreditations show how well an orthopaedic surgeon is trained and how seriously they follow good practices. In Singapore, many well-respected orthopaedic surgeons work with top places like the National University of Singapore. They also belong to professional groups. These certifications show that the surgeons are committed to improving their skills and follow strict ethical rules. When you look for potential surgeons, make sure to check their qualifications. Confirm that they are licensed to work in Singapore. This extra step helps you trust that you are getting care from a skilled and reliable professional. Techniques for Finding the Best Orthopaedic Surgeons Finding the best orthopaedic surgeon can feel overwhelming, but there are helpful ways to make it easier. Using these techniques can help you find skilled doctors who fit what you need and want. Keep in mind, choosing the right surgeon is a personal choice. By using a mix of these tips based on your situation, you can get the best outcomes. Leveraging Professional Referrals One good way to find respected orthopaedic surgeons is to ask for referrals. You can start with your primary care physician. They can recommend surgeons based on their network and what they know about specialists in your area. You can also get referrals from other healthcare professionals like physiotherapists or chiropractors. They might know surgeons that focus on certain conditions or methods of treatment. This collaborative effort can help you better understand your condition. It also helps make sure you find surgeons who are well-prepared to meet your unique needs. Utilizing Patient Reviews and Testimonials In today's digital world, patient reviews and stories give important insights about the experiences of others who have received orthopaedic care. Online sites where people review healthcare providers, like clinic websites or medical review sites, are full of useful information. When looking at patient feedback, think about these points: How satisfied patients are with the surgeon's communication, bedside manner, and treatment outcomes. How clear the explanations are about the diagnosis, treatment options, and possible risks. Reviews of the surgeon's skills, if relevant, and their care for patients after surgery. Patient experiences with clinic staff, scheduling appointments, and overall efficiency. Preparing for Your Consultation A meeting with an orthopaedic surgeon is an important part of your healthcare journey. Preparing well can help you get useful information and bring up any questions you have. When you are organized and take charge, it can lead to a helpful and informative consultation. This will help create a good plan for your orthopaedic care. Questions to Ask Your Orthopaedic Surgeon Being actively involved in your healthcare means asking important questions during your orthopaedic consultation. This helps you understand your condition and the treatment plan better. You might want to ask these questions: What could be causing my symptoms, and are there other diagnoses? What treatment options do I have, and what are the benefits and risks of each? If I need surgery, what type will it be and what is the expected recovery time? What kind of anesthesia will be used, and what are the possible side effects? What will the treatment cost, and how does my insurance cover it? What to Bring to Your Appointment Arriving ready for your appointment makes the consultation easier. It helps the orthopaedic surgeon understand your medical history well. Here are some important items to bring: Medical Records: This can include past imaging studies like X-rays or MRIs, lab test results, and reports from earlier visits related to your current problem. Insurance Information: Have your insurance card and policy details handy. This helps talk about coverage and possible out-of-pocket costs. List of Medications: Make sure to include dosages and how often you take them. Also, add any over-the-counter medicines, vitamins, or supplements you regularly use. Surgical and Non-Surgical Treatments Offered Orthopaedic surgeons provide many treatment options for different muscle and bone problems. These options include both non-surgical and surgical methods, depending on how serious the condition is. They look at each patient’s needs. They consider things like lifestyle, health, and treatment goals. This way, orthopaedic surgeons aim to give personal care that improves results and quality of life. Overview of Common Procedures Orthopaedic procedures cover many kinds of treatments. They range from joint replacements to less invasive methods. Here are some of the most common procedures: Partial Knee Replacement: In this procedure, only the damaged part of the knee joint is replaced. This helps keep more of the natural bone, and it can lead to quicker recovery times. Ankle Surgery: This includes different kinds of procedures. Ankle surgery helps with problems like fractures, instability, arthritis, and tendon tears. The goal is to improve mobility and reduce pain. Arthroscopy: This is a less invasive method. Arthroscopy lets surgeons see, diagnose, and treat joint issues using small cuts and special tools. Innovations in Orthopaedic Care in Singapore Singapore is a leader in medical advancements. Orthopaedic singapore care has greatly improved because of ongoing innovation. Hospitals like Mount Elizabeth Novena Specialist Centre are famous for their top technology and skilled orthopaedic surgeons. Many orthopaedic surgeons in Singapore train abroad. They learn the latest techniques and bring that knowledge back to improve their work. These new methods have resulted in better surgery results, shorter recovery times, and overall better care for patients in Singapore. Aftercare and Rehabilitation Services The path to feeling better goes beyond the surgery itself. Aftercare and rehab are crucial for getting good results and helping people move again. Programs that focus on aftercare are made for each person's needs. They help make it easier to return to everyday life. Using these support systems gives patients the tools and help they need. This way, they can heal better and gain their independence back. Post-Surgery Recovery Process The recovery process after surgery can be different for each person. It usually starts with some rest. After that, there is a plan to help regain strength, flexibility, and movement. A rehabilitation team, which may include physiotherapists, occupational therapists, and nurses, helps patients. They guide patients through specific exercises and teach ways to manage pain. Following the plan set by the rehabilitation team and talking openly with your healthcare providers are very important for healing well. Accessing Physiotherapy in Singapore Physiotherapy is very important for healing after bone and joint problems. It helps reduce pain, improve movement, and stop injuries from happening again. In Singapore, there are many skilled physiotherapists working in different places. Patients can find physiotherapy services in a few ways. They can ask their orthopaedic doctors for a referral, get a recommendation from their general practitioners, or reach out to physiotherapy clinics on their own. Physiotherapy is crucial for many situations. It helps people recover from surgery, manage ongoing problems like arthritis, or find non-surgical options for muscle and bone issues. It is key for better orthopaedic health. Understanding what users want is very important. It helps you create content that connects with your audience and brings in organic traffic. When your content matches what people are searching for, you are more likely to rank higher on search engines. Focusing on user intent is more than just using the right keywords. You need to really understand what users are after and provide helpful answers. Make user intent analysis a key part of your content plan to boost visibility and engagement. Keep your attention on satisfying the needs and expectations of your target audience to make your content work better. Frequently Asked Questions {"@context":"https://schema. org","@type":"FAQPage","@id":"https://www. theorthopaedicandpainpractice. com/orthopaedic-surgeons-in-singapore/","mainEntity":} When should I consider seeing an orthopaedic surgeon? If you have discomfort, pain, or trouble moving because of orthopaedic conditions, see an orthopaedic surgeon. Consulting early helps you get the right treatment on time. This can prevent complications and improve your outcomes. How do I verify the credentials of an orthopaedic surgeon in Singapore? To check credentials, go to the Singapore Medical Council website. It has a list of registered medical practitioners. You can search by name to confirm their accreditation, specialization, and see if the orthopaedic surgeon is in good standing. What are the most common orthopaedic surgeries performed in Singapore? Common orthopedic surgeries in Singapore are knee replacements, arthroscopic treatments for ligaments and tendons, and fixing fractures. These surgeries are common due to the growing number of older people in Singapore and their active lifestyle. Can I use Medisave for orthopaedic procedures in Singapore? Yes, Medisave, Singapore's national healthcare fund, can be used for some orthopedic treatments. But, there are limits on how much you can take out and what procedures are covered. To get more details, talk to your surgeon and Medisave. How long is the recovery period for major orthopaedic surgeries? Recovery times can be different depending on how complicated the surgery is and the patient's own needs. Usually, major orthopaedic surgeries need weeks to a few months for recovery. During this time, patients work on getting their mobility and function back. --- - Published: 2024-06-19 - Modified: 2025-07-25 - URL: https://www.theorthopaedicandpainpractice.com/the-best-sleeping-positions-to-relieve-neck-pain/ - Categories: Articles by Doctor - Tags: comfortable sleeping positions for neck pain, neck pain, Pain Relief, peaceful night’s sleep, poor posture neck pain treatment, posture, sleeping position, Sleeping Positions The gentle and moderate facet-sleeping position can help increase the space between the joints in the lower back. The position that many people sleep in, curled up in a fetal position, is a very common and comfortable position. Even though this position is comfortable, it is not the best position to sleep in if you have back pain. It is not in the best interest of your neck and lower back. On the other hand, sleeping directly on your back puts a lot of extra strain on your spine and this is not a good position for back pain either. However, could we put a positive spin on sleeping in your back position? You got it, sleeping with support under your lower back using a pillow or pillows can help reduce back pain significantly. So why is the side-sleeping position better? Understanding the Importance of Maintaining the Best Sleeping Positions for Neck Pain (Source:https://www. freepik. com/free-photo/tired-sick-woman-bed-touching-her-neck-suffering-from-pain_4167220. htm#query=sleep%20and%20neck%20pain&position=3&from_view=search&track=ais) Your neck is made up of seven vertebrae where the spinal cord is situated. Underneath the spinal cord are nerve roots that transmit quite a distance down your arm. The cervical spine is quite vulnerable because it is capable of moving in many directions. Unfortunately, the gentle movements during the night while in an unsupportive position can be quite detrimental to the cervical spine and vertebrae. If you consider that the average person spends 6-8 hours per day sleeping, assuming that only 7 hours is spent sleeping a night, this would mean that the average person is spending about 2500 hours in one year! Assuming that we only live until 60, this person would have spent 175,000 hours sleeping. If a certain sleeping position has been used for many years, then it becomes quite difficult to correct, even with conscientious efforts. This is why it is important to find out the best sleeping positions for neck pain so that the time that is spent sleeping can be used to help the healing process, in place of making it worse. The impact of poor sleeping positions on the cervical spine Indeed, sleeping on the stomach translates to poor sleep since it may increase the frequency and severity of neck pain and it can also cause other health problems. That's because stomach sleepers must twist their necks to the side in order to breathe. Unfortunately, there are no pillows that can adequately support this position. A pillow for the head should be very flat, while a second pillow under the stomach may help keep the spine in line. Unfortunately this position may put a lot of strain on the lower back. Both of these positions can also affect the lower back because the pelvis is tilted, causing compression in the lumbar spine. Low back pain in the morning is something experienced by many and can be partially attributed to the sleeping position. Side sleeping is a common and comfortable position, however it is a very asymmetrical one which can lead to some undesired effects over time. If a person can't help but sleep on their side, it is best to use a pillow to fill the space between the ear and shoulder. This should keep the neck in a neutral position and alleviate any possible neck strain. Using a body pillow or something similar to prevent rotation back onto the back would be ideal. Step one of side sleepers with scoliosis is finding out which side is convex and which is concave. The concave side is where it is harder to maintain the space between the shoulder and neck, meanwhile on the other side it can be difficult to keep from tipping in the direction of the concavity. Positional training devices are available for scoliotics to help maintain a certain position, however this may be overdoing it for the average person. How the neutral position can reduce neck pain It is very appropriate to find out the reason why the best sleeping positions for neck pain are so important in helping the body to cure and prevent the pain in the cervical neck. In order to neutralize the position of the neck, we also need to learn how bad sleeping positions can affect your neck in a negative way. It has been known for so long that the main function of our neck is supporting the weight of the head. On a normal ten to twelve pound head, the neck moves and maintains the position of the head under control at a time. This requires strength and endurance from the neck. The neck is strong and can sustain this sort of activity over a long term. The head should be in line with the body, not too far forwards and not leaning to one side. This is the ideal support that our neck can provide to our head, and we should always consider maintaining and preventing anything lesser than this it may cause neck pain. The neutral position of the cervical spine is that position in which the cervical spine is in its natural curvature. The natural curvature of the cervical spine is a lordosis at the C1-7 levels. The neutral position is significant because that is when the cervical spine is the least loaded. This is because when the head is positioned in a neutral position, the weight of the head (about 10-12 lbs) is aligned with the center of the cervical spine. This is balance, and maximal load is not placed on the cervical spine muscles, tendons, ligaments, or discs. This means that when the cervical spine is not in a neutral position, the loading on the cervical spine is increased and predisposes it to mechanical neck pain and acceleration of the degenerative process. This is because the weight of the head is not ideally aligned with the cervical spine. When the head is in a forward posture, the loading of the head is greater and increases with the degree of flexion of the cervical spine. This puts the cervical spine in a high load situation and is at risk of sustaining an injury that might cause neck pain. Recommended Sleeping Positions If supporting your neck in the above positions fails to improve your neck pain in a night or two, you may want to use a little extra help. Of course, the best type of additional help is a cervical pillow, regardless of which position you sleep in. A cervical pillow serves to give your neck that extra bit of support while you sleep. However, they can be expensive, and it is not always practical to go out and buy one right away. A cheaper alternative is using a rolled-up towel. Using additional support, such as a rolled-up towel or a cervical pillow If you find yourself turning over onto your side during the night, do not worry. It may be helpful to place a body pillow or something similar to prevent you from turning all the way over onto your stomach, which is not a recommended position for neck pain. This can often be easier than the next option. Start by lying flat on your back. Gently tuck in your chin while keeping the base of your skull on the pillow. If you feel any discomfort at first, use another pillow that does not lift your head as much. This will give your neck time to adjust to this new healthier position. Try to stay on your back as much as possible throughout the night, using a cervical pillow to give your neck extra support. While you can try to go without a pillow or use a flat one, this is not usually helpful and can often times affect your neck even more. Therefore, it is important to use a cervical pillow to help support the natural curve in your neck. The Top Sleeping Position for Neck Pain: Back Sleeping (Source:https://www. freepik. com/free-photo/pretty-girl-shirt-sleeping-white-pillow-bed-home_1329461. htm#query=back%20sleeping&position=45&from_view=search&track=ais) It can be a difficult transition to change your sleeping posture, but the use of pillows and a natural sleeping position for the spine make it easier and more comfortable. This kind of support will greatly reduce the probability of waking up with back pain and stiffness. By doing so, you actually create the right conditions during the sleeping hours for your body to heal itself and reverse the damage done to muscles and other tissues, whose daily job is to support the body in various activities. Maintaining a good posture is just as important sleeping as it is when you are awake. Pulling in your chin and keeping your head aligned with your neck and spine helps achieve this. It also helps to keep the rest of your body in line, not sprawling in different directions. The use of supporting pillows to maintain this position will train your body to fall asleep in a desirable posture and hopefully carry on through the night. This technique is beneficial as the body is evenly distributed throughout the bed and no one area has more stress and strain than another. If you sleep on your back, a small pillow under the back of your knees and a rolled towel under your neck will support the natural curve of your spine. The pillow for your head should support your head, the natural curve of your neck, and your shoulders. This will keep your neck straight and not bent forward or backward. The pillow will prevent any unnecessary or additional strains on your neck muscles and allow them to rest through the night. This is a great way to prevent back and neck pain. Side Sleeping: A Popular Alternative for Neck Pain Relief (Source:https://www. freepik. com/free-photo/portrait-lady-wearing-black-eyes-mask-while-sleeping-bed-home_24209914. htm#query=back%20sleeping&position=36&from_view=search&track=ais) You may find placing a winged pillow under your body (in line with your back) can promote you to stay on your side during the night. This serves as a physical reminder if you are trying to break the habit of being a stomach sleeper. Cervical pillows are becoming increasingly more popular in mitigating neck pain, and there seems to be growing evidence in their use. These pillows are intended to give support for the curve in your neck and are effective in keeping your neck in line with your spine. In a redraft, I might use a similar style; however, I would focus on ensuring I'm getting the point across a bit clearer. The diagram in this chapter is a great example of how the spine and neck should be aligned. This is an important part of the initial step of setting up a correct way to sleep on your side. Using a good quality pillow is important in ensuring that your neck is not sitting too high above your shoulders or too low. The ideal pillow height should maintain a contour that follows the curve in your neck when standing. Stomach Sleeping: Is It Ever a Good Idea? (Source:https://www. freepik. com/free-photo/back-view-adorable-blonde-girl-wearing-striped-t-shirt-having-healthy-sleep-lying-stomach-white-pillow-dreaming-about-something-restful-carefree-small-kid-sleeping-bed-after-school_9437585. htm#query=back%20sleeping&position=11&from_view=search&track=ais) Sleeping on your stomach might seem cozy, even though it may not be the optimal choice for your neck’s health. When you lie face down in this position, your head tilts to the side and your neck twists creating a strain. While some find this position comforting, it can have adverse effects. The pressure on your neck can result in discomfort, stiffness or pain. Interestingly, stomach sleeping isn't entirely bad. It's fine occasionally, but not ideal as a routine. If you find it hard to sleep in any position, try using a pillow or no pillow at all to reduce the strain. The Role of Pillow Selection in Neck Pain Management Choosing the pillow plays a role in ensuring a pain free neck. Your pillow works hard to provide support for your head and neck every night particularly when dealing with neck discomfort. The ideal pillow choice depends on how you sleep. Back sleepers benefit from a pillow that maintains the curve of their neck. Side sleepers, on the hand, should opt for a firmer pillow to fill the gap between their ear and the mattress. For those who... --- - Published: 2024-06-19 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-is-a-lisfranc-fracture-dislocation/ - Categories: Articles by Doctor - Tags: Dislocation, Foot Fracture, fractured toe, Lisfranc Fracture Dislocation, Lisfranc Injury, Orthopaedic Trauma, toe and ankle pain Injuries to the articulations of the midfoot are not uncommon and thus are occasionally overlooked or misdiagnosed. The consequences of inadequate treatment, however, can be unsuspected until irreversible damage has been done to the patient. Optimal functional outcome can only be assured if Lisfranc articulation injuries are rapidly recognized and appropriately treated. This article serves to review the anatomy of the region, to define Lisfranc injuries, to document both the unusual frequency and potential severity of associated complications, and to familiarize the reader with common clinical and radiographic patterns of presentation. Practical management guidelines are offered to assist the surgeon in evaluating and treating these complex injuries. Clinical and physical examination methods are described, as well as appropriate methods for evaluating foot radiographs. Finally, a staged treatment regimen is proposed, offering methods for both urgent and delayed realignment and reconstruction of the injured Lisfranc articulations. Lisfranc fractures involving the tarsometatarsal joint complex may be overlooked or inadequately treated. Nonrecognition of their presence and subsequent inadequate treatment can result in significant loss of function and chronic pain. Such fractures represent a spectrum of joint injuries ranging from purely ligamentous disruption through varying degrees of osseous-soft tissue trauma to outright complete dislocation of the tarsometatarsal joint. Fracture-dislocations represent the more severe and disabling forms of these injuries and require rapid and accurate diagnosis followed by prompt treatment. The clinician evaluating injuries to the area must have a high index of suspicion, be aware of their frequency, recognize the vast spectrum of injury, rely on a detailed knowledge of normal anatomy as well as common pathologic patterns and, finally, be alert to potential complications. Overview of Lisfranc Fracture Dislocation The midtarsal bony and ligamentous complex bears a significant mechanical role both in even and uneven surfaces and in the transition from the stance phase to the swing phase. Throughout these gait motions, the subtalar joint, the Lisfranc joint complex, and the transmetatarsal joint are constantly working to coordinate and absorb the forces. Numerically, the midtarsal joint complex comprises nearly a quarter of the transverse-plane subtalar joint motion. Moreover, the curvature shape in the metatarsal heads acts like a "cam" hinge which is translated to significant plantarflexion-dorsiflexion motion. This array of muscle pulls collaborates in introducing significant force-related potential levers. The effectiveness of the force elongation and shortening transformers narrows when the muscle is inserted into individual metatarsals. The Lisfranc joint complex includes the articulation between the medial and intermediate cuneiform bones and the bases of the second metatarsal. The ligamentous structures attaching to the medial cuneiform are well demonstrated on anatomic dissections and are more substantial than the more commonly appreciated second metatarsal tarsometatarsal articulation. However, the medial cuneiform articular surface is at a more coronal plane than the corresponding second metatarsal joint surface. The bony congruity established between the cuneiform bones and the second metatarsal permit the complex to transfer the rearfoot loads into the forefoot and toes without significant disruption at the midfoot. Cranially, these forces are largely accommodated by the windlass mechanism provided by the plantar flexion of the first metatarsal, metatarsal-cuneiform articulation, and the tensioning of the plantar aponeurosis. Importance of Lisfranc Ligament and Soft Tissue The stability, functional axis, and anatomic relationships of the bones around the Lisfranc joint complex have important mechanical and kinetic consequences on the plantar arch and phalangeal function. Even though the middle and the hindfoot work in unison as a lever during the push-off phase of gait, the first ray has to act individually as a strut, inducer, and stabilizer for the deformable lever of the remaining toes, stabilizing the first metatarsophalangeal (MTP) joint, augmenting the windlass mechanism, leading to the propulsive, balance, and impulsion functions of the foot. Hence, Lisfranc joint injuries, the repeated ligamentous failure at that site in high-level athletes, and the resultant instability of the complex may have deleterious effects on the whole foot and the gait cycle. The Lisfranc joint represents the bony and ligamentous connection between the forefoot and the midfoot and is essential for the maintenance of a stable and functional foot. The Lisfranc complex includes the three cuneiform bones, the second through the fifth rays and the metatarsal basements, and it is maintained by a series of plantar, interosseous, and dorsal ligaments, which act in a coordinated way with the extrinsic and intrinsic flexor and extensor musculature. This structure allows the transmission of weightbearing forces from the hindfoot to the forefoot, the ligamentous recoil after foot strike, and the customized bone movement pattern and tendon glide during the midstance, push-off, and swing phases of the gait cycle. The unique functional preparation and ligamentous connections between the Lisfranc joint bones are responsible for the nonaxial configuration allowing the propulsive Key Components: Metatarsal Bones and Tarsometatarsal Joints Tarsometatarsal joints include the joints between the M1 and the tarsal bones including the medial cuneiform (MCC), the second tarsometatarsal joint between the M2 and the central cuneiform (CC), the tarsometatarsal joint between the M3 and the lateral cuneiform (LC), and so forth. However, the first tarsometatarsal joint (M1 and MCC) and the second tarsometatarsal joint (M2 and CC) are often cited in different studies, as they represent where most traumatic Lisfranc injuries occur. The foot consists of five metatarsal bones, as named and numbered from medial to lateral: the first metatarsal (M1), the second metatarsal (M2), the third metatarsal (M3), the fourth metatarsal (M4), and the fifth metatarsal (M5). Each of the metatarsal bones connects to the tarsal bones on the posterior part of the foot via what is known as the tarsometatarsal joints. A joint is where two bones are attached and provides the bone with flexion and extension mobility. In this region, the tarsometatarsal joint is also known as the Lisfranc joint. Mechanism of Injury and Etiology The high energy and commonly axial load to the foot that causes a Lisfranc injury are often secondary to a motor vehicle collision or a fall from a significant height. A low energy mechanism of injury includes a twist to the fixed foot with weight placed on the heel, such as the foot caught in a stirrup while trailing or being thrown from a horse. Although direct force is not commonly seen as a leading cause, direct force from an assault like the foot placed on a potential victim does occur and direct force from industrial crush or injury is also seen. The severity and direction of the force sustained dictates the resultant pathology and required treatment modalities. Acute injuries usually occur in young to middle-aged males secondary to a high energy trauma. The chronic form is more common in middle-aged females and older adults. The type of injury is also influenced by the integrity of the bones. The reduction of anatomic structures and the maintenance of fixation can only be established when bony fragments are large enough and structurally sound. The severely weakened and fragmented osteoporotic bone seen in the elderly compromises the fixation because underfunctional fixation implants may be required, which ultimately do not contain or address the injury. Spontaneous necrosis of the tarsometatarsal joint complex is a rare entity that occurs in adults without major trauma or history of radiation therapy. Most patients present with vague symptoms and the bizarre radiographic appearance and unlamentable history of many of the patients makes this disease process easy to manage when performed in a teaching institution. High Energy Trauma and Soft Tissue Damage The second factor influencing the decision-making was, of course, the surgeon's specific hypothesis and treatment technique in the individual case. All of the participating surgeons possessed thorough expertise in harm, microsurgery of vessels and nerves, as well as cruciate ligament reconstructions. The combination of relevant morphological characteristics (high-velocity trauma, soft tissue damage) as well as different surgical techniques (long dorsal plate, screw versus screw and plate osteosynthesis) has led to the situation that the fact its influence on a given fracture might be neglected in some reports. As this particular research was conducted solely by the investigators specialized in foot surgery, the above-mentioned factors were not present in this study, while it was devised to focus only on the intraoperative axis assessment. All axis cephalo-caudal deviations were noted. The frequency and character of other intercarpal fracture-dislocation injuries were described previously. This study aimed to compare the frequency of unequal contribution of each axis between conventional and lockable plates. Differences reflect population variability. We performed a retrospective comparison of radiographic parameters in a large series of patients who had sustained bilateral Lisfranc fractures or dislocations. In each patient, one Lisfranc fracture or dislocation was fixed with a conventional plate; the other, using a locking/compression plate. FormData were gathered for three tibial shaft fractures - the same collection used in previous publications. There were no statistical differences concerning the patient's age or sex. The fracture characteristics were similar (open versus closed harm, AO, and Gustilo classification, the severity of soft tissue damage). Diagnosis through Physical Examination and CT Scan Physical examination should include careful evaluation of the injured foot as well as the contralateral foot. Swelling and ecchymosis about the midfoot, as well as plantar ecchymosis near the base of the first metatarsal, are often observed. On physical examination, they do not have problems moving their toes, but they do have pain when moving the bones behind the toes (when doing this type of examination, the examiner is typically moving the patient's toes upwards to force the metatarsal heads to compress the midfoot from below). Upon clinical examination of the asymptomatic contralateral foot, such evaluation often reproduces the discomfort felt on the affected side. Such suspected injuries should be immobilized and deemed non-weight-bearing, with further evaluation via radiologic studies. Overall, the diagnosis of these injuries usually involves the utilization of radiographs, including weight-bearing series. The diagnosis of Lisfranc fracture-dislocations can be challenging. Moreover, these injuries can often be missed at the initial examination. Typically, a patient walks in with an abduction force (usually a twist) which injures the transverse forefoot metatarsus. A high index of suspicion is essential. Patients with ligamentous Lisfranc disruptions complain of significant pain, and the foot is often deformed. Non-weight-bearing on the affected side is generally observed, but those who are able to walk may do so with a suggestion of being on their toes. Ecchymosis and swelling may or may not be present. Both the dorsal aspect of the midfoot and the plantar aspect of the midfoot are often relatively spared of cutaneous bruising. Signs and Symptoms of a Lisfranc Injury Walking is difficult and there is usually a substantial limp. If you have a primary concern for a Lisfranc injury, don't consider it a simple sprain because any delay in diagnosing and treating a Lisfranc fracture-dislocation may have long-term, debilitating consequences. The best person to recognize a Lisfranc injury is a specialist in orthopaedic surgery because they have experience treating these uncommon but complex injuries. About 20% of cases are not diagnosed, resulting in an unstable foot with chronic pain and swelling. It is always best to seek the aid of a competent healthcare professional who has experience diagnosing and treating this kind of injury. A flawed treatment plan for a Lisfranc injury provides a poor outcome, resulting in long-term pain and a destabilized midfoot. A Lisfranc injury is very painful and can be confused with simple sprains, but the injury to the ligament complex is severe and might include many damaged structures. Pain and swelling develop immediately after the injury and may disappear later. Bruising of both the top and bottom of the foot occurs, which is a useful physical sign to help the doctor diagnose a Lisfranc injury. Flat bones (tarsals) in the midfoot may be crushed after releasing some or all of the ligament's attachments. It is important for the doctor to understand how the injury occurred to assess patterns of potential ligament disruption that aid in directing repairs for the resulting instability of the midfoot. Physical Examination and Diagnostic Imaging As for diagnostic imaging, the preferred primary modality... --- - Published: 2024-06-19 - Modified: 2025-07-02 - URL: https://www.theorthopaedicandpainpractice.com/understanding-and-treating-elderly-knee-pain/ - Categories: Articles by Doctor - Tags: best medicine for knee pain in old age, elderly knee pain, elderly knee pain treatment, Joint Replacement, knee pain at night treatment, knee pain elderly, knee pain exercises for seniors, knee pain in elderly treatment, knee pain in elderly woman, knee pain in old age, knee pain in the elderly, Osteoarthritis, treating knee pain in elderly As we age, our bodies undergo various changes, and one area that often experiences the impact of these changes is our knees. Elderly knee pain is a common concern that many older adults face, and it can significantly affect their mobility and quality of life. In this article, we will delve into the complexities of elderly knee pain, explore its various causes, discuss treating knee pain in elderly available to provide relief and improve the overall well-being of older individuals, and exercises for seniors. Risk Factors of Knee Pain in the Elderly (Source:https://www. freepik. com/free-photo/elderly-man-sitting-sofa-home-touching-his-painful-knee-people-health-care-problem-concept-unhappy-senior-man-suffering-from-knee-ache-home_28002875. htm#query=knee%20pain%20in%20the%20elderly&position=0&from_view=search&track=ais) Age and Gender Knee pain is a common symptom that is more prevalent in older adults. Knee pain is usually caused by degeneration of the joint (often a result of a prior injury) and is more common in older patients. 1 Women are two to three times more likely than men to report having had knee pain or stiffness in the past 6 months. 2 Data from the National Health Interview Survey, United States, 2006, showed that self-reported prevalence of doctor-diagnosed arthritis increases with age, and was 49. 7% among those 65 years or older. 3 Another study examining the prevalence of radiographic knee osteoarthritis in the elderly from Framingham, Massachusetts showed an age-adjusted prevalence nearly of 40%. 4 This emphasizes the burden elderly patients experience from chronic knee pain. Women showed a higher prevalence of knee OA than men (47% vs 34%). 4 Among women, the prevalence of knee OA was higher for African Americans compared with Caucasians. Osteoarthritis is a significant cause of mobility disability among elderly persons in the United States. Data from the 1990s indicated that about 80% of those with knee OA had some limitation in movement, and 25% could not perform their major daily activities. 5 With a greater number of older adults still working and remaining active compared with previous generations, 6 the number of adults with symptomatic knee OA is likely to increase over the next decade. Obesity Obesity is a significant public health issue worldwide and the number of obese individuals is still increasing. It is a condition of excessive body fat and this can be defined by using the body mass index or BMI. Obesity places a biomechanical burden on the knees and it has been postulated that the force across the knee joint is increased three to six times higher than body weight in obese individuals during normal daily activities. This increased force is detrimental to the knee joint and over time it can cause degenerative changes to the articular cartilage in the joint and subchondral bone which may lead to osteoarthritis. Increased fat mass can also lead to weakening of the quadriceps muscle due to the increased mechanical load placed on it, and this can also be detrimental to knee joint loading and may lead to an increased risk in developing knee pain and osteoarthritis. Studies have shown that weight loss can significantly reduce the risk of knee osteoarthritis and if a cause and effect relationship between weight loss and symptomatic relief in knee osteoarthritis is established, this will present an opportunity to prevent and treat knee osteoarthritis through weight loss and management of obesity. This could lead to a reduction in national disease burden and a more cost-effective use of healthcare facilities. Previous Knee Injuries The inflammation caused by repeated injury to a knee or to several joints can lead to the development of osteoarthritis. This may occur several years after the initial injury to the meniscus (cartilage) in the knee. Meniscal lesions occur frequently, often as the result of a twisting injury to the knee. High levels of damage occur in sport-related activity where sudden changes of direction, the need to stop abruptly, and direct contact are common. The phrase "sports injury" is often related to loss of function in joints and development of osteoarthritis later in life. In a more elderly population, it has been shown that those who have suffered a knee injury that required non-bone surgery are four times more likely to develop osteoarthritis in later life. It is widely accepted that knee OA can develop in younger individuals over a number of years following a significant knee injury. This does not mean to say that everyone with a knee injury will develop knee OA, but the risk of doing so is significantly increased. This increased risk of developing knee osteoarthritis among those with previous knee injuries creates a high level of relevance to the understanding and also the preventing of arthritis in the knee. Due to the significant damage caused by injuries to the knees and the high risk of developing knee OA, attention should be taken to attempt to slow down or prevent the progression of damage to the knee joints in those with previous knee injuries. Commonly Affected Population (Source:https://www. freepik. com/free-photo/old-patient-close-up_7591732. htm#query=knee%20pain%20in%20the%20elderly&position=7&from_view=search&track=ais) In the group of those who have had a previous traumatic knee injury, athletes and active individuals remain a high risk group for developing knee pain, especially knee osteoarthritis. The risk of developing knee osteoarthritis post anterior cruciate ligament (ACL) tears has been reported to be from 50-100%. Considering the fact that roughly 200,000 ACL injuries occur annually in the United States, it poses a significant problem. The prevalence of knee osteoarthritis for individuals with isolated meniscal tears is estimated to be 25% at 10-20 years post injury, a rate that is 5 times that of the general population. Any kind of malalignment, ligament injury, or meniscal injury present in athletes and active individuals predisposes them to developing knee osteoarthritis. Elderly individuals are at a high risk for developing knee pain due to the biological and degenerative changes that occur with aging. It is estimated that 30% of men and 56% of women suffer from knee pain, with osteoarthritis being the most common cause of painful knees in those aged 50 and older. Knee osteoarthritis can lead to pain, stiffness, and decreased function and mobility, all of which prey on the independence of elderly individuals. It exacts a heavy toll, impacting the ability to perform both basic and complex motor functions. Reduced mobility further exacerbates the sedentary lifestyle that many elderly individuals have already adopted, and promotes the cycle of disability. Elderly Individuals Elderly individuals are among the most commonly affected by osteoarthritis, as it is estimated that 50% of people aged 65 or older develop symptomatic osteoarthritis in at least one joint (Lawrence et al. 1998). The knee joint is the most common site of pain, as approximately 7-16% of the elderly population have symptomatic knee pain (Cooper et al. 2000), and when seeking treatment for this ailment, it is estimated that the elderly make up 83% of visits to general practitioners (Jordan et al. 2003). The severity of knee pain is a troublesome issue with the elderly, as 37% report their knee pain is being a constant source of discomfort (Cooper et al. 2000), and 55% report severe pain and activity limitations (Hochberg et al. 2001). This restricted activity is a major concern, as physical functioning is essential for maintaining independence with the elderly, and those developing mobility limitations have an increased risk of developing disability and decreased quality of life (Katz et al. 2000). Overall, these statistics highlight the significant impact that knee pain has on the elderly, and the strong need for effective interventions to alleviate the pain and prevent further degeneration in this population. Athletes and Active Individuals The knee is known to withstand a force of 3 to 6 times a person's body weight while walking and even more while engaging in physical activities. Consequently, active individuals and athletes of any age are at risk for traumatic injuries and those that result from chronic overuse. For all athletes, the risk for knee injury is increased by physical activity that puts added stress on the knees. The most common knee injuries in athletes are tears in the menisci and ligament sprains and tears, most notably tears of the anterior cruciate ligament. These injuries are most often treated by some form of surgery and usually require extensive and prolonged rehabilitation efforts. A successful outcome in returning to full function and minimizing symptoms of osteoarthritis is somewhat dictated by the type of injury and the surgical procedure, but more strongly associated with the motivation and attitude of the individual athlete. On the other hand, a major knee pain outcome for most individuals in the general elderly population is total knee replacement, an option that is not typically sought out or desired for most older adults. Although there is some evidence to suggest that the functional and symptomatic benefits of joint replacement are similar in elderly compared to younger individuals, the general perception is that joint replacement is reserved for those in their late years. High hopes and desires to return to previous levels of physical activity and function from elderly individuals in comparison to athletes may point to lesser satisfaction with outcomes of disabling joint pain and wishes to consider more aggressive treatments. Individuals with Sedentary Lifestyles Demographics of knee pain in individuals with a sedentary lifestyle have been examined in a few research studies. The objective of the study by Corti et al. was to assess the prevalence, severity, and impact of knee pain among community-dwelling older adults who self-reported a sedentary lifestyle. In a case study of 1998 individuals aged 55-75, knee pain and disability were assessed using various surveys. Before the completion of surveys, all exercise and recreational activity was stopped for 7 days in order to better understand the symptoms of individuals with a truly sedentary lifestyle. Measures were scored and compared to similar data in the same surveys from individuals without activity limitations during age-matched time frames. Corti's study found that the prevalence and severity of knee pain in sedentary older adults is high compared to their non-sedentary counterparts. This group reported more pain, stiffness, and physical functional limitations related to knee pain. The Multicenter Osteoarthritis Group (MOST) suggests that a sedentary lifestyle is associated with a significant decline from normal to severe frequent knee pain over a brief 30 months in both women and men. Individuals in the Osteoarthritis Initiative (OAI) who decreased their physical activity levels from baseline were more likely to have further progression of their knee pain and a higher incidence of mobility disability two years later. These incidence rates were much higher than in individuals who increased their physical activity levels over the same time period. In a systematic review, Steultjens et al. found compelling evidence that low levels of physical activity are associated with the onset and progression of knee OA. Although an effective prevention strategy is undefined, it would seem intuitive for individuals with knee pain to attempt to avoid a sedentary lifestyle. Chronic Knee Pain and Osteoarthritis (Source:https://www. freepik. com/free-photo/young-blond-man-suffering-knee-injury-sitting-bed-bedroom_38936297. htm#query=knee%20pain%20in%20the%20elderly&position=15&from_view=search&track=ais) Symptoms and diagnosis of chronic knee pain and osteoarthritis Chronic knee pain is pain that persists beyond the normal time it takes for an injury to heal. It often occurs despite medical intervention and can affect the patient's quality of life. Chronic knee pain can be the result of a number of different issues or pathologies, with osteoarthritis being just one of the many possibilities. One of the most common symptoms of chronic knee pain is crepitus, a grating sensation that is felt and sometimes heard when the knee is flexed. Disability begins to become an issue with chronic knee pain, as it is a frequent cause of reduced muscle strength which leads to decreased function and decreased physical activity. Osteoarthritis is a frequently occurring pathology found in those who suffer from chronic knee pain. Osteoarthritis is defined as the degeneration of joint cartilage and the underlying bone, causing pain and stiffness. It is a clinical syndrome in which low-grade inflammation results in pain in the joints, caused by wearing of the cartilage which leads to bony overgrowth and the formation of osteophytes. Osteoarthritis is the most common form of arthritis and the... --- - Published: 2024-06-19 - Modified: 2025-07-26 - URL: https://www.theorthopaedicandpainpractice.com/understanding-knee-pain-and-how-to-manage-it-in-singapore/ - Categories: Articles by Doctor - Tags: knee injury, Knee Pain, Knee Pain doctor singapore, knee pain singapore, Knee pain specialist singapore, knee pain treatment singapore, orthopaedic surgery, Osteoarthritis, Physiotherapy Knee joint, the most complicated and the biggest joint of the body. It is more vulnerable to pain and swelling as it takes the entire body weight and acts as a shock absorber. According to a research conducted by NCBI, the prevalence of knee pain in Singapore is 22. 8%. Knee pain can be caused by sudden injury, an overuse injury, or by an underlying condition, such as arthritis. Treatment will vary depending on the cause. Symptoms of knee injury can include pain, swelling, and stiffness. As there are so many different structures in and around the knee, it is difficult to list all the possible injuries leading to knee pain and swelling. The location and severity of knee pain may vary, depending on the cause of the problem. Osteoarthritis is the most common cause of chronic knee pain. It occurs when the cartilage of the knee becomes damaged. The knee is actually not a simple hinge (like in a door) nor is it a pure sliding (like some machines). It is a rolling hinge. The related movement is a combination of flexion/extension and a small amount of medial/lateral rotation. Flexion and extension occur between the femur (capitulum) and tibia (tibial plateau). During closed chain motion, the femur rolls and slides anteriorly on the tibia during flexion and rolls and glides posteriorly during extension. And these patterns are reversed during extension. Overview of Knee Joint and its Functions The knee is a synovial joint, which means it is a joint surrounded by a capsule that contains lubricating synovial fluid. The major stabilizing muscles of the knee are the quadriceps muscles on the front of the thigh and the hamstring muscles on the back of the thigh. There are two types of cartilage in the knee. The menisci are the tough and rubbery shock absorbers between the bones. Articular cartilage is the smooth substance lining the bones which allows the bones to move against each other without causing damage to the bones. The knee is actually made up of four bones. The femur (thigh bone) articulates with the tibia (shin bone) at the tibiofemoral joint. The patella (kneecap) articulates with the femur at the patellofemoral joint. The fibula is the other bone in the lower leg. The joint where the femur articulates with the tibia is a hinge joint, and the joint where the femur articulates with the patella is a gliding joint. The remaining joint is the tibiofibular joint. An injury can affect any of the ligaments, bursae, or tendons surrounding the knee joint. Injury can also affect the ligaments, cartilage, menisci (plural for meniscus), and bones within the joint. The complexity of the design of the knee and the fact that it is an active joint are factors in making the knee one of the most commonly injured joints. Knee pain is a common complaint that affects people of all ages. Knee pain may be the result of an injury, such as a ruptured ligament or torn cartilage. Medical conditions including arthritis, gout, and infections also can cause knee pain. (https://pixabay. com/photos/knee-taping-massage-shoulder-human-2768834/) Knee Pain Singapore The National Population Health Survey in 1992 showed the overall prevalence of knee pain, measured either on a point prevalence or one-month prevalence basis, to be 26. 6% and 27. 7% in persons aged 18-69 years residing in private or public housing, respectively. In persons aged 70 years and older living in public housing, the prevalence increased to 46. 8%. A more recent community study, the National Health Survey in 1998, also reported a similar prevalence figure of 20. 6% for knee pain in the adult population aged 18-69 years. In women between 70-79 years, the prevalence was 42. 3%, which underscores how the prevalence of knee pain increases with age. Data for older individuals in Singapore has been derived from two studies. The first, a cross-sectional study by Chew and colleagues, reported the overall prevalence to be 26. 5% in community-dwelling people 65 years and older, with women having a higher prevalence of knee pain than men. Knee pain is a common musculoskeletal complaint, often related to the activities of daily living. It particularly affects older adults, with 25-30% of elderly adults experiencing pain at the knee, a rate higher than that for pain at any other joint. Knee pain can be affected by a variety of psychosocial and physiological factors, and the consequences not only include poor quality of life but also impairment and limitation of movement. In Singapore, various studies have reported the prevalence of knee pain in both adults and older individuals as being between 20-27%. Symptoms of Knee Pain Knee pain can manifest alongside a range of diverse symptoms, varying from person to person. These symptoms encompass swelling, which can arise immediately after injury or gradually from extended use, often indicating internal knee issues; painful clicking sounds, potentially signifying torn structures like cartilage or meniscus, though painless clicking is common and generally harmless; knee stiffness, occasionally linked with swelling but sometimes occurring on its own, usually signalling an underlying serious knee problem; a sensation of the knee easily giving way, prevalent in those with ligament injuries or weakened muscles from inactivity; and instances of the knee becoming locked in one position, frequently attributed to meniscus tears. The loss of knee function becomes especially noticeable during activities such as stair climbing or squatting, rendering such actions difficult or impossible for individuals with knee problems. Causes of with Knee Pain Another common knee injury is an anterior cruciate ligament (ACL) injury. This usually occurs in a sports injury with a sudden twisting movement. People often hear a popping sound and the knee will suddenly give way. This may be quite painful and cause the knee to swell. This type of injury is not limited to only sports and can also occur in the elderly due to the degeneration of the ligament. An acute injury may cause bleeding into the joint, resulting in swelling and severe pain. The most common injury is a broken bone, which can cause continuous pain even when the patient is resting. A meniscus tear will also cause pain and swelling in the patient's knee. A tear can lead bits of meniscus to interfere with the normal functioning of the knee, causing it to 'give way', particularly if the knee is in a twisted position. This can cause looseness from the swelling due to weakness in the quadriceps. The 'give way' feeling often leads to further injury of the knee and/or secondary injuries in other joints. Knee pain and swelling can be due to many different causes, ranging from an injury to a medical condition. It is something that is very common and can happen to anyone. (https://www. freepik. com/free-photo/3d-render-male-medical-figure-with-close-up-knee-bones_12215991. htm#query=knee&position=1&from_view=search&track=sph) Understanding the diagnostic process The physician first takes a detailed medical history. You will be asked to explain the type of pain you are experiencing, when the pain started, the mechanism of injury, and how the pain has affected your lifestyle and activity level. The answers to these questions provide important information that will help the physician make a diagnosis. If the knee swells, it is useful to remove the accumulated fluid by aspirating it with a needle. Analysis of the fluid is helpful in diagnosing the problem. A plain x-ray may be taken in the office to help determine the nature of the problem. MRI is a non-invasive test that can provide a thorough 3-dimensional picture of the knee joint. This can help diagnose problems that do not show up on x-ray, and can be useful in determining the best course of treatment. A consultation with the surgeon is necessary for a thorough evaluation of the knee problem. The surgeon can interpret the diagnostic studies and use them, along with a physical exam, to determine the best course of treatment to alleviate the knee pain. Importance of consulting an orthopaedic surgeon Orthopedic surgeons have specialized training in treating knee problems, great and small. There is a common misconception that all orthopedic surgeons are the same. To put it simply, this is not the case. This is a group of medical professionals with a broad range of experience and training. It is to your advantage to find one who has specific training and experience in the diagnosis and treatment of knee problems. Studies have shown that patients who get a second opinion before surgery have better outcomes and in some cases, surgery can be avoided altogether. Various studies have indicated that a large number of patients who seek orthopedic care do so unnecessarily. In these instances, pain can often be managed with simple measures to increase function. Step one in considering surgery is to determine the feasibility of non-operative versus operative treatment. Whatever the decision, the patient and the doctor should explore all options. This is an informed decision-making process based on a clear understanding of the treatment options, and the risks and benefits associated with each option. A surgeon who is skilled in the diagnosis and non-operative treatment of knee problems has a diverse "toolbox" from which to select the best treatment option for each individual. Duration of recovery from any given surgery can vary. A patient who has a good understanding of what to expect during the recovery process, and what the realistic goals are for recovery, is more likely to be satisfied with the final outcome. Knee Pain Treatment Singapore Options for nonsurgical interventions include a wide range of treatments from the very basic to more involved procedures. The simplest form of nonsurgical care is the use of an assistive device such as a cane or single crutch. This can offload the affected area and serve to reduce pain. Weight loss has also been proven to be an effective way to reduce symptoms of knee OA. Studies indicate that for every pound lost, there is a fourfold reduction in load exerted on the knee for each step taken. This provides an enormous benefit to the patient as the load exerted on the knee across a normal day is estimated to be at least three to six times body weight. This means that a five pound loss would reduce the load exerted on the knee by 15-30,000 pounds in just one day. Weight loss can be achieved through diet and exercise programs or by involvement in more formal weight loss programs. High quality evidence exists for the use of a structured exercise program to improve pain and function in patients with knee OA. This can include aerobic, resistance, or aquatic-based programs and it may be most beneficial to have these programs supervised by a physical therapist. Step one of the treatment of knee OA would also involve a comprehensive education and self-management program. This should be integrated into all aspects of nonsurgical care and the patient should be actively involved in making all decisions about their care. This is important due to the chronic nature of knee OA and the fact that there is no cure. What may be effective once can differ from what is effective at another time. Finally, various medications and bracing options are available, and often serve as adjuncts to primary nonsurgical interventions. While some patients might be more inclined to agree to a non-operative method for their care, it is also known that some patients may switch from operative to non-operative interventions for the treatment of their knee condition. This could be due to various reasons, such as changing circumstances in their life, insurance considerations, or personal choice. It is also logical to assume that a patient who has undergone a surgical intervention for their knee pain would also benefit from some of these treatment options during their rehabilitation phase. Surgical interventions for knee pain management Realignment osteotomy: This procedure is typically considered in younger, more active individuals who have a specific type of leg alignment problem that leads to wear on mainly one side of the knee. It is a surgical procedure where a cut is made into... --- - Published: 2023-10-11 - Modified: 2025-07-26 - URL: https://www.theorthopaedicandpainpractice.com/treatment-options-for-lower-back-and-knee-pain/ - Categories: Articles by Doctor - Tags: effective treatment options, Interventional Pain Procedures, Knee Pain, lower back and knee pain, lower back and knee pain treatment, lower back pain, pain management, treatment for pain back of knee Lower back and knee pain significantly impact the quality of life for those suffering from them. There are several treatment options available, ranging from less invasive to more extreme measures, that help manage these conditions. This discussion will focus on commonly used therapies for alleviating back and knee pain. Comprehending the Pain (Source:https://www. freepik. com/free-photo/profile-portrait-man-laptop-stretching-backache-position_1281138. htm#page=2&query=lower%20back%20pain&position=44&from_view=search&track=ais) Lower back pain can torment individuals, causing them to adjust their mobility and potentially putting other body parts at risk. This can increase knee pain and restrict movement and flexibility, worsening spinal discomfort. Tight hamstring muscles frequently contribute to knee pain, leading to injury and further spinal problems for those affected. Moreover, if someone already has difficulty walking due to knee pain, it can strain the lower back even more, resulting in additional discomfort. Here are several conditions correlated with lower back and knee pain: The affliction known as sciatica, influences the sciatic nerve. This nerve holds vital sway over muscle command in the lower limb and knee, as well as sensation in certain leg regions. Sciatica often leads to sharp pain or a feeling of weakness starting in the lower back and spreading through one leg, making it quite uncomfortable for people experiencing it. Arthritis is mainly of two kinds: osteoarthritis and rheumatoid arthritis. These can make your joints hurt and swell, and it's something you might see more often as you get older or if you've been really active. This may lead to spinal pain when walking becomes challenging. Studies suggest that a notable fraction of the populace will encounter back pain episodes, typically due to physical injury or prolonged periods of suboptimal posture, especially while seated at a workstation. Observations have also shown that spinal pain frequently precedes knee pain in individuals over 50, indicating a clear correlation between the two maladies. Moreover, it has been observed that spinal pain often heralds knee pain in people aged 50 and above - suggesting a connection between these issues. (Source:https://www. freepik. com/free-photo/man-bent-her-head-grabbed-him-her-after-exercise_8351815. htm#query=knee%20arthritis&position=2&from_view=search&track=ais) Treatments for Lower Back Pain Lower back pain is a pretty common problem, and luckily, there's more than one way to deal with it. Treatment options can be medicine, making better health choices, physio, ways to handle pain, and even surgery if nerves are squished or spines need to be steadier. Treatments for Knee Pain Making sure you deal with your knee pain the right way is important. There's a bunch of choices you've got. This could be going for an operation or trying out minimally invasive treatments. Changing up how you live day to day could make you feel better. Wearing a knee brace can help hold everything in place. If moving around is tough, physical therapy can get you going again. If you play sports and have a bad ligament, surgery could fix it, while another kind of surgery, called arthroscopic, is good for fixing torn knee parts like meniscus or cartilage. If arthritis has really messed up your knee, you might need to get the whole knee replaced. What you go for all depends on what you personally need and the state of your knee. Conservative Treatment Options Physiotherapy Physiotherapy is a helpful way to treat people who have back and knee pain. Therapists use special exercises, hands-on methods, and things like heat and cool packs to ease pain and help patients move better. Studies show that physiotherapy is good at lowering long-lasting back pain. This custom, gentle way really tackles pain and helps a person feel better all around. Exercise Making exercise a part of your daily life is a great way to help ease pain in your back or knees. When you stay active, your muscles get stronger, you become more flexible, and swelling in those sore spots can go down. A lot of research points to the fact that folks with constant back pain feel a lot better when they exercise regularly. It's a handy and smart way to take care of your health. Weight Loss Starting a journey to lose weight can help ease back and knee pain, which is particularly helpful for people with osteoarthritis. Carrying extra pounds adds more strain on the joints, which can make pain and swelling worse. Research that looked closely at different studies found that when adults with arthritis in their knees lose weight, they have less pain and can move better. Getting to a healthier weight is really good for people with pain in their joints. It can help you move more easily, hurt less, and overall, just make you feel a whole lot better. If joint pain is a problem for you, shedding some pounds could really improve your life. Medications If you're dealing with back or knee pain, there are several medicines that can help ease your discomfort. You can get Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) without a prescription, and they're good at bringing down both pain and swelling. You can also pick up Acetaminophen from the drugstore; it doesn't fight inflammation, but it can help with the pain. If you have really bad pain, doctors might suggest opioids. These are strong and can be habit-forming, so it's important to use them just like a doctor tells you to. Invasive Treatment Options Injections Back and knee pain can really put a damper on your day, but getting shots right in the sore spot can help a lot! This helps with pain and swelling. But remember, this isn't a do-it-yourself kind of thing—you'll need a professional who knows what they're doing to give you these shots. Also, your doctor should check you out first to make sure this treatment is right for you. When it comes to treating sore knees, doctors have a few different types of shots they can use. Corticosteroid shots are common for bringing down swelling and pain in the knee for a short time. Hyaluronic acid shots help by using a substance that's naturally found in our joints to make them slide smoothly and hurt less. There's also something called PRP, or platelet-rich plasma, where they take some of your own blood that's full of special cells called platelets and put it back into your knee. These platelets are like tiny healers that can help fix the damage and calm down the swelling. Surgery If you've tried many treatments for back or knee pain but still hurt, surgery might be the next step to think about. For back pain, one surgery type is called spinal fusion, and for knee pain, there's a surgery called total knee replacement. Spinal fusion and knee replacement surgeries are done to help with different kinds of pain. In spinal fusion, doctors join the bones in the back together to help with pain from worn-out discs or a narrow spine. Knee replacement surgery puts in a fake knee joint to take care of really bad knee pain from arthritis. Healthcare providers have a range of management options for spinal and patellar discomfort. These include conservative methods like physiotherapy and exercise, as well as more invasive interventions such as injections and surgery. The appropriate treatment mode depends on factors like the cause of the pain, its severity, and the patient's overall health condition and preferences. Collaboration with a healthcare provider is essential to create a personalized treatment plan that aligns with individual needs. Frequently asked questions: What causes lower back and knee pain, and why do they often occur together? Muscle strains, arthritis, injuries and poor posture often cause the simultaneous occurrence of lower back and knee pain. This is primarily due to their close anatomical connection. Are there any lifestyle changes I can make to alleviate lower back and knee pain? Adopting a healthy lifestyle indeed provides assistance: maintaining good posture; regular exercise; avoidance of heavy lifting, and weight management – these collectively reduce stress on your joints. What non-invasive treatments can I try before considering surgery? Explore physical therapy, pain medications, lifestyle modifications and hot/cold therapy; these methods frequently offer non-surgical relief. When is surgery necessary for lower back and knee pain? When conservative treatments prove ineffective, or in the presence of structural issues such as herniated discs or severe arthritis, surgery becomes a viable consideration. A specific assessment of your condition will be conducted by your doctor. How can I determine which treatment options are best for my specific condition? Consult with a healthcare provider; they will assess your condition, review past medical records--and understand your objectives: this aids in the creation of a personalized treatment plan. What role does exercise play in managing lower back and knee pain? Exercise fortifies muscles; enhances flexibility and mitigates pain. It is an indispensable aspect of our well-being. Are there any long-term strategies to prevent recurring lower back and knee pain? Maintaining a healthy lifestyle through regular exercise and ongoing self-care indeed prevents recurrent pain. Essential to this endeavor are proper ergonomics and weight management--two factors that should not be overlooked. References: https://www. mayoclinic. org/diseases-conditions/knee-pain/diagnosis-treatment/drc-20350855 https://www. medicalnewstoday. com/articles/lower-back-and-knee-pain https://www. sciatica. com/from-the-doc/9-treatment-options-for-lower-back-pain/ Dr Yong Ren’s Profile Dr Yong Ren graduated from the National University of Singapore’s Medical faculty and embarked on his orthopaedic career soon after. Upon completion of his training locally, he served briefly as an orthopaedic trauma surgeon in Khoo Teck Puat hospital before embarking on sub-specialty training in Switzerland at the famed Inselspital in Bern. He underwent sub-specialty training in pelvic and spinal surgery, and upon his return to Singapore served as head of the orthopaedic trauma team till 2019. He continues to serve as Visiting Consultant to Khoo Teck Puat Hospital. Well versed in a variety of orthopaedic surgeries, he also served as a member of the country council for the local branch of the Arbeitsgemeinschaft für Osteosynthesefragen (Trauma) in Singapore. He was also involved in the training of many of the young doctors in Singapore and was appointed as an Assistant Professor by the Yong Loo Lin School of Medicine. Prior to his entry into the private sector, he also served as core faculty for orthopaedic resident training by the National Healthcare Group. Dr Yong Ren brings to the table his years of experience as a teacher and trainer in orthopaedic surgery. With his expertise in minimally invasive fracture surgery, pelvic reconstructive surgery, hip and knee surgery as well as spinal surgery, he is uniquely equipped with the tools and expertise necessary to help you on your road to recovery. Comprehensive Lower Back and Knee Pain Treatment That Delivers Relief Integrated Orthopaedic Solutions to Restore Mobility and Reduce Discomfort If you're experiencing lower back and knee pain, you might find it hard to walk, sit, or even climb stairs without discomfort. At The Orthopaedic & Pain Practice, we approach these interrelated issues with comprehensive treatment plans designed to treat both areas simultaneously. This holistic approach considers how posture, gait mechanics, and muscle imbalances can contribute to pain in both the back and knees. Our care protocols often include diagnostic imaging, targeted physiotherapy, weight-bearing correction, joint-friendly strengthening exercises, and pain-relieving interventions such as guided injections or shockwave therapy. For patients whose conditions warrant it, we may also recommend regenerative or minimally invasive alternatives. By addressing both the lower spine and knee joint in tandem, we enhance alignment and functionality while reducing compensatory stress—so you can move more comfortably and with confidence once again. knee pain treatment singapore Trusted Knee Pain Treatment in Singapore for Effective Relief Modern Orthopaedic Care Tailored to Your Lifestyle and Knee Condition Persistent knee pain—from arthritis, meniscus tears, tendonitis, or ligament damage—can significantly affect your quality of life. At The Orthopaedic & Pain Practice, we offer expert knee pain treatment in Singapore that’s tailored to your specific condition and daily needs. Our orthopaedic team uses advanced diagnostics, non-invasive treatments, and regenerative therapies to help you regain strength and mobility. Your personalised plan may include clinical assessment, targeted physical therapy, viscosupplementation, PRP injections, or minimally invasive surgeries when warranted. We emphasize conservative care first, reserving surgery only for cases where it's most beneficial. Whether you're managing age-related wear and tear or recovering... --- - Published: 2023-10-10 - Modified: 2025-07-26 - URL: https://www.theorthopaedicandpainpractice.com/understanding-neck-pain-and-effective-treatments/ - Categories: Articles by Doctor - Tags: back and neck pain treatment, Cervical Spine, Interventional Pain Procedures, neck pain, neck pain treatment medicine, Pain Relief, treatments for neck pain Neck pain is a common encounter that disrupts our daily lives but you can do something about it. Comprehending neck pain and the available remedies are the key to relief. This article will show different treatments for neck pain, so that you can be ready if it happens. Demystifying Neck Pain: Understanding the Causes and Triggers (Source:https://www. freepik. com/free-photo/back-view-man-stretching-while-working-from-home_11785941. htm#query=neck%20pain&position=3&from_view=search&track=ais) Before looking into the causes of neck pain, let's understand the anatomy of your neck. The neck is composed of muscles, ligaments, bones, and discs that work together to support the head and permit movement. Muscle tension, which can be caused by stress, excessive use, or poor posture, is a common cause of neck discomfort. When we hunch over screens for extended periods or carry heavy bags on one shoulder, our neck muscles can become strained. Sometimes, neck pain results from injuries or trauma. Trauma caused by accidents, falls, or sudden impacts can have a considerable impact on the delicate structures of the neck. This can result in a chain reaction, with the cause of the initial incident leading to further pain and distress. Certain medical issues can also be a factor in neck pain. Conditions like herniated discs, osteoarthritis, or even infections can be the culprits. It's like a subplot in the story of neck pain – these hidden factors can complicate the picture, requiring specialized attention. The Impact of Lifestyle on Neck Pain: Unveiling Everyday Culprits (Source:https://www. freepik. com/free-photo/woman-having-neckache-as-she-works-home_11905131. htm#query=neck%20pain&position=8&from_view=search&track=ais) In today's digital age, screens are our constant companions. Whether it's hunching over a computer at work or scrolling through our smartphones, poor posture can be a significant contributor to neck pain. We have to face a daily challenge between technology and the comfort of our necks. Not only do we tend to carry around more weight in one shoulder than we realize in the form of handbags or backpacks, but this uneven weight distribution can lead to strain on the neck and shoulder muscles over time. Our bodies often struggle to adjust to the burden. Additionally, even how we sleep can have an effect on our neck health. Sleeping with an awkward head position or on a pillow that doesn't support your neck's natural curve can lead to discomfort. Your neck needs proper support when you sleep. When we are feeling stressed, it can often show in our body in different ways, one of which is neck pain. This is because our muscles, including those in the neck and shoulders, can become tight when we are under pressure. It's like a silent partnership between our emotions and our physical well-being. Neck Pain vs. Chronic Pain: When Should You Seek Professional Help? Let's start with the everyday neck pain we all encounter from time to time. It comes, disrupts your day for a while, and then fades away. Neck pain is often associated with improper posture, tension in the muscles, or excessive exertion. It's your body's way of asking for a break. Consider the possibility that the pain remains in your life and does not go away. This is where neck pain starts to cross into chronic territory. Chronic neck pain is like the never-ending rain – it doesn't let up, affecting your daily routine, sleep, and overall well-being. It is advisable to seek medical help if your neck pain persists for a long time. The doctor can identify the source of your discomfort, such as herniated discs, osteoarthritis, or nerve compression, and then create a tailored plan to help relieve it. To avoid worsening the pain, it is important to take steps to prevent it from becoming a chronic issue. A neck pain treatment doctor is your guide on your journey to relief. They're not just there to diagnose; they're your partners in recovery. If your neck pain does not go away or gets worse, they can offer experienced advice, ranging from non-invasive treatments such as physical therapy to more specific interventions if needed. Beyond Medication: Non-Invasive Approaches to Neck Pain Relief There are a variety of methods which can be utilized to diminish neck soreness without resorting to surgery or other forms of invasive treatments. These strategies concentrate on the underlying cause of the issue and allow individuals to take part in their own healing process, giving them greater control over their neck health. Physical Therapy - A tailored exercise program for the neck can be created by a professional therapist. Specific exercises and stretches can be used to build strength and improve flexibility in the neck muscles. It's like giving your neck the training it needs to become pain-free. Exercise - They focus on strengthening specific muscles, improving posture, and reducing strain. It's like building a fortress – these exercises create a protective shield around your neck, preventing discomfort from sneaking in. Ergonomic Workspace - Sometimes, it's not your neck; it's your surroundings that need adjustment. Ergonomic changes to your workspace, computer setup, and even your sleeping arrangements can make a world of difference. Think of it as creating a sanctuary for your neck to thrive. The Role of a Neck Pain Treatment Doctor: Your Partner in Recovery A neck pain treatment doctor will listen without judgment. They understand that your experience of pain is deeply personal and unique. They'll ask about your symptoms, your daily routines, and even the emotional toll neck pain may be taking on you. It's like having a conversation with someone who genuinely cares about your well-being. Diagnosing neck pain isn't always straightforward. It's often a blend of science and deduction. These doctors will assess you carefully from your history, physical examination, and sometimes diagnostic tests like X-rays or MRIs. They're determined to uncover the root cause of your pain. After the diagnosis, they will craft a personalized treatment plan tailored to your specific needs. It's like having a custom-made roadmap to recovery, with each step designed to alleviate your discomfort. A neck pain treatment doctor believes in non-invasive solutions whenever possible. They'll often start with therapies like physical therapy, chiropractic care, or therapeutic exercises. Medication or surgery is usually considered a last resort. Holistic Wellness: Lifestyle Adjustments for a Pain-Free Neck Although there are various medical treatments available for neck pain, sometimes changing some things in your lifestyle can do the trick. This could also help prevent neck pain in the future. Let's cover some of the most helpful lifestyle changes that can be implemented to alleviate neck pain. Posture - When you sit, stand, or walk with proper posture, you're ensuring that your neck's alignment is in sync. Your neck will also be at ease when you have proper posture all the time. Workstation Ergonomics - If you spend hours at a desk or computer, your workspace will feel tired as well. Adjust your workstation ergonomics to support your neck's comfort. Your neck deserves comfort while you work. Pillow - Your pillow is like a loyal companion for your neck during the night. Choose one that supports your neck's natural curve. It's like having a trustworthy friend who knows just how to make you comfortable during your rest. Hydration - Making sure to drink adequate fluids is essential for providing the nourishment your body, including your neck, needs to stay healthy. This is an easy and important part of your regular routine. Experiencing neck pain can be a difficult and challenging situation, with the potential to impact daily activities and reduce quality of life. Thankfully, the majority of causes of neck pain can be taken care of from home and the condition may eventually improve. Various forms of management can be considered in treating neck pain, such as medications for pain relief, muscle relaxants, exercise, stress reduction methods, and stopping smoking. In more serious conditions, surgery may be an option, but it is essential to weigh the potential risks and advantages before making a final choice. To reduce the chances of neck pain, it is important to keep up good posture, stay active, and abstain from activities that may be a source of pain. Should you experience neck pain, seek medical consultation as soon as possible if it is due to an accident or a fall, or if it is accompanied by numbness or tingling in your arms and legs. Frequently Asked Questions: What causes neck pain, and why does it happen? Pain in the neck area can be caused by a variety of sources such as incorrect posture, muscle tension, injuries, or medical issues. This is due to the delicate nature of the structures in the neck region. When should I seek professional help for neck pain? If you have been experiencing neck pain for an extended period of time, have noticed an increase in its intensity, or are dealing with additional symptoms such as numbness or lack of strength, it is recommended to seek medical advice. Are there non-medication options for managing neck pain? Absolutely! Alternative treatments for neck pain include physical therapy, exercise regimens, and changes in lifestyle to try to identify the source of the discomfort. Is neck surgery necessary for treating neck pain? Surgery is typically considered a last resort for neck pain. Most cases can be managed with non-invasive treatments. Surgery is only recommended when conservative methods fail. Can stress and emotional well-being affect neck pain? It has been suggested that stress can lead to increased muscle tension, which could potentially exacerbate neck pain. However, utilizing mind-body techniques such as meditation and relaxation exercises may be beneficial in managing both stress and neck pain. How long does it take to see improvement with neck pain treatment? Improvement timelines vary, but many people experience relief within a few weeks of starting treatment. It depends on the severity and underlying cause of your neck pain. Can I continue with my regular activities while undergoing neck pain treatment? In many instances, it is possible to stick to your regular daily activities, though your physician may suggest changes to stop your neck discomfort from becoming worse. What can I do to prevent future neck pain after treatment? Making changes to your habits, such as having good posture, remaining active, and controlling stress, may help to prevent future neck pain. Your medical professional can provide you with individualized advice. References: https://www. mayoclinic. org/diseases-conditions/neck-pain/diagnosis-treatment/drc-20375587 https://my. clevelandclinic. org/health/symptoms/21179-neck-pain https://www. ncbi. nlm. nih. gov/books/NBK338120/ Dr Yong Ren’s Profile Dr Yong Ren graduated from the National University of Singapore’s Medical faculty and embarked on his orthopaedic career soon after. Upon completion of his training locally, he served briefly as an orthopaedic trauma surgeon in Khoo Teck Puat hospital before embarking on sub-specialty training in Switzerland at the famed Inselspital in Bern. He underwent sub-specialty training in pelvic and spinal surgery, and upon his return to Singapore served as head of the orthopaedic trauma team till 2019. He continues to serve as Visiting Consultant to Khoo Teck Puat Hospital. Well versed in a variety of orthopaedic surgeries, he also served as a member of the country council for the local branch of the Arbeitsgemeinschaft für Osteosynthesefragen (Trauma) in Singapore. He was also involved in the training of many of the young doctors in Singapore and was appointed as an Assistant Professor by the Yong Loo Lin School of Medicine. Prior to his entry into the private sector, he also served as core faculty for orthopaedic resident training by the National Healthcare Group. Dr Yong Ren brings to the table his years of experience as a teacher and trainer in orthopaedic surgery. With his expertise in minimally invasive fracture surgery, pelvic reconstructive surgery, hip and knee surgery as well as spinal surgery, he is uniquely equipped with the tools and expertise necessary to help you on your road to recovery. Discover the Best Treatment for Neck Pain: Personalized, Evidence-Based Care Relieve Neck Pain Safely with a Multimodal Approach Tailored to Your Needs Struggling with persistent neck pain? The best treatment for neck pain starts with a precise diagnosis and a comprehensive, personalized care plan. At The Orthopaedic & Pain Practice, we utilize... --- - Published: 2023-10-09 - Modified: 2025-07-25 - URL: https://www.theorthopaedicandpainpractice.com/the-ultimate-guide-to-foot-pain-tendonitis-treatment/ - Categories: Articles by Doctor - Tags: foot pain, foot pain tendonitis treatment, orthotics, Plantar Fasciitis, tendonitis When foot pain or tendonitis sets in, even basic activities can feel like obstacles. This comprehensive guide delves into the intricacies of foot pain and tendonitis exploring their causes, symptoms and potential solutions. By providing insights into this condition, it enables us to carry out our activities and regain our mobility. What is Tendonitis? Tendinitis is an inflammation of the tendons connecting muscles to bones which often manifests as pain and sensitivity outside of a joint. It commonly occurs in areas such as the shoulders, elbows, wrists, knees, and heels. Treatment usually involves rest, physical therapy, and medication for pain relief. In cases where symptoms persist, surgery may be required to address a torn tendon. Causes of Foot Pain and Tendonitis (Source:https://www. freepik. com/free-photo/beautiful-women-feet-isolated-white-closeup_20987949. htm#query=foot%20tendonitis&position=0&from_view=search&track=ais) Foot discomfort and tendon inflammation can impact people of all ages, thus debunking the myth that they only affect older individuals. This condition can stem from factors such as wearing the wrong shoes, excessive use or stress on the feet, accidents, and underlying health conditions. Regardless of one’s age, people may encounter pain, swelling, and limited movement linked to foot discomfort and tendonitis. It's essential to tackle these issues by wearing proper footwear, getting enough rest, and consulting a specialist to avoid lasting complications and improve overall foot wellbeing. Overuse - Too much strain on your feet, similar to a machine, can result in discomfort and inflammation due to excessive activity. Accidents and injuries - Accidents are inevitable and your feet often bear the consequences. Pain and discomfort may arise from sprains, fractures, or blunt trauma. Footwear - Wearing unsupportive shoes can be detrimental to your feet, causing a range of problems such as bunions and arch pain. Age/Wear - As time passes, wear and tear affect your body, including your feet. Conditions like osteoarthritis can lead to increased foot pain over time. Medical Conditions - Certain medical conditions like diabetes or gout can present themselves as foot pain or exacerbate existing foot issues. Symptoms to Watch For Pain is often the sign. It can feel sharp, dull, throbbing, or persistent, depending on what’s causing it. Swelling typically occurs as a response to injury. It is closely linked with pain. Difficulty moving your foot or ankle could suggest issues like tendonitis. If a particular area feels more sensitive than usual when touched it could indicate localized pain. Keep an eye out for any changes in appearance such as deformities, like bunions or unusual redness and discoloration. Conservative Approaches to Foot Pain and Tendonitis Relief: Tips, Exercises, and Home Remedies When it comes to easing foot discomfort and tendonitis, there are remedies right at home. Let’s explore the approaches that can make a difference in reducing your pain and aiding in the healing process. Rest – Give your feet the rest they need. Cut back on activities that aggravate your pain and avoid putting pressure on your affected foot or tendon. Proper Footwear – Invest in shoes that offer support and cushioning. Shoes are an investment which provides long-term comfort and stability. Maintain a Healthy Weight – Extra weight can worsen foot pain, so aim for an optimal weight through a balanced diet and regular physical activity. Stay Hydrated – Keeping hydrated can help prevent conditions like gout, which may lead to foot discomfort. When to See a Doctor for Foot Pain If you've experimented with home remedies, but the pain just won't go away, treat it like your body’s way of saying it's time to get help. Let’s pay attention to these signals and decide when it's necessary to see a doctor who can offer the care you require. Persistent Discomfort. If your foot pain persists for than a week despite resting and trying home remedies, it's a clear sign that something more serious could be going on. Your body is giving you a message – it's time to take notice. Limited Movement. If you struggle to carry out your activities because of foot pain, such as walking, standing, or exercising it suggests that your condition may need a different treatment. Swelling and Inflammation. Excessive swelling, redness, or warmth in the area of pain could indicate a problem like infection or inflammation. Nighttime Discomfort. If your foot pain keeps you awake and gets worse during the night, it's important to consult a healthcare professional. This could be a sign of issues such as nerve compression or arthritis. Progressive Changes in Shape. If you observe alterations in how your foot looks or its alignment, such as a deformity, seeking medical attention is crucial. Tendonitis Treatment Options: Medications, Injections, and Physical Therapy You've taken a step by consulting a doctor about your tendonitis. Now it’s time to explore the various treatment options available. Let’s delve into the avenues of treatment such as medication, injections, and physical therapy all aimed at helping you discover the path to relief and recovery. Nonsteroidal Anti Inflammatory Drugs (NSAIDs) – These act as a soothing remedy for inflammation and discomfort. Whether it’s over the counter NSAIDs like ibuprofen or prescription medicine, they can assist in alleviating pain and reducing swelling. Corticosteroids – In cases of pain and inflammation, your doctor might suggest corticosteroid medications. These can be taken orally or administered via injection into the affected area for targeted relief. Platelet Rich Plasma (PRP) Therapy – PRP therapy involves injecting a form of your blood’s platelets into the region to stimulate natural healing processes. Tailored Exercises – Your physical therapist will design a personalized exercise routine to strengthen the muscles around the affected tendon and enhance flexibility. It's akin to having a workout plan tailored specifically for your healing journey. Surgical Solutions for Foot Pain: Exploring When and Why Surgery Is Necessary Having surgery can stir up a range of feelings – nervousness, optimism and sometimes a sense of relief. In the case of foot tendonitis pain, surgery is considered when other treatments haven't brought the expected relief or results. If your foot pain persists after trying invasive treatments, it might indicate that surgery is needed. In cases of tendonitis, the tendon can become so fragile that it may tear. Surgical repair is often necessary to restore function. Deciding to have surgery involves collaboration between you and your orthopaedic surgeon. It demonstrates their commitment to helping you lead a life with discomfort. Your doctor will assess your health, the severity of your condition, and what outcomes you hope for. They will explain the procedure, potential risks, benefits, and alternatives so that you are fully informed when making a decision. Your opinions and concerns matter greatly. Be open with your doctor, so that they can tailor the approach to meet your needs. Preventing Foot Pain and Tendonitis: Lifestyle Choices and Long-Term Foot Health Now it's time to delve into how you can safeguard your feet and uphold long term wellbeing. View this section as your guide to making lifestyle decisions that support comfort and health ensuring a path without the obstacles of discomfort. Select Footwear that Supports Your Feet. Treat your shoes as the base of your foot health. Choose ones with support cushioning and enough space for your toes. Maintain a Balanced Diet. Eating a well-rounded diet can help you reach and sustain a weight, reducing strain on your feet and lower limbs. Regular Self Checks. Take time to examine your feet regularly. Watch out for changes in skin color, sores, or unusual bumps. Detecting issues early is crucial. Control Diabetes Effectively. For individuals with diabetes, managing blood sugar levels properly is vital in preventing diabetes-related foot complications. As we conclude this discussion on addressing foot pain and tendonitis, remember that the journey toward healing and regaining health is unique to you. There are options including conservative approaches seeking professional help, surgery, and preventive measures. What matters most is that you remain at the center of every decision you make. The core of any choice should be centered around your feelings, goals and general state of health. Exercise Routines and Stretching Techniques Exercising the muscles in the foot is essential for optimal foot health. To improve the strength of the tiny foot muscles, it is important to be consistent with exercises and to apply them three to four times per week over the span of a couple of weeks. By combining the foot muscle exercise and the toe exercise, you can create a simple foot exercise routine. Before engaging in the routine, it is important to perform a five-minute warm-up by performing light cardiovascular activity. This also helps to prevent cramps. Afterward, perform the foot exercise in a sitting or standing position and end with a five-minute cool-down. When it comes to foot exercises for improved flexibility, a range of workouts should be performed to ensure that there is a diversified workout for the foot and toes. Among the tools needed to enhance foot flexibility are small towels or scarves, a towel roll, or an elastic band. It is possible to exercise directly on the floor or while sitting. Like with the pause-push exercise, a warm-up is recommended and the cool-down phase includes relaxing the feet. Maintain the flexibility of your feet and toes by performing these stretching exercises between three and four times per week. Regular cardiovascular activity is essential for foot health. Exercise not only has an indirect effect on foot health by ensuring a fit body, but it is also directly responsible for preventing injuries. An active lifestyle reduces the risk of injury. Frequently Asked Questions: Can I continue my regular activities while undergoing treatment for foot pain and tendonitis? Absolutely! It is important to find a balance between being active and giving your body time to heal. Your healthcare provider can help you find activities and exercises that are suitable for your condition and will enable you to stay active during your treatment. Are there any dietary changes that can help with my tendonitis? Certainly. Eating a balanced diet can help your body heal. Concentrate on eating foods that are full of vitamins and minerals, as these can help with repairing tissue. Keeping your weight at a healthy level can also help reduce the strain on your feet. What can I expect during physical therapy for foot pain? Working together with a qualified physical therapist, you can customize an exercise and technique program that is tailored to your particular needs. Progress is likely to be gradual, but with it comes increased mobility and advice on how to take care of yourself. How long does recovery take after foot tendonitis surgery? Recovery varies depending on the type of surgery and individual factors. The length of time it takes to recover following a surgery can vary, but typically lasts between a few weeks to a few months. Your surgeon will give you an individualized estimate to help you plan out the recovery process. Can I prevent foot pain and tendonitis from recurring? It is important to take preventive measures, such as keeping feet clean and wearing supportive shoes, as well as following a healthy lifestyle. Regular check-ups with a foot health professional can help catch issues early. Are there any warning signs that I should seek immediate medical attention for my foot pain? Absolutely. If you suddenly experience intense pain, numbness in your foot, or noticeable symptoms of infection such as redness and swelling, it is important to get medical help right away. How can I relieve pain at home between treatment sessions? Using the RICE method (Rest, Ice, Compression, Elevation) is a beneficial tactic. Additionally, you may consider taking over-the-counter pain relievers, but it is advised to consult your healthcare provider before doing so. What role does my mental well-being play in my recovery? It is important to take care of your mental wellbeing. Stress can make physical pain worse, so it is beneficial to use relaxation techniques, meditation, and try to stay optimistic in order to benefit from the physical treatment you are receiving. References: https://www. mayoclinic. org/diseases-conditions/tendinitis/diagnosis-treatment/drc-20378248 https://www. physiotattva. com/blog/foot-ankle-tendonitis-causes-symptoms-treatments Dr Yong Ren’s Profile Dr Yong... --- - Published: 2023-10-07 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/the-comprehensive-guide-to-relieving-neck-pain/ - Categories: Articles by Doctor - Tags: arthritis, Cervical Spine, Exercise, incorrect posture, muscle strain, neck pain, Pain Relief, posture People of all ages often experience neck pain, which can stem from reasons such as muscle strain, incorrect posture and arthritis. In this guide to relieving neck pain, we will delve into the different causes of neck pain and provide treatments for each. We will also cover how to prevent neck pain from occurring in the first place. Understanding Neck Pain: Causes and Common Triggers (Source: https://www. pexels. com/photo/close-up-photo-of-a-man-having-a-neck-pain-7298867/) Neck pain has various causes like bad posture or osteoarthritis. Neck discomfort may signify a more serious problem, so get medical attention if it is accompanied by numbness, weakness in the arms or hands, or if it radiates to the shoulder or arm. Neck pain can also be the result of either injury or non-injury related causes. Injury-related neck pain may be the result of falls, motor vehicular accidents, and blows to the head. Non-injury related neck pain is often caused by poor workplace ergonomics, such as a lack of adjustable furniture or the positioning of a computer monitor in an awkward location. This can be especially concerning if the individual already has an underlying neck condition. In this case, the body compensates by using neck muscles, which can become fatigued and lead to pain and other symptoms if the muscles become unable to continue compensating. Patients may experience a shooting sensation or an electric current running down their arms when nerves in the neck region are pinched. This type of nerve pain is called radicular pain, and can be triggered when the neck is in a certain position. Numbness, weakness and tingling sensations can also occur when the nerves in the spine are compressed or pinched. In really serious situations, that part of your neck where your spine hangs out can shrink quite a bit. This places added strain on your cord making it more vulnerable. As a result you may be more susceptible to injury, in the event of a fall. Non-Invasive Strategies for Neck Pain Relief Neck pain, a common affliction, can be relieved by non-invasive treatments. Here are some non-invasive methods to consider: Physical Therapy - Physical therapists can design custom exercise routines to strengthen neck muscles and improve posture, which can significantly reduce pain. Massage Therapy - Skilled massage therapists can manipulate neck muscles to release tension and improve blood flow, providing relief from chronic neck pain. Heat and Cold Therapy - Applying heat or cold packs can reduce inflammation and ease muscle tension, providing temporary relief from neck pain. When Surgery Is Necessary: In-Depth Look at Neck Surgery Options Neck pain may necessitate surgery in rare circumstances. In the event that other treatments, such as medications, physical therapy, or injections, prove futile, surgery is needed. Surgery may be imperative to alleviate the agony and accompanying symptoms. A pinched nerve (cervical radiculopathy) occurs when too much pressure gets on one of the nerve roots in your neck. Cervical myelopathy, a condition where the spinal cord becomes constricted can occur due to factors such as osteoarthritis, scoliosis or neck injuries. And a broken neck (cervical fracture) takes place when one of the nerve roots in your neck gets damaged or cracked. Alternative Therapies and Neck Pain Management There are approaches to address neck pain that we can explore. However it is essential to consult with your doctor if you are considering any of these options. Massage therapy - Massaging the muscles, tendons, and other soft tissues with the hands can be used to improve circulation and decrease muscle tension. Massage treatment frequently focuses on the neck, shoulders, and back because they are linked. Moderate intensity massage provides more pain alleviation than light massage. Yoga - Yoga has increased its popularity over the years. It encompasses elegantly contorting your physique into myriad postures while honing in on your breath. The incredible benefits of practicing yoga include relieving pain and strengthening your spine. Mindfulness and relaxation techniques - Engaging in mindful practices, meditating, and trying other kinds of relaxation activities may help you shift your focus away from the pain or give you a greater sense of control. Breathing exercises, for example, involve taking calm and controlled breaths and counting to 10 as you inhale and exhale. Caring for Your Neck: Prevention and Maintenance Strategies Taking care of your neck is crucial to avoid discomfort and maintain neck health. Incorporating these prevention and maintenance strategies into your daily routine can significantly reduce the risk of neck discomfort: Maintain good posture - Poor posture can strain neck muscles and lead to pain. Be mindful of your posture when sitting, standing, and using electronic devices. Sit up straight, keep your head aligned with your spine, and avoid hunching over screens. Ergonomic workspace - If you work at a desk, invest in an ergonomic chair and keyboard setup. Ensure that your computer monitor is at eye level to reduce strain on your neck. Regular breaks - Take short breaks throughout the day to stretch your neck and shoulders. Gently tilt your head from side to side and rotate your neck to relieve tension. Stay active - Regularly participating in activities such, as swimming, yoga and pilates can help strengthen the muscles in your neck and back promoting flexibility and preventing stiffness. To conclude, neck pain is an issue that can affect anyone. However with knowledge and understanding individuals can take steps to manage and alleviate this discomfort. By exploring the causes, symptoms and various therapeutic options for neck pain relief you can find solutions. Remember to seek guidance and personalized treatment from a professional as it's crucial for your well being. By giving utmost priority to the well-being of our neck, we can guarantee amplified comfort and relief in your daily life. Frequently Asked Questions: What are the common causes of neck pain? Neck pain can manifest due to muscle strains, slouched posture, ruptured discs, osteoarthritis, and even stress. How can I relieve neck pain at home? Gentle neck stretches, hot and cold therapy, excellent posture, and over-the-counter pain medicines are all effective home remedies for neck pain relief. However, if the discomfort persists or increases, get medical attention. When should I seek medical attention for neck pain? If your neck pain reaches an excruciating level, persists relentlessly, or arrives hand in hand with symptoms like tingling, debilitation, shooting pain, or the challenge of swallowing or breathing, it is imperative that you pursue medical intervention. These indicators might allude to more profound underlying issues. What are the non-surgical treatment options for neck pain? Physical therapy, chiropractic care, massages, acupuncture, and medications are among the common non-surgical treatments. Your healthcare provider will decide which one suits your unique condition best. It's all about finding the right approach for you. How effective are physical therapy and exercises for neck pain? Physical therapy and customized exercises can work wonders for easing neck discomfort. They're like a personalized fitness plan for your neck, enhancing strength, flexibility, and posture while reducing muscle tension and promoting healing. Are there any lifestyle changes that can help prevent neck pain? Simple lifestyle changes, like maintaining good posture, staying active, managing stress, and adjusting your office setup, can go a long way in preventing neck pain and keeping your neck healthy. What role does posture play in neck pain, and how can it be improved? Slouching or constantly bending your neck forward when using devices can put a strain on your neck muscles. You can improve your posture by doing exercises that strengthen the muscles in your neck and upper back. Also, pay attention to your posture throughout the day to keep your neck feeling good. Are there any surgical options for severe neck pain, and when are they necessary? Surgery is typically considered when conservative treatments fail to provide relief or in cases of severe structural issues like herniated discs or spinal stenosis. Your healthcare provider will assess whether surgery is necessary in your specific situation. References: https://www. healthline. com/health/neck-surgery#conditions https://www. spine-health. com/blog/best-alternative-therapies-treat-back-and-neck-pain Dr Yong Ren’s Profile Dr Yong Ren graduated from the National University of Singapore’s Medical faculty and embarked on his orthopaedic career soon after. Upon completion of his training locally, he served briefly as an orthopaedic trauma surgeon in Khoo Teck Puat hospital before embarking on sub-specialty training in Switzerland at the famed Inselspital in Bern. He underwent sub-specialty training in pelvic and spinal surgery, and upon his return to Singapore served as head of the orthopaedic trauma team till 2019. He continues to serve as Visiting Consultant to Khoo Teck Puat Hospital. Well versed in a variety of orthopaedic surgeries, he also served as a member of the country council for the local branch of the Arbeitsgemeinschaft für Osteosynthesefragen (Trauma) in Singapore. He was also involved in the training of many of the young doctors in Singapore and was appointed as an Assistant Professor by the Yong Loo Lin School of Medicine. Prior to his entry into the private sector, he also served as core faculty for orthopaedic resident training by the National Healthcare Group. Dr Yong Ren brings to the table his years of experience as a teacher and trainer in orthopaedic surgery. With his expertise in minimally invasive fracture surgery, pelvic reconstructive surgery, hip and knee surgery as well as spinal surgery, he is uniquely equipped with the tools and expertise necessary to help you on your road to recovery. --- - Published: 2023-10-06 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/the-comprehensive-guide-to-managing-lower-back-pain/ - Categories: Articles by Doctor - Tags: Core Strengthening, lower back pain, lower back pain relief, Lumbar Spine, pain management, treatment to lower back pain Lower back pain is something that many of us have experienced and can disrupt our daily lives. But worry not, you can do something about it. In this guide, we will look into the causes, symptoms, and treatments to lower back pain for lower back pain relief. Understanding the Anatomy of Lower Back Pain (Source:https://www. freepik. com/free-photo/woman-stretching-rubbing-stiff-back-muscles_3953814. htm#query=lower%20back%20pain&position=40&from_view=search&track=ais) The lower back refers to the area of the spine that lies between the ribs and the upper portion of the buttocks. This region usually has an arch shape, referred to as lordosis, which assists in distributing the weight of the upper body to the legs and reducing the strain on the bottom part of the spine. Any issue with the lower back can lead to changes in lordosis, resulting in lower back pain. The lower back consists of five vertebrae that are stacked on top of each other with intervertebral discs separating them. These bones are connected on the posterior side with specialized joints. Think of your spine like a stack of building blocks. As we grow, these blocks, also known as vertebrae, get bigger to better support our bodies. Now, in between these blocks, you've got something like little cushions called discs. They're there to provide some extra padding and help absorb shocks, kind of like how a cushioned seat makes a hard chair more comfortable. Behind the vertebrae, paired facet joints are connected, allowing movement in multiple directions. On the surfaces of these joints, cartilage is present, allowing for smooth movement. Think of your spine like a stack of Lego blocks. The upper lumbar vertebrae have facets (sort of like Lego connectors) that let them move forward and backward, just like bending forward or backward. On the other hand, the lower lumbar vertebrae have facets that allow them to move more to the sides, like when you twist your torso. It's like having different types of connectors for different movements. Think of the nerves in your lower back like tiny pathways that start in your spinal cord and come out from the vertebrae like tree roots spreading out. These nerves travel downwards to the legs, and contain both sensory and motor fibers. Sensory fibers communicate messages to the brain, while motor fibers receive signals from the brain. The brain is the source from which your spinal cord descends, running down your spine and ending near the top of your lower back, known as the conus medullaris. From here, the spinal nerves, which look like a horse's tail, form the cauda equina. These three components of the lower back are vital and any damage or compression should be addressed by a medical professional right away. Understanding the basics of your lower back's structure can be handy. It can help you figure out whether it's a muscle ache or something like sciatica. Plus, it makes it easier to talk to your doctor about what's going on. Common Causes and Triggers of Lower Back Pain Back pain can have two different origins: it can be related to an injury or not. Back pain resulting from an injury is typically caused by accidents, like car collisions or falling incidents. This is the type of back pain that usually comes to mind first. But in most cases, back pain isn't caused by some big injury. It can come from everyday stuff like reaching for things or bending over. Sometimes, though, it might be because of something more serious, like an infection or tumors in your spine. If you're losing weight or getting a fever without any clear reason, that's when it might be worth checking out with a doctor. Lower Back Pain Symptoms Lower back pain is something that many people go through, and it can be a real pain in the... well, back. It doesn't discriminate - anyone, young or old, can feel it. Sometimes it's just a little ache, and other times, it's like a freight train of pain. There are lots of reasons for it - maybe you pulled a muscle, or your spine isn't playing nice, or it could even be something going on inside you. Knowing what signs to look for can help you and your doc figure out what's what. So, whether you're feeling some recent back twinges or just want to be in the know, this guide's got your back. Buttock Pain - Buttock pain is often linked to back pain since it is commonly referred to as pain from worn out facet joints in the spine. Referred pain signifies that pain is felt in a part of the body that is not actually injured due to shared nerves with another part of the body. It is possible for buttock pain to occur without being caused by back pain; it may be a result of strains in the buttock muscles. Shooting Pain - Pain that radiates down the leg is usually caused by restriction of the nerve pathways in the spinal cord. This can be due to disc injury or the deterioration of the facet joints. Imagine your spine is like a tunnel, and inside that tunnel, there are nerves that help your body work smoothly. Now, if something starts to squeeze that tunnel, like a too-tight pair of shoes, it can pinch those nerves and cause some serious discomfort. People who've been through it often say it feels like an electric shock or a sudden jolt of lightning running down their leg, all the way to their toes. This is referred to as sciatica or radicular pain. Leg or Foot Numbness or Weakness - Nerves in the spine can be compressed, leading to sensations of numbness and weakness in the lower legs, feet, and toes. This is due to the nerves carrying feeling from the legs to the brain and facilitating movement in the legs. In some cases, the pinching of nerves can be so intense that a person may suffer intense numbness in the feet or severe weakness in the lower leg muscles, resulting in the foot dropping. Leg Cramps - Leg cramps may become an issue for people with back pain, particularly if the source of the back pain leads to a narrowing of the spinal canal. This type of crampy leg pain typically occurs after a certain distance of walking and can be relieved by sitting down. Non-Invasive Strategies for Lower Back Pain Relief Recovering from lower back pain typically involves rest, ice, over-the-counter pain medication, and gradually getting back to activities. This helps to improve circulation to the area and promote healing. Additional treatments may be needed depending on the cause of the pain, such as nonsteroidal anti-inflammatory drugs, prescription drugs, physical therapy, hands-on manipulation, massage, injections, or surgery. When Surgery Becomes an Option: Exploring Invasive Treatments In many cases, back pain resolves on its own within three months and surgery is not typically needed. When your lower back starts acting up, you have options to help you feel better. Think of it like a menu of choices. There are medicines that can calm down inflammation, hot and cold packs that offer comfort like an old friend's hug, and physical therapy, which is like giving your back a little spa day. So, if your lower back is giving you trouble, you're not alone – it's a common reason folks visit their healthcare buddies In cases of persistent and disabling back pain, surgery may be considered if other treatments have not been successful. Ever felt that pesky pain shooting down your legs? It's like a cramp in your style, right? Well, it might be because your nerves are feeling a bit pinched in your spine. Picture this: disks in your back acting up, like a misbehaving sandwich filling. Or, it could be those sneaky bone spurs from osteoarthritis causing some trouble. These issues can squeeze the space where your nerves like to hang out, causing some discomfort. Surgery may provide relief from leg pain more effectively than it does for back pain. But here's the twist: even after going through the procedure, some folks still feel those nagging aches in their backs. Sometimes, it's like trying to find a needle in a haystack, you know? Even when tests point fingers at disks or bone spurs, it can be a bit tricky to pin down the exact troublemaker causing the pain. Sometimes, imaging tests reveal bulging or herniated disks, but these may not be causing any symptoms and therefore may not require treatment. Various types of back surgery may be performed, such as diskectomy (removing the herniated portion of a disk), laminectomy (eliminating bone at the back of the spine to make more room for the spinal cord and nerves), fusion (removing arthritic joints and using metal implants to join two or more bones in the spine), and artificial disks (plastic and metal devices that can replace the damaged cushion between two spinal bones). Lifestyle Modifications for Preventing and Managing Lower Back Pain You know, sometimes it's the little tweaks in your daily routine that can make a big difference when it comes to taming that troublesome lower back pain. By doing these tips you prevent and relieve lower back pain. Maintain a healthy weight - Being overweight or obese can put extra strain on your back. Strive to keep your weight in a range through a balanced diet and regular physical activity. Get regular exercise - Exercise helps to strengthen your back muscles and improve your flexibility. Try to sneak in around 30 minutes of exercise most days of the week. It doesn't have to be too intense, just enough to get your heart pumping and your body moving. Good posture - Good posture helps to reduce stress on your back. When you're seated it's important to maintain posture by keeping your back and your shoulders relaxed. When standing, keep your core muscles engaged and your head held high. Lifting objects properly - When lifting objects, bend your knees and keep your back straight. Avoid twisting your back. To wrap things up, dealing with lower back pain isn't a one-size-fits-all deal. It's about putting together what you know, taking care of yourself, and sometimes, seeking help from a doctor. If you get what's causing it and how it feels, you can use gentle methods to feel better and adjust your lifestyle to support your back. Remember that everyone's journey with lower back pain is unique, and what works best for you may vary. So, it's really important to reach out to healthcare experts when necessary and stick to a well-rounded approach. When you've got the right info and put in the effort, you can lessen the effect of lower back pain and savor a life that's healthier and more comfy. Frequently Asked Questions: What are the common causes of lower back pain? Lower back pain can crop up for all sorts of reasons, like straining your muscles, having a disc that's acting up, dealing with arthritis, or just not sitting or standing right. To really tackle it, you need to figure out what's causing it in the first place. When should I seek medical attention for lower back pain? When your lower back is giving you a really hard time, especially if it just won't quit after a few weeks or it brings along other strange feelings like pins and needles in your legs or weakness, it's a good idea to reach out to a healthcare pro. They can help you make sense of it all. What are some non-invasive methods for relieving lower back pain? Alternative approaches to treat discomfort without procedures consist of engaging in therapy performing exercises utilizing hot or cold therapy using, over the counter pain relievers and making adjustments to one's lifestyle. Can lifestyle changes help prevent lower back pain? Certainly! Making lifestyle adjustments like keeping a weight, practicing proper posture, engaging in regular physical activity and paying attention to ergonomics can be beneficial in preventing and addressing lower back pain. Is lower back pain always a... --- - Published: 2023-10-04 - Modified: 2025-07-02 - URL: https://www.theorthopaedicandpainpractice.com/the-benefits-of-seeing-a-neck-pain-treatment-doctor/ - Categories: Articles by Doctor - Tags: Cervical Spine, Interventional Pain Procedures, neck pain, neck pain treatment doctor, neck pain treatment doctors, Orthopaedic Specialist, Pain Relief Picture starting your day with a lingering ache in your neck that just won't go away. Every movement seems as though you're dealing with a creaky door, in desperate need of some oil. Neck discomfort is a persistent issue that can turn the simplest activities into daunting challenges. The bright side? You don't have to face this struggle on your own. In this guide we'll delve into the world of orthopaedic specialists who focus on easing those creaks and transforming them into soothing sighs of relief. The Role of a Neck Pain Treatment Doctor: Unveiling the Specialists (Source:https://www. freepik. com/free-photo/woman-having-neck-pain-doctor-working-office-listening-patient-she-is-explaining-her-symptoms-healtcare-assistance-concept_28001713. htm#query=neck%20pain%20doctor&position=2&from_view=search&track=ais) Dealing with neck pain can really throw a wrench into your day-to-day activities. Whether it’s an ache, a jolt or just a feeling of stiffness, neck pain has a way of messing with your routine and making it hard to unwind. When you're grappling with neck discomfort seeking out, orthopaedic surgeons can be a game changer in finding relief. Their expertise and know how make them well equipped to ease your discomfort. Neck pain specialists come in all shapes and sizes, each bringing their skills and methods to the table. Their primary goal is to minimize your neck pain and enhance your quality of life. They'll guide you every step of the way towards living without the burden of pain. What sets these doctors apart is their ability to create tailored treatment plans. They understand that what works for one person may not work for another, so they customize their approach to address each individuals needs and sources of pain. It's like having a tailor craft a made to measure suit that fits perfectly. Ensuring that the treatment is precisely tailored to fit the individual’s condition. Working hand in hand, with you these experts strive to help you achieve wellbeing. Your neck discomfort means more to them than an issue; it's a mutual hurdle they are committed, to assisting you in conquering. With their support and knowledge, you can anticipate a time without the limitations of neck pain, where ease and movement become your companions more. Customized Care: How a Neck Pain Treatment Doctor Tailors Solutions Every person is unique and so are their experiences with neck pain. The reasons for your discomfort could range from muscle tension and bad posture to underlying health issues or past injuries. Identifying the nature of your pain is crucial for finding ways to ease it. Upon hearing your story, these experts kickstart the process of creating a plan. This involves devising solutions tailored to your needs. A specialist in treating neck pain takes into account the factors contributing to your discomfort. Exploring options like therapy, exercises and lifestyle adjustments can help in forming a strategy to tackle your neck pain. It's important that this plan not deals with the symptoms but also addresses the root causes. Beyond Medication: Non-Invasive Neck Pain Treatment Options When looking for ways to alleviate neck pain it might seem like medication is the solution. It’s not the only option available. There are non-invasive treatments for neck pain that you can explore. Physical Therapy - A skilled therapist goes beyond addressing your symptoms; they delve into uncovering the root causes of your pain. They provide exercises. Stretches to help strengthen and improve flexibility in your neck and upper back. It's like giving your neck the workout to feel better. Exercise - These exercises target the muscles that could be contributing to your discomfort. By strengthening these muscles and making adjustments to your posture you can gradually reduce the strain on your neck. It's akin to building a bridge that can support the weight of your head without causing any discomfort. The Importance of Early Intervention: How Seeing a Neck Pain Treatment Doctor Can Prevent Chronic Pain When you first experience neck discomfort your body is signaling that something may be amiss. Ignoring this warning could lead to issues with your movement, sleep quality and overall health. This could trigger a cycle of decline. Seeking help enables a specialist in neck pain treatment to identify the root causes of your unease. It helps in determining whether the pain stems from posture, muscle imbalances or a severe condition. Acting promptly to address these factors can prevent them from escalating into long term problems. Neck pain has the potential to create a cycle of distress. It can disrupt sleep patterns leading to increased stress levels that can worsen the discomfort. Breaking this cycle once it sets in can be challenging. However, with intervention you can stop it from taking hold. During the phases of neck discomfort treatment options are often minimally invasive and more successful. Simple measures such as therapy, ergonomic modifications or therapeutic exercises might suffice in easing your symptoms. These non-invasive approaches are gentler, on your body compared to resorting to medications or surgery if you delay seeking help. Improving Quality of Life: How Neck Pain Treatment Can Enhance Daily Functioning Experiencing discomfort in your neck can limit how far you can move it. It may also disrupt your sleep patterns. Seeking treatment not only eases the pain but also enhances the quality of your rest, leaving you feeling refreshed and ready to tackle the day’s tasks. Moreover, neck discomfort can hinder your activities causing you to pause tasks that are typically routine. Treatment can restore your range of motion and also boost productivity by reducing discomfort and enhancing concentration. The role of a healthcare provider goes beyond providing care; it involves instilling hope and bringing back the joys of life. Equipped with expertise and experience these professionals aim to alleviate their patients’ neck issues. They are more than caregivers; they are companions on the path to wellness. So, when faced with the challenge of neck pain remember that a doctor specializing in neck pain treatment is not merely a practitioner but a partner who supports you in regaining comfort and vitality for a future. Frequently Asked Questions: Why should I see a neck pain treatment doctor instead of my regular physician? Neck pain specialists provide comprehensive and quality care in order to provide relief. Is neck pain always a sign of a serious underlying problem? Soreness in the neck can have a variety of sources, ranging from minor tension in the muscles to more serious problems. A neck pain treatment doctor can determine the root cause and guide you towards the appropriate treatment. Are there any natural remedies or exercises I can try before seeking professional help? While consulting a neck pain treatment doctor is crucial, there are gentle exercises and stretches you can do at home to alleviate mild discomfort. However, if the pain persists or worsens, it's wise to seek professional advice. Will I need to undergo surgery for my neck pain? Surgery is usually considered a last resort. Neck pain treatment doctors typically explore non-invasive options first, like physical therapy. Surgery is only recommended when other methods haven't provided relief. How long does it usually take to see improvement with neck pain treatment? Improvement timelines vary from person to person. Some may experience relief after a few sessions, while others may take longer. Your neck pain treatment doctor will work with you to set realistic expectations based on your unique situation. Is it safe to continue with my regular activities while undergoing neck pain treatment? You can generally keep up your regular routine, however, you should look to make some changes to avoid irritating your pain while healing. Your doctor can provide you with advice on what modifications you should make. Can neck pain treatment doctors also help with related symptoms like headaches or shoulder pain? Neck pain can cause discomfort like migraines or shoulder agony. In order to tackleThese issues, a neck pain specialist can provide a holistic and comprehensive approach. What can I do to prevent future episodes of neck pain after treatment? Your neck pain treatment doctor will likely provide recommendations on posture, exercises, and lifestyle adjustments to reduce the risk of future neck pain. Following their advice can be key to long-term relief and prevention. References: https://www. ncbi. nlm. nih. gov/pmc/articles/PMC3802122/ https://www. uptodate. com/contents/neck-pain-beyond-the-basics https://www. aans. org/en/Patients/Neurosurgical-Conditions-and-Treatments/Neck-Pain Dr Yong Ren’s Profile Dr Yong Ren graduated from the National University of Singapore’s Medical faculty and embarked on his orthopaedic career soon after. Upon completion of his training locally, he served briefly as an orthopaedic trauma surgeon in Khoo Teck Puat hospital before embarking on sub-specialty training in Switzerland at the famed Inselspital in Bern. He underwent sub-specialty training in pelvic and spinal surgery, and upon his return to Singapore served as head of the orthopaedic trauma team till 2019. He continues to serve as Visiting Consultant to Khoo Teck Puat Hospital. Well versed in a variety of orthopaedic surgeries, he also served as a member of the country council for the local branch of the Arbeitsgemeinschaft für Osteosynthesefragen (Trauma) in Singapore. He was also involved in the training of many of the young doctors in Singapore and was appointed as an Assistant Professor by the Yong Loo Lin School of Medicine. Prior to his entry into the private sector, he also served as core faculty for orthopaedic resident training by the National Healthcare Group. Dr Yong Ren brings to the table his years of experience as a teacher and trainer in orthopaedic surgery. With his expertise in minimally invasive fracture surgery, pelvic reconstructive surgery, hip and knee surgery as well as spinal surgery, he is uniquely equipped with the tools and expertise necessary to help you on your road to recovery. Neck Pain Treatment Doctor Expert Diagnosis and Relief for Stiffness, Strain, and Nerve Pain Looking for a neck pain treatment doctor? Whether your discomfort stems from poor posture, a pinched nerve, cervical spondylosis, or an injury, a qualified specialist can help identify the cause and recommend the right treatment. In Singapore, orthopaedic doctors, neurologists, and pain management specialists work closely with physiotherapists to create personalised care plans. Treatment may include physical therapy, medication, posture correction, or imaging like MRI if nerve compression is suspected. Early consultation can prevent the pain from becoming chronic, helping you restore mobility and return to daily activities with ease. https://www. theorthopaedicandpainpractice. com/the-benefits-of-seeing-a-neck-pain-treatment-doctor/ --- - Published: 2023-10-03 - Modified: 2025-07-24 - URL: https://www.theorthopaedicandpainpractice.com/exploring-the-causes-and-treatments-of-common-foot-pain/ - Categories: Articles by Doctor - Tags: Bunions, foot pain, foot pain causes and treatment, foot pain causes treatment, foot pain reason and treatment, foot wellness, Neuromas, orthotics, Plantar Fasciitis, tired feet, treatment for plantar fasciitis foot pain Foot pain is a familiar, yet often underestimated, companion in our daily lives. We've all been there, haven't we? That twinge of discomfort after a long day on our feet, or the sharp reminder of an awkward step. Foot pain is a common problem that can range from minor discomfort to extreme pain. This article will explore the various types and causes of this frequent issue. But fear not, for this isn't solely about the woes; it's also about the solutions. It is beneficial to investigate the available methods of relieving tired feet, so that you are well-prepared for what is to come. Therefore, let's put our shoes on and begin this journey towards better foot wellness, one step after the other. Understanding the Feet Anatomy (Source:https://www. freepik. com/free-photo/close-up-legs-doing-stretching-exercises-before-workout_12141510. htm#query=feet&position=0&from_view=search&track=sph) Feet are incredibly resilient and capable of handling the pressures of everyday life, similar to a building's foundation. Their intricacy is what makes them so captivating. The Arch - One of the most iconic features of our feet is the arch. It's like the graceful curve of a bridge, designed to absorb the shocks and pressures of walking and running. These arches are maintained by a network of ligaments and tendons, working together like cables on a suspension bridge. Bones and Joints - Our feet boast an intricate arrangement of bones and joints, forming a flexible yet sturdy framework. The metatarsals, the long bones in the middle of the foot, resemble the beams of a bridge, distributing our weight evenly. The joints act as hinges, allowing for movement and flexibility. Muscles and Tendons - Like the cables of a suspension bridge, muscles and tendons in our feet and lower legs help control our movements. The calf muscles, for instance, provide the power needed to push off with each step, while the Achilles tendon acts as a critical link between these muscles and the heel bone. Foot Pain Culprits: From Plantar Fasciitis to Bunions Let's turn our attention to the part we're all too familiar with—the pain. Just as the most resilient structures can develop cracks, our feet are susceptible to discomfort for various reasons: Plantar Fasciitis - Imagine the plantar fascia, a thick band of tissue that runs from your heel to your toes, as a tightrope walker. With excessive stress, it can become inflamed, leading to sharp heel pain, especially during those first steps in the morning. Bunions - They result from the big toe pushing against the other toes, causing a bony bump on the joint. This can lead to pain and difficulty finding comfortable shoes. Ingrown Toenails - Picture your toenails as protective shields. When they grow into the skin instead of over it, they become like daggers, causing pain, redness, and sometimes infection. Stress Fractures - Just as a building's foundation can develop cracks, our bones can also sustain tiny fractures from overuse. Stress fractures can lead to localized pain, often exacerbated by physical activity. Gout - It occurs when uric acid crystals accumulate in a joint, leading to sudden and severe pain, often at the base of the big toe. Stepping into Relief: Non-Invasive Treatments for Foot Pain Foot pain, a constant reminder that our feet carry us through life's journeys, can be a real discomfort. Various methods can be used to tackle this frequent issue. While some foot problems might sound daunting, there's a world of non-invasive treatments designed to help you step into relief gently. Medicine - Pain relief medications that have anti-inflammatory properties can help ease discomfort and lessen swelling. Injections - A corticosteroid injection can be administered to reduce inflammation and alleviate discomfort. Orthotics - Orthotics can be worn inside shoes to decrease discomfort in the heels or certain areas of the feet by providing extra support. Physical Therapy - Physical therapy exercises and stretches can be used to improve strength and the ability to move, which can help to resolve issues with the feet or heels. When to Seek Professional Help: Signs and Symptoms to Watch For Our feet provide us support through the highs and lows of life. Sometimes, though, they might start sending distress signals, like a friend asking for help. Foot pain, though common, can occasionally be a sign that our feet need a little extra attention from a professional. We'll highlight the signs and symptoms that your feet might use to communicate that it's time for some professional care. So, let's keep a caring eye on those trusty soles. Persistent Pain - When pain becomes a constant companion, especially if it's severe or worsening, it's a signal that your feet need professional evaluation. Swelling and discoloration - Swelling and discoloration in your feet can be warning signs. If your feet suddenly puff up or change color, especially if it's accompanied by pain, it's time to consult a professional. These symptoms can indicate various underlying issues, from sprains to circulation problems. Numbness and Tingling - These sensations can be indicative of nerve-related problems. If your feet seem to have developed a mind of their own or if these sensations persist, it's wise to seek professional guidance. Infections and Deformities - If you detect any signs of infection near your toenails such as redness, warmth, or drainage, it would be wise to seek medical advice promptly. Additionally, if the shape or colour of your toenails start to look abnormal, it would be advisable to speak to a professional to gain more insights and find solutions. Sole Soothing: Exercises and Stretches for Foot Pain Relief We explore the world with our feet and it is important to remember to take proper care of them. Foot pain can be like a gentle plea for attention, and one of the kindest responses is to offer soothing exercises and stretches. Let's look into certain stretches and exercises that may bring relief to your feet. Toe Taps - Toe taps are like a gentle nudge to help them wake up and start the day. Sit or stand, and simply lift your toes off the ground, then lower them. It's like a gentle morning stretch for your feet, helping to improve circulation and reduce stiffness. Tennis Ball Massage - A tennis ball can be your feet's best friend. Place it on the floor and gently roll your foot over it. It's like giving your feet a mini massage session. This technique helps relieve tension in the arches and soothes sore spots. Plus, it feels absolutely delightful! Ankle Circles - While seated, lift one foot off the ground and draw the alphabet with your big toe. It's a fun way to improve ankle flexibility and relieve tension. Ankle and Toe Stretch - Extend your legs and point your toes toward your head, then flex them back toward your shins. Repeat this a few times to wake up your feet and improve flexibility. Footwear Matters: Choosing the Right Shoes for Foot Health (Source:https://www. freepik. com/free-photo/running-sport-injury-female-athlete-jogger-wearing-pink-sneakers-touching-her-twisted-sprained-ankle-while-jogging-running-outdoors_9660973. htm#query=plantar%20fasciitis&position=3&from_view=search&track=ais) Having the appropriate shoe fit is pivotal for the health of your foot. When trying on shoes, observe how they feel on your foot, not just their appearance. It's similar to finding a comfy sweater you never want to take off. Ensure there is adequate space for your toes to move, and that the shoe does not press or irritate your skin. Your arches are like the pillars of a bridge, and the right shoes provide the support they need. Different shoes offer varying levels of arch support, just like different friends provide various types of support in your life. If you have high arches, look for shoes with ample arch support to distribute your weight evenly. If your arches are flat, choose shoes that provide extra cushioning and stability. Shoes with good ventilation are like windows for your feet. Look for materials like leather or mesh that allow air to circulate, preventing excessive sweating and potential problems like athlete's foot. Pay attention to any changes in the way your shoes fit. If they start feeling tight or uncomfortable, it's time to reassess your shoe choices. Ultimately, our feet are an essential element of our lives and should be given proper attention and care. We have discussed the various sources of typical foot discomfort and some of the mild treatments that can help reduce it. Just as we would care for a dear friend in need, it's essential to listen to our feet, understand their signals, and respond with kindness. Paying attention to the feet and taking proactive steps such as stretching, massaging and making sure you wear the right shoes can help maintain their health and make it easier to perform activities. Impact on Quality of Life Foot pain can affect every aspect of quality of life. Many people with foot pain experience difficulties in performing daily activities, walking difficulties, and reduced social interactions. Some people are unable to work due to foot pain. Pain may lead to higher levels of anxiety, fear of movement, depression, and concerns about health. There is a multi-sided impact on the lives of those experiencing foot pain. A clinical study reported on a woman aged 51 years who was overweight. She had been experiencing pain in her left foot and had been unable to work for eight months. In fact, she was unable to bear any weight through her foot, had stopped participating in social activities, and had subsequently become socially isolated. In addition to the direct impact of initial and ongoing treatment initiations and interventions, people may face numerous indirect costs related to their foot conditions or injuries. This may include time off work, transport costs to access treatments or specialist appointments, as well as private consultation fees with doctors and physiotherapists in cases where their country may have private health care systems. This section highlights the ongoing nature of these costs, particularly if a person’s foot condition is ongoing or recurrent, often leading to time off work and a decrease in productivity levels. The worries caused by ongoing or recurrent pain may lead some people to avoid activities they enjoy or that bring them pleasure or that are particularly meaningful to them. This can impact their overall quality of life. There are limitations in terms of mobility and movement in elderly people not included in various activities. Essentially, chronic painful foot conditions are an untapped epidemic, much aligned with back and arthritic pain. Further research is required to identify effective management strategies for reducing or eliminating pain for all these people, in terms of self-help and primary care management, leading to necessary referral and specialist secondary care for a substantial minority of individuals. Therefore, it is suggested that the important issue is the degree of foot discomfort and pain experienced by so many people, and therefore the requirement is towards pain indifference. In accordance with this pain indifference concept, it is proposed that an optimal strategy for selecting a suitable patient/sample of the cases of chronic plantar fasciitis to be included in a study protocol or new interventional trial has to be guided by the extent of pain ratings. For example, it is suggested that an adequate ending for such a future interventional study may include an evidence-based foot rehabilitation for those cases with sub-catastrophic or catastrophic pain ratings, after the scores have been ascertained in a reliable manner. Therefore, a self-rated pain survey in order to actualize the pain indifference behavior to be encompassed will be necessary. Stretching Exercises Stretching exercises can help to prevent various forms of foot pain. They can make your feet stronger, more flexible, and more resilient to injury. If you're prone to getting foot pain from physical activity or other forms of stress, stretching is especially important to incorporate into your daily routine. Also, if you already have foot pain and are able to stretch without discomfort, it's a great way to speed up your recovery. You can do many stretches for your arches, heels, and toes. One of the simplest and most effective consists of sitting barefoot in a chair with your right... --- - Published: 2023-10-02 - Modified: 2025-07-24 - URL: https://www.theorthopaedicandpainpractice.com/chronic-neck-and-shoulder-pain-relief-strategies-to-reduce-discomfort-2/ - Categories: Articles by Doctor - Tags: chronic neck and shoulder pain, chronic neck and shoulder pain relief, Chronic Pain, medical condition, muscle imbalances, neck pain, Pain Relief, poor posture, posture, shoulder pain, stress, tension headache neck pain treatment Struggling with neck and shoulder pain can take a toll on you, both physically and emotionally. Whether it stems from slouching, muscle imbalances, an underlying health issue or the daily grind, enduring discomfort in these areas can greatly impact how you go about your life. The silver lining is that there are various ways to find relief. In this guide, we will delve into methods and tips to help you effectively handle and alleviate neck and shoulder pain. Bid farewell to discomfort and let’s set off on a path toward enhanced wellness and ease. Understanding the Causes of Chronic Neck and Shoulder Pain (Source:https://www. freepik. com/free-photo/old-senior-man-with-shoulder-pain-upset-senior-elder-man-feel-sudden-back-pain-muscles-ache-tension-injury-home-grandfather-touching-shoulder-having-osteoarthritis-arthritis_28002890. htm#query=shoulder%20pain&position=17&from_view=search&track=ais) Neck and shoulder pain may result from an injury or various medical conditions, like a heart attack. The treatment needed will vary based on the root cause: Soft tissue injuries - Neck and shoulder pain often stem from soft tissue injuries involving muscles, tendons and ligaments. This differs from hard tissue injuries involving bones and cartilage. These soft tissue injuries can manifest as types of pain such as stiffness, headaches and muscle spasms. Rotator cuff tear - The rotator cuff comprises four tendons connecting the arm to the shoulder blade. Injuries like falls or repetitive stress from activities requiring arm and shoulder movement can lead to a tear in the rotator cuff. Factors like age can also play a role in tearing due to healing processes caused by blood flow and bone spurs that may harm the rotator cuff tendons. Whiplash - Sudden jerking motions affecting the neck like those from car accidents, contact sports, falls or head blows can result in muscle tears in the neck and shoulder area known as whiplash. Symptoms might not show up until a day or more later. It could consist of neck discomfort, headaches feeling blurry vision and tiredness. Cervical Spondylosis - When a nerve in your neck gets compressed it may cause a throbbing feeling that you might feel in your shoulder; this is known as radiculopathy. It often occurs due to changes in the spine over time or from an injury, such as the development of bone protrusions that press on the nerves nestled within the vertebrae Decoding Discomfort: Understanding the Common Symptoms of Neck and Shoulder Pain (Source:https://www. freepik. com/free-photo/indoor-shot-tired-man-working-online-home-sitting-table-living-room-against-sofa-having-lots-freelance-work-having-pain-neck-massaging-looking-laptop-display_18326616. htm#page=2&query=shoulder%20pain&position=15&from_view=search&track=ais) Neck and shoulder discomfort goes beyond pain; they serve as subtle signals from your body urging you to take notice. These signs might start off subtly. If ignored they can turn into agony that affects your daily life. Let’s delve into the signs of neck and shoulder pain in a way that helps you understand the messages your body is trying to send. Persistent Knot - Picture lugging around a backpack of stress, tension and bad posture wherever you go. Over time, this burden can cause your shoulders to stiffen up leading to that feeling of unease. It's like having a muscle that refuses to relax, making tasks such as reaching for items on high shelves or turning your head feel like a challenge. Unwanted Headache - Neck and shoulder discomfort often brings along a companion—headaches. These headaches feel like a band tightening around your head. This may originate at the base of your skull before spreading. Sometimes your body signals you to slow down take a breather and show some care to your neck. Limited Mobility - Have you ever tried to glance over your shoulder while driving and felt like your neck just wouldn't cooperate? That's another sign of neck discomfort. Limited movement means restrictions in how you can move your head and shoulders affecting your mobility and potentially putting your wellbeing at risk. Tingling and Numbness - Occasionally neck pain doesn't just stay as discomfort; it can cause tingling or numbness down your arm. It's like experiencing pins and needles in your body. This feeling can be unsettling and it indicates that nerves may be affected. Sleepless Nights - Your neck and shoulders might not give you a break even when it’s time to sleep. Struggling for a night’s rest can turn into a battle, leaving you feeling more tired when you wake up. Emotional Toll - Neck and shoulder pain can also take a toll. Dealing with pain is a journey that affects your mood and increases stress levels. It becomes a companion that constantly disrupts your balance. Effective Remedies: Non-Invasive Treatments for Neck and Shoulder Pain If you are experiencing mild neck and shoulder pain, you may be able to reduce your discomfort with some home remedies. However, you should consult a doctor if you go through more serious symptoms. In order to manage pain, it is recommended to cease activities that may be causing discomfort. To reduce any swelling, applying an ice pack to the area for up to 20 minutes, 5 times a day for the initial three days is suggested. Other methods to help ease pain include utilizing a heating pad or warm compress, taking over-the-counter pain medication, wearing a pain-relieving shoulder wrap, and massaging the area. Furthermore, applying a topical pain-relieving cream may also be beneficial. The Power of Movement: Exercise and Stretching Techniques for Relief If you try stretching your arms up and you feel a twinge in your neck or shoulders, take this a reminder to take care of our bodies. That's where the beauty of movement comes in. In this guide, we'll explore exercises that you can do from the comfort of your home. Stretches are presented in a way to help ease those nagging neck and shoulder discomforts: "Shoulder Roll" Dance - Imagine you are a graceful dancer warming up for their performance. Roll your shoulders forward and backward to release tension and get them ready for the day. "Neck Tilt" Greeting - Say hello to your neck muscles by tilting your head to one side bringing your ear closer to your shoulder and holding for a few seconds before switching sides. This stretch is great for easing neck stiffness. "Chin Tuck" Conversation - Envision having a chat with your chin. Gently tuck it towards your chest. Hold it there briefly. This move can help relieve the strain in the front of your neck after hours spent staring at screens. "Skyward Stretch" Reach - Raise your arm as if reaching towards the sky extending it above your head. Gently tilt your head in that direction to feel a stretch in your neck and along the side of your body. Lifestyle Adjustments: Everyday Habits to Prevent Neck and Shoulder Pain Changing up your habits can help prevent discomfort in the neck and shoulders. Imagine your routine as a canvas where each habit acts like a brush stroke. Whether its hunching over a computer cradling your phone or carrying bags these habits can lead to pain. Fear not! You have the ability to adjust those habits for a pain life. Let’s explore some lifestyle tweaks that can help alleviate those neck and shoulder pains. Tech Break Pause - In today’s era it's crucial to give your neck and shoulders a breather from screens. Visualize your devices as companions you're spending time with. Occasionally acknowledge those around you by nodding or taking moments to stretch roll your shoulders or simply gaze into the distance. Your body will thank you for the pause. Baggage Check Reminder - Treat your bag or backpack like a travel companion, rather than a burden. Picture yourself embarking on an adventure and ensure that your bag isn't too heavy. Adjust the straps to evenly distribute the weight for comfort during travel. A small adjustment can help alleviate tension in your shoulders. Pillow Support - Your pillow is more than a source for softness; it's like a sleep companion. Picture it as a hug for your neck. Choose a pillow that supports the curve of your neck and maintains spinal alignment. You'll notice the difference in how you feel each morning. Water Break - Visualize your body as a garden that needs watering. Make sure to drink water throughout the day as dehydration can cause muscle stiffness and discomfort. Make drinking water a habit like having a chat with yourself. Seeking Professional Help: When and How to Consult a Doctor Remember, it's important to know that reaching out for assistance isn't a sign of weakness; it shows strength and a willingness to find relief and recovery. Let’s discuss the timing and approach, for seeking advice about neck and shoulder discomfort empowering you to make choices about your health. Persistent Pain - Consider your body as a companion trying to convey a message. When neck and shoulder pain persist and continues to bother you it's time to pay attention. If the discomfort lasts for than a few weeks or worsens despite home remedies, view it as your body’s way of signaling that expert guidance may be beneficial. Visiting the Doctor - While visiting a doctor might feel intimidating, envision it as an exploration into a territory with a guide. Begin by arranging an appointment with an orthopaedic surgeon. Trusting your Gut - Your body understands you best. If your intuition hints that something is amiss don't hesitate to seek advice from a specialist. Trust your gut feelings just like you would rely on advice from a trusted friend. Consult your Doctor - Make sure to talk to your doctor. Have a list of questions and things you want to talk about ready, for your appointment. When dealing with neck and shoulder pain it's important to keep in mind that patience and dedication are key. The tips we've discussed serve as your roadmap to finding relief. By using these techniques you're not just handling the pain; you're regaining your energy. That journey is invaluable. Your comfort and health deserve the care. Frequently Asked Questions: What is chronic neck and shoulder pain? Chronic neck and shoulder pain refers to persistent discomfort in these areas, often resulting from factors like poor posture, muscle tension, injuries, or underlying medical conditions. This pain can significantly impact daily activities and overall quality of life. What are effective strategies for chronic neck and shoulder pain relief? Effective strategies for relief include:Heat and Cold Therapy: Applying heat or cold packs to reduce inflammation and soothe muscles. Pain Relief Medications: Using over-the-counter options like ibuprofen or acetaminophen as needed. Lifestyle Modifications: Improving posture, taking regular breaks from screen time, and managing stress. Is my bad posture contributing to this pain? Bad posture can be a real troublemaker when it comes to neck and shoulder pain. Imagine your body like a tree; slouching is like a tree leaning to one side. It can put extra stress on your neck and shoulders. Correcting it might be as simple as thinking 'stand tall,' like you're greeting an old friend. Can food and lifestyle changes really help with pain? By eating anti-inflammatory foods like fruits and vegetables and staying hydrated, you're nurturing your body and helping it flourish. A healthy lifestyle and diet can have a big impact. Are there any over-the-counter medications I can try for relief? There are over-the-counter options like ibuprofen or acetaminophen. But remember to use them responsibly. When should I seek professional treatment for chronic neck and shoulder pain? Consult a healthcare professional if your pain persists for more than a few weeks, worsens despite home treatments, or is accompanied by symptoms such as numbness, tingling, or severe headaches. These could indicate a more serious underlying condition. Can stress really make my neck and shoulder pain worse? Absolutely. Stress can tighten your muscles, making the pain worse. Techniques like deep breathing or meditation can be like inviting a calm friend to your party. Once the pain is gone, how can I prevent it from coming back? Prevention is the key, just like maintaining a friendship. Regular exercise, mindful posture, stress management, and a healthy lifestyle can all help keep the pain at bay. And remember, check in with your doctor regularly to ensure everything is on track. References: https://www. healthline. com/health/what-causes-concurrent-neck-and-shoulder-pain-and-how-do-i-treat-it#_noHeaderPrefixedContent https://www. mayoclinic. org/diseases-conditions/neck-pain/symptoms-causes/syc-20375581 https://www. webmd. com/pain-management/neck-shoulder... --- - Published: 2023-09-29 - Modified: 2025-07-24 - URL: https://www.theorthopaedicandpainpractice.com/a-comprehensive-guide-to-treating-foot-heel-pain/ - Categories: Articles by Doctor - Tags: achilles tendinitis, feet, foot heel pain, foot heel pain treatment, heel pain, Heel Spurs, orthotics, Plantar Fasciitis Imagine the discomfort of every step feeling like a small agony, a daily reminder that your feet, the unsung heroes of your body, are in pain. Foot heel pain, a common ailment, can disrupt even the simplest activities. We will delve into heel pain, including potential causes, treatment methods, and strategies to prevent it. It is time to put an end to the discomfort and move toward a place of relief and better health. Understanding the Causes of Foot Heel Pain (Source:https://www. freepik. com/free-photo/closeup-athletic-woman-injured-her-foot-during-workout-gym_26402565. htm#query=foot%20heel%20pain&position=13&from_view=search&track=ais) The causes of heel pain can be as diverse as the people who experience it. Sometimes, it's a reminder of an active weekend hike or a long day spent on your feet. Other times, it's an ongoing issue that needs attention. Regardless of the cause, understanding it is the first step towards finding relief and getting back to those pain-free mornings. Achilles Tendinitis - The Achilles tendon is a type of tissue that connects the calf muscle to the heel bone, and it is the longest and strongest tendon in the human body. People who participate in running or other sports activities may be more susceptible to Achilles tendinitis, which is caused by overuse and results in inflammation of the tendon. Bursitis - Inflammation of the bursae, which are small sacs filled with fluid providing cushioning for joints, can cause tenderness and a bruise-like feeling behind the heel. This can be due to prolonged standing. Bone bruise - If you experience tenderness in your heel, you may have stepped on a hard, pointed object that has bruised the fat padding beneath your heel. This may cause a discoloration, but the main symptom is pain in the back, side, and bottom of the heel. Stress fractures and Sever's disease may also cause this kind of pain. Plantar fasciitis - Pain in the heel area is usually caused by plantar fasciitis, a condition in which the connective tissue on the underside of the foot becomes worn or stretched. Those who participate in activities that involve running or jumping are at a higher risk of developing this painful issue, and exercising or being on a hard surface, like concrete, can worsen it. When to Seek Professional Help for Heel Pain Your heels have been sending distress signals for a while now, and you've tried various remedies to ease the pain. Maybe you've massaged them, stretched them, or even searched "heel pain solutions" more times than you can count. Yet, the discomfort lingers. That's when you start wondering, "Is it time to seek professional help? " Well, let's talk about it – that pivotal moment when you decide it's time to reach out to the experts. It's not just about the pain; it's about regaining those pain-free mornings and being able to stride confidently through your day. So, when is the right time to make that call? If someone has had heel pain for over two weeks, or any combination of severe pain, swelling, numbness, tingling, fever, trouble walking or bending their foot downward or tiptoeing, they should seek medical advice. Even if the heel discomfort continues for more than a week despite decreased standing and walking, it is wise to visit a doctor. Home Remedies for Alleviating Heel Discomfort A lot of us understand what it feels like to be exhausted after a strenuous day or workout. Instead of scheduling a visit to the doctor, let's explore some potential home remedies that can give us the comfort we seek. Rest - Those who have Plantar Fasciitis should take a break from activities that could be making their feet worse in order to give their body a chance to heal and reduce swelling. Taking a break from activities such as running, walking, and wearing improper footwear can help relieve heel pain and allow you to continue doing the activities you love, free of pain. Stretch - Stretching your muscles and tendons helps to boost blood flow to these areas. This increased circulation of blood is essential for healing injuries, as it brings oxygen and nutrients that can help the body to repair itself. People experiencing discomfort in their heels can do two stretching exercises while seated. Place a towel underneath your arch, and pull on both ends while applying pressure to your foot in a downward direction. Sit in a cross-legged position and reach out with your arm to attempt to touch your big toe. Remain in this position, and then repeat the stretch three times. Gently draw your big toe inward until you sense a stretching sensation. Maintain the position, then repeat the same motion three times for each foot. Cold compress - Applying cold compress to any swollen joint, tendon, or muscle can help decrease inflammation and enable the blood vessels to receive more oxygen and nutrients. To ice the plantar fascia, you can elevate your foot and secure a cold compress to the underside of your foot. Pain relievers - Nonprescription pain medications may not be sufficient to treat your heel discomfort, but can be useful to reduce the discomfort you experience during the day. If the over the counter medications don't offer the desired level of relief, your doctor may suggest a prescription for a nonsteroidal anti-inflammatory drug to help provide relief. Medical Treatments for Moderate to Severe Heel Pain Alright, so you've tried some home remedies, and your heel pain just won't budge. It's like an unwelcome guest that has overstayed its welcome. Now, it might be time to explore medical treatments for that persistent heel discomfort. The heel can often be relieved of pain and inflammation without the need for surgical procedures by doing treatments that promote flexibility in the foot, lessen pressure on the heel, and control pain and swelling. These treatments may include steroid, orthotic devices like shoe inserts and splints, and physical therapies like massage, physical therapy, and ultrasound therapy. Using footwear that gives support and a walking brace may help to reduce the amount of pain and swelling. Rehabilitation and Physical Therapy for Heel Injuries A comprehensive approach to healing heel injuries is taken which focuses on encouraging recovery, alleviating pain, and bringing back the ability to use the area. Here's what you can expect during the rehabilitation process: Initial Assessment - The journey begins with a thorough assessment by a healthcare professional. They'll evaluate the extent of your heel injury, your medical history, and your treatment goals. Pain Management - Controlling pain is often the first priority. Rehabilitation specialists may use techniques like ice therapy, ultrasound, or electrical stimulation to alleviate discomfort. Stretching and Strengthening Exercises - Specific exercises will be prescribed to stretch and strengthen the affected area. For example, patients with plantar fasciitis might perform calf stretches and toe curls to enhance flexibility and strength. Physical therapy is an integral part of heel injury recovery. Here's how it can benefit you: Individualized Treatment Plans - Physical therapists create personalized treatment plans based on your specific injury and needs. Manual Therapy - Hands-on techniques like massage and joint manipulation can help improve circulation and reduce muscle tightness around the heel. Range of Motion Exercises - These exercises target flexibility, helping to restore normal movement in the foot and ankle. Preventing Future Heel Pain: Tips for Healthy Feet and Ankles You have made it through the process of managing heel pain, from diagnosis to treatment, and now you are on the path to recuperation. It is just as important to take steps to stop further heel pain and look after the health of your feet and ankles. Consider this a new chapter in your foot care routine, one where you can influence the tale of your pain-free future. Here are a few practical methods to keep your feet and ankles healthy: Choose the Right Footwear - It all starts with your shoes. Opt for footwear that provides adequate support, cushioning, and a proper fit. If you have specific foot conditions or arch types, consider orthopedic or custom-made shoes. Maintain a Healthy Weight - Excess weight can put extra pressure on your feet and heels. Maintaining a healthy weight through a balanced diet and regular exercise can reduce this strain. Stretch and Strengthen - Incorporate daily stretching and strengthening exercises into your routine. Focus on your calf muscles, Achilles tendon, and the plantar fascia to keep them flexible and strong. Mind Your Running Surface - If you're a runner, pay attention to the surface you run on. Hard surfaces like concrete can be tough on your heels. Opt for softer tracks or trails when possible. We rely on our feet to support us throughout our lives, and it is typical to experience some degree of discomfort. Experiencing heel pain can be tough, but it is an opportunity to become more resilient, patient and to look after ourselves better. At the end of this guide, it is important to remember that recuperation is an ongoing journey and not a fixed outcome. Your feet and heels deserve the care and attention that only you can provide. So, step forward with confidence, knowing that you have the knowledge and tools to conquer heel pain and embrace each day with comfort and vitality. Frequently Asked Questions: What is foot heel pain? Foot heel pain refers to discomfort located at the back or bottom of the heel, often caused by various conditions such as plantar fasciitis, Achilles tendonitis, or bursitis. What are common causes of foot heel pain? Plantar Fasciitis: Inflammation of the tissue on the bottom of the foot. Achilles Tendonitis: Inflammation of the Achilles tendon due to overuse. Bursitis: Inflammation of the bursae, causing tenderness behind the heel. Bone Bruise or Stress Fractures: Resulting from impact or overuse. When should I see a doctor for my heel pain? If your heel pain persists for more than a few weeks despite home treatments, it's advisable to consult a healthcare professional to rule out underlying issues. What types of medical treatments are available for foot heel pain? Foot heel pain treatment options may include:Orthotic Devices: Shoe inserts to provide support. Steroid Injections: To reduce inflammation and pain. Surgery: Considered as a last resort if conservative treatments fail. Are there any surgical options for heel pain? In severe cases, surgical procedures like plantar fascia release or Achilles tendon repair may be considered. However, these are typically the last resort when conservative treatments fail. How long does it usually take to recover from heel injuries? Recovery times can vary depending on the severity of the injury and the chosen treatment. Some people experience relief in a few weeks, while others may take several months. Can foot heel pain be prevented? Yes, prevention strategies include:Wearing supportive footwear. Maintaining a healthy weight. Regularly stretching and strengthening foot muscles. What should I expect during a medical evaluation for heel pain? A healthcare professional will conduct a thorough assessment, which may include physical examinations and imaging tests like X-rays to diagnose the underlying issue. References: https://bjsm. bmj. com/content/55/19/1106 https://www. mayoclinic. org/diseases-conditions/plantar-fasciitis/diagnosis-treatment/drc-20354851 https://my. clevelandclinic. org/health/articles/10060-heel-pain Dr Yong Ren’s Profile Dr Yong Ren graduated from the National University of Singapore’s Medical faculty and embarked on his orthopaedic career soon after. Upon completion of his training locally, he served briefly as an orthopaedic trauma surgeon in Khoo Teck Puat hospital before embarking on sub-specialty training in Switzerland at the famed Inselspital in Bern. He underwent sub-specialty training in pelvic and spinal surgery, and upon his return to Singapore served as head of the orthopaedic trauma team till 2019. He continues to serve as Visiting Consultant to Khoo Teck Puat Hospital. Well versed in a variety of orthopaedic surgeries, he also served as a member of the country council for the local branch of the Arbeitsgemeinschaft für Osteosynthesefragen (Trauma) in Singapore. He was also involved in the training of many of the young doctors in Singapore and was appointed as an Assistant Professor by the Yong Loo Lin School of Medicine. Prior to his entry into the private sector, he also served as... --- - Published: 2023-09-28 - Modified: 2025-07-26 - URL: https://www.theorthopaedicandpainpractice.com/using-orthopaedic-and-pain-management-strategies-to-tackle-foot-pain-near-the-arch/ - Categories: Articles by Doctor - Tags: arch pain, foot arch pain, foot arch pain treatment, foot pain near arch, foot pain near arch high arch foot pain treatment, foot pain near the arch, high arch foot pain treatment, orthopaedic, Orthopaedic Treatment, pain management, pain-free walking, Plantar Fasciitis, Tendinitis Foot pain near the arch can be a real downer, disrupting your daily routine and making each step feel like a hurdle. But here's the good news – you're not alone, and there are strategies to tackle this discomfort and get back to pain-free walking. We will be examining ways to treat orthopaedic issues, how to manage discomfort, and providing useful tips to help you become active again and enjoy life without having to struggle with arch pain. So, let's embark on this path toward foot comfort together. Understanding the Causes of Arch Pain (Source:https://www. freepik. com/free-photo/tired-aching-female-feet-after-walking_20989733. htm#query=foot%20pain&position=6&from_view=search&track=ais) Pain in the foot arches is a frequent issue, likely related to the pressure experienced in the feet, especially if you are standing for extended periods. The foot arches are supported by muscles and tendons, which can become tense if they are put under too much pressure when providing stability, resulting in soreness in the feet. Additionally, a lack of strength or tightness in the foot muscles can affect the way pressure is distributed through the feet and up the legs, potentially causing back or knee pain. In addition, there may be lumps and bumps underneath the foot. Athletes may experience discomfort in their foot arches, especially those who exercise strenuously. Plantar Fasciitis - By far, the most frequent source of arch pain in the foot is plantar fasciitis, which is caused by injury to the thick ligament underneath the foot. Normally, this is caused by changes to the foot's biomechanics, bone spurs, and tight muscles, and is common among people who spend a lot of time standing or who suddenly increase their level of physical activity. Foot Cramps - Cramps in the foot arch are characterized by sudden, strong muscle spasms that may last anywhere from a few seconds to a few hours. The calf, toes, or arch of the foot can experience significant discomfort due to spasms, which may also lead to muscle tightening and toes curling. Tarsal Tunnel Syndrome - Inner foot arch pain can be caused by tarsal tunnel syndrome, which is a less common condition. The tibial nerve is compressed due to something taking up space in the tarsal tunnel such as bone spurs, swelling, or cysts. Symptoms of this condition include arch pain, pins & needles, and numbness. Plantar Fibromatosis - It is conceivable that discomfort in the arch of the foot could be caused by plantar fibromatosis, which is identifiable by nodules in the plantar fascia, usually positioned in the center of the arch. This ailment may be the result of foot trauma, genetic factors, or other health problems. Orthopaedic Solutions: Custom Orthotics and Shoe Recommendations A doctor may suggest the use of special medical devices to be worn in the shoes to help with biomechanical problems associated with activities like walking, standing, and running. These orthotics can be utilized as a means of reducing aches and pains caused by illnesses such as diabetes, plantar fasciitis, bursitis, and arthritis. In some cases, orthotics can even help prevent the need for surgery to treat flat feet. However, it is possible that a non-prescription shoe insert may work just as well in some cases. Consulting a doctor would likely be beneficial. It is important that both prefabricated insoles and tailored orthotics are the right size for your shoes. If the insert you bought in a store is uncomfortable when you try it on, it is unlikely that it will become any more comfortable when you get home. It is important to check that prescription orthotics fit correctly as they are made to fit the shape of your feet. These can be more expensive than inserts, however, they offer a medical assessment for your foot issue, a custom fit, and materials that can last for a few years if you take care of them. Furthermore, your health insurance may cover some of the cost. It is also important to make a follow-up appointment with your doctor to check that the orthotics are working as intended. Hopefully, you will find that your feet feel better, but if not, be sure to let your doctor know. Physical Therapy for Arch Pain: Exercises and Stretches Before we dive into the exercises, let's understand what's causing the pain in the first place. Arch pain can stem from various sources, like overuse, flat feet, or ill-fitting shoes. It's like a signal from your feet that something's amiss. Physical therapists are like detectives; they assess your condition, pinpoint the cause, and tailor a treatment plan just for you. Gentle Stretches Stretching is like a sigh of relief for your arches. Here are a couple of gentle stretches to get you started: Calf Stretch: Stand facing a wall, place one foot behind the other, and press your heel into the floor. You'll feel the stretch in your calf and arch. Hold for 30 seconds, and switch sides. Towel Curl: Sit on a chair with your feet flat on the floor. Place a towel under your toes and scrunch it up, using only your toes. It's like a mini-workout for your arches. Strengthening Exercises Building strength in your foot muscles can do wonders for arch pain. Here are a couple of exercises to try: Marble Pickup: Scatter some marbles on the floor and pick them up with your toes, placing them in a bowl. It's like a game that doubles as a workout. Toe Tapping: While sitting, tap your toes on the floor as fast as you can for 30 seconds. It's like a quick burst of exercise. Balance Exercises Your arches play a crucial role in maintaining balance. Strengthening them can improve your overall stability. Try this: Single Leg Balance: Stand on one foot for as long as you can, aiming for 30 seconds. It's like a balancing act that tones your arch muscles. Medications and Injections: Pain Management Options Before we delve into the details, it's essential to know that medications and injections aren't one-size-fits-all solutions. What works for one person may not work for another. That's why it's crucial to consult with a healthcare professional who can tailor the treatment to your specific needs. Over-the-Counter Pain Relievers - Think of these as your first line of defense. Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help reduce pain and inflammation in your arches. They're like a comforting hug for your sore feet, providing temporary relief. Prescription Medications - When the pain is persistent and severe, your healthcare provider might prescribe stronger medications. These could include prescription NSAIDs or other pain relievers. It's like calling in the cavalry to battle your arch pain. Corticosteroid Injections - For some individuals, corticosteroid injections are the game-changers. It's like delivering targeted relief directly to the source of your pain. A healthcare provider injects a corticosteroid medication into the affected area, providing significant relief from inflammation and pain. Platelet-Rich Plasma (PRP) Injections - PRP injections are like nature's way of healing. In this procedure, a small amount of your blood is drawn, processed to concentrate the platelets, and then injected into the painful area. These platelets are like little repair crews, helping to speed up the healing process. Surgical Interventions: When Foot Pain Requires Medical Procedures Before we delve into the specifics, it's crucial to understand that surgery isn't the go-to solution. It's considered when more conservative treatments have been explored and the pain remains a formidable foe. Your healthcare provider will carefully evaluate your situation and recommend surgery only if it's the best course of action for your unique condition. Common Surgical Procedures Plantar Fascia Release - Picture the plantar fascia as a tight, overworked rubber band at the bottom of your foot. In conditions like plantar fasciitis, this band becomes inflamed and painful. Plantar fascia release surgery is akin to snipping that stretched-out rubber band, relieving tension and discomfort. Arthroscopy - This minimally invasive procedure involves a tiny camera exploring the inside of a joint, such as the ankle or big toe. Tendon Repair - When a tendon in your foot is damaged or torn, surgery may be necessary for repair. Think of it as stitching up a torn fabric to restore strength and function. Osteotomy - In cases where bone alignment needs correction, osteotomy comes into play. It ensures your bones are aligned for pain relief. Fusion - Severe joint damage might require fusion surgery, where two bones are fused together. Surgery enters the picture when other avenues like physical therapy, medications, and injections haven't provided the desired relief. Your healthcare provider will discuss your condition, the potential benefits, and the risks associated with surgery. They'll ensure it aligns with your overall health and lifestyle. Preventing Arch Pain: Tips for Long-Term Foot Health When it comes to your feet, prevention is often the best medicine. Arch pain can be a persistent companion, but there are steps you can take to safeguard your foot health for the long run. It's like tending to a cherished garden, nurturing your arches to thrive pain-free. Choose the Right Footwear - Invest in shoes that love your feet as much as you do. Opt for footwear with proper arch support and cushioning. It's like finding the perfect pillow for a good night's sleep – your arches deserve nothing less. Avoid High Heels (or Use Sparingly) - High heels may be fashionable, but they're not your arches' best friend. Limit their use and opt for lower, more comfortable options for daily wear. Think of it as giving your arches a break from the high-pressure fashion scene. Maintain a Healthy Weight - Extra weight puts added stress on your feet, including your arches. Strive to maintain a healthy weight through a balanced diet and regular exercise. Your arches will thank you for the reduced load. Stretch Regularly - Incorporate gentle stretching exercises into your daily routine. It's like yoga for your feet. Stretching helps maintain flexibility and reduce the risk of arch pain. In the journey to overcome arch pain, these orthopedic and pain management strategies are like trusted allies, offering relief and hope. Remember, your feet are unique, and so is your path to healing. Consult with a compassionate doctor who can tailor these strategies to your individual needs. Whether it's custom orthotics, targeted medications, injections, or physical therapy, your well-being is the ultimate goal. With this, you're on the road to a future where every step is a reminder of your strength and resilience. So, step forward with confidence, knowing that you have the support you need to conquer arch pain and embrace a life of comfort and mobility. Frequently Asked Questions: What causes foot pain near the arch? Foot pain near the arch can stem from various factors like plantar fasciitis, flat feet, overuse, or even ill-fitting shoes. It is important to pinpoint the exact reason in order to provide effective treatment. Are orthopaedic inserts and custom orthotics the same? Orthopaedic inserts are pre-made, while custom orthotics are tailored to your feet for precise support. Custom orthotics offer personalized relief. Can medications completely alleviate arch pain? Medication may be able to help with controlling pain, but it may not be a long-term solution. Everyone reacts differently to medications, so it is important to speak to a healthcare professional to decide the best approach. What should I expect during a corticosteroid injection for arch pain? A corticosteroid injection involves a healthcare provider injecting medication directly into the painful area. It is important to talk with your doctor about the potential pros and cons before deciding on this form of treatment as it can offer great relief, but there may be risks involved. How long does it take to see results from physical therapy for arch pain? The timeline varies, but many individuals experience improvements within a few weeks of consistent therapy. It depends on your condition and the recommended treatment plan. Can I continue my regular activities while managing arch pain? It is advisable to keep some physical activity, but one should be careful to avoid activities that worsen... --- - Published: 2023-09-27 - Modified: 2025-07-24 - URL: https://www.theorthopaedicandpainpractice.com/foot-nerve-pain-treatment-comprehensive-guide-to-foot-pain-relief/ - Categories: Articles by Doctor - Tags: comprehensive foot and ankle pain treatment, foot and ankle pain relief, foot and ankles, Foot Nerve Pain, foot nerve pain treatment, foot pain treatment, Neuromas, Neuropathy, Orthopaedic Treatment, Pain Relief We often go through our daily routines without giving much thought to our feet and ankles, yet they are always with us. When pain and discomfort affect our feet and ankles, it can be quite disruptive and unsettling. This guide is designed to give a clearer idea of the causes of this kind of pain, comprehensive foot and ankle pain treatment, and methods for foot and ankle pain relief. We hope that this information will allow you to move freely and comfortably, without the hindrance of pain. Understanding the Roots of Foot and Ankle Pain: Delving into the Common Causes (Source: https://www. pexels. com/photo/a-person-touching-his-ankle-7298678/) Picture this: you're strolling through a park, the sun warming your face, when suddenly, a sharp pain shoots through your ankle. Or perhaps you wake up one morning, and your foot aches as if it's been protesting all night. We've all been there – those moments when foot and ankle pain seemingly appear out of nowhere, leaving us bewildered and in discomfort. Let's look at the very roots of foot and ankle pain. It's time to demystify the signals your body is sending and embark on a path toward relief and healing. Strained Muscles and Ligaments - Just like a tired body after a long day's work, our feet and ankles can get strained from overexertion, whether it's a long hike or a day of standing on hard surfaces. Arthritis - Our joints wear down over time, leading to pain and stiffness in the feet and ankles. Injuries and Sprains - Accidents happen, and sometimes it's like stumbling on an uneven sidewalk. Ankle sprains, fractures, or twists can leave us in pain. Improper footwear - Ill-fitting shoes are like a constant annoyance. They can squeeze our toes, offer inadequate support, and lead to discomfort that lingers long after we kick off those shoes. Diagnosing the Issue: When to Seek Professional Help for Foot and Ankle Pain When it comes to foot and ankle pain, it's a bit like navigating through life's uncertainties – sometimes, you're unsure if you should soldier on or seek help. But here's the thing: knowing when to reach out to a professional can make all the difference in your journey to relief and recovery. Consider it like this: your feet and ankles are your trusty companions on life's path. They carry you through the ups and downs, but when they start sending distress signals, it's time to listen. So, when should you pick up the phone or schedule that appointment? Persistent Pain - Think of it as your body's way of saying, "Hey, something's not right. " If the pain lingers, persists, or worsens despite your best efforts, it's a clear sign to consult a professional. Inability to Bear Weight - When your feet and ankles stage a protest, making it painful or impossible to put weight on them, it's time to reach out for guidance. Swelling and Inflammation - Swelling, like an unwelcome guest, can indicate an underlying issue. If it appears suddenly, stays for an extended visit, or seems disproportionate to the injury, it's worth investigating. Bruising or Discoloration - Just as you'd notice a bruise on your arm, bruising or unusual discoloration on your feet and ankles shouldn't be ignored. It can be a sign of injury or other concerns. Conservative Approaches: Home Remedies and Self-Care Tips for Alleviating Discomfort When it comes to finding relief from foot and ankle pain, sometimes it's the simple, everyday remedies that provide the most comfort. Think of it as tending to your body's well-being, much like nurturing a cherished plant in your garden. Let's delve into the world of conservative approaches – home remedies and self-care tips that can help alleviate discomfort in a way that feels truly human. RICE Method - Picture this: after a long day, you've got an ache in your ankle, maybe from a minor sprain or overuse. It's like a gentle reminder from your body to take it easy. Enter the RICE method – Rest, Ice, Compression, and Elevation. Just like you'd rest when you're tired, applying ice, gentle compression, and elevating the affected area can soothe inflammation and promote healing. Proper Footwear - Think of choosing the right shoes as selecting the perfect tools for a task. Your feet and ankles deserve proper support and comfort. Opt for shoes that fit well, provide adequate cushioning, and match the activity you're engaging in. Stretching and Exercises - Just as you'd do a few stretches after waking up, your feet and ankles benefit from gentle exercises and stretches. These can help improve flexibility, strengthen muscles, and alleviate pain caused by tightness or strain. Over-the-Counter Remedies - Over-the-counter pain relievers can be like a friend offering a helping hand during tough times. They can temporarily reduce pain and inflammation. However, it's essential to use them as directed and consult a healthcare provider if the pain persists. Medical Interventions: Treatment Options for Moderate to Severe Foot and Ankle Pain When it comes to tackling moderate to severe foot and ankle pain, sometimes our bodies need a little extra help, much like seeking the advice of a trusted friend when facing a tough decision. In the world of medical interventions, there are various options that can provide that much-needed assistance in a way that respects our humanity. Physical Therapy - Think of physical therapy as a guided journey back to strength and mobility. Just like a personal trainer tailors workouts to your needs, a physical therapist creates a custom plan to target the source of your pain. They're like the compass that guides you toward recovery. Orthotics and Bracing - Sometimes, our feet and ankles need a little extra support, similar to wearing a cast when a bone is broken. Orthotics and braces provide that additional stability, helping to alleviate pain and promote healing. Injections - Injections may sound intimidating, but they can be like targeted magic for pain relief. They deliver medication directly to the affected area, providing quick and effective relief from conditions like plantar fasciitis or arthritis. The Road to Recovery: Rehabilitation and Physical Therapy for Foot and Ankle Injuries The road to recovery often leads to a place where rehabilitation and physical therapy become your trusted companions, guiding you back to strength and mobility in a way that deeply resonates with our human experiences. Personalized Rehabilitation - Think of rehabilitation as a tailor-made path to recovery, like a personal trainer who understands your unique needs. Whether you're healing from a sprain, fracture, or surgery, rehabilitation specialists create a plan that's just for you, focusing on your specific challenges and goals. Targeted Exercises - These exercises are like the building blocks of your recovery, similar to a sculptor shaping a masterpiece. They're designed to strengthen weakened muscles, improve flexibility, and enhance balance. With each session, you're one step closer to regaining your full potential. Hands-On Therapy - Hands-on therapy, performed by skilled physical therapists, can be compared to a skilled masseuse working out the knots in your muscles. It involves manual techniques to alleviate pain, reduce inflammation, and restore joint mobility, providing much-needed relief. Pain Management - Pain management strategies are like a soothing balm for your discomfort. They may include techniques such as ice or heat therapy, electrical stimulation, or even ultrasound to alleviate pain and promote healing. Preventing Future Pain: Tips for Maintaining Healthy Feet and Ankles Preventing future pain in your feet and ankles is like investing in a secure future. By incorporating these habits into your daily life, you're ensuring that your trusted companions continue to support you on your life's journey, pain-free and full of vitality. Regular Exercise - Exercise is like a daily ritual for your feet and ankles. Incorporate routines that strengthen muscles, improve flexibility, and promote overall foot health. It's like giving them a daily dose of vitality. Mind Your Posture - Good posture isn't just about looking confident; it's about maintaining the well-being of your entire body, including your feet and ankles. Be mindful of how you stand and walk to prevent undue stress on these vital body parts. Maintain a Healthy Weight - Much like balancing your budget to secure your financial future, maintaining a healthy weight safeguards your foot and ankle health. Excess weight can strain these areas, leading to pain and discomfort. Foot Hygiene - Foot hygiene is like nurturing a thriving garden. Keep your feet clean and dry to prevent fungal infections and other foot ailments. Moisturize when needed, and trim your toenails properly. Armed with knowledge and compassion for our feet and ankles, we stand prepared to stride confidently into the future. We wish that this guide has provided not only helpful insights but also a feeling of understanding, like a comforting pat on the back during difficult moments. As you continue on your path, keep in mind that your steps signify strength, consideration, and a deep link with the amazing voyage known as life. Frequently asked questions: What is foot nerve pain treatment? Foot nerve pain treatment focuses on relieving discomfort caused by nerve damage or irritation in the foot. Options include medication, physiotherapy, injections, or surgery, depending on the underlying cause. What causes foot nerve pain? Foot nerve pain can result from conditions like peripheral neuropathy, nerve compression, diabetes, injuries, or autoimmune disorders. Proper diagnosis is essential for effective treatment. How is foot nerve pain diagnosed? Doctors use physical exams, nerve conduction studies, imaging tests like MRIs, and blood tests to identify the root cause of foot nerve pain. Can medications help with foot nerve pain? Yes, medications like anti-inflammatories, nerve stabilizers, or topical creams can help manage foot nerve pain. Always consult a specialist for the best option. What non-surgical options are available for foot nerve pain treatment? Non-surgical treatments include physical therapy, orthotics, nerve stimulation, pain relief injections, and lifestyle modifications to reduce stress on the feet. Can nerve pain in the foot be cured? While some cases of foot nerve pain can be cured, others may require long-term management. Early intervention often improves outcomes significantly. What surgical options are available for foot nerve pain? In severe cases, surgery may be recommended to decompress nerves, repair nerve damage, or remove any growths causing pain. How long does it take to see results from foot nerve pain treatment? Treatment results vary depending on the cause and method used. Some patients experience relief in weeks, while others may require ongoing therapy. When should I see a doctor for foot nerve pain? Seek medical attention if foot nerve pain persists for more than a few days, worsens over time, or is accompanied by numbness or difficulty walking. Can footwear affect foot nerve pain? Yes, improper footwear can aggravate nerve pain in the feet. Orthopedic shoes or custom insoles can help relieve pressure and improve comfort. References: https://www. foot-pain-explored. com/foot-pain-treatment. html https://www. ncbi. nlm. nih. gov/pmc/articles/PMC5241541/ https://www. webmd. com/pain-management/foot-pain-causes-and-treatments Dr Yong Ren’s Profile Dr Yong Ren graduated from the National University of Singapore’s Medical faculty and embarked on his orthopaedic career soon after. Upon completion of his training locally, he served briefly as an orthopaedic trauma surgeon in Khoo Teck Puat hospital before embarking on sub-specialty training in Switzerland at the famed Inselspital in Bern. He underwent sub-specialty training in pelvic and spinal surgery, and upon his return to Singapore served as head of the orthopaedic trauma team till 2019. He continues to serve as Visiting Consultant to Khoo Teck Puat Hospital. Well versed in a variety of orthopaedic surgeries, he also served as a member of the country council for the local branch of the Arbeitsgemeinschaft für Osteosynthesefragen (Trauma) in Singapore. He was also involved in the training of many of the young doctors in Singapore and was appointed as an Assistant Professor by the Yong Loo Lin School of Medicine. Prior to his entry into the private sector, he also served as core faculty for orthopaedic resident training by the National Healthcare Group. Dr Yong Ren brings to the table his... --- - Published: 2023-09-22 - Modified: 2025-07-24 - URL: https://www.theorthopaedicandpainpractice.com/chronic-neck-and-shoulder-pain-relief-strategies-to-reduce-discomfort/ - Categories: Articles by Doctor - Tags: chronic neck and shoulder pain relief, Chronic Pain, neck pain, Pain Relief, posture, shoulder pain, treatment for chronic neck pain and stiffness Our necks are incredibly handy for everyday tasks, like turning our heads to look around, finding a comfy sleeping position, and providing support for our heads while we're cooking or working. The neck houses the cervical spine, which has two important jobs: It holds up your head and lets you move it around, and it keeps your spinal cord safe, which is like the body's message highway between the brain and the rest of your body. Our neck works together with the muscles and tendons of the rest of our bodies. Because of the neck, we can do all these tasks and keep us in good shape. Sometimes, when we feel pain in our neck or shoulders, it's not just in one spot. It can spread to other places in our body. This pain may radiate to other parts of your body throughout the day. For example, if your neck hurts, it might make your arm hurt too, making it seem like you have a pinched nerve or a problem in your shoulder. And if your shoulder hurts, it can feel like your upper back or even your chest hurts, which can be confusing and make you think it's a heart problem. Understanding this helps orthopaedic surgeons figure out where the real issue is. (image source: https://www. injurymap. com/articles/shoulder-blade-pain) Understanding the Causes of Chronic Neck and Shoulder Pain Neck pain can happen for different reasons. It's often because of problems with the intervertebral discs in your spine, the facet joints, or the muscles in your neck. The discs slip out of place, causing pain mainly in the neck area. Sometimes, the discs can press on your spinal cord or nerves, which can lead to chronic pain. On the other hand, the facet joints play an important role in your mobility. Facet joints can get injured by trauma or the normal wear and tear of daily life. This pain may also spread to your shoulders. Your neck has muscles that help you move it and keep it steady. This pain might also be felt in your shoulders and upper back. Usually, neck pain is a mix of these problems, so orthopaedic surgeons need to figure out the exact cause. Orthopaedic surgeons are specialists who diagnose and treat conditions involving your bones, joints, or muscles. These specialists perform diagnostic tests and then they decide on a personalised treatment plan for you. An orthopaedic surgeon’s goal is to help you alleviate pain and regain your mobility. You should seek medical attention if you experience neck and shoulder pain that does not go away after rest and home treatments. Neck pain can cause various symptoms, including numbness and weakness in the upper limbs, shooting pain down the arms, loss of hand agility, unsteadiness in walking, posterior headaches, and tingling sensation over the back of the head. Lower limb complaints are less common and are usually due to concomitant lower back problems. These symptoms may indicate cervical radiculopathy, which is caused by the compression or irritation of a nerve in the neck that can lead to pain, numbness, and weakness in the shoulder, arm, and hand. Other possible causes of hand pain and numbness include carpal tunnel syndrome. (image source: https://www. freepik. com/premium-photo/woman-with-shoulder-pain-young-woman-with-pain-shoulder-suffering-from-pain-shoulder-woman_21651413. htm) Diagnosis and Treatments for Neck and Shoulder Pain When your neck or shoulder hurts, the orthopaedic surgeon will first conduct a medical interview of your current lifestyle, condition, and other important details. They may perform a physical inspection of the affected areas by moving your body and gently pressing on it to see where it hurts. You may undergo X-rays or MRI scans so your orthopaedic surgeon can diagnose your condition. All these tests will help your orthopaedic surgeon understand why your neck or shoulder hurts. Once they figure out the case, they can recommend ways to treat your condition, like prescribing medicine or requiring you to take physiotherapy sessions. Orthopaedic surgeons may also recommend pain procedures to target the source of pain. There are different ways to alleviate pain and other symptoms associated with neck and shoulder pain. While following the specific instructions of your orthopaedic surgeon, you may need to take medications, engage in lifestyle changes, and do exercise to strengthen your neck and shoulders. In severe cases, patients may need to undergo surgery. Remember, neck and shoulder pain can have various causes. It is risky to try diagnosing and treating it yourself, especially for those who experience chronic pain. (image source: https://www. freepik. com/free-photo/fake-news-word-around-magnifying-glass_12790097. htm) Debunking Myths About Neck & Shoulder Pain Myth 1: Neck pain only happens to people with physically demanding jobs. Some people think that only those with tough physical jobs can get neck pain, but that's not true. Neck pain can happen to anyone, even if you have a desk job or if you sleep in a funny position. It's crucial to find out why your neck hurts to get the right help. Myth 2: Open surgery is the only option for treating orthopaedic conditions. Some folks believe that surgery is the only fix for neck pain, but that's usually the last thing to consider. Many other treatments don't involve surgery and can help a lot. It all depends on what's causing your neck pain, and your orthopaedic surgeon can figure that out. Myth 3: Neck and shoulder pain only comes from injurious sources (accidents or falls). People might think that shoulder pain always comes from an injury, but as we get older, our shoulders can hurt just from everyday use. Sometimes, issues in the neck and upper back can also make your shoulders ache. Myth 4: My neck or shoulder pain will go away on its own. Some folks hope that neck pain will just go away on its own, but that's not always the case. It could be a sign of a bigger problem, so it's essential to get it checked out. There are different ways to treat it, but it all depends on the diagnosis and treatment plan recommended by your orthopaedic surgeon. Myth 5: Neck and shoulder pain is always a result of aging. While neck pain can become more common as people get older due to wear and tear, it can affect individuals of all ages. Factors like poor posture, injury, and lifestyle choices can contribute to neck pain at any stage of life. The Benefits of Physiotherapy in Reducing Chronic Pain Symptoms Physiotherapy is an important part of healthcare because it helps people get better after they've been hurt or sick or had surgery. It's like a special kind of treatment that helps people move better, feel less pain, and get back to doing the things they used to do. These are the benefits of physiotherapy: Pain Relief: Physiotherapy can make your body hurt less and feel more comfortable. Mobility and Movement: It helps you move more easily and do things like walking or bending without trouble. Healing and Recovery: Physiotherapy can speed up your recovery from injuries or surgeries. Stronger Muscles: It makes your muscles stronger, so you can be more active and stable. Prevention: It can prevent future injuries by making your body stronger and healthier. (image source: https://www. freepik. com/free-photo/medium-shot-man-helping-patient-physiotherapy_16601977. htm) Practical Tips to Help Manage Neck and Shoulder Pain Lifestyle changes and tips to manage neck and shoulder pain at home: Pay attention to your posture while sitting and standing. Keep your back straight and shoulders relaxed. Arrange your workspace or computer setup to be ergonomic. Adjust your chair, desk, and monitor height to reduce strain. Take short breaks every 30 minutes to stretch and move around, especially if you sit for extended periods. Perform simple neck stretches and exercises to relieve tension. Gently tilt your head side to side and forward and backwards. Apply a warm compress or ice pack to the sore areas for 15-20 minutes to reduce pain and inflammation. Lifestyle changes and tips to manage neck and shoulder pain at work: Ensure your desk and chair are at the right height to maintain good posture. Use an ergonomic chair and keyboard. Position your computer monitor at eye level to avoid straining your neck by looking up or down. Stand up, walk around, or perform quick stretches during breaks to keep your muscles active. Practice stress-relief techniques like deep breathing, meditation, or yoga to reduce tension that can contribute to neck and shoulder pain. Consider using ergonomic accessories like a neck pillow, lumbar support cushion, or a standing desk converter if possible. Non-pharmacological Treatment Options There are several non-pharmacological treatments that can be considered in patients with chronic neck pain and chronic shoulder blade pain. A holistic approach is proposed whereby treatment is not merely an intervention but rather encompasses the combination of interventions aimed at affecting the experience of pain, suffering, and/or disability by influencing the physical, psychological, and/or social components of health. Patients should be educated about their condition, the normal course of healing, and that recovery is dependent on multidimensional factors. An individualized care plan should be agreed upon, which may consider some of the modalities discussed below. Emphasis should be placed on promoting the goals of self-management: self-efficacy, physical and emotional well-being, and activity participation. Exercise programs should include an activity-based approach, and exercise programs that focus on strength, endurance, control, and coordination of the musculoskeletal system are recommended. Physical therapy is a potent non-pharmacological intervention for patients presenting with chronic neck pain and chronic shoulder blade pain. Interventions, such as massage, manipulations, and exercise therapy, activate neural pathways responsible for pain modulation, increase mobility, ease muscle spasm and tension from surrounding structures, and usually limit stiffness and soreness. There is moderate quality evidence to support the effect of physical therapy on pain and function in chronic and sub-acute nonspecific neck pain, and some evidence for benefit in combination with acupuncture or massage in chronic shoulder problems. Massage may increase blood flow, which aids in the healing process and releases chemicals that are similar to anti-inflammatories. Massage can be particularly helpful for musculoskeletal-related pains as massage increases blood flow and drains accumulation of waste from stagnant tissues. Exercise and Stretching Regular physical activity can improve strength, flexibility, and overall musculoskeletal health. For chronic neck and shoulder pain, specific exercises and stretching or yoga can reduce muscle tension, increase blood flow, and alleviate stiffness that might arise from weak posture muscles. Neck exercises and stretching can increase neck mobility, increase muscle strength in the neck, and prevent pain after inactivity. Shoulder exercises and stretching can decrease pain in the area of the deltoid, decrease pain in the AC joint, as well as improve posture. Before beginning an exercise program, it is important to discuss with a doctor or physical therapist for instruction on proper form and regimen for slow progressive increase. All exercises should be free of pain; stop an exercise if pain does not decrease or increases with progression. Every person is on a different level of physical activity, so progression should occur gradually over weeks to months. Exercise for chronic pain prevention should be part of daily life and not seen as a chore. To maintain the added strength and flexibility, it is best to engage in 30 minutes of stretching or strengthening exercises 3-5 times a week. Regular low-stress exercises help in decreasing chronic pain conditions. Engaging in regular physical activity can decrease chronic pain manifestations. Overall, exercise can help manage chronic pain symptoms in a wide variety of conditions when added to the management regimen. Massage Therapy Massage therapy is a frequently used adjunct treatment for the management of chronic neck pain and shoulder pain. Common massage techniques include Swedish massage, deep tissue massage, and myofascial release. Deep tissue massage helps relieve muscle pain and stiffness. Over time, a massage therapist can learn what level of pressure an individual can manage. This may help a person avoid any pain while undergoing the procedure. Massage also boosts blood flow and reduces muscle tension. Swedish massage is a gentler type of massage with the goal... --- - Published: 2023-09-22 - Modified: 2025-07-24 - URL: https://www.theorthopaedicandpainpractice.com/easing-shoulder-pain-through-medical-orthopaedic-and-pain-management-solutions/ - Categories: Articles by Doctor - Tags: ease shoulder pain, frozen shoulder, Orthopaedic Treatment, pain management, Rotator Cuff Injury, shoulder pain, shoulder pain physiotherapy treatment at home, ultrasound treatment for shoulder pain Introduction to the Challenges of Shoulder Pain Shoulder pain is a common problem in Singapore, and it can affect people of all ages. One of the reasons for this is that our spaces at home or work can be limited. We often have to reach up high to get things from shelves or cupboards. This reaching motion can affect the shoulder for many people who already have pre-existing shoulder issues. Now, let's talk about the shoulder itself. The shoulder joint is kind of like a ball and socket joint, where the ball is the top part of your arm bone (humerus), and the socket is a part of your shoulder blade (glenoid). But unlike some other joints, the shoulder is designed to be very mobile, which means it can move around a lot. To make up for this extra movement, the shoulder has some important parts that help keep it stable. One of these is a piece of cartilage called the labrum, which deepens the socket and provides more stability. Five tendons run around the joint. Four of these tendons are part of what we call the rotator cuff, and the fifth is the long head of the biceps tendon. These tendons not only help hold the shoulder steady but also help it move properly. In addition to the main shoulder joint, there's another smaller joint called the acromioclavicular joint, which connects a part of your shoulder blade (acromion) to your collarbone (clavicle). This joint allows your shoulder to move smoothly while also keeping your arms away from your body. Now, when it comes to shoulder pain, it can be different depending on your age. If you're younger and you have shoulder pain, it's often because you might have injured your shoulder while playing sports or doing physical activities. On the other hand, if you're older, your shoulder pain could be because of wear and tear on your shoulder joint over the years, which might have caused tears and pain. So, the causes of shoulder pain can vary depending on how old you are. (image source: https://www. pexels. com/photo/crop-anonymous-osteopath-straightening-shoulders-of-woman-in-doctor-office-4506106/) Shoulder Pain in Younger Patients & Older Patients Younger Patients: More likely to get shoulder injuries from sports and physical activities. Common injuries include shoulder dislocations, collarbone dislocations, and fractures near the shoulder joint. They may feel their shoulder popping in and out, especially when reaching overhead. In severe cases, the shoulder can dislocate even with minor activity. Previous dislocations can lead to nerve damage and ongoing weakness if not treated early. Elderly Patients: Often suffer from rotator cuff tendon degeneration. Weakened tendons are more prone to tearing, causing pain. Severe cases can involve multiple torn tendons, leading to significant weakness. Over time, torn tendons can also damage the shoulder joint cartilage, increasing pain. This condition is known as cuff tear osteoarthritis or arthropathy of the shoulder. Symptoms of Shoulder Pain and Related Orthopaedic Conditions These symptoms can happen because of different conditions. One common one is a torn rotator cuff, which is like a group of tendons in your shoulder that can be susceptible to injury. Another is arthritis, where your shoulder joint hurts because it's worn down. There are also conditions like bursitis, which is when the fluid-filled sacs in your shoulder swell up. It's important to talk to an orthopaedic surgeon if you have shoulder pain, so they can figure out an optimal treatment plan for you. If the following symptoms do not go away after first aid treatment or rest, you should book an appointment to see an orthopaedic surgeon. You may feel pain in your shoulder. It can be sharp or dull and might hurt more when you move your arm. This pain can last up to months at a time. Your shoulder might feel weak, making it hard to lift things or do tasks you usually perform daily. Your shoulder might feel stiff, and it will be harder for you to move or stretch. Sometimes, you might hear or feel your shoulder making clicking sounds when you move it. You might feel strange sensations like numbness or tingling down your arm. (image source: https://www. pexels. com/photo/crop-masseur-preparing-client-for-spine-treatment-5473215/) The Benefits of Seeking Professional Help for Easing Shoulder Pain Shoulder pain happens to lots of people, no matter their age or lifestyle. Getting help from an orthopaedic surgeon, or a shoulder pain specialist, can make a world of a difference. Here's why it's a good idea to contact an orthopaedic surgeon in Singapore: These surgeons are well-equipped and trained to figure out exactly why your shoulder hurts, which can be tricky to do on your own. Knowing the cause is super important because it helps decide how to treat it. Once they identify what's causing your pain, they will create a treatment plan just for you. This plan might include exercises, therapy, medicine, or even surgery – whatever helps you best. With their plan, you'll likely recover quickly and get back to doing your usual routine, which is optimal for your daily schedule and recovery. They can also give you tips to avoid hurting your shoulder in the future. It might be exercising or changing the way you do chores, errands, and other activities. (image source: https://www. freepik. com/free-photo/woman-doctor-osteopath-medical-uniform-fixing-woman-patients-shoulder-back-joints-manual-therapy-clinic-during-visit-professional-osteopath-during-work-with-patient-concept_27156522. htm) Considering Orthopaedic Treatments for Long-Term Ease and Mobility Orthopaedic treatments for shoulder pain can include: Shoulder Artery Embolization: This is a minimally invasive procedure where tiny particles are put into an artery in your shoulder to block it. It's done with a thin tube called a catheter. This can help reduce shoulder pain, especially if you have a frozen shoulder. Steroid or APS Injections: APS is a special protein injection made from your blood, and it's put into your shoulder joint. It can help with pain and slow down the damage from conditions like osteoarthritis. Steroid injections are another option. They can be given either in the fluid sac inside your shoulder (bursa) or the joint itself. These injections reduce inflammation and are used for problems like tendinitis and bursitis. Suprascapular Nerve Ablation: This treatment uses radiofrequency waves with the help of ultrasound and X-rays to calm down the nerves in your shoulder. It's a quick procedure and is often used if you have shoulder pain, a rotator cuff injury, or pain in your shoulder blade. It can provide relief that lasts for a while. There are different ways to deal with shoulder pain. Your orthopaedic surgeon will create a treatment plan and schedule for you, which may include medications, injections, exercise, minimally invasive procedures, and more. (image source: https://www. pexels. com/photo/crop-chiropractor-massaging-hand-of-patient-5473223/) Understanding Ultrasound Treatment for Shoulder Pain What is Ultrasound Treatment? Ultrasound treatment utilizes sound waves to create images of soft tissues in the body. In the context of shoulder pain, it can be used both diagnostically and therapeutically. How Does It Work? During ultrasound therapy, a device emits sound waves that penetrate the skin and interact with tissues. This process promotes healing by: Increasing blood flow to the affected area. Reducing inflammation. Enhancing tissue repair through cellular activity. Benefits of Ultrasound Treatment Non-invasive: Unlike surgical options, ultrasound treatment is non-invasive and typically requires no downtime. Pain Relief: Many patients report significant reductions in pain after a few sessions. Versatility: It can be used for various conditions affecting the shoulder, including tendonitis, bursitis, and post-surgical recovery. Tips on At-Home Treatments and Exercises to Help Ease Your Shoulder Pain Symptoms There are also simple tips, treatments, and exercises that you can try at home to help with shoulder pain: Apply a hot pack or warm towel for 15-20 minutes to relax the shoulder muscles, followed by a cold pack or ice wrapped in a cloth for another 15-20 minutes to reduce inflammation. Repeat as needed but avoid prolonged exposure to extreme temperatures. Perform gentle shoulder stretches to improve flexibility and reduce stiffness. Try the "across-the-chest stretch" by bringing your arm across your chest and gently pulling it with your other hand. Hold for 20-30 seconds, then switch sides. Stand with your back against a wall and your arms outstretched at shoulder height. Slowly raise your arms as high as possible, then lower them back down. Repeat this motion for 2-3 sets of 10-15 repetitions. These are exercises where you push or pull against an immovable object, like a wall. For example, stand facing a wall and push your hands into it at shoulder height for 5-10 seconds, then relax. Repeat for 2-3 sets of 5-10 repetitions. Be mindful of your posture, especially if you spend a lot of time sitting at a desk or using a computer. Sit up straight, keep your shoulders relaxed, and avoid slouching. (image source: https://create. vista. com/unlimited/stock-photos/268396798/stock-photo-selective-focus-patient-sitting-couch-doctor-massaging-patient-shoulder-massage/) Remember, if your shoulder pain persists or worsens, it's important to consult a healthcare professional for a proper evaluation and treatment plan. These methods can be helpful up to a certain extent, but they may not be suitable for all types of shoulder pain. FAQs: How can I ease shoulder pain? To ease shoulder pain, consider a combination of rest, applying ice or heat, gentle stretching exercises, and over-the-counter pain medications. If pain persists, consulting a shoulder pain doctor for a tailored treatment plan is advisable. What is ultrasound treatment for shoulder pain? Ultrasound treatment for shoulder pain involves using sound waves to promote healing in the affected area. This non-invasive therapy can help reduce inflammation, increase blood flow, and alleviate pain by stimulating tissue repair. When should I seek professional help for shoulder pain? You should seek professional help if your shoulder pain is severe, persists despite home treatments, or is accompanied by symptoms such as swelling, numbness, or difficulty moving the arm. An orthopaedic surgeon can provide a comprehensive evaluation and treatment options. What steps can I take to prevent further injury when dealing with an active case of inflammation due to injury or overuse of the shoulders? To prevent further injury when dealing with active inflammation in the shoulders, it's crucial to rest, apply ice, and avoid activities that aggravate the pain. Consult a shoulder pain doctor for a proper treatment plan. How does a doctor determine which treatment options offer the most benefit for a particular kind of shoulder issue or condition? An orthopaedic surgeon determines the most suitable treatment options for a specific shoulder issue or condition through a combination of physical examinations, medical history, imaging tests like X-rays or MRI scans, and considering the patient's individual needs and preferences. References: https://www. theorthopaedicandpainpractice. com/service/shoulder-pain/ https://www. theorthopaedicandpainpractice. com/what-are-some-shoulder-pain-treatments/ https://orthoinfo. aaos. org/en/diseases--conditions/shoulder-pain-and-common-shoulder-problems/ https://www. versusarthritis. org/about-arthritis/conditions/shoulder-pain/ Dr Yong Ren’s Profile Dr. Yong Ren graduated from the National University of Singapore’s Medical faculty and embarked on his orthopaedic career soon after. Upon completion of his training locally, he served briefly as an orthopaedic trauma surgeon at Khoo Teck Puat Hospital before embarking on sub-speciality training in Switzerland at the famed Inselspital in Bern. He underwent sub-specialty training in pelvic and spinal surgery, and upon his return to Singapore served as head of the orthopaedic trauma team till 2019. He continues to serve as a Visiting Consultant at Khoo Teck Puat Hospital. Well-versed in a variety of orthopaedic surgeries, he also served as a member of the country council for the local branch of the Arbeitsgemeinschaft für Osteosynthesefragen (Trauma) in Singapore. He was also involved in the training of many of the young doctors in Singapore and was appointed as an Assistant Professor by the Yong Loo Lin School of Medicine. Before he entered the private sector, he also served as core faculty for orthopaedic resident training by the National Healthcare Group. Dr Yong Ren brings to the table his years of experience as a teacher and trainer in orthopaedic surgery. With his expertise in minimally invasive fracture surgery, pelvic reconstructive surgery, hip and knee surgery as well and spinal surgery, he is uniquely equipped with the tools and expertise necessary to help you on your road to recovery. Ease Shoulder Pain with Trusted Orthopaedic and Pain Management Solutions Get Back to Moving Freely with... --- - Published: 2023-09-22 - Modified: 2025-07-24 - URL: https://www.theorthopaedicandpainpractice.com/exploring-lower-back-pain-and-its-comprehensive-treatment-options/ - Categories: Articles by Doctor - Tags: chiropractic treatment for lower back pain, chronic lower back pain treatment, lower back ache treatment, lower back pain, lower back pain causes and treatment, Medications, Orthopaedic Surgeon, should i see a chiropractor for lower back pain, Treatment Options Lower back pain is an issue which is the result of a complex set of factors like lifestyle, medical issues, and mechanical disturbances. It is one of the most common health issues among workers, especially those who perform manual labour and have to endure long durations of sitting and no physical activity. This can worsen the problem. Orthopaedic surgeons are a group of specialists who not only diagnose the problem but also give detailed solutions for lower back pain that is apparent in Singapore. But there are a number of treatment options that are accessible to deal with the various causes of chronic lower back pain. Causes of Lower Back Pain - What You Need to Know Back pain typically results from a combination of three causes: The muscular back pain is a result of tiring the lower back muscles, which in turn, cause pain to be aching and cramping. The tears in the intervertebral discs lead to the disc herniation and consequently the severe pain and the risk of disc protrusion increase. Facet joint pain is a condition that develops in facet joints, which are located in the spine and can be affected by arthritis, therefore producing pain in the lower back up to the buttocks. Musculoskeletal pain, especially back pain, being an elusive ailment to diagnose is a complex condition.   If you are experiencing lower back pain, a consultation with an orthopaedic surgeon that is well versed in diagnosis and treatments of such problems should be a priority. They are able to evaluate, interpret, and figure out the source of the problem. (https://www. mkuh. nhs. uk/patient-information-leaflet/lower-back-pain-advice) Procedures to Effectively Diagnose Lower Back and Buttock Pain In lower back and buttock pain the diagnostic approach is comprehensive, which starts with a full medical interview with an orthopaedic surgeon to check symptoms and potential factors causing pain. This involves examining an overall health status, history of previous medical history, family history, and any pre-existing health disorders such as arthritis or diabetes which may affect decisions regarding the treatment. A comprehensive physical exam is considered necessary as it checks for elements like range of motion, edema and reflexes, and mobility to rule out or establish possible diagnoses. The structural abnormalities or misalignments of the affected area are mostly detected by the use of x-rays and MRI scans, which are helpful in evaluation of the condition which could also be its implications. Such diagnostic measures enable the surgeon to make an accurate diagnosis and to discuss properly in regard to the information obtained. Lifestyle Changes for those with Lower Back and Buttock Pain Maintain a Healthy Weight: Excess weight can cause a lot of stress to your lower back, thus maintaining your weight through diet and exercise is a good way to avoid this. Exercises that are performed on a daily basis, particularly those that strengthen the muscles of the core and back, contribute to alleviate and support the back pains. Practice Good Posture: One of the most important things you can do is to notice when you are not sitting or standing straight and to make an effort to correct it. Quit Smoking: Smoking might trigger narrowing of vessels that supply blood to the spine, which then can be a cause of the back pain. Giving up smoking can definitely help you in improving your blood flow and consequently your back health. Get Quality Sleep: Having a good mattress and a good posture helps to keep the spine in good shape and relieves the lower back pain. (https://www. freepik. com/free-photo/young-woman-practicing-yoga-home_7168000. htm) Lifestyle modifications such as decreasing weight, exercising, changing posture, stopping smoking, and getting adequate sleep can help reduce lower back pain and improve spinal health, but they are only one component of a therapeutic strategy. Certain reasons for lower back pain necessitate specialized medical care. Thus, orthopaedic surgeons are trained to accurately assess your pain and devise a personalised treatment plan that may include lifestyle changes, physiotherapy, drugs, or surgery. Their experience guarantees that you receive the best and most suitable care for your illness, resulting in better outcomes and well-being. Physiotherapy Solutions for Lower Back Aches & Pains Dedicated physiotherapists strive to enhance your range of motion, physical function, and overall quality of life. Their personalised approach involves tailored exercises, hands-on therapy, and diverse techniques. They not only address current health issues but also prevent recurring injuries and disabilities. Through their varied skills, physical therapists not only treat health problems but also inspire patients to lead active, pain-free lives, ultimately boosting their holistic well-being. Physiotherapy is a transformative approach to both acute and chronic back pain. For minor issues, physiotherapists craft personalised exercise plans, employ diverse techniques, and impart valuable knowledge on body mechanics to alleviate discomfort and prevent future challenges. Additionally, physiotherapy plays a pivotal role in post-surgical or intensive treatment recovery, aiding individuals in regaining strength, flexibility, and mobility post procedures like spine surgery. Whether addressing minor discomfort or aiding in recovery, physiotherapy is a non-invasive and integral component of holistic care, contributing to improved back health, pain reduction, and an overall enhancement of well-being. Understanding Nonsteroidal Anti-inflammatory Drugs (NSAIDs) and Their Role in Alleviating Lower Back Pain Common pain relievers like ibuprofen and naproxen can help with lower back pain, reducing inflammation and discomfort. They work by blocking prostaglandins, the culprits behind pain and swelling. While these medications offer temporary relief for lower back issues caused by strains or injuries, it's crucial to incorporate them into a broader treatment plan for chronic pain. It's advisable to consult with a healthcare professional to manage potential side effects and ensure a holistic approach to care. (https://www. freepik. com/free-photo/side-view-woman-having-backache-while-working-from-home_11905060. htm) Treatments for Lower Back and Buttock Pain When it comes to treating back pain, orthopaedic surgeons tailor plans to your unique needs. They consider both surgical and non-surgical approaches, covering: - Medications for relieving back, buttock, and leg pain. - Practical advice on lifestyle changes to cope with back discomfort. - Physiotherapy to strengthen your back and core muscles, enhancing function and reducing discomfort. - Targeted pain procedures addressing the root causes of back pain. - Surgical interventions to alleviate pinched nerves and stabilize deteriorated spines. (https://www. freepik. com/free-photo/doctor-man-consulting-patient-while-filling-up-application-form-desk-hospital_5017999. htm) The Importance of Consulting an Orthopaedic Surgeon Orthopaedic surgeons play a vital role in keeping people healthy and active throughout their lives. Our musculoskeletal system, encompassing bones, joints, ligaments, tendons, muscles, and nerves, is a key player in maintaining mobility and a good quality of life. It's worth noting that symptoms vary for everyone, and treatments differ based on individual health and lifestyle. The personalised care provided by orthopaedic surgeons emphasizes the crucial role they play in tailoring interventions to each patient's unique needs, ultimately contributing to enhanced health and well-being. Sports Injuries Lower back strains are caused by sports injuries significantly more than any other factor, except lifting heavy objects. The injuries leading to these conditions are derived from basic types of activities. Reaching, pushing, pulling, holding, or manipulating an object can lead to back trauma. It is easy to understand how such an acute dynamic of activity can result in trauma. A growing body of medical research indicates that sports play a more definitive role in the pathogenesis of many low back conditions. Injuries in sports can be attributed to two factors: intensity and frequency. Intensity refers to the amount of trauma thought to be transmitted to the athlete who receives sprints, jumps, blows, etc. Frequency refers to continuous, repeated, and thus cumulative trauma on athletes at the same body site. Technique is also believed to play a critical role in injury onset, especially in low back activity, exercise, and protective practice. Technique is linked to all situations in which sports injuries can cause pain, great discomfort, stagnation, features of poor body posture, and harm. Many sports have higher percentages of low back injuries subsequent to muscle strains, and in most sports, these injuries are caused by axial rotation in a stooped position. The body site for these injuries may occur at a number of locations ranging from L1-L2 to S1-S2. Hyperextension and forward-directed rotation can lead to injury pathology as well. Typical sports in which low back injuries are more prevalent than others include discus, football, gymnastics, hockey, weightlifting, and wrestling. Experts urge all coaches and potential athletes who engage in sports activities that produce rotational forces at the low back to begin with flexibility exercises only after 10 to 15 minutes of brisk walking or jogging. Before anaerobic training, they encourage seven or eight repetitions of warm-up, followed by 10 minutes of jogging. No anaerobic training is encouraged without proper conditioning and warm-up. Improper Lifting Techniques Improper lifting techniques are often blamed for straining the muscles in the lower back. There are some general biomechanical considerations when lifting heavy objects. Keeping the moving object close to the body will reduce leverage, keep the back straight, and use large muscles to do the work. Another good rule to follow is to keep the object directly in front of your body rather than off to the side. The hands and feet are involved less frequently in materials handling tasks than the back/hips or upper arms/legs. This is a general 2:1 ratio, although it may not apply to every employee. Safe lifting continues to be an ongoing discussion. Those trained in body mechanics and lifting the load correctly carried their bodies correctly only half as often as those not trained. At work, lifting is an obvious way one could pull or strain a muscle. Some examples of lifting incidents at work include lifting a patient or resident, handling patients or residents in the shower or bathtub, reaching into bed to assist residents with repositioning or bed making, carrying heavy labor trays, garbage cans, or laundry baskets, and loading and unloading food for a kitchen or dining facility, to name a few. At home, someone might lift something beyond their safe weight limit or lift it incorrectly, leading to a back strain. People should use good body mechanics when lifting items to avoid injury. This is one approach to preventing back muscle strain, spasm, or rupture. In addition, many back muscles work best if the stomach muscles are in good shape. Larger muscles help smaller muscles. The abdominal muscles help supply support to the back muscles. When the stomach muscles are weak, the back muscles must work harder. With good back strength, the stress to the spine and trunk in lifting can be reduced in many cases. In addition to good lifting techniques, engaging in a routine back exercise program is also an effective approach for back pain prevention. Preventive Strategies for Lower Back Muscle Tears and Strains Unfortunately, muscle tears in the lower back can happen easily and may cause symptoms ranging from mild ache to moderate pain. Time and conservative therapies are usually the best treatments for back muscle tears. Preventive strategies to minimize the risk of muscle tears or back strains may include a multi-faceted approach that includes regular exercise to maintain strength and flexibility, using the proper technique when lifting or bending, and practicing body mechanics or body awareness with everyday activities. Focus the most on tightening the muscles of the back if you have a tear in your back. Maintaining strength in all of your core body muscles while stretching helps prevent back muscle tears or strains. When this muscle programming is incorporated, it should be part of the warm-up. Before doing any activities that use your muscles, people must move gently in the direction they want the muscle actually to go. Someone who wants to reach for something on the top shelf should stretch their back gently by bending their body backward. Ergonomics in the workplace and at home may promote better spinal health and minimize the likelihood of tearing back muscles. Workers must be trained to recognize personal risk factors and the signs of fatigue so that they can avoid injuries to muscles in their lower back. Being physically active... --- - Published: 2023-09-22 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/exploring-new-therapies-for-nerve-pain-and-knee-discomfort/ - Categories: Articles by Doctor - Tags: knee discomfort, Knee Pain, nerve pain, New Therapies, orthopaedic surgery, pain management, therapies Nerve pain and knee discomfort are two issues that can have an impact on someone’s quality of life. Despite the availability of treatments for these conditions, new therapies are continually being developed. Nerve pain arises from nerve damage caused by factors such as injury, illness or specific medications. Knee discomfort is a term encompassing any form of pain or unease in the knee area, stemming from injury, arthritis or excessive use of the knee. Emerging therapies are still undergoing development, requiring research to assess their long-term efficacy and safety. Nevertheless, these treatments provide hope for individuals experiencing nerve pain and knee discomfort who have not seen improvement with remedies. Understanding Nerve Pain and Knee Discomfort (Source:https://www. freepik. com/free-photo/businesswoman-with-headache_1915836. htm#query=nerve%20pain&position=24&from_view=search&track=ais) Nerve pain in the knee can really disrupt your activities and hobbies. The pain could stem from the pelvis or even tiny nerves within the knee itself. It might be triggered by nerve irritation post-surgery or as a result of knee arthritis. When you experience pain you may feel sensations like numbness, tingling, burning, itching or electric shocks that worsen in specific positions. It’s recommended to undergo an assessment to pinpoint the source of the knee pain related to nerves. This evaluation could also lead to identifying conditions. Nerve injuries in the knee are commonly observed following procedures such as knee replacements, which can stretch out the outer nerves and lead to weakened ankle strength known as foot drop. Moreover, sensory nerves on both sides of the knee can get aggravated due to pressures, types of clothing worn, knee braces used, past surgeries or incisions made and particularly when there is instability in the knees. New Therapies for Nerve and Knee Pain (Source:https://www. freepik. com/free-photo/sportswoman-feeling-pain-holding-her-injured-knee-while-sitting-floor-home_25567175. htm#page=2&query=knee%20discomfort&position=33&from_view=search&track=ais) Nerve pain is a concern that often calls for attention and prescribed treatments. Nonetheless, there are also prescription remedies that could be helpful. Combining these options with prescribed treatments might be an idea for milder cases. Here's an overview of treatments. Knee discomfort is an issue that can stem from factors such as injury, arthritis or overuse. Treatment options for knee discomfort range from over-the-counter pain relievers, prescribed medications, physical therapy to surgical interventions. In times there has been growing interest in therapies for knee discomfort. Although these new treatments are still in the phases of development, they hold promise for providing effective and enduring relief compared to traditional methods. Stem Cell Therapy shows potential as a strategy for addressing neuropathy by aiding in the regeneration of damaged nerves and restoring their functionality. Mesenchymal stem cells (MSCs) are particularly suited for this purpose as they can develop into cell types including nerve cells and release growth factors that facilitate nerve growth and repair. Stem cell therapy for knee issues involves using the body’s natural healing abilities to help those with osteoarthritis. By injecting stem cells into the joint, it aims to repair damaged cartilage, decrease inflammation and stimulate the production of growth factors that aid in tissue healing. This method is an option compared to traditional knee replacement surgery offering improved joint function and reduced pain without requiring an extensive recovery period. Injuries to nerves are common among individuals who have experienced trauma to their limbs leading to motor and sensory impairments that impact life. Research suggests that electrical stimulation can support axon growth and speed up the return of motor functions. Electrical stimulation can be classified based on its effects and parameters as functional electrical stimulation. Its therapeutic benefits include preventing muscle atrophy, facilitating muscle nerve reconnection, boosting protein creation, and neurotrophic factors adjusting feedback and alleviating neuralgia by suppressing certain pathways. Gene therapy aims to address the impact of pain on the individual’s quality of life and healthcare costs. Advances in understanding pain mechanisms have paved the way for treatment options. By delivering substances to specific nerves or areas through gene transfer, there is potential to disrupt pain signals and prevent long lasting discomfort caused by nervous system changes. In gene therapy, genetic material is introduced into cells to replace genes or introduce new genes for therapeutic purposes. This process involves creating a vector through modification to transport the gene into cells. While viruses are commonly used as vectors due to their ability to infect cells efficiently, they are altered to ensure they do not cause harm. For instance, in treating arthritis, the vector is injected into the affected joints and then absorbed by cells. The human body naturally creates hyaluronic acid, a substance found in the fluid that helps lubricate and cushion joints enabling joint movement. Osteoarthritis (OA) can lead to a decrease in acid levels within the joint. Injecting acid can help replenish the body’s supply of it. This procedure is called viscosupplementation, where the injection aids in improving quality. What You can Do to Help Yourself When You Have Nerve and Knee Discomfort Having discomfort in your nerves and knees can really make it tough to go about your activities. There are plenty of things you can do to ease the pain and get back to functioning. Resting up is crucial when dealing with nerve and knee discomfort. Giving your body the time it needs to rejuvenate during sleep can speed up the relief from symptoms. Sometimes simply resting the affected area and getting proper shut eye is all it takes for healing to happen naturally. Maintaining posture is key in managing nerve and knee issues. Poor posture can contribute to this. It puts added strain on your spine and muscles that may lead to a pinched nerve. Using cushions, chairs or neck rests while sitting can help reduce pressure and aid in nerve recovery. Incorporating stretching exercises or yoga into your routine can also help alleviate tension and stress in the areas. It's important not to overdo it as pushing yourself hard could worsen the symptoms. If you feel any pain or discomfort while exercising, it's best to stop to prevent damage to the nerve. When experiencing nerve pain and knee discomfort, raising your legs can offer relief by reducing pressure on the spine. Simply place a couple of pillows under your knees to elevate your legs at a 45° angle to your body. Dealing with nerve pain and knee issues can greatly affect one’s life. While there are existing treatments, not everyone responds well to these methods. Fortunately, ongoing research is introducing therapies that hold potential in alleviating nerve pain and knee discomfort. Set up a consultation with our orthopaedic surgeon to discuss your nerve and knee pain. Frequently Asked Questions: What are new therapies for nerve pain? ● Gene therapy: Gene therapy is a treatment that involves changing the genes of cells to treat a disease. Gene therapy is being investigated as a potential treatment for nerve pain by targeting genes that are involved in pain signaling. ● Stem cell therapy: Stem cells are cells that can develop into different types of cells in the body. Stem cell therapy is a promising new treatment for nerve pain that involves injecting stem cells into the affected area. Stem cells can help to repair damaged nerves and reduce pain. ● Electrical stimulation therapy: Electrical stimulation therapy is a treatment that uses electrical currents to stimulate nerves. Electrical stimulation therapy is being investigated as a potential treatment for nerve pain by blocking pain signals or reducing inflammation. ● Laser therapy: Laser therapy is a treatment that uses low-level laser light to stimulate tissue repair. Laser therapy is being investigated as a potential treatment for nerve pain by reducing inflammation and pain. ● Platelet-rich plasma injections: Platelet-rich plasma is a concentrated form of platelets, which are blood cells that help to promote healing. Platelet-rich plasma injections are being investigated as a potential treatment for nerve pain by promoting nerve regeneration. What are new therapies for knee discomfort? ● Hyaluronic acid injections: Hyaluronic acid is a natural substance that helps to lubricate the joints. Hyaluronic acid injections can help to reduce pain and improve function in people with knee discomfort. ● Platelet-rich plasma injections: Platelet-rich plasma is a concentrated form of platelets, which are blood cells that help to promote healing. Platelet-rich plasma injections can help to repair damaged cartilage and reduce pain in people with knee discomfort. ● Stem cell therapy: Stem cell therapy is a promising new treatment for knee discomfort that involves injecting stem cells into the knee joint. Stem cells can help to repair damaged cartilage and reduce pain. ● Gene therapy: Gene therapy is being investigated as a potential treatment for knee discomfort by targeting genes that are involved in inflammation and pain. ● Artificial intelligence: Artificial intelligence is being used to develop new treatments for knee discomfort. For example, AI is being used to develop personalized treatment plans and to predict which patients are most likely to benefit from certain treatments. ● How effective are new therapies for nerve pain and knee discomfort? ● The effectiveness of new therapies for nerve pain and knee discomfort is still being investigated. Some of these therapies have shown promise in early studies, but more research is needed to determine their long-term effectiveness and safety. Are new therapies for nerve pain and knee discomfort available? Some new therapies for nerve pain and knee discomfort are still in the early stages of development and are not yet available to the public. However, others are in clinical trials and may be available in the future. Where can I learn more about new therapies for nerve pain and knee discomfort? You can learn more about new therapies for nerve pain and knee discomfort by talking to your doctor or doing some research online. There are also a number of patient advocacy organizations that can provide information about new treatments. What are the risks of new therapies for nerve pain and knee discomfort? Like any medical treatment, there are risks associated with new therapies for nerve pain and knee discomfort. These risks may vary depending on the specific treatment. Some of the potential risks include:● Side effects, such as pain, swelling, or infection. ● Allergic reactions. ● Serious complications, such as nerve damage or blood clots. How do I decide if a new therapy is right for me? If you are considering a new therapy for nerve pain or knee discomfort, it is important to talk to your doctor about the risks and benefits of the treatment. Your doctor can help you decide if the treatment is right for you. What are the future trends in new therapies for nerve pain and knee discomfort? Researchers are constantly working to develop new and improved treatments for nerve pain and knee discomfort. Some of the promising future trends include: ● The use of gene therapy to target genes that are involved in pain signaling or inflammation. ● The use of stem cell therapy to repair damaged nerves or cartilage. ● The use of electrical stimulation therapy to block pain signals or reduce inflammation. ● The use of artificial intelligence to develop personalized treatment plans and to predict which patients are most likely to benefit from certain treatments. References: https://arthritis. ca/treatment/emerging-treatment-and-research/gene-therapy https://www. dvcstem. com/post/stem-cell-therapy-for-neuropathy https://www. dvcstem. com/post/stem-cell-therapy-for-knees#:~:text=Stem%20cell%20injections%20for%20knees,function%2C%20reducing%20pain%20and%20inflammation https://www. mayoclinic. org/diseases-conditions/knee-pain/diagnosis-treatment/drc-20350855 https://www. mayoclinic. org/drugs-supplements/hyaluronic-acid-injection-route/side-effects/drg-20074557? p=1#:~:text=Hyaluronic%20acid%20injection%20is%20used,occurs%20naturally%20in%20the%20joints. https://www. medicalnewstoday. com/articles/320045#ten-home-remedies-for-a-pinched-nerve https://www. ncbi. nlm. nih. gov/pmc/articles/PMC9998520/ https://www. ncbi. nlm. nih. gov/pmc/articles/PMC2707995/ https://www. webmd. com/pain-management/nonprescription-treatments-nerve-pain#:~:text=Relaxation. ,help%20with%20the%20pain%20 itself Dr Yong Ren’s Profile Dr Yong Ren graduated from the National University of Singapore’s Medical faculty and embarked on his orthopaedic career soon after. Upon completion of his training locally, he served briefly as an orthopaedic trauma surgeon in Khoo Teck Puat hospital before embarking on sub-specialty training in Switzerland at the famed Inselspital in Bern. He underwent sub-specialty training in pelvic and spinal surgery, and upon his return to Singapore served as head of the orthopaedic trauma team till 2019. He continues to serve as Visiting Consultant to Khoo Teck Puat Hospital. Well versed in a variety of orthopaedic surgeries, he also served as a member of the country council for the local branch of the Arbeitsgemeinschaft für Osteosynthesefragen (Trauma) in Singapore. He... --- - Published: 2023-09-22 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/exploring-non-invasive-treatment-options-for-relieving-lower-back-buttock-pain/ - Categories: Articles by Doctor - Tags: buttock Pain, Chiropractic Care, chiropractic treatment for lower back pain, chronic lower back pain treatment, lifestyle modifications, lower back pain, Non-Invasive Treatment Back pain can stem from a multitude of factors, including mechanical issues with the spine, inflammatory conditions, medical ailments, and lifestyle choices, making it a complex and diverse medical concern. Consulting an orthopaedic surgeon is essential because their specialized expertise allows for precise diagnosis and tailored treatment plans, ensuring that the root cause of back pain is identified and addressed effectively, leading to better outcomes for patients. In Singapore, chronic lower back pain treatment is available for Introduction to Lower Back Pain Back pain is a prevalent issue in modern society, affecting a significant majority of adults, with estimates ranging from 60-90% people experiencing it at some point in their lives. This risk is particularly pronounced among males and those engaged in manual labor. The shift towards remote work, increasingly common in today's world, has given rise to a different kind of health concern - a pandemic of back pain. Remote work often involves prolonged periods of sitting in front of computers, combined with reduced physical activity, leading to weight gain and muscle loss, which can increase the risk of subtle, insidious damage to the back. Extended sitting also elevates the forces exerted on the lower spine, making injuries more likely. Pain in the lower back and buttocks can range from persistent discomfort to sudden, intense agony, arising from various factors such as mechanical issues in the spine, spinal discs, muscles, ligaments, or tendons. Additionally, inflammatory conditions like rheumatoid arthritis and medical conditions including osteoporosis, fibromyalgia, kidney stones, infections, endometriosis, and tumors are common contributors to back pain. (https://www. pexels. com/photo/doctor-examines-woman-s-back-4506109/) Symptoms of Lower Back & Buttock Pain Symptoms associated with back pain can manifest in various ways. Buttock pain is often linked to back issues, typically stemming from worn-out facet joints in the spine, resulting in referred pain due to shared nerves. However, buttock pain can also originate from muscle strains in the buttock area. Shooting pain down the leg, commonly known as sciatica or radicular pain, is frequently caused by the narrowing of nerve passages in the spine. This narrowing can occur due to disc damage or osteoarthritis of facet joints, resulting in pinched nerves and a sensation often described as electric or lightning pain that travels down the leg. Furthermore, pinched nerves in the spine not only lead to pain but can also cause leg or foot numbness and weakness. This may sometimes become so severe that patients experience significant numbness in the foot or severe weakness in the lower leg muscles, leading to a condition known as foot-drop. In cases of severe spinal canal narrowing, leg cramps can occur, especially during walking, and are relieved by sitting down. Additionally, tingling, burning, or sensations akin to insects crawling on the skin can result from nerve compression within the spinal canal, a condition known as paraesthesia. In rare and severe cases of disc injury, where the disc protrudes and presses on the nerves controlling bowel and bladder functions, loss of bowel and bladder control can also occur, a condition referred to as cauda equina syndrome. Sources and Causes of Lower Back & Buttock Pain Back pain can arise from various causes, broadly categorized into injury-related and atraumatic sources. Injury-related back pain often stems from accidents like motor vehicle collisions or falls, the scenarios that typically come to mind when thinking of back pain triggers. However, atraumatic back pain, which is more common, can occur without a specific accident, often resulting from seemingly innocuous actions like overreaching, bending to pick up an object, or even sneezing. In certain cases, back pain may signal underlying issues such as infection or tumors developing within the spine. This is particularly concerning when accompanied by unexplained weight loss or fever. When dissecting the sources of back pain, three primary components come into play, often intermingling to contribute to the overall discomfort experienced. Muscular back pain arises from the overexertion of the numerous muscles in the lower back, leading to an aching and cramping sensation. Discal pain, on the other hand, emanates from the intervertebral discs, the cartilaginous structures between spinal bones. A tear in the outer fibrous layer of the disc, known as the annulus fibrosus, results in sharp pain and raises the risk of disc protrusion. Lastly, facet joint pain arises from discomfort in the spinal joints, termed facet joints, which can deteriorate over time, causing both back pain and discomfort in the buttock region. Understanding these distinct sources is essential in diagnosing and effectively addressing back pain. (https://www. pexels. com/photo/doctor-examining-patient-on-mri-machine-15277954/) Techniques for Diagnosing Lower Back & Buttock Pain During a consultation, the orthopaedic surgeon usually begins with a thorough medical interview to understand your back pain symptoms and their underlying causes. Subsequently, a detailed examination will be performed on your back and related areas to identify any signs of back-related issues. Following this assessment, your orthopaedic surgeon will recommend further diagnostic tests such as X-rays or MRI scans to precisely pinpoint the root cause of your back pain. Armed with this comprehensive information, you will be provided with a clear diagnosis of your condition so you can engage in a detailed discussion of potential treatment options. Treatment Options for Lower Back & Buttock Pain The approach to treating back pain prioritizes addressing the underlying condition. There is a comprehensive range of options, both surgical and non-surgical, and collaboration with a specialized team of professionals dedicated to managing patients' back-related issues. Treatment modalities encompass various approaches, such as: Medications to alleviate pain in the back, buttocks, and legs. Guidance on lifestyle modifications aimed at helping patients better manage their back pain. Tailored physiotherapy programs targeting back and core muscle strengthening to improve function and reduce pain. For cases where the root causes of back pain need direct intervention, pain procedures are recommended for these cases. In more severe instances, surgical procedures may be recommended to release pinched nerves and stabilize deteriorating spinal structures. (https://www. pexels. com/photo/woman-doing-warrior-pose-6787162/) Chiropractic Treatment for Lower Back Pain Some would recommend chiropractic treatment for lower back & buttock pain. This is an alternative form of treatment that involves manipulation and adjustment techniques for the musculoskeletal system. It is a complementary form of care that aims to alleviate symptoms of pain. Seeking assistance from an orthopaedic surgeon for lower back and buttock pain is crucial to ensure accurate diagnosis, effective treatment, and preventive measures are employed promptly, preventing the condition from worsening, and improving overall quality of life. Orthopedic surgeons prioritize non-invasive treatments for lower back and buttock pain due to their lower risk, cost-effectiveness, and reduced disruption to patients' lives. These treatments include physical therapy, medication, and lifestyle modifications. However, in severe cases where non-invasive options fail to provide relief, invasive treatments such as surgery or nerve blocks may be necessary, taking into account the patient's medical history and preferences. FAQs:  What are the recommended exercises to help with lower back pain? The recommended exercises for lower back pain depend on the individual's specific condition, lifestyle, and advice from an orthopedic surgeon as part of their treatment plan. These exercises are tailored to address the underlying causes, such as muscle weakness, poor posture, or spinal issues, and should be personalized for each patient's unique needs. Are there any lifestyle modifications that could reduce my risk of experiencing episodes of lower back pain? Yes, there are several lifestyle modifications that can help reduce the risk of lower back pain episodes. These may include maintaining a healthy weight, engaging in regular exercise to strengthen core muscles, practicing good posture, using ergonomically designed furniture and equipment, and avoiding prolonged periods of sitting or standing. Are there any activities such as running or weight lifting that should be avoided in order to reduce the likelihood of exacerbating lower back pain? Generally, individuals with lower back pain should consider modifying these activities, seeking guidance from an orthopaedic surgeon or physical therapist to ensure proper form and technique, and gradually incorporating them back into their routine as their condition improves to minimize the risk of exacerbating their pain. Is an X-ray or MRI scan necessary for determining the specific cause of someone's lower body discomfort? An X-ray or MRI scan may be necessary to accurately diagnose the specific cause of lower body discomfort, as they can provide detailed images of the affected areas and help identify underlying structural issues or abnormalities. What are the treatment options for this condition? The approach to treating back pain emphasizes addressing the underlying condition through a comprehensive range of options, including medications, lifestyle modifications, tailored physiotherapy, pain procedures, and surgical interventions when necessary. References https://orthoinfo. aaos. org/ https://www. theorthopaedicandpainpractice. com/service/lower-back-buttock-pain/ https://www. webmd. com/back-pain/ss/slideshow-low-back-pain-overview Dr Yong Ren’s Profile Dr Yong Ren graduated from the National University of Singapore’s Medical faculty and embarked on his orthopaedic career soon after. Upon completion of his training locally, he served briefly as an orthopaedic trauma surgeon in Khoo Teck Puat hospital before embarking on sub-specialty training in Switzerland at the famed Inselspital in Bern. He underwent sub-specialty training in pelvic and spinal surgery, and upon his return to Singapore served as head of the orthopaedic trauma team till 2019. He continues to serve as Visiting Consultant to Khoo Teck Puat Hospital. Well versed in a variety of orthopaedic surgeries, he also served as a member of the country council for the local branch of the Arbeitsgemeinschaft für Osteosynthesefragen (Trauma) in Singapore. He was also involved in the training of many of the young doctors in Singapore and was appointed as an Assistant Professor by the Yong Loo Lin School of Medicine. Prior to his entry into the private sector, he also served as core faculty for orthopaedic resident training by the National Healthcare Group. Dr Yong Ren brings to the table his years of experience as a teacher and trainer in orthopaedic surgery. With his expertise in minimally invasive fracture surgery, pelvic reconstructive surgery, hip and knee surgery as well as spinal surgery, he is uniquely equipped with the tools and expertise necessary to help you on your road to recovery. --- - Published: 2023-09-22 - Modified: 2025-07-24 - URL: https://www.theorthopaedicandpainpractice.com/find-relief-from-lower-back-pain-with-orthopaedic-and-medical-care/ - Categories: Articles by Doctor - Tags: arthritis, chronic lower back pain treatment, gabapentin for lower back pain, Herniated Disc, hiv and lower back pain, injury, lower back ache treatment, lower back muscle tear treatment, lower back pain, lower back pain period relief, lower back pain teenager treatment, lower back pain treatment muscle relaxants, lower back pain treatment stretches, lower back pain weight lifting treatment, lower back strain treatment, medical professional, orthopaedic, Orthopaedic Treatment, Pain Relief, posture, stress, what is the best treatment for lower back pain Back pain is an issue that impacts individuals of every age group. It can arise from reasons such as injury, bad posture and stress. Typically, home remedies can alleviate instances of pain. Yet if your discomfort is intense or persists despite home interventions. consulting an orthopedic or healthcare expert may be necessary. What is Lower Back Pain? (Source:https://www. freepik. com/free-photo/elder-man-with-back-pain_4762066. htm#query=lower%20back%20pain&position=7&from_view=search&track=ais) In today’s world back pain is a problem that impacts individuals. As remote work becomes more prevalent a new concern has emerged. Back discomfort stemming from lifestyles and extended hours spent hunched over a computer screen. This sedentary behavior can result in weight gain and muscle atrophy heightening the vulnerability of individuals to back injuries. Moreover prolonged sitting can amplify the pressure, on the back area elevating the likelihood of sustaining an injury. Causes of Lower Back Pain When your back hurts it can stem from a mix of three reasons. Muscle related back pain often happens when the lower back muscles are overworked, resulting in aches or cramps. Pain from a disc issue occurs when the outer fibers of the disc tear, leading to pain and potentially causing the disc to bulge. Back and buttock pain can also arise from facet issues, where the spinal joints wear down and trigger discomfort. How to Relieve Lower Back Pain (Source:https://www. freepik. com/free-photo/fitness-woman-waking-up-morning_4871141. htm#query=lower%20back%20pain&position=19&from_view=search&track=ais) Depending on what’s causing your pain and how severe it is, you might consider trying some home remedies to ease the discomfort until your back feels better. Stretch - When your back muscles are tight, it can add pressure on your spine and its joints. Developing a routine of stretching exercises can help maintain the health of your back. Proper posture - Poor sitting posture can strain the discs in your lower back. If you have to sit for extended periods remember to take breaks and move around frequently. Walk - Walking is a beneficial activity. Increasing your pace while at work or outdoors can help you maintain a weight and reduce strain on your back. Avoid sleeping on your back - Sleeping in a position can stress the spine. Placing a pillow under your knees when lying on your back can help alleviate this strain. For side sleepers, placing a pillow between the knees may reduce discomfort. Orthopaedic and Medical Care for Lower Back Pain (Source:https://www. freepik. com/free-photo/woman-s-hand-he-is-caught-waist-her-back_5216326. htm#page=3&query=lower%20back%20pain&position=6&from_view=search&track=ais) The typical approach to addressing pain involves treating the underlying issue. Various medications can be used to alleviate discomfort. Acetaminophen is known for providing relief with side effects. Non-steroidal anti-inflammatory drugs like aspirin, ibuprofen and naproxen are commonly prescribed to reduce pain and swelling. Steroids, whether taken orally or injected into the spine, offer a dose of inflammatory medication. Muscle relaxants such as methocarbamol, carisoprodol and cyclobenzaprine can be beneficial but may cause drowsiness. It's advisable to avoid activities like driving that require alertness while using them. Addressing back pain often involves a combination of medications, therapeutic approaches and physical exercise. Treatments like heat therapy, ice packs, massage therapy, ultrasound treatment and electrical stimulation are sometimes utilized for relief. Active therapies including stretching exercises, weight training and aerobic workouts may be suggested to enhance mobility and strength in the area. While braces, chiropractic care and traction can also be options. Some individuals may also experience relief through exercise centered programs like pilates or yoga. Moreover, surgery is usually considered if the orthopaedic surgeon can pinpoint the cause of the pain. This would also depend on the severity of the patient’s condition. Surgery isn't always the choice if alternative treatments haven't worked. Certain individuals experiencing back pain may not be good candidates, for surgery no matter how intense their pain is. There are situations where surgery is not a primary solution. When to See a Doctor for Lower Back Pain The cause of back discomfort isn't always easy to pinpoint. It may improve on its own. Resting, using heat or cold therapy, taking over the counter pain relievers and doing stretches can aid in the healing process. However, it's crucial to see a healthcare professional if the pain is intense, persistent or accompanied by symptoms like tingling or numbness in the legs. Immediate medical attention should be sought if along with back pain, one experiences difficulty walking or moving their legs, loss of bowel or bladder control, decreased sensation in the legs or severe pain. An orthopaedic surgeon can diagnose the underlying issue behind the pain and recommend an appropriate treatment plan. Preventing Lower Back Pain It is not uncommon to experience back pain. There are a few potential causes, from sprains to medical conditions, as well as being overweight or inactive. Fortunately, most lower back pain can be resolved within days or weeks without surgery, and there are some preventive measures that can be taken to avoid it in the future. Exercise - If you are experiencing back pain, you may believe that taking a break from physical activity and resting are the best ways to get relief. Although a couple of days of rest can be beneficial, more than that may not be the best option. Regular exercise can help to reduce inflammation and muscle tension. Watch your weight - Having too much weight, especially around your abdomen, can contribute to back pain by altering the balance of your body and putting strain on your lower back. Keeping your weight within 10 pounds of your optimal weight may help reduce back pain. Stop smoking - The restricted flow of nutrient-rich blood to spinal discs caused by smoking puts smokers at an increased risk of experiencing back pain. Get enough sleep - If you have a tendency to experience back pain, it would be wise to consult a medical professional about the ideal sleeping position. It is sometimes advised to sleep on one’s side with your legs slightly bent towards your chest. If you are more inclined to sleep on your back, it is suggested to place a pillow under your knees and another one under your lower back. Lower back pain is a common condition that can be caused by a variety of factors. There are many effective treatments available, and your doctor can help you find the best one for you. If you are experiencing lower back pain, it is important to see a doctor to get a diagnosis and discuss treatment options. With the right treatment, most people can find relief from lower back pain and get back to their normal activities. Gabapentin: Mechanism of Action and Effectiveness Recently, the efficacy of some anticonvulsant drugs, especially those acting on the central nervous system, has been proven for treating osteoarthritis-related lower back pain and secondary myofascial syndrome. Thus, in the absence of a contraindication, gabapentin can be considered a viable alternative, particularly for neuropathic pain. Gabapentin is a medication used as an anticonvulsant and analgesic. Gabapentin does not share initial sensations with gamma-aminobutyric acid, the primary inhibitory neurotransmitter in the central nervous system. The exact mechanism of action is not completely known. Upon stimulation, gabapentin can regulate excitatory and inhibitory neurotransmissions in numerous in vitro animal tests that employ ionic concentrations comparable to biological environments. In addition, crude authority effects on gabapentin may modulate GABA metabolism, leading to an increase in oxidative decarboxylation of GABA. Finally, a critical but unpredictable pharmacologic finding also has clinical significance: in postherpetic neuralgia, animal models of neuropathic pain, and patients who were unresponsive to standard treatment for lower back pain, gabapentin showed significant efficacy. A series of trials, plus their exploratory sub-analysis and secondary endpoints, have consistently demonstrated the medication's clinical value, confirming the clinic's decision. In such trials, 900–3,600 mg of gabapentin was significantly superior to placebo and typically tolerated by patients. In the clinical setting, gabapentin is generally administered at 900 mg/d with a TDS or QDS dosing schedule. Therapy, according to current evidence, should commence at a dosage of 900–1,200 mg/d, promptly increased to 1,800 mg/d after three days of discomfort, and finally increased to the suggested effective dosage of 2,400–3,600 mg/d about one week later. However, there is a wide range of individual responses, necessitating medical supervision. Weight Lifting: A Beneficial Activity Though it seems like simple advice to give to someone with lower back pain, most people could benefit from lifting weights if done correctly. One of the most common problems for people suffering from back pain is a weakness of the core and lower back muscles. It is likely that a person with back pain often performs work that contributes to muscle fatigue of the back muscles. Weak muscles are much more likely to fatigue and spasm, leading to pain and eventually compression of the nerve, which usually leads to more pain. Back muscles that have been appropriately strengthened will endure longer before spasming and are not as easily fatigued. Physiologically, by training, the general muscle tone and endurance can be increased. In the treatment of lower back pain, emphasis should be placed on the improvement of the muscle's general capacity. Weight lifting should be introduced to the patient as soon as possible. Regular weight lifting had a preventive effect on the occurrence of musculoskeletal complaints, especially in the back and lower limb area. Muscle strengthening lowers how often you get hurt on the job. Mechanically, it stands to reason that someone who lifts weights would be less likely to get hurt than someone who did no specific muscle resistance training. The thought process is simple: by creating stronger muscles, they should be better able to cope with the forces, which would subsequently lower the potential for back injury. Safety is most important when lifting weights. It should be emphasized that while weight lifting is an effective plan to undertake for pain treatment, individuals should participate on an independent basis. All levels of exercises should be discussed with a health care professional to ensure that it is appropriate for individual needs. Have a professional show you the proper way to complete the activity and don't do anything that increases your pain. Frequently Asked Questions: What is the best treatment for lower back pain? There is no best treatment for lower back pain. It depends on the cause. Options include physiotherapy, medication, stretches, or medical interventions like injections. Consult a specialist to determine the ideal approach for you. How does gabapentin for lower back pain work? Gabapentin is prescribed for nerve-related lower back pain. It works by calming overactive nerve signals, reducing pain intensity. Always consult a doctor for proper dosage and suitability. What is the treatment for a lower back muscle tear? Lower back muscle tear treatment includes rest, ice packs, physiotherapy, anti-inflammatory medications, and gradual stretching exercises to promote recovery. How can I relieve lower back pain during my period? Lower back pain period relief can include heat therapy, gentle yoga, pain relievers like ibuprofen, or hormonal treatments if pain is severe. What stretches can help with lower back pain treatment? Stretches like the cat-cow stretch, child’s pose, or pelvic tilts can ease muscle tension and improve flexibility in the lower back. Are muscle relaxants effective for lower back pain treatment? Yes, muscle relaxants can provide short-term relief for lower back pain caused by muscle spasms or strains. However, they should be used under medical guidance. What are the treatment options for lower back pain caused by weight lifting? Lower back pain weight lifting treatment may include rest, proper technique corrections, physiotherapy, and strengthening exercises to prevent recurrence. How is a lower back strain treated? Lower back strain treatment involves rest, ice application, pain relievers, and gradual reintroduction of stretching and strengthening exercises to rebuild muscle health. Can shingles cause lower back pain, and how is it treated? Yes, shingles can cause lower back pain due to nerve irritation. Treatment includes antiviral medications, pain relievers, and topical creams to manage symptoms. How can chronic lower back pain treatment help? Chronic lower back pain treatment often includes a combination of physiotherapy, medications, lifestyle changes, and in some cases, interventional procedures like injections... --- - Published: 2023-09-22 - Modified: 2025-07-02 - URL: https://www.theorthopaedicandpainpractice.com/alleviating-aches-exploring-lower-back-buttock-pain-relief-solutions-in-singapore/ - Categories: Articles by Doctor - Tags: buttock Pain, chiropractic treatment for lower back pain, chronic lower back pain treatment, lower back pain, Pain Relief, Sciatica What is Lower Back & Buttock Pain? Lower back pain is a complicated problem affected by the interplay of several factors, including one's lifestyle and health problems. It is one of the first things to come in people's minds, especially those who work onsite and remote. Prolonged sitting for extended days with no physical activity in remote worksites may bring about back problems. Orthopaedic surgeons are people who make a difference in the world by trying to understand back pain and they choose the treatment based on the causes of the pain. In Singapore, you have the benefit of finding some solutions if you have persistent lower back pain. (https://gotpainarizona. com/lower-back-pain-symptoms-causes-treatment-and-prevention/) Common Symptoms of Lower Back & Buttock Pain Lower back pain may manifest in different ways. You might not be surprised to find out that buttock discomfort can have something to do with your back. While the most frequent source of lower back pain is fatigue. Nevertheless, this can manifest as a pain in the buttock area.   More often sciatica or radiculopathy, which is the sensation of a shooting pain down the leg, is caused when the nerve channels in the spine are narrowed. Drastic narrowing that is caused either by disc degenerating or osteoarthritis in the facet joints leads to the pinched nerves which manifest itself as an electric like or lightning agony down the leg. In addition, there can be other symptoms such as fatigue and numbness in the legs or feet. On the other hand, the spinal stenosis that happens when the neural elements are compressed within the spinal canal can result in different sensations like tingling, burning, or the sensation of insects crawling on the skin. In unique instances, a serious form of disc injury known as cauda equina syndrome can develop, where the protruding disc compresses the spinal nerves that control bowel and bladder operations, leading to loss of control over these vital functions. (https://www. pexels. com/photo/woman-clinic-doctor-health-4225923/) Sources and Causes of Lower Back & Buttock Pain Lower back and buttock pain have various causes, be it the sudden or gradual ones, that can be traumatic or non-traumatic. Injury-related pain is mainly linked with accidents like falls or car collisions. However, the pain without any injury (traumatic) can develop by doing some normal routine movements, such as bending or overstretching. Lower back pain is a symptom of some serious conditions such as spinal infections or tumors which should be considered if it’s accompanied by weight loss or fever. Frequent causes of back pain include muscle strain, pain of a herniated or bulging intervertebral disc and degenerative changes in the facet joints, which are the joints between two adjacent vertebrae of the spine. Identifying the Right Approach to Managing Low-Back Discomfort Lower back and buttock pain need a thorough examination. First, an orthopaedic surgeon does a detailed medical history in order to establish the symptoms and possible reasons. They inquire about your overall health from the past, whether you had any medical illnesses and if you have any family history of them, and also about the current health disorders, e. g. arthritis, diabetes, which may affect treatment decisions. A detailed physical assessment includes evaluation of your range of motion, presence of edema, reflexes, and overall mobility which is crucial for the confirmation or ruling out of possible diagnoses. To acquire more information, X-rays or MRI scans are frequently performed to detect structural abnormalities or misalignments in the affected area, which aid in evaluating the condition's current status and prospective problems. These diagnostic tools allow the surgeon to make a precise diagnosis and propose relevant treatment options based on the information gathered. (https://www. freepik. com/free-photo/close-up-man-rubbing-his-painful-back-isolated-white-background_1602560. htm) The treatment of lower back and buttock pain focuses on the underlying issue and includes a variety of methods. These include pain-relieving medications, lifestyle changes to manage back pain, tailored physiotherapy programs to strengthen back and core muscles and improve function, pain procedures for cases that require direct intervention, and, in severe cases, surgical procedures to release pinched nerves and stabilize the spine. Treatment decisions are made in collaboration with an orthopaedic doctor committed to addressing back difficulties, ensuring a thorough and tailored approach to care. The Role of Orthopaedic Surgeons In Singapore, orthopaedic surgeons are an important part of the medical field that treat a range of bone and muscle related illnesses and accidents. These health experts are specialists who are very important in the maintenance of health and wellbeing of people of all age groups. They specialise in treating different kinds of pain like lower back and buttock pain. (https://www. freepik. com/free-photo/close-up-physiotherapist-working-with-patient-clinic_5218092. htm#query=back%20pain&position=7&from_view=search&track=ais) Questions to Ask Your Orthoapedic Surgeon What's the exact reason for my lower back and buttock pain? What are the therapy possibilities for my specific condition? What are the risks and benefits of each treatment option? Are there any lifestyle changes or physical therapy exercises that can help me manage my pain? What is the estimated recuperation time, and when can I return to normal activities? The discussion with an orthopaedic surgeon, for your lower back and buttock pain, will not be completed if you do not ask questions to gain insight into your condition and treatment options. Among others, you can request information about the insurance coverage for the treatment and other issues of importance. FAQs:  What are the potential causes of my lower back pain? Lower back and buttock pain can originate from various sources, including injuries and everyday movements, and may indicate serious conditions like infections or tumors. Understanding the distinct sources, such as muscular strain, disc-related pain, and facet joint discomfort, is essential for diagnosis and treatment. What are the treatment options for lower back & buttock pain? Treating lower back and buttock pain involves addressing the underlying condition, with options ranging from medications and lifestyle adjustments to physiotherapy and surgical procedures. Collaborative decision-making with a specialized team ensures a personalized approach to care. Is it safe to go for chiropractic treatments? Before considering chiropractic treatment for lower back and buttock pain, consulting an orthopedic surgeon is crucial. An orthopaedic surgeon’s expertise in musculoskeletal conditions, ability to assess safety precautions, and capacity to identify conditions unsuitable for chiropractic care ensure appropriate and effective treatment decisions. How do orthopaedic surgeons diagnose pain? Diagnosing lower back and buttock pain entails a comprehensive process, starting with a detailed medical interview and physical examination. Imaging studies like X-rays or MRI scans are used to provide insight into the condition's state, aiding in precise diagnosis and treatment planning. What do orthopaedic surgeons do? In Singapore's medical landscape, orthopedic surgeons are integral in addressing musculoskeletal issues, ensuring the well-being of individuals of all ages. Their expertise in managing conditions like arthritis, trauma, and congenital disorders plays a crucial role in maintaining mobility and overall health in a world-class healthcare environment. References https://orthoinfo. aaos. org/ https://www. theorthopaedicandpainpractice. com/service/lower-back-buttock-pain/ https://www. webmd. com/back-pain/ss/slideshow-low-back-pain-overview Dr Yong Ren’s Profile Dr Yong Ren graduated from the National University of Singapore’s Medical faculty and embarked on his orthopaedic career soon after. Upon completion of his training locally, he served briefly as an orthopaedic trauma surgeon in Khoo Teck Puat hospital before embarking on sub-specialty training in Switzerland at the famed Inselspital in Bern. He underwent sub-specialty training in pelvic and spinal surgery, and upon his return to Singapore served as head of the orthopaedic trauma team till 2019. He continues to serve as Visiting Consultant to Khoo Teck Puat Hospital. Well versed in a variety of orthopaedic surgeries, he also served as a member of the country council for the local branch of the Arbeitsgemeinschaft für Osteosynthesefragen (Trauma) in Singapore. He was also involved in the training of many of the young doctors in Singapore and was appointed as an Assistant Professor by the Yong Loo Lin School of Medicine. Prior to his entry into the private sector, he also served as core faculty for orthopaedic resident training by the National Healthcare Group. Dr Yong Ren brings to the table his years of experience as a teacher and trainer in orthopaedic surgery. With his expertise in minimally invasive fracture surgery, pelvic reconstructive surgery, hip and knee surgery as well as spinal surgery, he is uniquely equipped with the tools and expertise necessary to help you on your road to recovery. Chiropractic Treatment for Lower Back Pain Natural, Non-Invasive Relief for Everyday Discomfort If you're struggling with daily aches or stiffness, chiropractic treatment for lower back pain offers a safe and effective solution. Chiropractors use spinal adjustments and manual therapies to correct misalignments, reduce pressure on nerves, and restore mobility. In Singapore, many clinics combine chiropractic care with lifestyle advice, posture correction, and rehab exercises to treat the root cause—not just the symptoms. Whether your pain stems from poor posture, a sedentary job, or an old injury, chiropractic treatment provides long-term relief without medication or surgery. Regular sessions can also help prevent future flare-ups and improve overall spinal health. https://www. theorthopaedicandpainpractice. com/alleviating-aches-exploring-lower-back-buttock-pain-relief-solutions-in-singapore/ --- - Published: 2023-09-22 - Modified: 2025-07-25 - URL: https://www.theorthopaedicandpainpractice.com/orthopaedic-and-pain-management-osteoporosis-treatments-for-singaporeans/ - Categories: Articles by Doctor - Tags: Bone Health, doctors specializing in osteoporosis near me, Fracture Prevention, Orthopaedic Treatment, osteoporosis, pain management Introduction to Orthopaedic and Pain Management In the journey of life, we all experience aches, pains, and physical discomfort at some point. It's an inevitable part of being human. But what happens when these pains become a constant companion when they start to interfere with our daily activities, or even worse when they affect our quality of life? This is where the field of Orthopaedic and Pain Management steps in, offering pain relief and improved mobility for patients with musculoskeletal conditions. Orthopaedics is a medical specialty that focuses on the musculoskeletal system, which includes your bones, joints, muscles, ligaments, tendons, and everything that helps you move. So, when your bones creak, your joints ache, or your muscles feel strained, an orthopaedic surgeon is a specialist you turn to. They are well-equipped to diagnose, treat, and prevent conditions that affect your musculoskeletal system. From broken bones to arthritis, sports injuries to spinal problems, their goal is to keep you on your feet and moving freely. (image source: https://physiodirectnz. com/orthopaedic-surgery-and-physiotherapy/) Causes of Osteoporosis and Injury Prevention Strategies Osteoporosis is a complicated condition because it doesn't give you clear warning signs like a headache or fever. Instead, it silently weakens your bones over time. The most common sign is breaking a bone easily, even from a small fall. You might also notice some changes like a change in your height, changes in your posture, having trouble breathing, or feeling lower back pain. These changes could be signs of osteoporosis, especially if you're older. Osteoporosis happens because as you age, your bones stop growing as much as they should, and sometimes, they even shrink. This can happen faster in women after menopause. So, if you notice these signs, it's a good idea to see an orthopaedic surgeon for a proper medical interview and consultation. (image source: https://www. quiropracticacostadelsol. com/frequent-symptoms/osteoporosis/? lang=en) Osteoporosis can affect anyone, but certain groups are more at risk: As you get older, your risk of developing this condition increases significantly. Women, especially after menopause, are more prone to osteoporosis. If someone in your family had osteoporosis, it might increase your risk as well. People with smaller frames or who are naturally thin have less bone mass, so bone loss affects them more. Smoking or using tobacco products can negatively affect bone health. These factors can increase your chances of developing osteoporosis, so it's important to take care of your bone health, especially if you fall into any of these categories. There are strategies to prevent further problems caused by low bone density: Eat foods rich in calcium and vitamin D, like dairy products, leafy greens, and fortified cereals, to strengthen your bones. Engage in weight-bearing exercises like walking, dancing, or lifting light weights to improve bone density and muscle strength. Make your home safer by removing tripping hazards, using handrails, and installing grab bars in the bathroom. Wear sturdy, well-fitting shoes with nonslip soles to prevent falls. If prescribed, take medications for osteoporosis as directed by your doctor. Maintain good posture to reduce the risk of spinal fractures. Participate in balance exercises like yoga or tai chi to enhance stability and prevent falls. Ensure your vision is up to date to avoid tripping or falling due to poor eyesight. Stay on top of bone density tests as recommended by your orthopaedic surgeon. Be cautious and aware of your surroundings, especially when walking on uneven terrain or in unfamiliar environments. By following these strategies, you can lower your risk of injuries and maintain a better quality of life despite having low bone density. (image source: https://ppemedical. com/blog/osteoporosis-workup-and-treatment/) Methods for Diagnosis, Screening, and Treatment for Low Bone Density To find out if you have osteoporosis, a doctor will do a bone density test. This test checks how strong your bones are by using X-rays to see how much calcium and other minerals they have. During the test, you'll lie down, and a machine will take pictures of your bones. It's painless, like a regular X-ray, and you can go home right afterward. There are no needles or shots involved. If you have a family history of osteoporosis or are at risk, your doctor might recommend getting these tests regularly. It's the best way to catch the problem early and prevent broken bones. After the medical interview and diagnostic tests, your orthopaedic surgeon will create a personalized treatment plan for you. This plan may include the following methods: Surgery for the treatment of osteoporotic fractures Medications to treat low vitamin D and calcium levels Medications to slow down the rate of bone loss Hormone replacement therapies for menopausal women (image source: https://www. freepik. com/free-photos-vectors/myth-fact) Myths and Facts About Low Bone Density Myth: Only older people get low bone density. Truth: Low bone density can affect people of all ages, including young adults and even children. Myth: Low bone density only affects women. Truth: While it's more common in women, men can also develop low bone density. Myth: Low bone density isn't a serious condition. Truth: Low bone density can lead to fractures and other health problems, making it a serious condition. Myth: You can't do anything to improve low bone density. Truth: Lifestyle changes like a healthy diet and exercise can help improve bone density. Myth: Supplements alone can cure low bone density. Truth: While supplements can help, they're usually part of a comprehensive treatment plan that includes other strategies like medication and exercise. Final Words An orthopaedic surgeon's role in treating low bone density, often caused by a condition called osteoporosis, is to help when bones become weak and more likely to break. Think of your bones like the scaffolding of a building. When they become fragile due to low bone density, it's similar to the scaffolding weakening. Orthopaedic surgeons help patients to regain mobility, alleviate symptoms, and enhance quality of life. FAQs: What is osteoporosis? Osteoporosis is a condition where bones become weak and brittle, making them more likely to break. What are the symptoms of osteoporosis? Osteoporosis often has no symptoms until a fracture occurs. Warning signs may include back pain, loss of height, or a stooped posture. How can I find doctors specializing in osteoporosis near me? Search for orthopaedic specialists or clinics focused on bone health. Online reviews, recommendations, and clinic websites can help you locate experienced doctors nearby. What treatments do doctors specializing in osteoporosis offer? Treatments may include medications to strengthen bones, calcium and vitamin D supplements, lifestyle changes, physiotherapy, and fall prevention strategies. How can I know if I am at risk for osteoporosis? Risk factors include aging, family history, being female, low body weight, poor nutrition, and certain medical conditions or medications. A bone density test can confirm your risk. Can osteoporosis be reversed? While osteoporosis cannot be fully reversed, treatments can improve bone density, reduce fracture risks, and manage symptoms effectively. How often should I visit a doctor for osteoporosis management? Regular follow-ups, typically every 6–12 months, are recommended to monitor bone density and adjust treatment plans as needed. What diagnostic tests do doctors use to detect osteoporosis? The most common test is a DEXA (dual-energy X-ray absorptiometry) scan, which measures bone density. Blood tests may also be conducted to assess calcium and vitamin D levels. Is osteoporosis common in Singapore? Yes, osteoporosis is prevalent among older adults in Singapore, particularly postmenopausal women and individuals with a sedentary lifestyle. Can men develop osteoporosis? Yes, while more common in women, men can also develop osteoporosis, especially after the age of 50 or due to specific medical conditions. Are there minimally invasive treatments for osteoporosis? Some minimally invasive procedures, such as vertebroplasty and kyphoplasty, may be used to treat fractures caused by osteoporosis. When should I see a doctor for osteoporosis? You should consult a doctor if you have risk factors, experience fractures from minor falls, or suspect bone-related issues like persistent back pain or a significant loss of height. What are the common medications prescribed by doctors for osteoporosis? Doctors may prescribe bisphosphonates, hormone therapy, denosumab, or selective estrogen receptor modulators (SERMs) to improve bone density. References: https://www. theorthopaedicandpainpractice. com/service/low-bone-density/ https://www. niams. nih. gov/health-topics/osteoporosis https://emedicine. medscape. com/article/330598-overview Dr Yong Ren’s Profile Dr. Yong Ren graduated from the National University of Singapore’s Medical faculty and embarked on his orthopaedic career soon after. Upon completion of his training locally, he served briefly as an orthopedic trauma surgeon at Khoo Teck Puat Hospital before embarking on sub-specialty training in Switzerland at the famed Inselspital in Bern. He underwent sub-specialty training in pelvic and spinal surgery, and upon his return to Singapore served as head of the orthopaedic trauma team till 2019. He continues to serve as a Visiting Consultant at Khoo Teck Puat Hospital. Well-versed in a variety of orthopedic surgeries, he also served as a member of the country council for the local branch of the Arbeitsgemeinschaft für Osteosynthesefragen (Trauma) in Singapore. He was also involved in the training of many of the young doctors in Singapore and was appointed as an Assistant Professor by the Yong Loo Lin School of Medicine. Before he entered the private sector, he also served as core faculty for orthopedic resident training by the National Healthcare Group. Find Trusted Doctors Specializing in Osteoporosis Near You Expert Care for Fragile Bones and Fracture Prevention in Singapore If you're searching for doctors specializing in osteoporosis near me, The Orthopaedic & Pain Practice offers dedicated care right here in Singapore. Our orthopaedic specialists provide personalised treatment plans for patients experiencing low bone density, frequent fractures, or early signs of osteoporosis. We use bone density scans, thorough risk assessments, and modern therapies to slow bone loss and strengthen your skeletal health. Our clinic offers access to evidence-based treatments, including bisphosphonate therapy, hormone management, and nutritional counselling. Whether you’ve been diagnosed with osteoporosis or are at risk due to age, menopause, or a sedentary lifestyle, our compassionate team is here to help. Early intervention with a qualified osteoporosis specialist near you makes all the difference in preventing future complications. https://www. theorthopaedicandpainpractice. com/orthopaedic-and-pain-management-osteoporosis-treatments-for-singaporeans/ See a Leading Bone Specialist for Osteoporosis and Fracture Care Comprehensive Diagnosis and Treatment from a Trusted Orthopaedic Clinic A qualified bone specialist plays a key role in managing osteoporosis, fracture prevention, and overall bone health—especially as we age. At The Orthopaedic & Pain Practice, our expert orthopaedic doctors provide comprehensive care that starts with accurate diagnosis and extends through customised treatment and long-term management. We focus on restoring bone strength using the latest medical therapies, lifestyle advice, and minimally invasive interventions. If you’ve experienced frequent fractures, joint pain, or reduced mobility, it may be time to consult a bone specialist who understands the complexities of osteoporosis and age-related bone conditions. Our clinic serves patients across Singapore with advanced diagnostics, patient-focused care, and a commitment to helping you live strong and fracture-free. https://www. theorthopaedicandpainpractice. com/orthopaedic-and-pain-management-osteoporosis-treatments-for-singaporeans/ --- - Published: 2023-09-22 - Modified: 2025-07-24 - URL: https://www.theorthopaedicandpainpractice.com/how-to-manage-lower-back-pain-after-physical-activity/ - Categories: Articles by Doctor - Tags: Core Strengthening, lower back muscle tear treatment, lower back pain, lower back pain after running treatment, lower back pain after standing too long, lower back pain deadlift, pain management, Sports Injury The spine is the main component of the back, it is made up of the vertebrae, the spinal cord, the muscles, the ligaments and the nerves that provide support for the whole body, allow for movement and convey neurological signals. The spectrum of back problems and injuries goes from the minor ones that produce pain and discomfort or limited movement, to the severe ones that disturb the work of the whole system, and it can be hard to cope with either of them. Back disorders are treated according to their severity, and may include physiotherapy, medicines, or surgical treatments aimed at relieving pain and restoring functionality. Causes & Sources of Lower Back Pain The spine can hurt either in a traumatic or in a non-traumatic way. For instance, accidents that lead to the spinal bones getting fractured or dislocated commonly result in traumatic lower back pain. Contrary to the traumatic back pain, non-traumatic back pain is mostly associated with factors that result in structural alterations such as poor posture, which may cause muscle and joint strain, nerve damage and thus pain. Bad posture can be defined as drooping in a chair, exerting pressure on the stomach while lying down, or walking slumped over. Correcting posture while sitting, standing, or walking helps reduce spinal pressure and prevent lower back pain. Furthermore, lifting large goods wrongly or unsafely might contribute to non-traumatic lower back pain. (https://pxhere. com/en/photo/1629722) Back pain is often caused by a mixture of three basic factors. Back pain in the muscle is a consequence of stress or overwork that are applied to the lower back tissues, giving rise to discomforts and cramps. The sciatic pain is related to intervertebral discs that lie between the spinal bones; a tear in the outer fibers (annulus fibrosus) would cause severe pain and increase the chances of disc protrusion. Facet joint pain, on the contrary, is connected with the spinal facet joint degeneration with age that leads to both back pain and buttock discomfort. Understanding these causes is critical for accurate diagnosis and therapy of back pain. Conditions Associated with Lower Back Pain Backache is a result of a multiple of illnesses each of them having its own set of symptoms and reasons. For instance, a slipped disc occurs when the gel-like inner portion of the spinal disc is forced through a tear in the tough outer layer in the most severe cases, which may be necessary to stop the disc from pressing on spinal cord nerves. With spondylosis, we refer to the spinal deterioration that occurs in joints, discs, and bones, such as degenerative disc disease and bone spurs. Facet joint arthritis occurs due to the deterioration of the cartilage in the facet joints of the spine. Spinal stenosis happens when the spinal canal becomes too narrow which leads to pain or discomfort. Spondylolisthesis and spondylolysis are disorders which are defined by the dislocation of the spine with the occurrence of the fracture. These conditions are the main reason for the emergence of nerve-related discomfort. The spinal infections and tumors, though much rarer, are among the hardest ones to treat, with the symptoms ranging from the persistent pain in the lower back to deformities and neurological issues, which are mostly dependent on the case. (https://commons. wikimedia. org/wiki/File:Blausen_0484_HerniatedLumbarDisc. png) Experiencing Back Pain After Physical Activity As a rule, you are likely to experience pain and tension in your lower back after a workout, especially if you've been performing exercises like squats, deadlifts, or yoga which works out your back muscles of course. This is a mechanism that our bodies use naturally during exercise. It may occur a few days after the strenuous activity. Consequently, it is recommended that you watch out for these signs. If your backache is severe and lasts for a long time or has some other severe symptoms like numbness, tingling, and weakness, be sure to see a doctor to get a full evaluation and proper treatment. When To Seek Medical Intervention for Back Pain After Physical Activity Back discomfort can present as a variety of symptoms, many of which indicate underlying spinal abnormalities. Buttock discomfort, which is usually accompanied with back pain, can be caused by worn-out facet joints in the spine, indicating transferred pain from shared nerves in the back. Shooting pain down the leg is frequently caused by a constriction of nerve passageways in the spine, which is usually caused by disc degeneration or facet joint osteoarthritis. This ailment, also known as sciatica or radicular pain, causes electrical or lightning-like pain down the back of the leg. Additionally, back-related nerve compression can cause leg or foot numbness and weakness, occasionally to the point of foot drop or extreme numbness. Leg cramps after walking can be the result of significant spinal canal constriction. Other symptoms may include tingling, burning, or insect crawling sensations, indicating nerve pinching (paraesthesia), and in severe cases, loss of bowel and bladder control due to disc prolapse pressing on controlling nerves. If any of these symptoms persist without improvement, it’s crucial to schedule an appointment with an orthopaedic surgeon for a thorough evaluation and appropriate treatment. (https://commons. wikimedia. org/wiki/File:3D_still_showing_Sciatica_nerve. jpg) Preventing Lower Back Pain After a Workout Exercise safety is critical for reaping the full advantages of a fitness plan. You should always see an orthopedic surgeon before starting a new exercise regimen, especially if it is severe, taking into account aspects such as age, health history, and personal fitness levels. Moderation during workout, wearing appropriate gear, being hydrated, and including warm-up and cool-down routines all contribute to a safe transition into and out of physical exercise. Follow these procedures to prevent lower back pain after workouts: Proper form and posture, including keeping a straight back and aligning the neck, shoulders, and knees, can dramatically reduce the chance of accidents or injuries. Gradually transitioning from low-impact to high-impact activities reduces overexertion and strain. Incorporating full warm-up and cool-down activities helps to reduce discomfort, soreness, and inflammation. Core-strengthening workouts can help improve muscle flexibility and blood flow. Avoid excessive exercises that could harm your spine and other body components. Aside from exercise, getting enough rest and recovery, as well as participating in low-impact activities like yoga and brisk walking, all help to improve healing and minimize pain. (https://pixahive. com/photo/back-bend-yoga-paschimottanasana/) Surgical and Nonsurgical Treatments to Address Lower Back Pain Treatment options for back pain could differ a lot depending on the lifestyle, your age and presence of any pre-existing diseases. Such therapies could consist of pain-relieving drugs to target the back, buttocks, and legs regions, and a plan to help manage back pain by adjusting lifestyle. A physiotherapy that emphasizes on the core and back muscle strengthening exercises can help improve the function and reduce pain. If there are underlying causes of back pain, pain procedures may be indicated. Surgery may also be considered to relieve pinched nerves and stabilize deteriorating spines. Finally, therapy options will be tailored to your unique circumstances and needs. Preventive Measures Preventive measures to reduce the likelihood of lower back pain may include learning proper techniques, initiating a warm-up, using flexibility exercises, improving physical condition, maintaining spinal health, and seeking educational resources—especially before starting a new activity. Low back motion is anticipated to vary due to the specificity within each of these categories. The best way to prevent injury during daily activities is to participate in regular, low-intensity physical activity while monitoring one’s body, diet, and rest. Common activities associated with lower back injury involve four types: movements involving poor spine biomechanics; immediate overuse; repeated use over time; and the influence of environmental factors. This includes barbell running, standing for an extended period without a break, and deadlifting with poor trunk motor control. Poor spine biomechanics can raise the risk of low back injury. Proper alignment ensures the greatest efficiency and lowest workload required to complete tasks or physical activities, protecting against back injury and potentially preventing damage to other body parts. Training physiological and joint motion is important in carriage running. Additionally, educational tools and safety options are crucial to ensure the proper execution of these techniques. Warming up before physical activity along with stretching is important to help increase joint range of motion. Although the evidence is not clear as to whether or not stretching before exercise really lowers the risk of injury, it is still commonly recommended prior to physical activity. Regardless, engaging in regular, safe, and appropriate physical and physiological activity is the best prevention. Running Athletes require a unique set of preventive measures tailored specifically for the demands placed upon the body during their chosen activity. Technological advances have made it easier to identify common pitfalls associated with running. Adequate footwear, for example, is crucial because poor shoe fit, particularly not having enough room in the toe box for the first metatarsal, is a common factor in lower back pain. Simple measures such as proper shoe lacing can ensure the foot stays in place, providing sufficient support. Sufficiently relatable warm-up exercises, progressed to more functional activities, could be implemented as a pre-routine for competitive or recreational runners in an attempt to prevent running-induced low back pain. Runners are encouraged to participate regularly in self-myofascial release, as well as to apply a static back stretch and pelvic tilt exercise in the event lower back pain is experienced after a run. Finally, an increase in miles should not exceed 3 to 5 miles per week to avoid excessive overload on the lower extremity and lower back or a 10 to 20% weekly increase for intensity training. Biomechanical alignment refers to an optimal static and dynamic posture of all components of the body relative to one another, i. e. , proper alignment between the segments such as pelvis, legs, and trunk. Since the relationship between biomechanical alignment and lower back pain is closely interrelated, it is important to recognize what postural anomalies predispose this high-risk population. The gradual wearing down of the cartilage between the vertebrae explains the direct correlation between long-time running and the appearance of osteoarthritis. It is important to acknowledge individual differences such as body type in order to create a customized running program. Usually, 2 to 3 days per week of running training is sufficient to prevent detraining. Ideal running sessions are those that have an average intensity and duration that promote overall body endurance while minimizing overload, prevent running detraining, are enjoyable, and have rest days available for injury prevention. A summary of all running-specific and supporting exercises along with their rationale is presented. Standing Too Long Being on our feet for a long time means that there are several mechanisms involved that increase the risk of injury or the onset of pain. The longer you are standing, the more likely your posture and alignment are compromised, with this eventuality impacting the risk of tissue insult and pain. Standing for long periods of time and being still places mechanical strain on tissues. When you stand, the lower back will curve inwards. When you stand for long periods and there are no movements or changes in posture, the muscles of the lower back and hips have to work harder to keep your body in this position. Over several hours, this can lead to fatigue and discomfort. Adopting a different position and some movement can help to change the force loads across the tissues and reduce the effort and stress on the muscles, which reduces fatigue and discomfort. To work in an ergonomically correct position, health professionals generally recommend sitting down. However, it is important to appreciate that the use of furniture is not the cause of lower back pain and that sitting is not bad for the back per se. Given that each position carries its own risk profile, I believe that the best position for the desk worker is to alternate the work posture and change from sitting to standing during work hours, as this will reduce the sustained stress on the tissues. For those working in an occupation where they are required... --- - Published: 2023-09-22 - Modified: 2025-07-24 - URL: https://www.theorthopaedicandpainpractice.com/a-comprehensive-guide-to-treating-neck-pain/ - Categories: Articles by Doctor - Tags: alleviate neck pain, back and neck pain treatment, best treatment for neck pain, Cervical Spine, Interventional Pain Procedures, neck nerve pain treatment, neck pain, Pain Relief, physiotherapy treatment for neck pain, treatment for neck pain causing headaches The neck is a very sensitive part of the body that joins the head and the torso and is made out of bones, muscles, nerves, and other components. Neck is where all the nerves are located and by any sort of injury the whole system may be affected. It is important to take care of your neck so that you don't end up having pain or any injury. Luckily, we got the means to relieve neck pain with the help of an experienced orthopaedic surgeon. An Introduction to Neck Pain Neck pain can result from either an accident or non-injury conditions, including poor working ergonomics. Inadequate adjustability of computer monitors and chairs, along with inappropriate monitor positioning, frequently compels people to work with their necks at unpleasant angles. This problem becomes more severe when an underlying neck ailment is present, which frequently results in neck strains. Over time, muscular fatigue develops, resulting in neck pain and other symptoms. (https://www. pexels. com/photo/woman-touching-her-back-4506105/) The Various Causes of Neck Pain Neck pain can have three major causes: Muscular pain develops when the neck muscles are overused. It frequently feels like an ache or cramp in the back of the neck, shoulders, and upper back. Discal discomfort is caused by the cartilage between two bones in the spinal column. If the outer section tears, it can cause severe discomfort and possibly disc problems. Facet joint discomfort develops as the spine's joints, known as facet joints, wear out. This can lead to neck pain ranging from minor to severe. Common Symptoms Associated with Neck Pain A neck pain can manifest with a lot of symptoms, and people may perceive them very differently. Compression of nerves in the neck region will lead to the pain shooting down the arms with the electric current like sensation, typically induced by neck movements, and is a common condition referred to as radicular pain. The numbness and weakness of the arm or hand are a result of the nerve compression, which reduces the sensation of the hand and the arm mobility. The spinal cord compression can produce tingling, burning, or crawling sensation (syndrome known as paraesthesia) as well. Severe narrowing of the subcortical cervical spinal cord can squeeze it and distort normal activity, which may cause difficulties with hand coordination. In the worst case scenario, patients can experience clumsiness while walking, or myelopathy, especially when they are not steady on their feet, thus the risk of falling and injuries is increased. (https://www. freepik. com/free-photo/back-view-man-stretching-while-working-from-home_11785941. htm) Exploring Surgical and Nonsurgical Treatments for Neck Pain Regarding neck pain management, the treatment of the underlying disease is critical, and orthopaedic surgeons apply a variety of surgical and non-surgical methods to help alleviate the neck pain. The pharmaceutical approach is mainly achieved through the use of medications that reduce the pain in the neck, shoulder, and arm, together with lifestyle changes, and ergonomic guidance that is specific to the treatment of work-related neck pain. One of the ways the neck muscle physiotherapy can be used is to increase neck strength, enhance function, and relieve symptoms. Furthermore, options for medicinal treatment are provided to cure the root causes of neck pain and in some cases, surgery is carried out to ease the constriction of nerves and stabilize a cervical spine that is deteriorating. Nurturing Your Neck: Essential Tips for Neck Health To keep away from neck strains and injuries, use good posture while walking, sitting, and performing daily activities. You may be prone to neck strain if you slump, since it may create discomfort and pain in your neck. You can also do it right by keeping your shoulders, head, and back in the right position all the time and by giving yourself a rest and a change of position, especially if you have to sit or stand for long periods. Make sure you choose the right sleeping position, too; pick a pillow that maintains the natural curve of your neck and upper back so that you won't have any pain due to misalignment when sleeping. Besides, as a sportsman, upper back and neck stretches on a regular basis can be really helpful to release the tension and reduce the probability of injuries. As the case may be, you should include some exercises that will help you in this process. When to Seek Medical Attention for Neck Pain If you are experiencing severe neck pain as a result of an injury such as a vehicle accident, diving event, or fall, you should seek medical assistance immediately. This type of injury does not resolve with mere bedrest or home treatments. In other circumstances, if your neck pain is not caused by an accident, you should see an orthopaedic surgeon if it persists despite treatment with pain medications. Furthermore, if the pain spreads to your arms or legs, or if it is accompanied by symptoms such as headaches, numbness, weakness, or tingling, you should seek medical attention and treatment. You will undergo a medical evaluation or interview, diagnostic testing (X-rays or MRIs) so that your orthopaedic surgeon can create a treatment plan for you. Diagnosis The first step in the treatment process for neck pain or discomfort is the assessment. The diagnosis can best be made through a thorough patient history and physical examination. During a physical examination, a healthcare provider will probably perform range of motion assessments, muscle strength testing, and palpation to assess for tenderness or regions of increased pain, as well as sensory examination to assess for numbness or tingling. Most patients can be diagnosed through a standard patient interview of their previous medical history, symptoms, and current conditions. Assessing the patient's previous medical history is crucial, as it may help healthcare providers to sort through a myriad of diagnoses quickly. The following are some of the more important subjects to be covered in the assessment: medical history, including the patient's current and previous medical conditions such as asthma, multiple sclerosis, and scleroderma. Anxiety or other mental illnesses may also exist. A precise timeframe of when the patient's neck discomfort began is important. The affected person may also experience pain when asked. Imaging studies such as X-rays or MRIs should be performed to assess if details such as degenerated discs, herniated discs, or other structural issues are present. As medical professionals, we take into account societal guidelines as well as extensive diagnostic research when assessing patients. A definitive diagnosis is not always necessary when dealing with a new client, particularly when creating rapport and relieving their anxiety. However, diagnosing their disorder can be helpful in reducing uncertainty, changing their anticipation towards condition integration, improving understanding as providers, and making it simpler to figure out treatment. Identification can thus contribute to successfully treating the patient. Physical Examination A comprehensive physical examination is pivotal in diagnosing the source of neck pain. By observing the patients' responses, practitioners assess a patient's ability to independently evaluate neck function and mobility. To examine a neck patient, it is essential to have knowledge of the biological and psychological environment surrounding the neck. History-taking should cover the biological and social aspects. A comprehensive physical examination of the neck includes range of motion tests and palpation to see which joints are moving and which joints or muscles are tender. Tests need formal descriptions. Pain and paresthesia can indicate which structures are involved. Physical findings and symptoms may not be specifically coherent. A physical examination should be used to confirm the working diagnosis and exclude possible alternative diagnoses. Rather than confirming the initial image description, the examination frequently changes the working diagnosis. If the history and examination are in serious doubt, a possibility should be measurable. During spine consultation, the physical examination follows the history, clinical setting, and clinical condition of the patient. Conservative practitioners should not examine every patient because they are concerned about disease. It is hemodynamically stable. But identifying the few patients that are 'at risk' of an explosive disc is critical. The situation is classified into a number of potential diagnoses. Imaging Tests Your healthcare provider will recommend getting imaging tests if they suspect that the cause of your neck pain is an underlying condition, such as a herniated disc, that cannot be visualized through a physical examination. Three well-known imaging tests of the cervical spine are X-rays, magnetic resonance imaging, and computed tomography scans. Each of these imaging tests reveals a different aspect of the cervical spine and can provide more extensive information about the neck. X-rays provide a detailed, two-dimensional view of the neck. Using X-rays, a healthcare provider can confirm whether you have a fracture or a dislocation. MRIs offer a three-dimensional look at the neck to check for disc problems, spinal cord changes, or nerve compression. CT scans create a more detailed and comprehensive image of the cervical spine to check whether you have problems with the alignment of the bones in your spine, spinal fractures, and infections. Even though X-rays, MRIs, and CT scans can identify small and often overlooked changes in the cervical spine that might be causing your neck pain, they are not always recommended for everyone because of prolonged waiting periods, radiation exposure, safety concerns, additional costs, or no change in the treatment course even after knowing the problem. Most healthcare providers recommend getting the imaging test when the physical examination further reveals that you have nerve-related problems, such as leg pain that travels down one or both legs with numbness, tingling, or weakness, or other symptoms. The imaging test is usually performed to confirm the structural changes in our body and to compare the timing and extent of the recommended treatment. The result of an imaging test should always be confirmed along with a physical examination finding, after which a comprehensive treatment plan should be designed by the healthcare professional. Treatment Options The treatment options for managing neck pain can be categorized as conservative treatments, i. e. , rest, use of hot and cold therapies, and lifestyle modifications, and administration of such medications as oral and topical NSAIDs and muscle relaxants that work as an adjuvant to physical therapy to help decrease the pain and improve the tolerance for exercise. Physical therapy (PT) is a crucial aspect of managing all patients with neck pain, especially those with whiplash-associated disorders but also in patients with chronic neck pain. The treatment of neck pain should be approached from the onset using a multimodal, integrated plan of care. Using an interdisciplinary team ensures that all facets of an individual’s pain are adequately addressed, including physical and psychological aspects of a patient’s care. The patient’s values, functional goals, and attitudes about their pain should be continuously assessed and referred throughout treatment to appropriate providers who have the skills to help support these aspects of care. The management of neck pain should be geared towards improved function and activities of daily living. An obvious impairment can be identified as a specific target and will be the focus of this discussion. A healthy lifestyle consists of regular exercise, maintaining a low body weight, a healthy diet, social network support, as well as effective coping strategies. It is important to emphasize the importance of addressing not just the physical aspects of neck pain, but the psychological, social, behavioral, and functional aspects as well. The expectations of each provider, the patient, and any family or support system that is involved should be clearly delineated. A point of emphasis should be to ensure the patient has realistic expectations about their treatment program. The expectations should also be reviewed regularly. The therapeutic approaches mentioned above should be utilized in conjunction in order to obtain the greatest outcome. It is important to note that seeking interdisciplinary care is not uniform across different sampled populations in the community. A visit to the rural primary care clinic may have different access points and expectations than an individual who receives care at a dedicated acute or chronic pain clinic. As previously noted, the visit to the care site should be as non-stigmatizing as... --- - Published: 2023-09-22 - Modified: 2025-07-26 - URL: https://www.theorthopaedicandpainpractice.com/understanding-neck-pain-various-causes-symptoms-and-treatment-options-for-singaporeans/ - Categories: Articles by Doctor - Tags: Causes, gallbladder neck pain, neck pain, neck pain symptoms and treatment, Orthopaedic Specialist, Symptoms, Treatment Options The neck is a crucial part of our spine that supports the weight of our head while allowing for a good amount of movement. Even so, it's also quite susceptible to injuries and issues that can lead to pain and limit our ability to move comfortably. While some people might just go through a phase of temporary neck pain that eventually goes away on its own, others might need some professional help to deal with their chronic pain or discomfort. That's where orthopaedic surgeons come in – they're the specialists when it comes to identifying and treating problems with our muscles and bones, including those that affect the neck. Orthopaedic surgeons have a range of techniques up their sleeves to help patients manage their symptoms and improve their overall quality of life. These could include things like physical therapy, medications, lifestyle changes, and sometimes even surgery. But hey, let's not jump the gun on surgery; it's usually considered when everything else has been tried and hasn't worked out. So, if you find yourself dealing with persistent neck pain or other symptoms that are interfering with your daily life, it's a good idea to reach out to an orthopaedic surgeon for some guidance and assistance. (https://my. clevelandclinic. org/health/articles/22278-cervical-spine) The Role of an Orthopaedic Surgeon in Treating Neck Pain Neck pain can happen for all sorts of reasons, and the diagnosis can be tricky. That's why it's a smart move to talk to an orthopaedic surgeon if you've got neck pain that just won't go away. Chronic neck pain which lasts for months at a time, may be a sign of an underlying condition. These are some reasons why you should consult an orthopaedic surgeon: Many things can make your neck hurt, like strained muscles, arthritis, or issues with the bones in your spine. Each of these needs a different kind of treatment, and an experienced orthopaedic surgeon can figure out what's causing your pain. Trying to play doctor with yourself can be risky. You might end up treating the wrong thing or waiting too long to get the right help. That could make things worse, which leads to more pain or disruptions to your daily life. Getting help from an orthopaedic surgeon early on can stop things from getting worse and give you a better shot at feeling better soon. Delaying treatment might mean you'll have to deal with neck pain for a long time. (https://www. everydayhealth. com/neck-pain/neck-pain-orthopedic-care. aspx) The Causes of Neck Pain: Injurious and Non-injurious Sources The causes of neck pain fall into two main categories: injurious and non-injurious causes. Injuries often come from accidents like falls or car crashes. These accidents can lead to neck pain either right away or later on, depending on the severity of the accident and the patient’s condition. Now, let's delve into the non-injurious sources of neck pain, which often has a lot to do with our work setups. Many workplaces use a kind of one-size-fits-all approach when it comes to setting up our desks and chairs. This can be a real pain in the neck, literally. Sometimes, we're stuck with computer screens and chairs that just won't budge or can't be adjusted enough. That means we end up sitting in strange positions that put extra strain on our necks. If you already have an underlying neck issue, well, things can get even trickier. Any trouble in your neck can make it less stable, and your body tries to make up for it by overworking neck muscles. Over time, these muscles can get tired out, and they can't compensate anymore. That's when you start feeling real neck pain, and it might bring along some other symptoms too. Now, when it comes to neck pain, it usually has three main sources: Muscular pain - This is when you overwork your neck muscles, leading to aching and cramping sensations. It's not just your neck; this pain can spread to your shoulders and upper back. Discal pain - The intervertebral discs between your spine column can cause trouble too. If they get a tear on these discs, you may feel sharp pain. It may also lead to the protrusion of the disc, which may worsen your current condition. Facet joint pain - Your spine has these joints called facet joints, which provide stability. If they wear down over time, they can be a source of neck pain too. (https://www. pexels. com/photo/close-up-photo-of-a-man-having-a-neck-pain-7298881/) So, in a nutshell, neck pain can happen for all sorts of reasons, from accidents to unhealthy work setups, and it usually comes from these three sources: muscle strain, disc issues, or problems with facet joints. Orthopaedic surgeons utilize different methods to diagnose the specific cause of your neck pain. If you experience the following symptoms, you should seek medical attention: Shooting pain down the arms - This happens when nerves in the neck get pinched, causing sharp, electric-like pain shooting down the arms, often triggered by specific neck positions. This is called radicular pain. Arm or hand numbness and weakness - Pinched nerves not only cause pain but also affect sensation (numbness) and the ability to move your arms and hands (weakness). Any nerve compression in the spine can result in numbness and weakness. Tingling, burning, or crawling sensations - Nerve pinching within the spinal canal can create unusual sensations like tingling, burning, or a feeling of insects crawling on the skin. This condition is known as paraesthesia. Spinal cord pressure - Severe narrowing of the cervical spinal canal can put significant pressure on the spinal cord, leading to a condition called myelomalacia. This may also increase the risk of injury from falls, known as central cord syndrome. Loss of coordination - Spinal cord softening can result in the loss of coordination in the hands, making it challenging to manipulate small objects. In some cultures, this might affect the ability to use chopsticks or handle sewing needles/buttons. Unsteadiness when walking - In severe cases, neck-related issues can lead to unsteadiness while walking, increasing the risk of falls and injuries. This condition is known as myelopathy and can affect both upper and lower limbs. In essence, neck pain can cause various symptoms, depending on the underlying issues, including pain, numbness, weakness, unusual sensations, and even difficulties with coordination and mobility. It is also important to note that neck pain can also be a symptom of many other health conditions, like gallbladder issues, meningitis, and cancer. To diagnose and rule out any conditions, you will undergo diagnostic tests. (https://www. pexels. com/photo/close-up-photo-of-woman-having-a-neck-pain-7298636/) Diagnosis and Treatment for Neck Pain in Singapore: Finding the Right Orthopaedic Specialist At The Orthopaedic & Pain Practice, the orthopaedic surgeon, with the help of a team, initiates the process with a comprehensive medical interview to understand the patient's neck pain symptoms and potential causes. Following this, a focused examination of the neck and related areas is conducted to identify any signs of neck issues. After that, you might be asked to have some cervical spine X-rays or an MRI scan to get a better idea of what's causing your neck pain. With this information in hand, the orthopaedic surgeon will talk to you about their findings. Together, you can discuss your treatment options. Each patient will have a treatment plan because this plan always depends on the severity of the pain and the condition of the patient. Neck Pain and Gallbladder Issues Neck pain linked with gallbladder issues is not a widely addressed association; however, it is an interesting connection. If you delve deeper into the symptomatology seen with gallbladder dysfunction, it is not uncommon to see a referral in symptoms towards the neck. The chronic post-operative presence of neck pain was highlighted when it was associated with laparoscopic cholecystectomy for gallstones as chronic acalculous pain, with the commonality of abdominal pain also seen. It is not only neck pain that has been reported; larynx tenderness is another uncommon presentation following cholecystectomy. This direct relationship that some have identified between upper quadrant issues and the posterior neck offers good insight for clinicians seeking to appreciate the body as a whole with interconnecting systems. The importance of understanding this referral site of the visceral illness as a concerning mimicker of neck pain is highlighted in the documentation of how it is seen during referral patterns. Of the few documented papers on specific referral patterns, they do refer to the neck. The description of gallbladder pain is most commonly seen in the right shoulder, while at times it may be seen as band-like thoracic back pain. This leads to anemia with verified leukocytosis, seeing urgent care before definitive care is provided through surgical intervention. This confusion indicates the importance a piece’s differential diagnosis can be in seeing where it fits into the clinical picture. The diagnosis of neck pain can require a detailed list of pathology in analyzing the cervical region—though it is not common to consider extra-cervical causes without history findings. The use can, therefore, be apparent in locating a recorded case’s etiology. In neck pain presentations, it is not only whiplash that can create a heightened clinical response; though if this inflammatory response is seen, it can indicate a poorer prognosis. With enough information gathered, gallbladder referrals should become rarer. In sum, it is the clinical picture and the ascribed symptoms that link with the current knowledge to which a piece is best utilized, suggesting the importance of a holistic approach when diagnosing neck pain presentations. Connection between Gallbladder Problems and Neck Pain There are no official mechanisms for explaining or understanding the connection between gallbladder problems and neck pain, but in my clinical experience, I have seen two mechanisms to be present. Referred pain happens when the brain can’t localize pain and may mistakenly perceive the location of discomfort elsewhere in the body. This can be the result of cervical radiculopathy, or perceived neck pain that is actually originating from the gallbladder. A participant had experienced worsening neck pain over 2 years that was related to her gallbladder function. She had an MRI of her cervical spine performed and all it showed was severe degenerative disc disease, disc bulging, and other moderate arthritic changes at C5/6 and C6/7 levels. The bones and joints of the cervical spine were all in alignment and there was no neural compromise of the spinal cord or the exiting nerves. She had an MRI of the shoulder to check for carpal tunnel syndrome, which documented a small amount of fluid and mild inflammation around the distal biceps tendon. Another MRI demonstrated her elbow to be entirely normal. After gallbladder surgery had calmed the inflammation down completely and corrected the shape of the bile, she had been utterly free from arm pain until June of 2018 when she overdid it crawling on a ladder while spring cleaning and cooking for a family party. Within 3 weeks of overactivity, she was back to severe symptoms. Treatment Options for Neck Pain Customizing a treatment plan for neck pain will depend largely on the presenting signs and symptoms, as well as the patient’s activity level and specific degenerative diagnoses. There is no one-size-fits-all treatment package, as each treatment plan needs to be tailored to the patient and their symptoms. A patient suffering from acute cervical radiculitis due to a large herniated nucleus pulposus at C5-6 requires surprisingly different surgical and nonsurgical care than a patient whose symptoms result from multilevel degenerative disease that has slowly accrued over decades. By learning more about the various factors that can contribute to neck pain or symptoms, namely bulging of the discs, strong conservative treatments and therapeutic modalities can be applied to guide a patient’s recovery process. Conservative treatments for neck pain aim to relieve pain, reduce inflammation and muscle spasm, and restore normal motion to the musculoskeletal structures. Physical therapy: Various forms of physical therapy help to encourage the body to move in normal, efficient ways and prevent abnormal patterns of movement. Physical therapy can restore the strength and endurance of the muscles... --- - Published: 2023-09-22 - Modified: 2025-01-31 - URL: https://www.theorthopaedicandpainpractice.com/a-comprehensive-guide-to-lower-back-pain-insights-from-an-orthopaedic-surgeon/ - Categories: Articles by Doctor - Tags: Causes, lower back pain, lower back pain after standing too long, lower back pain deadlift, Orthopaedic Surgeon, Symptoms, Treatment An estimated 60-90% of adults will experience lower back pain at some point in their lives. The risk is notably higher among males and those involved in manual labour and repetitive tasks. The surge in remote work has contributed to the global problem of back pain, as it often involves prolonged periods of sitting, reduced physical activity, and easy access to snacks, which contributes to weight gain and muscle loss. This decrease in muscle strength increases the likelihood of experiencing back injuries. Lower back pain may appear after running, standing for extended periods, deadlifting, or engaging in other strenuous activities. Additionally, extended periods of sitting put extra pressure on the lower spine, further elevating the chances of developing back pain. Etiology and Risk Factors Lower back pain (LBP) has a diverse etiology that includes different conditions such as mechanical, degenerative, traumatic, metabolic, neoplastic, and congenital, each requiring a different therapeutic approach. LBP risk factors are also varied, including occupational, lifestyle choices, hereditary predisposition, and psychological, social, and economic factors. Yet lower back pain may become chronic and long-term as it is influenced by psychological, physical activities, and social-economic factors as well. Almost everyone will experience LBP at some point in their life. Usually, back pain is confined to the lumbar region, associated with fatigue, inability to stay in one position for long, and a general inability to engage in everyday activities. Few people have chronic incapacitating low and lower back pain, which influences social, occupational, and mental lifestyle. It is clear that aging increases the likelihood of back pain, but the pain can occur even in children or teens. Age is an important risk factor, while the most apparent one is obesity, characterized as BMI > 30. Excess weight can stress the lower back. Some individuals tend to gain weight in the stomach, making them more prone to back pain. Obesity also increases the risk of other diseases in the musculoskeletal system, spine, lumbar region, and spinal cord. Obesity increases the risk of LBP, as do other risk factors. Diseases of the cardiovascular system and diabetes are also more likely to occur in obese patients, and diabetic illnesses contribute to muscular-skeletal, spinal, and paraspinal pain. Medium physical fitness or poor physical fitness is also a risk factor for developing low and lower back pain. It has been shown that people who have strong back muscles can lessen the risk of developing back pain. Regular strength exercises can increase muscle power, and regular activities can include walking, jogging, and exploring the outdoors. Knowing personal lower back pain risks can help prevent it in the first place and manage it if it occurs. This is because LBP is thought to be a multifactorial or multi-causal condition with physical, emotional, and socio-economic contributors. Therefore, creating an intervention for people with different influences and differences can help mitigate the risk for LBP or facilitate early and chronic disease management. The efficacy of medical interventions does vary from person to person, influenced by personal factors such as weight, size, sex, and cultural background; thus, medical research must utilize a comprehensive as well as a multifactorial approach, rather than a reductionist one, in the management, research, and support for the prevention of BPS. Understanding Lower Back Pain and Its Causes The causes of back pain can be categorized as either injury-related or non-injury-related. Injury-induced back pain stems from accidents such as motor vehicle collisions or falls. In other cases, back pain emerges without a specific accident. Mundane actions like reaching for an object, bending to pick something up, or even sneezing can trigger atraumatic back pain. In certain cases, infections or spinal tumors may cause back pain, particularly if this pain accompanied by unexplained weight loss or fever. Fortunately, preventive measures and self-care strategies can alleviate most back pain instances, particularly for individuals under 60 years of age. If prevention falls short, you can always consult an orthopaedic surgeon for proper diagnosis and treatment. (https://www. flickr. com/photos/152511098@N08/33348393655) Understanding the Symptoms Related to Back Pain Symptoms related to back pain can vary widely and may be indicative of underlying. Understanding these symptoms is crucial for timely diagnosis and appropriate treatment. Here are some common symptoms associated with back pain: Buttock pain frequently arising from worn-out facet joints in the spine, causing referred pain. Shooting pain down the leg, commonly known as sciatica or radicular pain, is typically caused by nerve passage narrowing due to disc damage or osteoarthritis in facet joints. Leg or foot numbness and weakness can result from nerve compression in the spine, affecting sensation and motor function. Leg cramps may occur in individuals with back pain, particularly when spinal canal narrowing is severe, resulting in crampy leg pain during walking. Tingling, burning, or crawling sensations may arise due to nerve compression within the spinal canal, a condition known as paraesthesia. In very severe cases of disc injury, patients may experience loss of bowel and bladder control, a rare condition referred to as cauda equina syndrome, where the disc presses on nerves controlling these functions. How Bad Posture Can Lead to Lower Back Pain Poor posture can lead to back pain even at a young age. Incorrect posture places stress on muscles, spinal joints, and discs, which can accumulate and weaken these structures over time. Prolonged hunching while standing or sitting strains back and core muscles, leading to stiffness and weakness. When exercising, be sure to avoid incorrect lifting techniques which can result in lumbar disc herniation and radiating pain. Even working on a laptop while lying on the belly can negatively impact the lower spine. It's important to note that maintaining correct posture will benefit you in the long run. (https://pixabay. com/sk/photos/boles%C5%A5-chrbta-boles%C5%A5-tela-ergon%C3%B3mia-6949392/) First Aid Solutions for Back Pain: Tips for Effective Management Here are tips for handling back pain and maintaining activity: Initially, you can limit regular physical activity for the first few days to ease symptoms and reduce inflammation in the affected area. Apply ice during the first 48 to 72 hours, then transition to using heat for pain relief. Consider taking over-the-counter pain relievers as directed by your orthopaedic surgeon. Avoid activities involving strenuous actions such as heavy lifting. This may exacerbate the pain. Refrain from exercise immediately after experiencing back pain; gradually reintroduce exercise under the guidance of your orthopaedic surgeon who can recommend suitable exercises for your condition. Preventive Measures to Avoid Recurrent Back Pain To prevent back pain, it's crucial to maintain good posture while sitting and standing and incorporate regular exercises that strengthen your core muscles. Here are some tips to prevent back pain: Avoid prolonged standing; use a footstool for specific activities if needed. As much as possible, choose cushioned sole shoes over high heels. Ensure ergonomic seating with a straight-backed, adjustable chair, armrests, and a swivel seat. Place a small cushion or rolled towel for lumbar support during extended sitting or driving. Take breaks during long drives to stretch and walk. Quit smoking, keep a balanced diet, and maintain a healthy weight. Strengthen abdominal muscles through exercises to support your core. Incorporate relaxation techniques like yoga or massage into your routine. (https://commons. wikimedia. org/wiki/File:Technology_stress_hunch. png) Diagnosing Lower Back Pain To diagnose and address your back pain, the process begins with a thorough medical interview and examination to understand your symptoms and potential causes. You may also undergo back X-rays or MRI scans to pinpoint the source of the pain. After gathering this information, your orthopaedic surgeon will provide you with a diagnosis and discuss treatment options. Treatment Options A range of treatment options, split into conservative and invasive management, are utilized in the practical management of low back pain (LBP). We encourage an early discussion with a doctor, physiotherapist, or other healthcare professional if you are experiencing LBP, as the most commonly indicated therapies are quite simple and can be initiated almost immediately. There is no one-size-fits-all policy for treatment, and the therapies that work best for each person also differ. It is probable that one might respond better to a given therapy than another; hence, a multi-professional approach is often recommended. Conventional treatment choices may involve: - Medication - Physiotherapy - Psychologically informed treatment - Injections When conservative management fails, patients face a number of different surgical options. These may include: - Artificial disc replacement - Facet joint surgery - Lumbar decompression surgery - Lumbar fusion surgery, including minimally invasive surgery - Sacroiliac joint fusion surgery - Scoliosis surgery It is vital that patients are active agents in decision-making when it comes to shared decision-making, and understanding both the likely outcomes and potential risks of any proposed procedure is important. Regularly reviewing these aspects is crucial, as interventions can have a large impact on patients' perceptions of LBP and their rehabilitation. Management of chronic LBP is very rarely about simply seeking pain relief but rather facilitating a return to activity, and for some, it involves enhancing well-being even when pain persists. Based on the numerous inferences made in this review, we suggest a proposed treatment protocol. Medication One of the goals of the treatment of patients with neuropathic and nociceptive pain, as part of a comprehensive approach, is pain relief. Pain can be mediated in the central and peripheral nervous systems via the use of various medications. Medication can be used to prevent, relieve, or reduce pain. Medications can be used for singular or combination therapies on both healthy and damaged areas of the human body. Even though the use of medication presents a symptomatic treatment, the improved pain relief enables an improved early exercise response and return to work. A pain model that uses medication as a recovery medium has been proposed. The combination of both therapies is the ultimate treatment. The treatment of lower back pain often commences with prescribed oral medication, depending upon the pain intensity and/or duration, back pain diagnosis, musculature dysfunction and/or pathology, and lower back pain presentation (with or without leg pain). Medication may also be used as an adjunct to other treatment therapies. A reduction in the pain score or pain level, as well as a secondary decrease in the reduction of pain behaviors in the short term and long term, would be expected. The health professional usually prescribes a lower dose for the shortest amount of time in order to decrease the risk of side effects. Medication can be used to help manage or cope with lower back pain, but in contrast to active treatment therapies, medication should not increase pain and/or symptoms. Lengthy medication use, as part of a routine monitoring follow-up treatment for lower back pain by the health professional, is recommended, irrespective of the treatment effect. Often, medications do not work in all people and are no better than placebo medication in relation to patients returning to bed or work loss. Medication treatment trends are changing, with increases in non-steroidal anti-inflammatory drugs and paracetamol. Commonly prescribed back pain medications include: anti-inflammatory drugs, analgesics, muscle relaxants, corticosteroids, anti-epileptic drugs, anti-depressants, opioids, or injected nerve block analgesics. Counseling, healthy eating, and sleep hygiene practices may also be recommended by the health professional to help with the treatment of lower back pain. Medications need to be monitored by the health professional for side effects or under medications, especially if multiple medications are prescribed. Physiotherapy Physiotherapy includes a range of hands-on and exercise rehabilitation techniques to improve body mechanics, muscular strength, endurance, and flexibility, which in turn will facilitate activities of daily living and reduce the potential triggers of back pain. Physiotherapy incorporates a range of assessment and treatment techniques that can be tailored to the individual's demonstrated need. These include but are not limited to: - Manual therapy - Trigger point release - Stretching and yoga-based exercises - McKenzie-based subjective and objective testing and therapy - Strengthening - Education on posture and body mechanics Surgical Interventions When conservative therapies fail, surgical intervention can be considered for lower back pain. Historically, surgery was used as a last resort due to its invasiveness and high rate of surgical... --- - Published: 2023-09-22 - Modified: 2025-07-24 - URL: https://www.theorthopaedicandpainpractice.com/a-singaporeans-guide-to-low-bone-density-treatment/ - Categories: Articles by Doctor - Tags: best treatment for low bone density, Calcium, Fracture Prevention, Low Bone Density, osteoporosis, the best treatment for low bone density, Vitamin D, what is best treatment for low bone density Taking good care of our bones is important because they act as the body's support system. Think of them as the strong frame that holds up the body's essential parts. Our bones help us stand, move around, and perform our daily tasks. Eating food with calcium, like milk and cheese, and getting vitamin D from sunlight helps our bones stay strong. When we do activities like running or dancing, it helps improve our mobility as well. As we grow older, our bones become weaker with age. It’s very important to look after our bones from a young age by eating right, staying active, and avoiding risky activities like smoking. Taking care of our bones gives our body a strong foundation for a healthy and active life. What is Low Bone Density? As we get older, our bones can become weaker and less dense. This is a big concern because our bones may break easily. This is dangerous, especially for older individuals who have other pre-existing musculoskeletal conditions. When our bones aren't as strong as they used to be, it can be linked to low bone density. Low bone density may be a sign that we are susceptible to developing a condition called osteoporosis. Luckily, there are strategies to help our bones stay strong as we age. It's a good idea to consult an orthopaedic surgeon for check-ups and bone density tests to diagnose any problems early and take steps to keep our bones strong and healthy. The best treatment for low bone density would depend on the advice and recommendation of your orthopaedic surgeon. (image source: https://www. pexels. com/photo/a-sick-elderly-man-lying-down-on-sofa-8900016/) Causes and Risk Factors of Low Bone Density Low bone density is a common issue that can lead to osteoporosis, which makes your bones weak and brittle. People who have low bone density are susceptible to fractures, which can lead to even more complications. Several factors can cause low bone density, including genetics, lifestyle choices, and hormones. It’s good to be aware of these factors and try to stay healthy to keep your bones strong. As people get older, their bone density tends to decrease naturally. This is particularly significant after the age of 50. Women are more prone to low bone density and osteoporosis, especially after menopause when oestrogen levels drop. A family history of osteoporosis or fractures can increase the risk of low bone density. Smoking can hinder bone growth and repair, making bones more vulnerable to weakening. A sedentary lifestyle or not engaging in weight-bearing exercises can lead to decreased bone density. Complications Associated with Low Bone Density Having low bone density can make your bones weak and susceptible to fractures and other injuries. Even the simplest tasks like lifting objects may be difficult for those with this condition. This is especially risky for areas like the wrists, hips, and spine. If you develop low bone density in your wrists, it can lead to deformities and difficulties in doing simple tasks. Hip fractures can lead to being bedridden, which can lead to even more health problems. When your spine is affected by low bone density, it can lead to poor posture and even spinal fractures. Low bone density is not something that should be taken lightly. It can have severe consequences and complications to your overall health. It is not something that will heal by itself. (image source: https://orthoinfo. aaos. org/en/diseases--conditions/hip-fractures/) Usually, people realize they have low bone density when they get a fracture. An orthopaedic surgeon may request that you undergo a special X-ray called a DEXA scan. They'll primarily examine your spine and hip because those are the areas often affected by this condition. You may also undergo a blood test for calcium and vitamin D levels. With the results of these tests alongside a medical interview, your orthopaedic surgeon can properly diagnose your condition. There is no way to completely reverse the effects of low bone density, but there are treatment options that can help alleviate symptoms and improve your mobility: If you've had a fracture because of osteoporosis, surgery can help treat this type of injury. If your vitamin D and calcium levels are low, there are specific medications that can help get these levels back on track. Some medications can slow down the process of bone deterioration. For women going through menopause, hormone replacement therapies can be an option. If you're getting treatment for osteoporosis, it is recommended to get regular bone density check-ups to keep tabs on your progress and condition. Managing Pain from Low Bone Density and Osteoporosis You can engage in regular weight-bearing exercises like walking, dancing, or simple strength training. This can help strengthen your bones and improve balance, reducing the risk of fractures. Ensure your diet includes sufficient calcium and vitamin D, which are essential for bone health. Dairy products, leafy greens, fortified foods, and supplements can help meet your nutritional needs. If your doctor prescribes medications to slow down bone loss or improve bone density, take them as directed to maximize their effectiveness. Create a safe living environment by removing hazards like loose rugs or clutter and installing grab bars in the bathroom. This can reduce the risk of falls and potential fractures. Schedule regular check-ups to monitor your condition and adjust your treatment plan if necessary. Early detection and intervention are crucial for managing osteoporosis. (image source: https://creakyjoints. org/living-with-arthritis/complications/inflammatory-arthritis-osteoporosis/) When dealing with osteoarthritis, the goal is to manage the pain and symptoms. If the initial lifestyle changes and medications don't do the trick, there are other options. If you don't seek treatment for your osteoarthritis, it can make the cartilage in your joints break down. This causes more pain and discomfort, which can affect your daily lifestyle. In serious cases, people can lose their ability to walk on their own. This can also raise the risk of infections like urinary or respiratory infections. Additionally, immobility due to osteoarthritis can cause skin sores, while a sedentary lifestyle can lead to blood clots in your legs. You should book a consultation with your orthopaedic surgeon to get screened for low bone density. Early diagnosis can help prevent complications and maintain your mobility and quality of life. You can reach out to The Orthopaedic & Pain Practice for treatment. We can diagnose musculoskeletal conditions and suggest a treatment plan to slow down your bone deterioration. Our team is dedicated to helping patients regain mobility and improve quality of life. FAQs: What tests are used to diagnose low bone density treatment? To diagnose low bone density, doctors often use a DEXA scan, which is a special X-ray. Blood tests to check calcium and vitamin D levels may also be performed. Are there any lifestyle changes that can be made to improve low bone density? Yes, lifestyle changes like eating food rich in calcium and vitamin D, doing weight-bearing exercises, quitting smoking, and moderating alcohol intake can help improve low bone density. Are there any activities that should be avoided when living with low bone density? Activities with a high risk of falling or impact, like high-impact sports or heavy lifting, should be approached with caution if you have low bone density. What are the benefits of early detection and treatment of low bone density? Early detection and treatment of low bone density can help prevent fractures, maintain mobility, and improve overall bone health. How can I get the most out of my appointments with my low bone density specialist? Make the most of your appointments with a low bone density specialist by preparing questions, discussing your concerns, and following their recommendations for lifestyle changes and medications. What is the best treatment for low bone density? There is no best treatment for low bone density. It typically involves a combination of lifestyle changes, dietary adjustments, and medical interventions as recommended by an orthopaedic surgeon. This may include medications like bisphosphonates, hormone therapy, or supplements to improve bone density. What treatments are available for poor bone density? Treatments for poor bone density can include:Medications: Such as bisphosphonates and calcitonin to strengthen bones. Calcium and Vitamin D supplements: To ensure adequate nutrient intake. Weight-bearing exercises: To stimulate bone formation and improve strength. Lifestyle modifications: Such as quitting smoking and reducing alcohol consumption. Are there specific treatments for osteoporosis related to low bone density? Yes, treatments specifically for osteoporosis may include:Hormonal therapies: Such as estrogen replacement therapy for postmenopausal women. Bone-building medications: Like teriparatide or denosumab. Regular monitoring through DEXA scans to assess bone density changes. How often should I get checked for low bone density? It is recommended to have regular check-ups with your orthopaedic surgeon, especially if you are at risk for osteoporosis or have already been diagnosed with low bone density. This may include periodic DEXA scans to monitor your condition. References: https://www. medicalnewstoday. com/articles/320444 https://www. theorthopaedicandpainpractice. com/what-does-it-mean-if-i-have-low-bone-density/ https://www. theorthopaedicandpainpractice. com/low-bone-density/ Dr Yong Ren’s Profile Dr. Yong Ren graduated from the National University of Singapore’s Medical faculty and embarked on his orthopaedic career soon after. Upon completion of his training locally, he served briefly as an orthopaedic trauma surgeon at Khoo Teck Puat Hospital before embarking on sub-speciality training in Switzerland at the famed Inselspital in Bern. He underwent sub-specialty training in pelvic and spinal surgery, and upon his return to Singapore served as head of the orthopaedic trauma team till 2019. He continues to serve as a Visiting Consultant at Khoo Teck Puat Hospital. Well-versed in a variety of orthopaedic surgeries, he also served as a member of the country council for the local branch of the Arbeitsgemeinschaft für Osteosynthesefragen (Trauma) in Singapore. He was also involved in the training of many of the young doctors in Singapore and was appointed as an Assistant Professor by the Yong Loo Lin School of Medicine. Before he entered the private sector, he also served as core faculty for orthopaedic resident training by the National Healthcare Group. Dr Yong Ren brings to the table his years of experience as a teacher and trainer in orthopaedic surgery. With his expertise in minimally invasive fracture surgery, pelvic reconstructive surgery, hip and knee surgery as well and spinal surgery, he is uniquely equipped with the tools and expertise necessary to help you on your road to recovery. Discover the Best Treatment for Low Bone Density in Singapore Effective and Individualised Bone Health Plans for Stronger Bones and a Safer Future If you've been diagnosed with low or poor bone density, taking timely action is essential to prevent fractures and maintain an active lifestyle. But what is the best treatment for low bone density? At The Orthopaedic & Pain Practice, we provide evidence-based, customised solutions that address the root causes of bone loss—empowering you to strengthen your bones safely and effectively. Our treatment for poor bone density includes a combination of dietary guidance, weight-bearing exercise programs, bone-strengthening medication when necessary, and continuous monitoring. We also explore possible underlying conditions like osteoporosis, hormonal imbalances, or nutritional deficiencies. Whether you’re newly diagnosed or looking for more effective management options, we help you find the best treatment for low bone density based on your age, medical history, and risk factors. Let us support your journey toward better bone health and long-term wellness. https://www. theorthopaedicandpainpractice. com/a-singaporeans-guide-to-low-bone-density-treatment/ Effective Treatment for Poor Bone Density Tailored to Your Needs Find Out What the Best Treatment for Low Bone Density Looks Like — Backed by Medical Expertise If you’ve been told you have low bone density, you're likely wondering what steps to take next. Understanding the right treatment for poor bone density is key to preventing fractures, maintaining mobility, and improving your quality of life. At The Orthopaedic & Pain Practice, we help you answer the question: what is the best treatment for low bone density? —with guidance that’s scientifically sound and personally tailored. Our approach begins with a thorough assessment of your bone health using diagnostic scans and clinical evaluation. From there, we recommend a multi-pronged treatment plan that may include calcium and vitamin D supplementation, bone-strengthening medication, hormone therapy, and a guided... --- - Published: 2023-09-19 - Modified: 2025-07-25 - URL: https://www.theorthopaedicandpainpractice.com/treating-foot-and-ankle-pain-at-home/ - Categories: Articles by Doctor - Tags: ankle pain, comfort, daily activities, exercises for foot and ankle pain relief, foot and ankle pain, foot ankle pain treatment at home, foot pain, foot pain treatment home remedies, Home Remedies, home remedies for foot and ankle pain, Ice Therapy, mobility, pain management, self-massage techniques, stretches, Stretching Dealing with foot and ankle pain can be a real challenge, impacting your daily activities and overall quality of life. Fortunately, there are various home remedies for foot and ankle pain. From simple stretches and self-massage techniques to exercises for foot and ankle pain relief, this article will guide you through effective strategies to treat foot and ankle pain at home. By exploring these approaches, you can gain greater control over your pain management and work towards restoring your mobility and comfort. Simple Stretches for Foot and Ankle Pain Relief Source:https://www. freepik. com/free-photo/girl-doing-yoga-exercises-home-near-sofa-window-sportswear_13273656. htm#query=foot%20stretches&position=1&from_view=search&track=ais Regularly exercising your feet and ankles can help with your health and potentially decrease the likelihood of injury. As a beginning, take some time to march in place as a warm-up before performing any other exercises. To stretch and strengthen the foot and ankle muscles, you can do some quick exercises. When you start exercising, it is best to go slow if you have not exercised for a while. Limber up - Before trying any other exercises, you can warm up your feet by sitting in a chair with your feet flat on the floor. Begin by lifting your left foot off the floor and making 15 to 20 circles in the air in a clockwise direction with your big toe. Then, switch directions and repeat the same number of circles in a counterclockwise direction. Foot stretch - Position your feet together, then move your left foot away from you until the heel is raised and the toes are flat on the ground. You may feel tension in the muscles in the bottom of the foot. Hold this position for 20-30 seconds before switching to your right foot. Achilles tendon stretch - Position yourself in front of a wall, with your hands on it and your feet close together. Slowly bend your right leg while stepping your left leg back, keeping the heel in contact with the ground. Maintain this posture for a period of between 20 to 30 seconds before transitioning to the opposite side. Hamstring stretch - If your thighs are feeling tight, this can cause strain to spread to your calves, ankles, and feet. To ease any tension in your hamstrings, sit on a solid chair with your knees bent and feet flat on the floor. Extend one leg out so that the heel is on the ground and the toes are pointing upwards. Lean forward slightly at the hips, using your hands on your other thigh for stability. Do the same with the other leg. Self-Massage Techniques for Soothing Foot and Ankle Pain Source:https://www. freepik. com/free-photo/woman-receiving-foot-massage-service-from-masseuse-close-up-hand-foot-relax-foot-massage-therapy-service-concept_5073574. htm#query=foot%20self%20massage&position=0&from_view=search&track=ais Different techniques can be used to do a foot massage. Benefits of this may include feeling more relaxed, improved sleep quality, and improved mental well-being. After a long day, many people find comfort in either giving or receiving a foot massage. This type of massage can help with relaxation and may even help with muscle soreness. There are multiple techniques that are simple to do at home. Warmup - To begin a foot massage, use a warmup twist technique. Position both hands by the sides of the foot, then shift the right side towards you and the left side away. Switch it up by then pushing the left side in and the right side away. This should be done from the ankle up to the toes. Repeating this motion can help prepare the foot for massage. Foot rubs - Using a circular motion, apply pressure to the bottom of the foot, starting at the heel and gradually working your way to the toes. Hold the top of the foot with one hand while performing the massage with the other. This technique may be helpful in relieving discomfort. Toe bends - Grasp the heel of one foot and move the toes back and forth using your hands. Increase the pressure gradually as you repeat the motion to make sure the toes move through their full range. This massage technique can potentially increase the flexibility of the foot. Foot spreads - This massage technique requires the therapist to take hold of both sides of the foot and carefully stretch the foot to its natural width. Repeat this motion for a few minutes to complete the massage. General Home Remedies for Foot and Ankle Pain In the spirit of simplifying self-care, here is a list of remedies that can help control and manage pain at home. As always, keep in mind that there is no strategy that one size fits all. As a result, the best approach is to experiment with different remedies and techniques to see which one works best for addressing foot and ankle discomfort. Options can be tailored to meet the needs of different patient profiles, but general home remedies to alleviate pain include using warm or cold packs, taking over-the-counter pain relief medications, foot soaks, massage, and rest. One of the biggest advantages of adopting at-home care is that, whether used independently or collectively, these remedies are natural, available, and provide immediate relief. The only limiting factor is that they should not be adopted if the foot is insensitive to cold or hot. They are also not applicable in the case of a diabetes diagnosis or other neuropathies. Patients should also remember that pain is not supposed to vanish overnight. As part of the healing process, small steps are necessary. For conditions involving foot and ankle specialists, the patient is also expected to undergo other types of treatment. Nonetheless, one will eventually start relinquishing their autonomy if they do not address foot (or any body) pain. Although the expertise of a podiatrist may be important, there are a number of things one can do to ensure the well-being of their ankle or foot that doesn’t require seeing a physician. Ultimately, it is important to understand that there is no such thing as a “quick fix” when it comes to managing foot pain. If a lack of motion or pain is adversely impacting your gait or causing additional injuries, it is best to see a professional. RICE Protocol: Rest, Ice, Compression, Elevation The RICE protocol is a cornerstone technique used in the treatment of acute foot and ankle injuries. The RICE protocol consists of: Rest, Ice, Compression, and Elevation. When these steps are followed immediately after an injury occurs, pain and inflammation are better managed, and function can often be more quickly restored to the injured foot or ankle. Rest means stopping whatever activity or activities that caused the pain and/or injury. Resting allows the injury to begin the healing process and helps prevent further injury. The application of ice to an injured foot or ankle has several benefits. It can help reduce swelling and relieve pain. Additionally, the application of ice can numb the injured area, creating a natural pain reliever in the form of mild anesthesia. The application of compression to an injured foot or ankle can be provided through the use of a wrap that circles the foot and holds the ice pack snug in place over the injured area. The compression applied can help reduce swelling. Elevation of an injured foot or ankle can be achieved by reclining in a chair that fully supports the leg and foot or by lying on a bed or couch and placing the leg and foot on several pillows, which prop the leg and foot up. Elevation helps drain away any swelling from the injury. Early intervention is key in helping injuries heal faster, more completely, and with less disability. This simple treatment method can result in the best outcome of the injury. The RICE protocol can be used in a variety of soft tissue injuries such as bruises, sprains, strains, and muscle pulls. It can be utilized after acute overloading or repetitive overloading, such as would occur with a new walking, running, sports, or cross-training program. Keep the "ice" or the "cold treatment" in mind. For purposes of the next several sections, it will be simply referred to as "cold treatment. " If there is an injury to your foot or ankle or another part of your body, use the cold treatment at home. Stretching and Strengthening Exercises Stretching as a part of increasing ankle range of motion is vital for a complete recovery. Regularly supplementing your stretching routine with mild range of motion exercises can lead to continued gains. Strengthening the muscles that support and stabilize the foot and ankle is necessary after comprehensive ankle rehabilitation, especially in sprain patients, to prevent future injuries. It is equally important to strengthen the ankle of the uninjured leg to avoid balance and gait deficits. Some exercises are included to train your proprioception in the ankle to help return a person’s sense of ankle joint position to its pre-injury level. It is important to integrate the following exercises into a comprehensive rehabilitation program that must include other exercises and treatments tailored for each person’s foot and ankle pain. By integrating these exercises, a person can translate the gains made at the physical therapist's office into everyday life. The following illustrations detail instructions for a variety of exercises to treat and strengthen the foot and ankle. These exercises are perfect for anyone of any fitness level. The only way you can keep your feet and ankles healthy is to incorporate these exercises into a regular exercise program that is performed 1 to 3 times a week every week. Never perform any foot and ankle exercises to the point that they cause pain. You may feel a mild pulling sensation, but you should never feel pain in the foot and ankle when starting a new exercise. You should always consult a physician to guide you with your exercises. Specific Home Remedies for Common Conditions Now that we have covered methods that can provide relief for almost any form of foot and ankle pain or discomfort, it is time to get a little more specific. In this section, we will cover some top remedies for treating the most common forms of foot and ankle pain at home. Each condition may present with its own unique symptoms, and while we have covered strategies for managing pain, inflammation, and stiffness in previous sections, these methods will be more focused on the treatment of general ailments and common symptoms associated with different foot and ankle conditions. When you are learning about a specific syndrome or ailment, see if the following descriptions match up with your experience. This may further help you decide which, if any, of the given remedies will be the most useful for you. In this section, we will look more closely at some common foot and ankle injuries and syndromes that can occur at any age. Additionally, all of the tailbone and toe pad pain sections also contain information on how to manage bunions and calluses, which are conditions that can also cause a significant amount of discomfort. Remember: it is always appropriate to pair treatments that address general inflammation and tissue health with more specific remedies that address individual reasons for pain, but anyone going through this guide should ideally have already looked over the general pain management sections. Plantar Fasciitis: Causes, Symptoms, and Home Treatments Anyone who has dealt with chronic foot and ankle pain knows how severely it can impact everyday life. It can make it difficult to feel comfortable and perform routine activities, and in some cases, it may even prevent you from going to work or getting regular exercise. There are many different things that can cause foot and ankle pain, and sometimes it can result from a significant injury or chronic condition. However, one of the most common causes of severe foot pain (specifically in the heels and arches) is plantar fasciitis. Plantar fasciitis is the most common cause of heel pain. The plantar fascia is the flat band of tissue that connects your heel bone to your toes. It supports the arch of your foot. If you strain your plantar fascia,... --- - Published: 2023-09-19 - Modified: 2025-07-25 - URL: https://www.theorthopaedicandpainpractice.com/treating-foot-arch-pain-with-modern-orthopaedic-pain-management-techniques/ - Categories: Articles by Doctor - Tags: foot arch pain, foot arch pain treatment, orthopaedic solutions, Orthopaedic Treatment, orthotics, pain management, pes planus, Plantar Fasciitis Foot arch pain, also known as arch strain or arch discomfort, refers to a sensation of pain or discomfort in the area of the arches of the feet. The arches of the feet are formed by the bones, ligaments, and tendons that work together to provide support and balance while walking, standing, or engaging in physical activities. Arch pain can occur in different parts of the foot, such as the medial arch (inner side of the foot), lateral arch (outer side of the foot), or metatarsal arch (ball of the foot). Seeking effective treatment is crucial to regaining your mobility and quality of life. In this article, we delve into orthopaedic solutions and foot arch pain treatment designed to provide relief. . Whether you're grappling with the effects of pes planus or seeking targeted solutions for your foot arch pain, we explore how orthotics and orthopaedic interventions can help alleviate your discomfort. Source:https://www. freepik. com/free-photo/beautiful-women-feet-isolated-white-closeup_20987949. htm#query=foot%20arch%20pain&position=1&from_view=search&track=ais Introduction to Foot Arch Pain and Common Causes Arch pain is complicated with myriad causes in adults. One of the most common causes in Adults is adult acquired flatfoot or tibialis posterior tendon dysfunction. The tibialis posterior tendon is an important tendon on the inside of the foot and ankle which helps to support the medial (inner) arch of the foot. Weakness and dysfunction of the tibialis posterior tendon leads to pain and eventual collapse of the medial arch of the foot. PTTD is the most common cause of adult-acquired flatfoot. Source:https://www. freepik. com/free-photo/3d-render-feet-close-up-with-glowing-bones_22918344. htm#query=foot%20arch%20pain&position=7&from_view=search&track=ais Repeated strain can harm the posterior tibial tendon. As you age, the tendon can wear out. If you're overweight, the extra weight can speed up the deterioration. And if you have had an ankle, foot or joint injury in the past, this can also make the tendon much more fragile. It's not usually seen in younger people, and usually only occurs after an injury. Adult pes planus is a condition where the arches of the feet flatten out, leading to an altered foot structure and potential discomfort. The arches of the feet play a pivotal role in maintaining the body's balance, absorbing shock, and facilitating smooth movement. When these arches collapse or become less pronounced, it can result in strain on the muscles, ligaments, and tendons in the feet, leading to pain and discomfort. The development of adult acquired pes planus is usually multi-factorial. There can be a familial component, where genetic predisposition to the condition might be inherited. Diagnosing & Assessing the Severity of PTTD Source:https://www. freepik. com/free-photo/3d-render-feet-close-up-with-glowing-bones_22918344. htm#query=foot%20arch%20pain&position=7&from_view=search&track=ais Your doctor will check if there's any swelling in your ankle and foot along the back of your lower leg. They'll move your foot around and check out your ankle's range of motion. Swelling, tenderness, pain, or weakness while you move your foot or ankle could be early signs of PTTD. They'll check out your foot from behind to see if there's any changes in shape or structure. Your heel might point outwards, and your inner arch may be flat on the ground. The front of your foot may move away from your body to balance out the changes to the heel and inner arch. From behind, your provider will also look for a "too many toes" sign. Normally, only the pinky toe and part or all of the ring toe are visible on the outside. But in people with PTTD, more toes might be showing. The doctor will assess tightness of the calf muscles and of the achilles tendon, flexibility of the foot, strength of the tibialis posterior tendon, and heel alignment. To check the health of your posterior tibial tendon, you can do a single-limb heel rise test. Stand next to a wall or chair for balance, then lift your healthy foot off the ground and try to raise onto the toes of your affected foot. With a healthy tendon, you should be able to do 8-10 heel raises comfortably. But if you're in the early stages of PTTD, you might not even be able to do one. Your doctor can use imaging tests to figure out what's going on with your feet, like X-rays to check for arthritis or fallen arches and MRIs to check out the tendon and muscles around it. An MRI can also be used to plan non-surgical or surgical treatments depending on the stage of the PTTD. The Role of Orthopaedics in Treating Chronic Foot Arch Pain Conditions Source:https://www. freepik. com/free-photo/medical-massage-foot-physiotherapy-center_1319028. htm#query=foot%20arch%20pain&position=38&from_view=search&track=ais Orthopaedic surgeons play a crucial role in treating various stages of foot arch pain, particularly in the case of disorders like adult acquired flatfoot or tibialis posterior tendon dysfunction. These medical professionals specialize in diagnosing and addressing musculoskeletal conditions, making them well-equipped to provide comprehensive care for individuals experiencing arch pain. When it comes to foot arch pain, orthopaedic surgeons are skilled in evaluating the underlying causes through a combination of physical examinations, medical history assessments, and diagnostic imaging. They can accurately diagnose the condition and its severity, enabling them to tailor a treatment plan to the patient's unique needs. In the early stage where there is weakness of the tendon, medications, injections, shoe orthotics and physiotherapy can be prescribed to aid in recovery. Orthopaedic surgeons can design and provide custom orthotic devices, such as shoe inserts or arch supports. These devices help provide additional support to the arch, alleviate strain on the tibialis posterior tendon, and improve overall foot alignment. When the disease becomes more advanced with collapse of the arch. Surgery to repair damaged tendons, realign and restore the arch maybe necessary depending on severity When to Consider Surgery for Severe Cases of Foot Arch Pain? Surgery may become necessary, if there is severe pain over the foot which does not respond to other non-surgical alternatives. It will depend on the stage of severity of the disease. This can range from simple tendon debridement procedures for early stage disease, to realignment procedures and tendon transfers for more advanced disease. In end stage disease, fusion of part of the joints in the foot may be necessary.   Here are some key factors to consider when contemplating surgery for severe foot arch pain: Persistent Pain: If you've been experiencing persistent and severe foot arch pain despite undergoing conservative treatments such as rest, physical therapy, and orthotic devices, surgery may be an option to alleviate your discomfort. Impaired Mobility: Severe foot arch pain can lead to limited mobility and difficulty performing everyday activities. If your pain is significantly impacting your ability to walk, stand, or engage in physical activities, surgery might be worth considering. Worsening Deformity: Some conditions, like adult acquired flatfoot, can cause a visible change in the alignment of the foot and arches. If you notice a progressive deformity that is affecting your foot's structure and function, surgery may be necessary to correct it. It's important to note that surgery is usually considered after a thorough evaluation by a qualified orthopaedic surgeon. The surgeon will assess your medical history, perform a physical examination, and may request imaging tests to determine the extent of the damage and the most appropriate surgical approach. The Benefits of Non-Invasive Alternatives in Treatment Options for Foot Arch Pain Orthotics, medications, injections and physiotherapy all have important roles to play in the management of adult acquired flatfoot. In the early stages of the disease, these might be the primary treatment modalities, which are focused on recovery of posterior tibialis tendon function In later stages of the disease, these modalities might still be necessary as supportive adjuncts to surgical treatment of the disorder. If you're experiencing pain and inflammation, you should try some over-the-counter non-steroidal anti-inflammatory drugs like aspirin, ibuprofen or naproxen. But check with your doctor first to see if it's safe for you to take them. Doing some physical therapy exercises can also help you strengthen your tendon, and wearing shoe inserts or braces can give your tendon and arch extra support. Your doctor might even suggest you use a cast or walking boot, or a custom orthotic brace that fits your feet perfectly. Exploring Physiotherapy as a Treatment Option for People Experiencing Extreme Levels Of foot Arch Pain Physiotherapy is an important part of treatment for arch pain. Stretching of tight calf muscles and tendons help to reduce the amount of deforming force on the foot as it comes into contact with the ground. Stretching and strengthening of the tibialis posterior tendon and other supportive tendons help to restore function and relieve pain from acquired adult flatfoot. For those seeking non-invasive and holistic approaches to managing foot arch pain, physiotherapy presents an array of benefits that extend beyond mere symptom relief. Comprehensive Assessment: Physiotherapists are skilled at conducting comprehensive assessments to identify the root causes of foot arch pain. They consider factors such as foot structure, gait, muscle imbalances, and biomechanics to develop a tailored treatment plan. Customized Treatment Plans: Each individual's foot arch pain is unique, and physiotherapists design personalized treatment plans to address specific concerns. These plans may include a combination of exercises, stretches, manual therapies, and education on proper footwear. Pain Management: Physiotherapy focuses on alleviating pain by targeting the sources of discomfort. Through various techniques, physiotherapists work to reduce inflammation, ease muscle tension, and promote circulation, all of which contribute to pain relief. Muscle Strengthening and Conditioning: Weak or imbalanced muscles can contribute to foot arch pain. Physiotherapists guide patients through exercises that strengthen the muscles supporting the foot arch, enhancing stability and reducing strain. In conclusion, finding relief from foot arch pain is achievable through a combination of modern orthopedic techniques, pain management strategies, and appropriate lifestyle adjustments. Whether you opt for conservative treatments like orthotics, physiotherapy, or customized exercise routines, or if surgical intervention becomes necessary for severe cases, the ultimate goal is to regain pain-free mobility and enhance your quality of life. Consulting with a qualified orthopedic specialist is crucial to developing a tailored treatment plan that addresses the root cause of your foot arch pain and provides you with effective, lasting results. With the right approach and expert guidance, you can step into a future where foot arch pain is no longer a hindrance, allowing you to enjoy every step you take. Frequently Asked Questions: What are the most common symptoms of foot arch pain? Foot arch pain is characterized by discomfort or soreness in the arch of the foot. The most common symptoms of foot arch pain include a sharp or stabbing pain near the heel or arch, especially after periods of rest or when taking the first steps in the morning, pain over the inside of the foot and tightening of calf muscles. The pain may radiate up to the inside of the ankle. It may gradually subside as you move around, only to return after extended periods of standing, walking, or physical activity. What kinds of exercises may be used to manage foot arch pain symptoms? Exercises can play a crucial role in managing foot arch pain symptoms and promoting overall foot health. Stretching of the calf muscles and the tibialis posterior tendon, which is a tendon running on the inside of the foot to the inner portion of the ankle are particularly beneficial for relieving tension in the plantar fascia—the band of tissue that runs along the bottom of the foot. Calf stretches, where you gently lean against a wall with one leg extended behind you, can help improve flexibility and reduce strain on the arch. When should surgery be considered in relation to foot arch pain treatment? Surgery for foot arch pain is considered when more conservative treatment methods have proven ineffective in alleviating the pain and improving the patient's quality of life. If symptoms persist or worsen despite efforts like rest, orthotics, physical therapy, and medication, surgical intervention might be recommended. Severe cases of foot arch pain that significantly impact daily activities, mobility, and overall well-being might also warrant surgical evaluation. Surgery can be an important treatment option at all stages of the disease. In general, surgery should... --- - Published: 2023-09-19 - Modified: 2025-07-02 - URL: https://www.theorthopaedicandpainpractice.com/unlocking-the-mystery-of-knee-replacement-surgery-everything-you-need-to-know/ - Categories: Articles by Doctor - Tags: Knee Replacement, knee replacement surgery, Knee Replacement Surgery Singapore Cost, knee surgery, Osteoarthritis, Prosthetic Knee, Recovery, Risks The subject of knee replacement and what criteria are used to determine the need for surgery is actually quite involved. It would be simple if every painful knee with arthritis could be x-rayed and then the decision would be made based on the condition of the x-ray. This is not the case. Knee replacement is one of the most successful procedures in all of medicine. In the vast majority of cases, it relieves pain and greatly enhances the quality of life. At the same time, patients must understand the risks and the reasons not to have this procedure. This includes the most important reason of all: pain alone is not an indication for knee replacement. In an ideal world, an article such as this would be read before a decision is made to have a knee replacement. Due to the gravity and permanent nature of this procedure, it is always best to explore all conservative options before making such a decision. Unfortunately, this is not always the case. Sometimes a patient will have made up their mind to have a knee replacement before they ever see the surgeon. In some cases, this decision is based solely on the surgeon's advice. Other times, it is the result of information from friends who may have had a completely different condition that led to the same knee surgery. He or she may have tried to research the subject on the internet. If so, they have found that the information that is available can be very confusing. This patient is the one who would benefit the most from an article such as this. In this article, an attempt is made to demystify a complex and confusing subject: knee replacement surgery. There are many different conditions that can lead to the decision to have a total knee replacement. In many cases, the distinction between one condition and another can be quite subtle. This has led to a great deal of misunderstanding with respect to why a knee needs to be replaced. I have written this article in response to the many questions my patients ask about this procedure. What is Knee Replacement Surgery and When is it Necessary? Overall, the success rates for knee replacements are high, with 9 out of 10 people having a significant increase in pain-free activity. And the lifespan of prosthetic knees can be greater than 20 years with newer models, although there are many factors contributing to its longevity like weight, activity level, and their effects on the immune system. The strategy for improving your knee function will begin with a thorough evaluation. The concept of knee replacement surgery is to restore knee function that may have been lost for any particular reason. There are many ways to restore function, and no one method is right for every person. However, the surgery usually involves placing some kind of prosthesis within the knee. This can mean resurfacing the ends of the bones that form the knee joint with artificial materials, or capping the ends of the bones with metal alloy and plastic. All of these things are done to decrease pain from inflammation in the joint and prevent possible further damage to the articulating surfaces of the bone. Knee replacement surgery can be painful for many people. After surgery, you should be prepared for a few weeks of hard work, a little discomfort, and the challenge of getting the most from your new knee. In the end, you can enjoy a long-term benefit of increased mobility and decreased pain. Knee replacement surgery is typically recommended for individuals who have severe knee damage. These damages can be results from having an injury at a younger age, a gradual wearing down of the knee joint cartilage with age, or fractures of the bone near the joint. Osteoarthritis, often referred to as "wear and tear" arthritis, is the most common cause of knee damage. The individuals who feel they are suffering from the breakdown of articular cartilage include pain, swelling, and stiffness, are likely to have this form of arthritis. Osteoarthritis causes the patient to lose the ability to bend and/or straighten the knee because of damage to the articular cartilage. The patient may suffer extra bits of bone and/or cartilage broken off inside the joint. These loose bodies will irritate the joint causing it to "lock up". Last, but not least, osteoarthritis causes the surrounding joint to lose muscle strength. Exercises to increase muscle strength are attempted, but often are very painful and are discontinued. All of the above leads to the patient being less active, gaining weight, and increasing the stress on the healthy parts of their knee. This excessive stress and the loss of cartilage make it difficult to perform normal daily activities, and may cause the patient to suffer severe knee pain, decreased mobility, and poor quality of life. The impact of knee osteoarthritis on daily activities Knee osteoarthritis impacts people in many different ways and tends to restrict mobility in many instances. This is because of damage caused to the knee joint and subsequent inflammation that occurs. Symptoms that many people experience include pain. This may occur in specific situations such as walking on an incline, prolonged standing, getting up from a chair, or at night. As the condition progresses, pain may become more persistent. Inflammation, the knee may become warm, tender, and swollen, making movement more difficult and painful. Muscle weakness or tightness, the muscles around the knee may become weaker or shrink (atrophy), and conversely, the hamstring muscles at the back of the thigh may become tight. This imbalance in muscle strength can cause further knee problems and affect mobility. Finally, knee stiffness often occurs after periods of inactivity, and this can make the knee difficult to bend and straighten, giving rise to further mobility difficulties. Osteoarthritis is a condition that often progresses over time, and knee pain and mobility can deteriorate. This can significantly impact daily activities and seriously affect the quality of life for sufferers. (https://www. freepik. com/free-photo/closeup-young-man-with-knee-injury_10421030. htm#query=knee&position=4&from_view=search&track=sph) Types of Knee Replacement Surgery Total knee replacement surgery Total knee replacement surgery is the most common type of knee replacement surgery. It is considered to be the treatment in order to improve patients' quality of life. It is most commonly suggested for patients who suffer from osteoarthritis. Patients usually undergo this surgery when the pain caused in the knee is so severe that it restricts daily activities and is not relieved by other treatments or medications. A total knee replacement consists of replacing the damaged knee joint and worn surfaces on the tibia and fibula joint with an artificial joint that is designed to move like a healthy human joint. The new artificial joint is usually made from metal and plastic, or a type of cement can be used for the femoral component. A total knee replacement is composed of four main steps. Step one is the preparation of the bone. The cartilage on the end of the bone is removed and the bone is shaped to fit the new artificial joint. Step two is the positioning of the metal implants. The end of the femur and the tibia bone are replaced with metal components to allow movement of the joint. Step three is the resurfacing of the patella. At this stage the patella is prepared to receive a plastic component. Step four is the implantation of the plastic spacers. These spacers will create a smooth gliding surface for movement of the new joint. Partial knee replacement surgery Partial knee replacements are diverse and have different considerations for recovery, but we have split the recovery section into the different types of partial knee replacement as recovery can be different for each type. Unicompartmental knee replacements (UKR) have a shorter recovery than total knee replacements and patellofemoral knee replacements. Patience, persistence, and rehabilitation are essentially required for these operations to achieve the best results. Advanced age and motion are known to adversely affect recovery in patients undergoing UKR, while patients in their 50s or 60s who are active and have a flexion contracture less than 15 degrees obtain the best results. Due to the technical complexity and precision involved in a UKR, thus in order to get the best results from this operation, it requires the use of a highly experienced surgeon in the procedure. Patellofemoral knee replacements aim to resurface the damaged patella and femoral trochlea and are best suited for patients that are not overweight, have a strong, healthy quadriceps mechanism, and have isolated patellofemoral arthritis. High-grade activity that involves heavy loading of the extensor mechanism is a relative contraindication for this operation. Randomized controlled trials and cohort studies have demonstrated that physiotherapy and home exercises lead to similar functional results and pain relief at the short and mid terms in comparison to traditional rehabilitation, which is conducted primarily in an outpatient setting. Although these two methods of rehab produced similar results, there is no definitive evidence to show which exercise program is most effective or whether one of them is any more beneficial than general activity. An Overview of the Pre-Surgery Process for Knee Replacement Patients The surgical process begins when you are taken to the operating room and given anesthesia. General anesthesia will make you unconscious for the entire surgery while regional anesthesia will numb you from the waist down. The anesthesia specialist and your surgeon will help you decide which type of anesthesia is best for you. The skin around your knee will be scrubbed clean and then sterilized. The surgeon makes an incision about 8-12 inches long in the front of your knee. The damaged part of the joint is removed and the surfaces are prepared for the new artificial joint. This is called the femoral component for the end of the thigh bone, the tibial component usually made of metal and a plastic spacer to create a smooth gliding surface. The patellar component may also be used, depending on the condition of your kneecap. This process usually takes around 1-2 hours. To prepare for knee surgery, you may be asked for a physical examination by the surgeon. This is the time to speak up and ask any questions you may have regarding the surgery. Tell your surgeon about any medications you are currently taking. You may need to stop taking certain medications in the week before the surgery. Additionally, you may need to take antibiotics before dental work or a urinary tract infection to reduce the risk of infection in your new joint. If you are overweight, losing weight before surgery will help reduce the stress on your new joint. Finally, you may need to donate your own blood before the surgery that can be used for a transfusion during the surgery. (https://www. freepik. com/free-photo/3d-male-medical-figure-running-with-knee-bone-highlighted_8879799. htm#query=knee&position=31&from_view=search&track=sph) Preparing for knee replacement surgery The day before surgery, pack a bag with your immediate needs for the hospital and confirm your transportation to the hospital. Leave any valuables at home. On the day of surgery, shower with an antiseptic soap and dress in freshly washed clothes. Follow your physician's orders regarding when to arrive at the hospital. It is likely to be early. Remember, being well-prepared for your surgery will contribute to a smoother, more comfortable recovery. In the days before surgery, eat a well-balanced diet, prescribed by your physician. If you develop a cold, sore throat, fever or any other illness, your surgery may have to be postponed. Visit your dentist to have any tooth, gum, bladder or bowel problems treated to reduce the risk of infection. An infection in another part of your body can delay your surgery. Follow your physician's instructions about when to stop taking aspirin, ibuprofen, or other blood-thinning medication and when to stop eating and drinking before surgery. Failure to follow your physician's instructions can result in the postponement of your surgery. Make your home safer for your return from the hospital. Remove all loose rugs, electrical cords, and any obstacles that may be in... --- - Published: 2023-09-18 - Modified: 2025-07-25 - URL: https://www.theorthopaedicandpainpractice.com/the-benefits-and-risks-of-knee-replacement-surgery/ - Categories: Articles by Doctor - Tags: Benefits, Improved Mobility, Knee Replacement, knee replacement surgery, Knee Replacement Surgery Singapore Cost, knee surgery, Osteoarthritis, Risks, total knee arthroplasty All About the Knee & Common Knee-related Conditions The knee, which is the largest joint in the body, connects the upper leg to the lower leg. It is an important component of the skeletal system. It consists of cartilage, muscles, ligaments, and nerves, all of which play an important part in supporting the body's weight, allowing for the movement and bending of the legs during activities such as walking, running, and jumping. The mobility of the legs is one of its primary roles, as is the provision of stability when standing and moving and maintaining balance. Knees are susceptible to a variety of common diseases that result from damage to bone and connective tissue, such as arthritis, osteoarthritis, bursitis, tendinitis, and osteoporosis. These conditions can all cause pain and discomfort in the knees. ACL and MCL tears, meniscus tears, hyperextended knees, sprains, bone fractures, dislocations, and diseases like patellofemoral pain syndrome (PFPS) are only some of the sports-related injuries that are common. The Importance of Knee Replacement Surgery Even when you are at rest, severe arthritis or a knee injury can make it difficult to do day-to-day activities and create pain in the joint. Total knee replacement surgery is a realistic alternative to alleviate pain and restore regular functionality when traditional treatments fail to do so. The most common reason for knee deterioration is osteoarthritis, which is also the primary reason why knee replacement surgery is performed. Injuries to the knee and rheumatoid arthritis are two other factors that contribute. Knee replacement is an option when the patient experiences severe pain, stiffness, and limited mobility. Typically, this option is explored only after non-surgical treatments such as physiotherapy or injections have been tried and found to be ineffective. When knee discomfort significantly impacts quality of life, sleep, and the ability to conduct routine duties, work, or engage in social activities, a surgeon may prescribe surgical intervention. (https://www. freepik. com/free-photo/physiotherapist-palpating-leg_5535730. htm#query=knee%20surgery&position=1&from_view=search&track=ais) Risks of Knee Replacement Surgery Knee replacement surgery, just like any other surgery, comes with its own set of inherent risks and benefits. Although they are uncommon, problems can include knee stiffness, wound infection, deep joint infection that requires additional surgery, unexpected bleeding into the knee joint, and potential injury to ligaments, arteries, or nerves in the area around the knee. Post-operative knee discomfort that does not subside is one of the potential hazards, coupled with the formation of blood clots or deep vein thrombosis (DVT). There is a possibility that the new knee joint will not reach total stability in all patients, which may result in the need for additional corrective surgery. Exploring the Pre-Operative Process for a Knee Replacement Procedure In order prepare for knee replacement surgery, you will need to follow the instructions given to you by your orthopaedic surgeon. In most cases, this will involve going through a physical examination, having blood tests done, and getting additional diagnostic procedure.  Imaging studies like knee X-rays, and maybe MRI or CT scans, could be required. If you take any medicine, it is imperative that you discuss these various medication and supplements with your doctor, since you may be required to temporarily stop taking these medications. In addition, your surgeon will inform you of other pre-operative rules such as specific eating habits and other lifestyle changes. (https://images. pexels. com/photos/17686801/pexels-photo-17686801/free-photo-of-doctors-working-in-masks. jpeg? auto=compress&cs=tinysrgb&w=1260&h=750&dpr=1) What to Expect During the Operation of a Knee Replacement On the day of the procedure, anaesthesia will be administered to ensure that the you does not experience severe discomfort. This may involve general anaesthesia, which induces unconsciousness, or regional anaesthesia, which numbs the lower body. During the knee replacement process, the surgeon will cut away any damaged cartilage and bone, implant the artificial knee joint, insert a plastic spacer to simulate the function of the cartilage cushion that was removed, and modify the kneecap so that it fits over the new joint. Knee replacement surgery usually takes hours to complete, since it is a complex treatment. Your new replacement knee will have prosthetic pieces that are designed to look very much like your original knee. The artificial joint is comprised of metal and plastic rather of bone and cartilage like a natural joint would be. It is developed to mimic the size, form, and function of a natural knee joint as closely as possible. Investigating Postoperative Rehabilitation for Optimal Recovery from a Knee Replacement Opioids, nonsteroidal anti-inflammatory drugs (NSAIDs), paracetamol, and local anaesthetics are some of the medications that orthpaedic surgeons prescribe to help patients manage their pain after surgery. Pain management is an essential component of the healing process. It is recommended that patients undergo physical therapy, which consists of exercises designed by a therapist to restore knee movement, strengthen the leg, and make it easier for patients to return to their regular activities as quickly as possible. In addition, knee support devices such as crutches may be utilised by surgeons for the purpose of movement restoration. This rehabilitation plan will depend on the patient and the diagnosis of the orthopaedic surgeon. (https://www. freepik. com/free-photo/medical-assistant-helping-patient-with-physiotherapy-exercises_17613522. htm#query=knee%20surgery&position=7&from_view=search&track=ais) Identifying Potential Complications Associated with Having a Knee Replacement Surgery In the event of complications after surgery, it's important to promptly contact your surgeon. These symptoms include chest pain, shortness of breath, a fever, bleeding, indications of infection at the surgery site like leakage, swelling, discoloration, odor, or warmth, new or escalating pain in your calf, ankle, or foot, as well as severe pain that remains unrelieved even after taking pain medication. Immediate communication with your orthopaedic surgeon is advised if any of these symptoms arise. Analysing Long-Term Outcomes After Undergoing a Knee Replacement Surgery Patients can experience the an optimal range of motion and mobility. It is normal to experience numbness and stiffness around incisions, as well as clicking sounds when bending or walking due to metal or plastic components. These symptoms, coupled with clicking sounds, normally resolve over time. Keeping one's strength and mobility up through exercise, avoiding falls and injuries, and regularly following up with one's orthopaedic surgeon are all factors that contribute to the long-term success of the knee implant, which in the majority of cases continues to be functional for years after the surgery. FAQs: What activities should I avoid after having a knee replacement procedure? After having knee replacement surgery, you should stay away from high-impact activities like jogging and cycling. Your orthopaedic surgeon will provide you will a complete guide for your recovery. How can I best manage my pain during recovery from a knee replacement surgery? During the course of your recovery, your orthopaedic surgeon may instruct you to take certain medications and make specific lifestyle changes. Is there any risk of infection associated with having knee replacement surgery? Following knee replacement surgery, there is a possibility of developing an infection; however, precautions can be done to reduce the likelihood of this happening. Are there any lifestyle changes that may help me improve the outcome of my knee replacement surgery? It is possible to improve the outcome by keeping a healthy weight, remaining active within the suggested limits, and following the advice provided by your orthopaedic surgeon. At what age is it safe to have a knee replacement operation done? Knee replacement surgery can be performed on patients of any age, although in most cases, it is reserved for above the age of 60 who have tried other treatments without success. Can Physiotherapy and exercises help prevent complications and optimize results following a joint replacement procedure? After a joint replacement, physiotherapy and exercises are recommended for minimising the risk of complications and restoring function and mobility. What types of assistive devices may be recommended by medical professionals as part of postoperative rehabilitation for optimal recovery following a knee replacement operation? During the postoperative recovery period, mobility aids such as crutches, walkers, and canes can be of great assistance. Are there any special precautions that should be taken at home to reduce the risk of falls or injuries after a knee replacement surgery? After having knee replacement surgery, precautions should be taken to eliminate “trip and fall” hazards, such as installing grab bars and clearing up all walkways in the house. References: https://my. clevelandclinic. org/health/treatments/8512-knee-replacement https://www. nhsinform. scot/tests-and-treatments/surgical-procedures/knee-replacement https://orthoinfo. aaos. org/en/treatment/total-knee-replacement#:~:text=The%20surgical%20procedure%20usually%20takes,meet%20each%20patient's%20individual%20needs. https://www. nhs. uk/conditions/knee-replacement/how-its-done/ Dr Yong Ren’s Profile Dr Yong Ren graduated from the National University of Singapore’s Medical faculty and embarked on his orthopaedic career soon after. Upon completion of his training locally, he served briefly as an orthopaedic trauma surgeon in Khoo Teck Puat hospital before embarking on sub-specialty training in Switzerland at the famed Inselspital in Bern. He underwent sub-specialty training in pelvic and spinal surgery, and upon his return to Singapore served as head of the orthopaedic trauma team till 2019. He continues to serve as Visiting Consultant to Khoo Teck Puat Hospital. Well versed in a variety of orthopaedic surgeries, he also served as a member of the country council for the local branch of the Arbeitsgemeinschaft für Osteosynthesefragen (Trauma) in Singapore. He was also involved in the training of many of the young doctors in Singapore and was appointed as an Assistant Professor by the Yong Loo Lin School of Medicine. Prior to his entry into the private sector, he also served as core faculty for orthopaedic resident training by the National Healthcare Group. Dr Yong Ren brings to the table his years of experience as a teacher and trainer in orthopaedic surgery. With his expertise in minimally invasive fracture surgery, pelvic reconstructive surgery, hip and knee surgery as well as spinal surgery, he is uniquely equipped with the tools and expertise necessary to help you on your road to recovery. Knee Replacement: Regain Comfort and Mobility Is Knee Replacement the Right Option for You? Knee replacement is a highly effective solution for patients suffering from chronic knee pain due to arthritis, injury, or degenerative joint disease. At The Orthopaedic & Pain Practice, we focus on restoring your mobility and quality of life through a customised knee replacement plan. With modern techniques and expert care, many patients experience improved function and pain relief after surgery. https://www. theorthopaedicandpainpractice. com/the-benefits-and-risks-of-knee-replacement-surgery/ Knee Replacement Surgery in Singapore: What to Expect Benefits and Considerations of Total Knee Replacement Knee replacement surgery involves replacing the damaged parts of your knee joint with artificial components to reduce pain and restore motion. Our clinic offers detailed pre-operative assessments, cutting-edge surgical techniques, and personalised post-operative rehab to ensure a smoother, faster recovery. Learn more about the benefits, risks, and long-term outcomes of knee replacement surgery from our experienced orthopaedic team. https://www. theorthopaedicandpainpractice. com/the-benefits-and-risks-of-knee-replacement-surgery/ --- - Published: 2023-09-16 - Modified: 2025-07-02 - URL: https://www.theorthopaedicandpainpractice.com/non-surgical-treatments-for-knee-joint-pain/ - Categories: Articles by Doctor - Tags: alternative therapies, braces, Injections, knee joint pain relief, Knee Pain, lifestyle modifications, medical conditions, Medications, mobility, non surgical treatment for knee joint pain, non-invasive approaches, non-surgical knee pain treatment, Non-Surgical Treatment, pain management strategies, physical therapy Non-surgical methods for treating knee pain offer a variety of choices to assist individuals in relieving discomfort and enhancing their quality of life. Whether stemming from aging, injury or underlying health issues, knee pain can significantly impact routines. Thankfully, there exists less-invasive methods that can reduce pain, improve movement, and support recovery. This article explores non-surgical methods examining practices like physical therapy, pain management techniques, braces, lifestyle adjustments and alternative therapies. Learn how these approaches can bring relief, boost knee joint comfort and aid in reclaiming your desired lifestyle. Medications to Manage Pain (Source:https://www. freepik. com/free-photo/man-bent-her-head-grabbed-him-her-after-exercise_8351815. htm#query=knee%20pain&position=0&from_view=search&track=ais) There are several types of medicines that can help alleviate the discomfort linked to knee pain, such as over-the-counter medications and those prescribed by doctors. Knee pain can start off mildly and actually get worse over time. The choice of medication used to address knee pain will depend on the cause and severity of the pain. Knee pain can stem from reasons like overuse, arthritis, Baker’s cyst, joint infections, bursitis, torn cartilage, strains or sprains. Nonsteroidal anti-inflammatory drugs - People with mild to moderate knee pain might opt for over the counter medications like anti-inflammatory drugs (NSAIDs) and acetaminophen to relieve discomfort. NSAIDs help reduce swelling and manage pain. Over the counter versions of NSAIDs such as ibuprofen (known as Motrin and Advil) and naproxen sodium (commonly referred to as Aleve) are accessible for treating mild to pain. Acetaminophen - Acetaminophen is a medication that can be used to alleviate both pain and fever. It is commonly taken for managing osteoarthritis-related knee pain. Additionally, acetaminophen can be useful in handling forms of mild to moderate discomfort. Prescription medicines - A person suffering from more intense pain may need a stronger medication, which their doctor can provide. These could be NSAIDs with a higher dosage, or COX-2 inhibitors, also known as coxibs. Some examples of NSAIDs that are prescribed are high dose ibuprofen, high dose naproxen, and diclofenac. Lifestyle Modifications to Help You Cope With Knee Pain (Source:https://www. freepik. com/free-photo/close-up-woman-with-knee-ache_5486553. htm#page=2&query=knee%20pain&position=21&from_view=search&track=ais) Upon receiving a diagnosis of a knee condition, it might be necessary to make some lifestyle changes. Howeverm this doesn't necessarily mean your mobility will be limited. In fact, the adjustments you make to alleviate discomfort and stiffness could have benefits, such as boosting your energy levels and reducing the risk of health issues. Take control of you your weight - Obesity can negatively impact bone and joint health. Shedding pounds can alleviate pressure on your joints to potentially slow down joint degeneration. Losing weight may pose challenges when dealing with mobility, but an orthopaedic surgeon can assist you in setting realistic goals and creating a plan to achieve them. Stay fit - Physical activity offers more than just weight management benefits. It helps build strength and flexibility, reduces pain and combats arthritis symptoms. Depending on the severity of your pain, engaging in gym sessions or classes might be challenging. However, familiarizing yourself with exercises that relax muscles improve blood circulation and promote movement can help alleviate discomfort. Maintaining a healthy diet - Incorporating more anti-inflammatory foods and supplements into your eating habits can effectively alleviate chronic joint discomfort. Omega 3 fatty acids present in items like fish, chia seeds, soybeans and walnuts have the potential to diminish inflammation thereby providing relief from pain and stiffness. Avoid stress - Psychological stress can trigger a response that compromises the immune system resulting in heightened inflammation. This heightened inflammation may exacerbate discomfort during times of significant life changes such as relocation, loss, financial challenges or even the anticipation of a vacation. To combat stress levels exploring practices, like meditation, yoga or other relaxation techniques could be beneficial. Knee Bracing A knee brace is sometimes used to help manage the discomfort linked to knee osteoarthritis. This kind of brace helps shift weight from the affected part of the knee potentially easing pain and enhancing mobility. Various types of braces are available for treating knee arthritis; for instance, there is a specific brace that redirects weight from the area under strain. Osteoarthritis is commonly seen in older individuals. The damage caused by this condition can resulting in knee misalignment that may cause a bowed knee appearance. As osteoarthritis develops, joint misalignment may worsen. Wearing a knee brace can lessen pressure on the region. Additionally, a knee brace can offer increased stability during standing or movement particularly when there’s a sensation that the knee might buckle. Knee Physiotherapy (Source:https://www. freepik. com/free-photo/physiotherapist-helping-female-patient-her-clinic_18843168. htm#query=knee%20physiotherapy&position=2&from_view=search&track=ais) Physiotherapy is geared towards simplifying tasks and activities such as walking, climbing stairs or getting in and out of bed. Knee pain treatments provided by physiotherapists aim to address movement issues related to knee pain and discomfort. Typically, you may only need a few sessions with a physiotherapist. Exercise plays a role in physiotherapy encompassing stretching, core strengthening and walking routines. Your physiotherapist can guide you through exercises that target knee pain relief and enhance your mobility. Moreover, you will learn exercises that can be practiced conveniently at home. Working closely with your physiotherapist a personalized care plan tailored to your condition and individual needs will be developed. Objectives may involve reducing pain or swelling while enhancing flexibility, strength, balance and endurance. Pain Procedures and Injections to Relieve Knee Pain When it comes to treating knee osteoarthritis, injections are not typically the first choice. Orthopaedic surgeons may primarily suggest options such as weight management, physical therapy to strengthen the legs and core muscles exercise to improve flexibility, techniques for managing pain through mind body practices using topical anti inflammatory creams and taking nonsteroidal anti inflammatory medications. Initially your doctor will administer an injection to numb the knee area. They might also remove any fluid from the joint using a needle. Following this procedure, a pain relief injection will be given near the kneecap. Non-surgical methods for addressing knee pain have proven effective in alleviating pain and enhancing mobility. These approaches encompass weight loss efforts, physical therapy sessions, NSAIDs or steroid injections as regenerative medicine techniques. It is advisable to collaborate with a specialist to devise a non-surgical treatment strategy tailored to each patient’s needs. At The Orthopaedic & Pain Practice, our team of is dedicated to helping you with your knee pain concerns. We understand the importance of seeking help for issues especially when it involves crucial joints like the knees. Our experienced orthopaedic surgeon focuses on diagnosing and treating a variety of knee conditions. It's important to consult with a knee specialist to accurately identify the cause of your knee discomfort and create a treatment plan that suits your needs. Whether you're dealing with pain, an injury or age related knee problems, our skilled team is here to offer care and assist you in improving mobility and reducing pain. Begin your journey towards better knee health by scheduling a consultation at The Orthopaedic & Pain Practice. Frequently Asked Questions: What are non-surgical treatments for knee joint pain? Non-surgical treatments for knee joint pain encompass various approaches such as physical therapy, medications, injections, and lifestyle modifications to alleviate pain and improve mobility. How does physical therapy help with knee pain? Physical therapy involves targeted exercises and stretches that aim to strengthen the muscles around the knee joint, enhance flexibility, and improve overall joint stability. What types of medications are used for knee pain relief? Nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen, and topical creams are commonly used to manage knee pain and inflammation. What are the benefits of knee injections for pain relief? Injections such as corticosteroids and hyaluronic acid can provide localized pain relief and lubrication to the knee joint, reducing discomfort and improving mobility. Can lifestyle changes help manage knee pain? Yes, lifestyle modifications like maintaining a healthy weight, staying physically active, and adopting joint-friendly activities can play a significant role in managing knee pain. How long does it take to see results from non-surgical treatments? Results vary depending on the treatment method and individual factors. Some patients experience relief within a few weeks, while others may take longer. Are there any risks associated with non-surgical treatments? Non-surgical treatments generally have minimal risks, but some individuals may experience side effects such as allergic reactions to medications or temporary discomfort from injections. When should I consider non-surgical treatments over surgery? Non-surgical treatments are typically recommended as the initial approach for managing knee pain. They may be suitable for individuals who want to avoid surgery or need to improve their overall knee joint health before considering surgical options. References: https://www. mayoclinic. org/tests-procedures/knee-braces/about/pac-20384791 https://www. medicalnewstoday. com/articles/best-medication-for-knee-pain#prescription-medications https://myhealth. alberta. ca/Health/pages/conditions. aspx? hwid=abq4795 https://uthealthaustin. org/blog/lifestyle-changes-to-reduce-joint-pain Dr Yong Ren’s Profile Dr Yong Ren graduated from the National University of Singapore’s Medical faculty and embarked on his orthopaedic career soon after. Upon completion of his training locally, he served briefly as an orthopaedic trauma surgeon in Khoo Teck Puat hospital before embarking on sub-specialty training in Switzerland at the famed Inselspital in Bern. He underwent sub-specialty training in pelvic and spinal surgery, and upon his return to Singapore served as head of the orthopaedic trauma team till 2019. He continues to serve as Visiting Consultant to Khoo Teck Puat Hospital. Well versed in a variety of orthopaedic surgeries, he also served as a member of the country council for the local branch of the Arbeitsgemeinschaft für Osteosynthesefragen (Trauma) in Singapore. He was also involved in the training of many of the young doctors in Singapore and was appointed as an Assistant Professor by the Yong Loo Lin School of Medicine. Prior to his entry into the private sector, he also served as core faculty for orthopaedic resident training by the National Healthcare Group. Dr Yong Ren brings to the table his years of experience as a teacher and trainer in orthopaedic surgery. With his expertise in minimally invasive fracture surgery, pelvic reconstructive surgery, hip and knee surgery as well as spinal surgery, he is uniquely equipped with the tools and expertise necessary to help you on your road to recovery. Non Surgical Treatment for Knee Joint Pain Effective Relief Without the Need for Surgery Looking for non surgical treatment for knee joint pain? Many people in Singapore manage knee issues successfully without going under the knife. Common non-invasive options include physiotherapy, weight management, joint injections (like hyaluronic acid or corticosteroids), platelet-rich plasma (PRP) therapy, and custom orthotics. These treatments help reduce inflammation, restore joint mobility, and strengthen surrounding muscles to relieve pressure. Supplements like glucosamine and omega-3s may also support cartilage health. For osteoarthritis, sports injuries, or early joint degeneration, these conservative approaches can offer long-lasting pain relief and help delay or avoid surgery entirely. https://www. theorthopaedicandpainpractice. com/non-surgical-treatments-for-knee-joint-pain/ --- - Published: 2023-09-15 - Modified: 2025-07-24 - URL: https://www.theorthopaedicandpainpractice.com/knee-cap-replacement-understanding-the-basics-of-this-orthopaedic-surgery/ - Categories: Articles by Doctor - Tags: knee cap replacement, knee cap replacement recovery, Knee Pain, orthopaedic surgery, Patellofemoral Arthritis, Prosthetic Knee Cap, Recovery Knee cap replacement, also known as patellofemoral replacement, is a specialized orthopaedic surgery aimed at relieving knee pain and restoring function. This comprehensive guide will delve into the intricate details of knee cap replacement orthapedic surgery, from its purpose and candidacy to the procedure itself and knee cap replacement recovery. Understanding the basics of this procedure can provide valuable insights for those seeking relief from knee pain and exploring surgical solutions for improved quality of life. Introduction to Knee Cap Replacement Surgery A knee replacement operation involves replacing parts of a knee joint that are damaged or worn out. This can help to reduce pain and improve its functioning. During the procedure, artificial components made of metal and plastic are used to replace damaged bone and cartilage. To determine if a knee replacement is suitable, a doctor will assess the knee's range of motion, stability, and strength. X-rays will be used to determine the level of damage. The best artificial joint and surgical technique for an individual depends on their age, weight, activity level, size and shape of the knee, and overall health. Candidates for Knee Cap Replacement (Source: https://www. freepik. com/free-photo/male-physiotherapist-checking-woman-s-knee-mobility_11379463. htm#query=knee%20cap%20replacement&position=41&from_view=search&track=ais) Knee replacement surgery is typically sought out to reduce pain caused by arthritis. People who have this surgery often experience difficulty walking, climbing stairs, and getting up from chairs. If only one part of the knee is damaged, then surgeons may opt to replace that specific part. In contrast, if the entire joint has to be replaced, the ends of the thigh bone and shinbone will be reshaped and resurfaced. These bones are composed of hard tubes with a soft center, and the artificial parts are inserted into the softer central part of the bones. Additionally, ligaments, which are bands of tissue that help keep the joint together, may need implants to strengthen them. Benefits of a Knee Cap Replacement Many people get a total knee replacement to reduce the discomfort caused by arthritis or other conditions that damage the knee joint. Research has revealed that this surgery is highly effective in providing relief from pain. Most individuals who have had this type of surgery report feeling better than they had in a long time - sometimes even decades. Following the surgery, pain generally decreases for knee replacement patients, allowing them to move their knees more comfortably. This can lead to increased health benefits through physical activity, which can then have a positive effect on their overall quality of life. Many patients report being able to resume activities they had to abandon due to their arthritis. People who have had a total knee replacement often report an improved capacity to move around, as well as an improved overall functioning. This can include increased ability to walk a longer distance or to use stairs more easily than before the surgery. As a result, those who have had a total knee replacement often experience a greater sense of independence. A total knee replacement can lead to a decrease in pain levels that is so significant that many people no longer require pain medication. Preparing for Knee Cap Replacement Surgery Prior to your surgery, your health care team may suggest that you stop using certain medications and dietary supplements. Additionally, you should not consume any food after midnight on the day of your operation. Prior to your surgery, it is necessary to obtain crutches or a walker. Additionally, make sure to arrange for someone to give you a ride home from the hospital. During your knee cap replacement recovery period, it is recommended to have assistance with everyday tasks such as cooking, bathing and doing laundry. To make your home more accessible, you can create a living space on one floor and install safety bars or a secure handrail in your shower or bath. Additionally, secure stairway handrails, get a stable chair with a firm seat cushion and back, and a footstool to elevate your leg. If your toilet is low, you should get a toilet seat riser with arms. Obtain a stable bench or chair for your shower and remove loose rugs and cords. The Knee Cap Replacement Procedure When you arrive for your procedure, you will likely be instructed to take off your clothes and put on a hospital gown. You may receive either a spinal block, which will numb the lower half of your body, or a general anesthetic, which will cause you to slip into a sleep-like state. Additionally, your surgeon may inject a numbing medication around the nerves or in and around the joint to reduce pain after the surgery. A knee replacement surgery typically lasts anywhere from 1-2 hours. The surgeon will make an incision over the knee and then remove any diseased or damaged bone and cartilage, leaving any healthy bone untouched. Afterwards, the replacement parts are implanted into the thigh bone, shinbone and kneecap. Recovery and Rehabilitation After Knee Cap Replacement (Source:https://www. freepik. com/free-photo/medical-assistant-helping-patient-with-physiotherapy-exercises_17613522. htm#query=knee%20cap%20replacement&position=20&from_view=search&track=ais) Following a surgical procedure, a period of rest in the recovery area is necessary. The amount of time that you spend in the hospital is dependent on your individual requirements; however, many people are able to go home on the same day. For those who have undergone knee replacement surgery, the risk of blood clots is increased. To reduce the risk, you may be encouraged to move early, wear elastic compression stockings or inflatable air sleeves on the lower legs, and take prescribed blood thinners. Frequent breathing exercises and gradually increasing your activity level is also encouraged. Once discharged from the hospital, you will likely continue physical therapy either at home or a center. In conclusion, knee cap replacement surgery offers a ray of hope for individuals grappling with severe knee pain and limited mobility due to patellofemoral joint issues. By understanding the fundamentals of this orthopaedic surgery, patients can make informed decisions about their health and well-being. It's important to remember that each individual's case is unique, and consulting with a qualified orthopaedic surgeon is crucial to determining the most suitable treatment plan. As medical advancements continue to improve the outcomes of knee cap replacement surgeries, the prospect of living a life with restored knee function and reduced pain becomes a tangible reality for many. Knee Cap Replacement vs. Total Knee Replacement A knee cap replacement, also called patellofemoral replacement, is a less invasive surgery than a total knee replacement because the scope of the procedure is limited to damage on the kneecap side of the joint. A total knee replacement is reserved for those with significant degenerative changes on both sides of the knee joint. Knee cap replacement is ideal for patients with knee joint instability and lateral knee wear. It is also the perfect option for patients between 50 and 60 years of age who are found to have moderate to severe cartilage loss and subsequent bone bruising. Knee cap replacement surgery aims to restore knee joint function and reduce pain from patellofemoral arthritis. This is an elective surgery that is performed in an inpatient surgery center within 1 to 3 days of hospitalization. Patellofemoral operations generally have an accelerated recovery period, with less pain and fewer complications and side effects. Many patients who have had a knee cap replacement report feeling much better and experience little to no limitations post-operation. Is a knee cap replacement what you need? Your surgeon may recommend a total knee replacement if you suffer from irreversible patellofemoral pain and have extensive joint damage. When deciding between knee cap and knee replacement surgeries, the doctor considers patient-specific factors such as activity level, age, and joint stability. Total knee arthroplasty, or tibiofemoral joint replacement, replaces three compartments of the knee: the patella, the femoral surface, and the tibial plateau. The ideal candidate for total knee replacement has severe degenerative changes on both the patellar and trochlear surfaces. Total knees are recommended for individuals with more advanced degenerative changes, such as knee instability or deformities. All of a patient's complaints and radiographic reports must match up in a phased manner to require an arthroplasty of this kind. Long-Term Outcomes and Success Rates A knee cap replacement is a long-term solution for many patients. The implants continue to perform well and are reliable. The success rate of knee cap replacement depends on many factors, such as patient factors and implant factors. Patients who are healthy and younger often recover from knee cap replacement quicker than those who are older or who suffer from other comorbidities, including diabetes, heart, kidney, or lung disease. Most patients who undergo knee cap replacement experience significant improvements and are able to resume performing the activities they love. This improvement can take time: some patients return to their normal activities sooner, and some return to strenuous activity in a longer time. Patients who comply with the recommended rehabilitation activities are more likely to experience success after knee cap replacement. Risk factors and complications that can occur in the postoperative period following knee cap replacement include infection, dislocation, aseptic loosening, and requirements for further surgery. However, these risks are rare, and infection rates, in particular, are low. The results of a new prosthesis developed in recent years now show better longevity and surgical outcomes compared to previous models. The second generation guarantees excellent results also in the long term, leading to good patient satisfaction. Recovery Times After knee cap replacement surgery, the tissue surrounding the knee – skin and muscle, for example – begins to heal almost immediately. The deeper implant site where the device is installed typically takes longer to heal. Generally, the following timeline can be expected: 1. Immediate phase: lasts 1-2 weeks After the operation, patients will spend some time in the recovery room before moving to their patient room. Immediately post-operation, a nurse will check to ensure the leg and knee are functioning properly before advising the patient to attempt to stand on the operated leg. They may be prescribed some medication and need to inform their post-op healthcare providers about any allergies they have. Once the anesthesia is no longer having an effect, patients will be given something to eat or drink. While the initial impulse may be to try and complete as many of the pre-op exercises received in preparation for the surgery as they can, it’s important to ease back into the exercises. The most critical pre-op exercises were isometric exercises, which should be resumed as soon as possible before progressing to full range of motion and other weight-bearing exercises in time. 2. Discernible improvement: lasts 6 weeks to 2 months Most patients find the first 3 days after surgery to be the most challenging due to the immediate post-operative pain and swelling. The remaining duration of this immediate phase is characterized by an ongoing decrease in pain and swelling. Physical therapy continues as the patient gains more mobility and strength. Progress is expected; however, the pace of recovery may vary significantly from patient to patient. Factors that may influence how quickly a patient heals include their age, past physical health, and how well they stick to a rehabilitation plan. In general, patients can use a pain management strategy that starts with ice, then moves to heat within 3 weeks’ time. Heat should not be used while the leg is still numb. Patients can also try gentle relaxation and/or meditation exercises. Success Rates Studies show that 85% of patients who have had knee cap replacement continue to derive benefits year to year, while 9% had no relief and the remaining patients had their condition improved for some years. Around 89% of patients reported excellent results from knee cap replacement. This means that 9 out of 10 patients enjoy significant pain relief after the surgery, an improvement in their ability to bend and straighten the knee, and a better quality of life. This successful medical treatment is called an improvement in the patient's overall satisfaction after the illness or deformity was reduced or brought back to normal. Knee cap replacement surgery relieves... --- - Published: 2023-09-14 - Modified: 2025-07-24 - URL: https://www.theorthopaedicandpainpractice.com/everything-you-need-to-know-about-knee-surgery-in-singapore/ - Categories: Articles by Doctor - Tags: acl injury, Knee Replacement, knee surgery, knee surgery in Singapore, knee surgery recovery, knee surgery singapore, knee-related conditions, Meniscus Tear, Osteoarthritis, post-operative care, pre-operative preparations, surgical options Knee surgery plays a role in enhancing the quality of life for individuals dealing with knee related issues. Singapore is known for its exceptional services for knee surgery, where specialists incorporating state of the art techniques and specialized facilities. This article explores aspects of knee surgery in Singapore by discussing knee conditions, surgical choices, pre surgery preparations, post-surgery care, and the process of selecting the right surgeon and facility. Whether you're researching for yourself or a loved one, this guide aims to offer an insight into the world of knee surgery in Singapore. Understanding Knee Surgery (Source:https://www. freepik. com/freephoto/physiotherapistpalpatingleg_5535730. htm#query=knee%20surgery&position=0&from_view=search&track=ais) If the knee sustains harm, surgery might become a requirement. This holds true especially when alternative pain management strategies fail to alleviate discomfort stemming from injuries or knee related issues like osteoarthritis. Throughout the procedure an anesthesiologist will oversee pain management for the patient’s comfort. Additionally, anesthesiologists play a role in administering operative pain relief to facilitate effective physical therapy and recovery post-surgery. Overview of Knee Surgery in Singapore Surgical intervention is no longer the last resort in managing knee injuries nowadays as it was previously, not only in Singapore but also globally. In the past, arthroscopy was the primary and preferred method of diagnosing and treating knee injuries. Prior to the invention of arthroscopy, knee surgery was only done in cases of trauma, tumors, or infections, as these procedures could only be performed with open surgery, without arthroscopy. Both arthroscopy and open surgeries have benefited from the numerous technological advancements made in knee surgery. Some of them have proven to be of great value and have been widely incorporated in many knee surgeries, resulting in better and safer outcomes for patients. However, while traditional knee surgeries are still employed in many medical facilities, the increasing preference for minimally invasive surgery has been fostered by the recent surge in technological advances in pharmaceuticals, anesthesia, and pre- and postoperative protocols. Knee specialists, orthopedic surgeons, and community care orthopedic professionals were the primary group of trained professionals who usually perform knee surgeries in Singapore. It goes without saying that orthopedic surgeons are indeed highly trained and must have achieved educational and experiential credentials to become an orthopedic surgeon before further specializing in the arthroscopic surgery of cartilage and ligaments. One way of earning a degree in medicine is to study at a medical school. As a result, the medical residents of orthopedic surgery usually come from these schools and then progress through various medical institutions over the course of five years, including the tertiary medical or orthopedic center, the five national orthopedic centers, and in the fifth year, the traditional rotary program. Specific Statistics on Success Rates When we dig into the specifics to observe procedural success rates, the success rate for a total knee replacement is 85% when both functional improvements and durability are taken into account. Besides replacements, minimally invasive arthroscopic surgeries, a key procedure in local sports surgical services, are 40-80% of knee cases with an overall 4% reported complication rate at public hospitals. Together, this data may likely form a robust examination of whether or not surgical interventions are effective and over which period of time further analysis can be conducted, to observe how stable these changes are or if deteriorated outcomes are reported, i. e. , 5 years and 10 years post-op and other longitudinal studies. Success rates of medical procedures can be influenced by factors such as patient demographics, health status, and surgical techniques. In addition, the reviewed papers have a number of participants and have been rated by a benchmarking exercise to be of moderate-to-high methodological quality. Benchmarking of success rates may be reported in relationship to international standards or guidelines. Comparisons are made of orthopaedics performance across different surgery types against up-to-date international guidelines, and later juxtaposes the findings against leading international orthopaedics hospitals. In another study, local data and orthopaedic hospital are compared with global data. Advantages of Knee Surgery in Singapore Singapore provides superior knee surgery services due to the good and well-established social infrastructure, where physicians offer top-notch surgical care with access to advanced medical technology and research backing. The trained staff members are passionate about the work they do, and not a single individual dares to compromise in non-surgical patient care aspects such as physical therapy, nutrition, psychology, and prevention. On top of that, quality is guaranteed as more than 80% of private hospitals are approved by the Joint Commission International, a standard for high-quality care. State-of-the-art medical technology and pioneering breakthroughs in orthopedic care have greatly enhanced surgery in Singapore. Post-operative care is very important; therefore, our physiotherapists and orthopedic clinic are well-equipped with air-conditioned physical therapy rooms, a gym, and private therapy areas for individual instruction. Not only does the government support medicine, but they also meet the needs of the people in terms of convenience and a high standard of care as well. The government is therefore looking to provide more funds, expertise, and promote public education as an important preventive health policy to ensure that Singaporeans are encouraged in the daily protection of their knees, right from young to elderly people. Singapore has launched a program to educate patients who need to undergo knee surgery to help them recover after surgery and to reduce the likelihood of complications later on for successful surgery. Many similar success stories are commonly shared between local doctors and international patients, and the successful completion of these treatments allows most locals in Singapore to return to their preferred trajectory of life very efficiently. The concern for quality global care in Singapore has made it an emerging hub for medical tourism, particularly in the Asia-Pacific region. Around the region, "same-day" is now the main selling word for knee replacement in Singapore. Common Knee Injuries The most common knee injuries include strains and tears in the tissues like ligaments and meniscus, fractures and dislocations. Usually multiple parts of the knee are affected by these injuries. Pain and swelling are the signs of a knee injury. Sometimes the knee may feel stuck or locked. Certain knee injuries, such as an ACL tear can lead to a sensation of instability where it feels like the knee is giving out. Anterior Cruciate Ligament (ACL) Injuries - ACL injuries are often observed in athletes who participate in sports involving changes in direction or jumping like soccer, football and basketball. ACL tears can happen due to landings or swift movements. Activities like this may also cause damage to other structures in the knee such as cartilage meniscus or other ligaments. Posterior Cruciate Ligament (PCL) Injuries - PCL damage can occur when significant pressure is exerted on the knee joint while it is bent. These types of injuries frequently occur during motor vehicle accidents and collisions during sports activities. Collateral Ligament Injuries - These usually happen when the knee is pushed sideways by a force (or a collision). If the knee is pushed outward from an impact, it can harm the Lateral Collateral Ligament. While tears in the LCL are not as common as knee injuries, it may require medical intervention. Meniscal Tears - These can occur from activities like twisting, cutting, pivoting or being tackled. They could also result from aging or arthritis (causing wear and tear). As people get older, their menisci may weaken, making them prone to tearing during daily movements like standing up or sitting down. Tendon Tears - Tendon tears can affect the quadriceps and patellar regions due to stretching or tearing of tendons. These injuries are more prevalent in individuals engaged in running or jumping activities. Knee tendon issues may stem from trauma to the knee area or improper landings and jumps. Fractures - Fractures often involve breaking of the patella bone near the knee area. Moreover, fractures could affect the ends of tibia bones that meet to form the knee joint. Knee fractures often occur due to high impact trauma like falls from heights or motor vehicle accidents. Dislocation - Dislocation happens when the knee bones are not correctly aligned, either partially or completely shifting the femur, tibia and patella. While structural abnormalities can lead to dislocations in the knee. individuals usually experience this due to high energy trauma such as car accidents, falls or sports related contact. Preparation for Knee Surgery: Getting Ready for the Procedure (Source:https://www. freepik. com/freephoto/examiningpatient_5535719. htm#query=knee%20surgery&position=1&from_view=search&track=ais) Having knee surgery can feel daunting for people. With today’s advancements in minimally invasive surgical methods, surgeons can now make small incisions without affecting the surrounding healthy tissue. Additionally, these procedures are often performed as outpatient surgeries allowing patients to go home on the day and have a quicker and more comfortable recovery. Get ready in advance – It's crucial to ensure that all your insurance, paperwork and other arrangements are sorted out before the surgery. This will help alleviate any concerns for both you and your family leading up to the procedure. Moreover, completing these tasks ahead of time will allow you to focus on your recovery afterward. Communicate with your doctor – Understanding the specifics of the procedure and the post-surgery recovery period is vital. Being informed will help you mentally and emotionally prepare, while also assisting you in managing your expectations. Furthermore, you might need someone to help you after the surgery. It's essential to have the support you need. Get yourself physically and emotionally ready – It's crucial to look after your body and mind before undergoing surgery. This could mean making lifestyle decisions like changing your diet, staying active, avoiding smoking, and handling stress. By doing this you'll be in tiptop shape for the procedure. The Surgery Day: What to Expect (Source:https://www. freepik. com/free-photo/cropped-doctor-checking-knee-unrecognizable-patientlyingcouchmedicaloffice_5698316. htm#query=knee%20surgery&position=24&from_view=search&track=ais) On the day of your knee surgery, you can expect an organized process to make sure you feel comfortable and safe. Here's an overview of what you can look forward to: Preparation – You'll need to arrive at facility before your surgery time. A nurse or medical staff will help you with the admission process go over your history and address any questions. Before Surgery Procedures – You'll change into a gown. You may have an IV line inserted for fluids and medications. An anesthesiologist will talk to you about anesthesia options (regional or local). Moving to the Operating Room – Once everything is ready, you'll be taken to the operating room. The surgical team will prepare the area around your knee. Ensure you're positioned correctly on the table. Administering Anesthesia – With the help of local anesthesia, your knee area will be numb. You might stay awake or lightly sedated. Surgical Procedure – The surgeon will carry out the steps based on the type of knee surgery planned. This may include fixing ligaments removing damaged tissue or substituting the knee joint with a prosthesis. Monitoring and Support - During the surgery, the medical team will closely monitor your signs and anesthesia levels to ensure your comfort and stability. Recovery and Observation - After the surgery is done, you will be taken to a recovery area. Nurses will keep an eye on your condition, pain levels and vital signs. Post-Operative Instructions - Once you're fully awake and stable, the surgeon or nurse will provide you with instructions on post-operative care, pain management, and mobility. Discharge or Overnight Stay - Depending on the type of knee surgery and your overall health, you might go home on the day itself. In some cases, you may asked to stay overnight for additional observation and care. Follow-Up - You will have to attend a follow up appointment to see your surgeon and assess how well you are recovering. Throughout the day, expect support from the team who specializes in ensuring a smooth and safe surgical journey. It's crucial to follow all operative and post operative instructions for a successful recovery following knee surgery. Post-Operative Care: Navigating Recovery Having knee surgery can feel overwhelming. There are steps you can take to make the recovery process smoother. Those who are well prepared and actively involved in... --- - Published: 2023-08-04 - Modified: 2025-07-24 - URL: https://www.theorthopaedicandpainpractice.com/exploring-the-treatment-options-for-hip-pain-management/ - Categories: Articles by Doctor - Tags: Bursitis, front hip pain treatment, hip pain, hip pain treatment without surgery, Labral Tear, Osteoarthritis, Treatment Options Introduction to Hip Pain Although sharing a general vicinity, hip and gluteal (buttock) pain represent distinct forms of discomfort that can often be mistaken. Hip pain commonly arises from the groin region, located between the thigh and abdomen, and is usually associated with issues within the hip joint or surrounding tissues. Although not always directly related to the hip joint itself, hip pain may originate from nearby musculature. On the contrary, butt pain is confined to the rear portion of the body and is generally attributed to muscle concerns at the rear aspect of the buttocks or to spinal and pelvic joints like the sacroiliac joint. Despite their spatial overlap, understanding the differences in their causes is vital for accurate diagnoses and appropriate treatments. For non-surgical management of hip pain and anterior hip pain, Singaporean patients have access to specialized orthopedic care providers. Image source: https://www. freepik. com/free-photo/side-view-woman-having-backache-while-working-from-home_11905059. htm#query=hip%20pain&position=5&from_view=search&track=ais Causes of Hip Pain Many people mistakenly believe that hip pain solely stems from the hips. Surprisingly hip discomfort can actually stem from a variety of sources that impact not the hip joint itself but its surrounding structures. This means that individuals of all ages may encounter hip pain. Some common factors that contribute to this discomfort include issues concerning your bones and cartilage such, as fractures, osteoarthritis and avascular necrosis (a decrease in blood supply, to the bone). Moreover accidents and injuries affecting muscles and tendons may result from trauma or repetitive stress and movements. Orthopaedic surgeons classify hip problems into traumatic and non-traumatic categories. High-energy events, like motor vehicle accidents or falls from height, often lead to bone injuries. On the other hand, lower-energy impacts are more common among older adults with weakened bone health, resulting in conditions like elderly hip fractures. Non-traumatic sources of hip pain include muscle and tendon strains due to excessive use or exertion, blood vessel impairments causing localized bone death (avascular necrosis), cartilage labrum damage often linked to hip joint anomalies, and a worn-out hip joint marked by degenerated cartilage covering the hip joint surfaces. Accurate diagnostics and targeted therapies for hip pain depend on a thorough understanding of its root causes. This understanding is vital for tailoring effective treatments aimed at alleviating pain and improving overall hip health. Image source: https://www. freepik. com/free-photo/pain-hip-joint_923791. htm#query=hip%20pain&position=21&from_view=search&track=ais Risk Factors That Contribute to Hip Pain  There are a lot of factors that can lead to hip pain. Having a family history of hip osteoarthritis may raise the chances of experiencing hip discomfort due to congenital factors. Taking part in sports like muay thai and taekwondo which involve a lot of hip movements can strain the hip joint over time. Furthermore, injuries from sports activities can also be a contributing factor to hip pain. Lifestyle choices also have an impact on hip pain. Consuming alcohol excessively and regularly has been linked to a risk of experiencing hip pain and joint problems. Elevated levels of fats in the blood can contribute to conditions affecting the hip joint, such as necrosis increasing the likelihood of developing hip pain. Additionally, activities, like diving that put pressure on the hip joint can cause injuries leading to pain. Diagnosing the Source of Your Hip Pain   Once you set up an appointment with an orthopaedic surgeon, they will require you to partake in a medical interview to understand what you are going through. Here, you can describe some difficulties you may be experiencing when moving or doing daily tasks. You will undergo a focused examination of the hip, knee, and lower back, along with an assessment of your gait where you may be asked to walk or move. If necessary, your doctor may request you to undergo radiographs. In some rare cases, you may be asked to undergo an MRI scan so your doctor can see if any tendon/muscle or cartilage issues are present. Image source: https://www. freepik. com/free-photo/woman-with-sore-loin_1892093. htm#query=hip%20pain&position=6&from_view=search&track=ais Non-Invasive Treatments for Hip Pain Relief   Individuals who are suffering from hip pain, especially in chronic or severe cases, should consider consulting an orthopaedic surgeon. They will provide you with options for treatments, such as non-invasive treatments. Non-invasive treatments focus on the underlying cause of pain, which can be solved through lifestyle modifications. For example, your doctor may recommend that you lose weight so that less stress is put on the hip. Some pain relief medications can help, while physiotherapy can aid in strengthening your body. Canes, walkers, and other devices are also used to promote mobility and comfort, especially for older individuals. Medication Options for Treating and Managing Hip Pain Symptoms   Medications are very important for managing health issues, including hip pain. While they can help control symptoms and provide relief, they may not treat the root cause of the problem. Medication may just be one part of your entire treatment plan. Anti-inflammatory medications like NSAIDs are commonly used to manage hip pain by reducing inflammation and easing discomfort. Your doctor may also prescribe types of pain medications including opiates and non-opiates to address varying levels of pain. It's important to note that these medications mainly focus on symptom management than curing the causes of hip pain. Combining medication, with treatment options can offer care for individuals dealing with hip pain leading to better quality of life and functionality. Benefits of Physiotherapy for Treating Your Hip Issues   Physical therapy offers a range of benefits, for those looking to address their hip concerns. By engaging in exercises and therapeutic methods physical therapy seeks to enhance the flexibility and stability of the hip joint. Through activities that boost flexibility and strengthen the muscles surrounding the hip this treatment approach may help reduce discomfort and pain related to hip issues. Additionally, physical therapy plays a role in supporting recovery hip surgeries by assisting individuals in regaining strength, mobility and functionality through personalized exercise routines and rehabilitation programs. In essence, physical therapy presents a strategy, for managing hip problems by focusing on pain management and improving function to enhance overall quality of life. The Role of Surgery in Chronic or Severe Cases of Hip Injury or Disease   In long-term instances of hip injury or disease, surgery might be needed to effectively address the root problems. The type of surgery required depends on what's causing the hip pain and the individual condition of the patient. For example, if someone has hip osteoarthritis they may undergo replacement surgery, either hemiarthroplasty) or fully (total hip arthroplasty) to reduce pain and enhance joint function. Labral tears could be treated with a procedure called hip joint arthroscopy, which aims to repair torn cartilage labrums. In situations involving necrosis, where bone damage occurs due to a lack of blood supply, surgical approaches such as core decompression and other open techniques may be considered. These surgeries are intended to enhance blood flow and maintain the health of the hip joint. The choice of surgery is tailored to address the patient’s symptoms and underlying issues. In cases of hip injuries surgery might involve using metal plates and screws to mend broken bones in order to restore stability and facilitate healing. These surgical procedures play a role in managing severe instances of hip injury or disease by helping patients relieve pain regain movement capabilities and enhance their overall quality of life. Image source: https://www. freepik. com/free-photo/this-bed-is-comfortable-as-i thought_12468439. htm#page=2&query=hip%20pain&position=3&from_view=search&track=ais Simple Lifestyle Changes You Can Make To Manage Your Condition Making simple lifestyle changes can significantly help manage your condition and enhance overall well-being. Reducing stress is vital, as stress can exacerbate various health conditions. Incorporating a balanced diet into your routine will aid in maintaining a healthy weight, which can be beneficial for managing your condition effectively. Engaging in regular and appropriate exercise will contribute to maintaining mobility and muscle strength, promoting better physical function. Additionally, using ambulatory aids, such as canes or walkers, can improve accessibility and mobility, providing a sense of independence and positively impacting both your psychosocial and somatic well-being. Embracing these lifestyle changes can have a positive impact on your condition and lead to a better quality of life. How to Talk to Your Doctor About Hip Pain Treatment Options  When you talk to your doctor about treating hip pain, it's important to go through an evaluation to pinpoint the causes of pain accurately. This could include discussions, physical exams and maybe even medical imaging or other tests. Have a conversation, with your healthcare provider about what you hope to achieve from the treatment. By having this discussion, you can learn about the pros and cons of each treatment option, which will help you make decisions about your health. Your doctor will collaborate with you to create a plan that combines outcomes with lifestyle adjustments. This customized plan will cater to your needs and preferences ensuring a rounded approach, to effectively managing hip pain and enhancing your overall quality of life. Final Words Your doctor will work together with you to develop a plan that blends outcomes, with lifestyle changes. This personalized plan will be tailored to your needs and preferences ensuring a rounded approach to effectively managing hip pain and improving your overall quality of life. It is essential to consult with a specialist when experiencing hip discomfort as there are treatment options available for each condition. Our specialists in hip pain can conduct an evaluation to identify the cause of the hip pain distinguishing it from related issues such as buttock discomfort. They can discuss treatment possibilities and expectations empowering patients to make decisions. Depending on the cause surgical interventions such as hip arthritis replacements, arthroscopic procedures for tears and open techniques for necrosis may be recommended by the surgeon. In some cases, surgery involving metal plates to repair fractures or invasive procedures to fix torn cartilage may be necessary. By combining treatments like lifestyle adjustments and physical therapy with procedures, a comprehensive and individualized approach can effectively address hip pain. Improve overall quality of life. Therefore seeking guidance from an orthopedic surgeon is crucial, in receiving care tailored to hip conditions and exploring optimal treatment options. FAQ: How can I tell if my hip pain is due to an injury or a medical condition? Determining whether your hip pain is due to an injury or a medical condition involves a thorough examination of your medical history. By revisiting your medical history, your doctor can identify potential clues that may point to the cause of the hip pain. Family history also plays a significant role, especially when there is no prior history of note. A comprehensive work-up, including various investigations as deemed necessary, will provide valuable insights into the underlying cause of your hip pain. This combination of medical history, family history, and comprehensive investigations helps in accurately diagnosing the origin of the pain, whether it is related to an injury or a medical condition. Is there anything I can do at home to avoid hip injuries? Maintaining a healthy weight through a balanced diet and appropriate exercise is essential, as excess weight can place extra strain on the hips and increase the risk of injuries. It's also crucial to avoid leading a sedentary lifestyle and engage in regular physical activity. Activities like walking, swimming, or cycling can help keep the hip joints and surrounding muscles strong and flexible, reducing the likelihood of injuries. Additionally, developing healthy exercise habits is important, which includes incorporating proper warm-up and cool-down routines before and after physical activity. Warming up helps prepare the muscles and joints for exercise, while cooling down allows the body to gradually return to a resting state, reducing the risk of soft tissue injuries. What are the long-term benefits of Physiotherapy for treating hip pain? Targeting hip health in physiotherapy helps alleviate hip pain long-term. Physiotherapy targets hip joint range of motion to improve mobility. This increased range of motion helps hip pain sufferers accomplish daily tasks more comfortably. Hip muscle maintenance and strengthening are key to physiotherapy. Strengthening hip muscles reduces hip discomfort and instability. Stronger muscles support the joint, especially during weight-bearing exercises, improving hip function... --- - Published: 2023-06-27 - Modified: 2025-07-24 - URL: https://www.theorthopaedicandpainpractice.com/how-to-alleviate-tennis-elbow-pain-tips-from-a-medical-expert/ - Categories: Articles by Doctor - Tags: Bracing, Injections, lateral epicondylitis, Pain Relief, Tennis Elbow The elbow joint links the upper arm bone (humerus) to the two forearm bones (radios and ulna). It enables us to bend, extend, rotate, and straighten the forearm (Dwyer, 2009). Whenever our arms need stability and support, our elbows allow precise and accurate movements. It is a pivotal joint for performing daily tasks like lifting, holding, and moving objects around us. Your tendons connect your muscles to your bones. As you perform repetitive arm and wrist motions, this can result in overloaded elbow tendons. This leads to swelling, pain, and tenderness. This orthopaedic condition is called lateral epicondylitis or tennis elbow. In Singapore, treatment for tennis elbow pain includes surgical and nonsurgical methods, depending on your condition. Introduction to the Science Behind Treating Tennis Elbow Pain Tennis elbow, also known as lateral epicondylitis, is a condition that presents with pain over the outer part of the elbow joint. Despite its name, anyone can be diagnosed with tennis elbow. It is the most common cause of pain in the elbow region, as the pain frequently arises from muscle overuse from labour-intensive tasks. A tendon, which looks like a thick cord, is a tissue that connects muscles to bones. When your forearm muscles are overused, it causes damage to the tendon (Alaia, 2020). Tennis elbow arises from degeneration from the extensor carpi radialis brevis (ECRB) tendon. This tendon is located in the outer portion of your forearm. The treatment of this condition is to promote healing of the injured tendon, by using whatever necessary combination of surgery, injections, medications, and physiotherapy. (image source: https://www. news-medical. net/health/What-Causes-Tennis-Elbow. aspx) Causes of Tennis Elbow and Risk Factors for Its Development Tennis elbow is typically caused by overuse of the forearm muscles over time. During manual labour such as cleaning or cooking, you may strain your muscles (Johns Hopkins Medicine, 2020). People can develop tennis elbow through: Playing sports like tennis, baseball, and bowling Performing manual labour like plumbing, cleaning, and carpentry Engaging in hobbies like painting and weightlifting If you often perform repetitive tasks that involve the forearms, wrists, or hands, you may be at risk for this condition. You may experience the following symptoms, which can worsen over time: Pain or aching sensation on the outer forearm and elbow Tenderness of the outer elbow part Pain that worsens when doing tasks involving the arm and hand Difficulty lifting and gripping objects Diagnosis Process for Identifying Tennis Elbow Pain Tennis elbow symptoms can be similar to other health conditions. A consultation with your orthopaedic surgeon can help in properly diagnosing your specific ailment. The process may include: Assessment of clinical history and examination of the elbow Palpation of the injured region (applying pressure on skin to examine the area) Provocative testing to recreate pain and identify its source Imaging techniques like X-rays, ultrasound, or MRI scans to confirm the diagnosis (image source: https://www. gdosteopathy. co. uk/enfield/tennis-elbow/) Surgical and Non-Surgical Treatment Options for Alleviating Tennis Elbow Pain Tennis elbow pain can be attributed to many causes. Your orthopaedic surgeon will give you a treatment plan that will target the source of your pain (Johns Hopkins Medicine, 2020). 1. Surgical Treatments are usually the last resort for this condition, but it can be recommended for severe cases of tennis elbow. Patients with recurrent tennis elbow pain may be treated with tenoplasty, which is the surgical repair of a damaged tendon. This method involves a radiofrequency probe, which generates high-frequency energy to induce tendon healing. If there are bone spurs, release of the tendon, debridement of the spur and reattachment of the tendon can help with pain. 2. Non-Surgical Treatments may also involve non-invasive or minimally invasive methods. In some cases of tennis elbow, patients can recover on their own. Your orthopaedic surgeon may recommend rest by limiting activities to give tendons time to heal. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help with relief from pain, inflammation, and swelling. Physiotherapy such as stretching exercises help to induce recovery of the tendons. Ultrasound therapy and shockwave therapy use high-frequency waves to stimulate the body’s natural healing process.   With physiotherapy, 90% of tennis elbow pain cases also benefitted from steroid injections and local anaesthetic mixture into the elbow region. This can result in fat atrophy, which presents with a small white dot at the site of the injection. Even so, this typically resolves in 6 months to a year. Medical devices such as tape, braces, and splints were designed to minimise discomfort and assist with the healing process. These can help athletic performance and reduce strain on injured tendons. New Technologies in the Treatment of Tennis Elbow Pain Tendon treatments have continued to develop throughout the years. Ultrasound guided tendon debridement is a new surgical procedure for early-stage tennis elbow cases. Debridement involves the removal of the damaged sections of tendons. The remaining healthy tendons are then sewn together (Masci et al. , 2020). (image source: https://www. csp. org. uk/conditions/elbow-pain) Recovering from Tennis Elbow Surgery: Risks and Considerations Patients who underwent tennis elbow surgery may return to full activities 6 weeks to 2 months after the procedure. Most patients will regain full range of elbow motion within 2 weeks of surgery. Remember, treatment does not stop after the surgical procedure. You may be required to attend physiotherapy sessions as part of the recovery and rehabilitative plans (Cleveland Clinic, 2021). Tips for Long-Term Management of Tennis Elbow Discomfort Identify causative elements that aggravate your elbow pain. After identifying these activities, try to control the time spent on such activities. Be sure to rest whenever you feel pain in performing daily activities and hobbies. Listen to your body. Taking frequent stretching breaks and rest breaks will enhance recovery and prevent injury. Final Words Taking care of the elbow is important for joint health, continuous mobility, and injury prevention. It's important to talk to an orthopaedic surgeon for effective diagnosis and treatment of elbow problems. They can give you personalised advice and treatment options for the best results and long-term health. Frequently Asked Questions What is tennis elbow? Tennis elbow, or lateral epicondylitis, is a condition caused by overuse or strain of the tendons in the elbow, leading to pain and discomfort. What are the common symptoms of tennis elbow? Symptoms include pain and tenderness on the outer part of the elbow, difficulty gripping objects, and discomfort when twisting or lifting items. What is the best treatment for tennis elbow pain? There is no best treatment. It depends on the severity of the condition and may include rest, physical therapy, medications, or injections. Consult a specialist for personalised care. Are medications effective for treating tennis elbow pain? Yes, over-the-counter pain relievers, anti-inflammatory drugs, and topical medications can help reduce pain and inflammation in mild cases. What non-surgical options are available for tennis elbow pain? Non-surgical options include physical therapy, braces, corticosteroid injections, shockwave therapy, and platelet-rich plasma (PRP) injections. When is surgery recommended for tennis elbow pain? Surgery is considered when non-surgical treatments fail after 6–12 months. It involves removing damaged tissue and repairing the tendons. Can braces or supports help with tennis elbow pain? Yes, braces or supports can reduce strain on the tendons, provide pain relief, and allow healing during daily activities. How long does it take to recover from tennis elbow? Recovery time varies, but most patients see improvement within 6–12 weeks with appropriate treatment. Severe cases may take longer. Can tennis elbow recur after treatment? Yes, tennis elbow can recur if repetitive strain continues. Preventive measures, such as proper technique and strengthening exercises, are crucial. Is tennis elbow common in non-athletes? Yes, tennis elbow can occur in anyone performing repetitive arm or wrist motions, such as typing, painting, or carpentry, not just athletes. When should I see a doctor for tennis elbow pain? Seek medical advice if the pain persists for more than a few weeks, worsens, or interferes with daily activities despite self-care measures. Are there any specific tips or guidance one should remember when recovering from tennis elbow surgery? To make sure you get better after surgery for tennis elbow, you must do the exercises that the surgeon and trainer tell you to do. Also, it's important to follow the suggested rehabilitation protocol because it's a key part of healing and getting back to normal function. Dr Yong Ren’s Profile Dr Yong Ren graduated from the National University of Singapore’s Medical faculty and embarked on his orthopaedic career soon after. Upon completion of his training locally, he served briefly as an orthopaedic trauma surgeon in Khoo Teck Puat hospital before embarking on sub-specialty training in Switzerland at the famed Inselspital in Bern. He underwent sub-specialty training in pelvic and spinal surgery, and upon his return to Singapore served as head of the orthopaedic trauma team till 2019. He continues to serve as Visiting Consultant to Khoo Teck Puat Hospital. Well versed in a variety of orthopaedic surgeries, he also served as a member of the country council for the local branch of the Arbeitsgemeinschaft für Osteosynthesefragen (Trauma) in Singapore. He was also involved in the training of many of the young doctors in Singapore and was appointed as an Assistant Professor by the Yong Loo Lin School of Medicine. Prior to his entry into the private sector, he also served as core faculty for orthopaedic resident training by the National Healthcare Group. Dr Yong Ren brings to the table his years of experience as a teacher and trainer in orthopaedic surgery. With his expertise in minimally invasive fracture surgery, pelvic reconstructive surgery, hip and knee surgery as well as spinal surgery, he is uniquely equipped with the tools and expertise necessary to help you on your road to recovery. References Alaia, M. (2020). Tennis Elbow (Lateral Epicondylitis). Retrieved https://orthoinfo. aaos. org/en/diseases--conditions/tennis-elbow-lateral-epicondylitis/ Cleveland Clinic. (2021). Tennis Elbow (Lateral Epicondylitis). Retrieved from https://my. clevelandclinic. org/health/diseases/7049-tennis-elbow-lateral-epicondylitis Dwyer, T. (2009). The Bone School. Retrieved from http://www. boneschool. com/  Johns Hopkins Medicine. (2020). Lateral Epicondylitis (Tennis Elbow). Retrieved from https://www. hopkinsmedicine. org/health/conditions-and-diseases/lateral-epicondylitis-tennis-elbow Masci, L. , Alfredson, H. , Neal, B. , & Wynter Bee, W. (2020). Ultrasound-guided tendon debridement improves pain, function and structure in persistent patellar tendinopathy: short term follow-up of a case series. BMJ open sport & exercise medicine, 6(1), e000803. https://doi. org/10. 1136/bmjsem-2020-000803 treatment for tennis elbow pain Effective Treatment Options for Tennis Elbow Pain Relief Looking for lasting relief from tennis elbow? Learn about non-surgical and medical treatments at The Orthopaedic & Pain Practice — from targeted physiotherapy to advanced orthobiologics designed to ease pain, restore function, and support long-term healing. https://www. theorthopaedicandpainpractice. com/how-to-alleviate-tennis-elbow-pain-tips-from-a-medical-expert/ --- - Published: 2023-06-13 - Modified: 2025-07-25 - URL: https://www.theorthopaedicandpainpractice.com/the-definitive-guide-to-diagnosing-and-treating-ankle-pain-in-singapore/ - Categories: Articles by Doctor - Tags: ankle pain, ankle pain diagnosis, ankle pain singapore, ankle pain treatment singapore, arthritis, Fractures, Orthopaedic Treatment, Sprains Where can I seek ankle pain treatment Singapore? Where can I find more information about ankle pain diagnosis and ankle pain singapore? The Orthopaedic & Pain Practice is here to address your musculoskeletal needs through personalised treatment plans and a multi-faceted approach to pain management. Reach out to us by contacting +65 9898 3595 for a consultation with an orthopaedic surgeon. (image source: https://www. sportsinjuryclinic. net/sport-injuries/ankle-pain) Introduction to Ankle Pain The ankle is the joint where the lower leg bones and the foot bones meet. It is formed by the tibia (shin bone), fibula (calf bone), and talus (anklebone). Cartilage, ligaments, muscles, nerves, and blood vessels are all important parts of the ankle (Dwyer, 2009). The foot can turn inwards, outwards, and tilt to the side because of the flexibility provided by the ankle. As we progress with our daily activities, there is a lot of pressure put on the ankle joint. Ankle pain is a common complaint in adult Singaporeans. Maintaining healthy ankles is crucial for several reasons, including injury prevention, improved mobility, posture alignment, and speedy recovery from injuries. Causes of Ankle Pain Our ankles support the weight of our entire body. Acute pain can usually be from injuries to the bone, joint, or tendons sustained during sports or activities. Chronic pain is usually atraumatic, and it may be a result of either ligament instability or tendon and joint issues with the ankle (Johns Hopkins Medicine, 2022). Ankle pain can be traced to 2 primary causes: Traumatic ankle pain is usually linked to ankle fractures and ankle sprains. These can happen during strenuous activities, sports, exercises, and even sudden accidents or movements. Sprains occur when a ligament is overstretched or torn, while fractures occur when you break one or more bones. Ligament sprains involve the lateral ankle ligaments and syndesmotic ligaments. Atraumatic ankle pain is mainly linked to tendinopathies of tendons around the ankle and cartilage issues including osteoarthritis. Tendinopathy arises when the tendon is repeatedly stressed, resulting in microscopic tears. Some other causes include ankle instability resulting in impingement, tendon degeneration, and damage and cartilage issues in the ankle. Signs and Symptoms of Ankle Pain The following symptoms are associated with ankle pain. You may experience one or more of these, depending on the severity and the source of pain (Mayo Clinic, 2023). Pain in the ankle area Redness or swelling Stiffness or bruising A loose or unstable feeling Difficulty walking or standing Inability to climb stairs or run Visible deformity (ankle at an odd angle) (image source: https://www. cafootankle. com/blog/three-common-causes-of-heel-pain) Risk Factors That Contribute to Ankle Pain Some individuals have certain characteristics that increase the risk of developing ankle pain (Mayo Clinic, 2022). These risk factors include: Age - As we become older, our joints lose some of their lubrication. The cartilage thins out, affecting joint mobility and overall flexibility. History of ankle conditions - An individual with a history of ankle injuries is more likely to experience sprains, fractures, or ankle strain. Physical condition – People with weak or stiff ankles are more likely to experience difficulties while playing sports, which may lead to injury. Participation in sports and other activities – People who enjoy sports like basketball, tennis, football, soccer and running have a higher risk of developing ankle issues.   Ill-fitting footwear - Ankles are more vulnerable to injury when people wear improper footwear that is too loose or too tight for the feet. When to Seek Medical Help According to Ottawa Ankle Rules, those who have trouble standing on one leg are more likely to have an ankle fracture. If you have difficulties supporting your own weight after the injury, you should consult an orthopaedic surgeon right away. Depending on the cause, ankle pain is typically treatable. Methods to Diagnose Ankle Pain Be sure to keep a record of your medical history. These can include allergies, previous surgeries, immunisations, and test results. This information will help your doctor gain insights into your current lifestyle and condition (OrthoInfo, 2020). A medical interview will be conducted to identify your symptoms and functional needs. Your orthopaedic surgeon will assess your medical history and perform a focused examination. The foot and lower limb alignment will be checked through a physical examination of the affected areas. Plain radiographs and MRI scans may also be deemed necessary based on the initial diagnosis. Recurrent sprains and injuries will likely need further work-up in the form of MRI scans. Surgical and Non-Surgical Treatments for Ankle Pain Ankle pain can be attributed to a wide range of causes. Your orthopaedic surgeon will provide a treatment plan that will be focused and targeted to the cause of pain (Cleveland Clinic, 2020). A sudden injury to the lower leg or ankle joint region may necessitate pain medications such as paracetamol, non-steroidal anti-inflammatory drugs (NSAIDs), and opioid medications to manage joint pain and inflammation. Ankle fractures are typically managed with fracture surgery. If surgery is deemed unnecessary, they will be placed on ankle casts for up to 2 months. Immobilisation of the affected area allows the bones to heal. Ankle sprain treatment will depend on severity and frequency. Up to one-third of patients with ankle sprains for the first time will develop chronic symptoms. Individuals may experience instability such as chronic pain with uneven ground/slopes and the ankle giving way during sports or walking. If there is frequent recurrence or symptoms of instability, surgery may be necessary for ligament repair. Ankle sprains can sometimes also involve the cartilage of the ankle joint. In these cases, cartilage injury to the joint necessitates surgery to potentially reduce the risk of osteoarthritis. High ankle sprains (involving syndesmosis) will almost always need surgery. Tendon injuries can be managed surgically or non-surgically depending on severity. Should the MRI reveal a tear, or if the patient’s symptoms are chronic and intractable, surgery may be necessary. Non-surgical treatments for minor injuries involve rest, physiotherapy, and medications. Orthotics may sometimes be prescribed on a case-by-case basis. These are custom-made medical devices in the form of shoe inserts or braces to improve one’s function and mobility. Injections with autologous solutions or steroid/local anaesthetic mixtures may be helpful for tendon recovery. Tendon and ankle sprains can primarily be treated using physiotherapy to manage ankle pain. Physiotherapy is helpful in restoring mobility and function through a range of exercises, stretching, isometric strengthening, and other methods. Cartilage injury treatment will depend on the severity of the condition. If there is moderate to severe cartilage loss, it may be linked to osteoarthritis of the ankle. Focal areas of cartilage injury can result in loose bodies in the ankle. Loose bodies are characterized as fragments of bone or cartilage. Focal cartilage injuries in adults will usually necessitate surgery. Cartilage injuries can happen through injurious sources (sudden accidents) or non-injurious sources (sports and normal wear and tear) Loose bodies and focal cartilage damage can predispose to osteoarthritis of the ankle. For the management of osteoarthritis of the ankle, options include non-surgical options such as weight loss, medications, physiotherapy and injections, and surgical options such as total ankle arthroplasty and ankle fusion procedures. (image source: https://www. footcarespecialists. com/blog/when-your-ankle-injury-may-require-surgery) When Does Ankle Pain Require Surgery? It all depends on the cause of ankle pain as detailed in the previous sections. Your orthopaedic surgeon will diagnose your condition and devise a treatment plan for your unique needs. There are various types of surgery that may be performed such as: Fracture surgery around the ankle is usually conducted in an open fashion with skin incisions and metal implants placed to hold fractures in place until it heals. Tendon surgery is usually conducted in an open fashion, where torn tendons are repaired and debrided. Debridement is the process of removing damaged or affected tissue. Ligament and cartilage surgery is usually conducted in a minimally invasive fashion using ankle arthroscopy. An arthroscope is a device with a camera and light used to provide real-time images. Rehabilitation Techniques and Expectations with Post-Injury Recovery Your recovery and rehabilitation after surgery will depend on the specific procedure and nature of the surgery. In most patients undergoing ankle surgery, the estimated time to return to full activities is 2 to 3 months. Fracture surgery may require a period of partial or non-weightbearing. This means that you will be advised to avoid bearing weight on the affected area. You may be required to use a crutch or wheelchair to move around. Ligament repair surgery will usually require a period of orthotic wear and physiotherapy. Orthotics are custom shoe inserts or ankle braces that encourage joint alignment and support lower extremities. Cartilage surgery will usually require orthotics and a period of protected or limited weightbearing. Orthotics help align the affected body parts, while limited weightbearing eliminates pressure and allows for proper recovery. (image source: https://bmjtherapy. com/do-and-do-not-ankle-sprain/) Lifestyle Changes to Manage Ankle Pain and Prevent Future Injuries After Treatment Adjusting your lifestyle can help you manage ankle pain and discomfort. This would include maintaining a healthy weight and taking precautions during physical activity. While on the mend from an injured joint, it is important to protect the ankle from further injury (Cleveland Clinic, 2020). Depending on the instruction of your orthopaedic surgeon, you can follow these steps: Practice good exercise habits such as exercise warmups and cooldowns. Use supportive footwear and avoid loose shoes or flip-flops. Use braces for injured joints to relieve pressure and allow for proper recovery. Take physiotherapy sessions to promote mobility and pain management. Follow your doctor’s instructions about protected weightbearing and the use of orthotics. Strategies to Avoid Ankle Injuries Catch and hold a 2 kg dumbbell in one hand and stand on one leg. Hold this position with your eyes open for 30 seconds. Repeat on the other side. From here, close your eyes and continue to hold the position for 60 more seconds. Perform a drop jump off a 40 cm box. Focus on landing softly on the ground. Once you have mastered this, try landing on different surfaces and in different directions. Perform the bottom half of a single-leg squat by lowering down to a chair without letting your injured leg touch the floor. From here, stand back up on the injured leg only. Begin your exercise program with a thorough warm-up and finish with a cool-down. Gradually increase the intensity of your exercise. 5. Select the correct footwear. Choose shoes that are appropriate for the activity you have chosen, fit your feet comfortably, have good cushioning, and offer good support for your feet and ankles. Avoid shoes that are worn out or old. 6. Consider environmental conditions. If the ground is too wet, muddy, or filled with debris, avoid the path and seek a safer area to exercise. Adapt your activity program to suit your individual risk factors; for example, no uphill running if you have been identified to be at higher risk of an ankle ligament sprain. If sprained ankles are already a problem for you, or you have never done regular balance and ankle exercises, visit a physiotherapist or podiatrist to provide initial advice on how to ensure you are doing these exercises correctly. Many podiatrists and physiotherapists can also provide sporting advice on specific exercises for an individual’s sport or training requirements. Final Words The ankle joint bears weight, allows movement, and plays a significant role in our daily activities. Sprains, strains, osteoarthritis, and other medical conditions can contribute to ankle pain. There are instances that self-medication can lead to misdiagnosis which can exacerbate your condition. Since there is a multitude of factors to consider, it is best to seek medical advice from your orthopaedic surgeon. In Singapore, there are surgical and non-surgical methods to treat ankle pain. Your treatment plan may include orthotics, over-the-counter medicine, physiotherapy, minimally invasive techniques, or open surgery. Your orthopaedic surgeon will recommend the optimal solution for your unique needs. Frequently Asked Questions What are some common causes of acute or chronic ankle pain? · Acute pain can usually be from injuries to the... --- - Published: 2023-06-08 - Modified: 2025-01-17 - URL: https://www.theorthopaedicandpainpractice.com/effective-treatments-for-ball-of-foot-pain/ - Categories: Articles by Doctor - Tags: Ball of Foot Pain, ball of foot pain treatment, Injections, Metatarsalgia, orthotics, Surgery Our feet play a crucial role in facilitating movement and supporting our entire body. With every step, an intricate system is at work to keep us mobile and balanced. Oftentimes, we don't realise how crucial the foot is to our well-being. From working out, strolling to the supermarket, and preparing meals, our feet enable us to perform daily duties with ease. When your forefoot is subjected to too much stress, the ball of the foot may become inflamed. The ball of the foot is located in the cushioned part of your sole between the toes and the arch. In Singapore, ball of foot pain treatment is accessible for people of all ages. Introduction to Ball of Foot Pain (Image source: https://www. perthfootcentre. com. au/do-you-get-pain-under-the-ball-of-your-foot/) The base of your foot is made up of long bones called metatarsalgia, which connect the toes to the ankles. Each foot contains five metatarsal bones — one for each of the toes, with the exception of the big toe (Dwyer, 2009). Ball of foot pain is commonly felt in the area under the metatarsal heads, which aid in balance and mobility. There are reasons why we should address ball of foot pain: Alleviating pain – The ball of the foot bears most of your body weight while you do tasks, which may result in pain, discomfort, and inflammation. Restoring mobility and function - This condition limits your mobility and quality of life, making it difficult to engage in physical activities. Prevention of future complications – Patients may develop severe complications such as knee & hip issues if they are not treated immediately.   Identifying Causes of Ball of Foot Pain High-impact pressure on the foot is common after a taking part in sports such as football, baseball, and tennis. The main causes are bone related problems of the forefoot, which can be divided into hallux (big toe) and lesser toes. Hallux pain such as hallux valgus or hallux rigidus which refers to big toe and bunion pain. Lesser toe pain such as transfer metatarsalgia or stress fractures. Nerve related conditions such as Morton’s neuroma, which are inflamed nerves between the metatarsal bones. Injurious sources to the ankle or foot and muscle-related issues like tight calf muscles. The cause is almost always linked to imbalances in the foot alignment or muscles of the foot and lower leg. Hallux valgus is one of the most common causes for forefoot pain. It is a forefoot deformity caused by a combination of genetic susceptibility and the use of tight shoe wear and heels. Rarer causes of forefoot pain include problems with nerves and vessels of the foot (Cleveland Clinic, 2021). Symptoms of Ball of Foot Pain The causes include deformities of the foot, injuries to the ankle and foot region and muscle & nerve related ailments. The source of pain in the forefoot includes pain from the bone, pain from ligaments and tendons, and pain from nerve problems. Symptoms can be felt below your toes and it can appear as: Burning and aching pain Shooting, sharp pain Numbness and tingling in the toes Pain that progresses when you walk or perform other activities Inflammation and swelling Bruising on the foot People may develop symptoms quickly or over a long period of time. This condition, if left untreated, can spread to other areas of the body. The hip and lower back will need to compensate for the foot pain and abnormal walking pattern (Gotter, 2023). Exploring the Risk Factors of Ball of Foot Pain Anyone can develop ball of foot pain. There are risk factors that make you susceptible to this condition, including intrinsic and extrinsic sources (Weatherford & Irwin): Ill-fitting footwear that lacks proper support, cushioning, and shock absorption. Genetic factors like inward or outward rolling of the foot that affect the foot shape. Overuse and stress by engaging in intense exercise and repetitive tasks. Injurious sources that may exacerbate by the affected area and alter biomechanics. Natural aging process where the fat pad that cushions your foot gets thinner over time. Certain illnesses such as osteoarthritis and gout which negatively affect mobility. Seeking Medical Help for Ball of Foot Pain (image source: https://www. fairfieldpodiatry. com. au/blog/2021/8/3/ball-of-the-foot-pain-from-running) After a long day on your feet or a particularly strenuous workout, your feet may start to hurt. If your ball of foot pain persists, you should see a doctor (Gotter, 2023). Discomfort after 2 to 3 weeks of the initial injury or start of the pain is a cause for alarm. You should contact an orthopaedic surgeon if you experience: Pain that prevents you from walking or doing daily activities Pain that does not go away even after rest or lifestyle modifications Change in foot shape and appearance of bruising Sharp pain in the ball of your foot and worsening pain over time A sense of tingling or numbness in your foot Nausea or dizziness from the pain Diagnosis and Treatments for Ball of Foot Pain (image source:https://www. drscholls. com/ca/symptoms-and-conditions/foot-pain-and-conditions/ ball-of-foot-pain/#:~:text=Rest%3A%20By%20reducing%20stress%20on,20%20minutes%20at%20a%20time) Your orthopaedic surgeon will first conduct a medical interview and clinical examination (Cleveland Clinic, 2021). You may also have to undergo MRI scans and specialised x-rays of the foot & ankle. Afterward, your doctor will recommend a treatment plan which can comprise of: Non-surgical TreatmentsMinimally invasive treatments such as steroid injections provide relief from symptoms. Over-the-counter drugs like paracetamol and ibuprofen can provide temporary pain relief. Surgical TreatmentsThis method is for patients who have experienced little to no results after trying non-surgical treatments. In severe cases, the patient should undergo orthopaedic surgery. Surgery may involve fixation of broken bones and repair tendons and ligaments. Alternative TherapiesPhysiotherapy is comprised of exercises to alleviate stiffness and strengthen tissues and muscles. Orthotics are custom devices inserted into the shoe that are used to relieve foot pain. Acupuncture and acupressure may also help in temporarily relieving pain. Lifestyle Changes to Manage Ball of Foot Pain (image source: https://www. freepik. com/free-photos-vectors/woman-stretching/3) General foot health can be improved by making lifestyle changes, such as switching to proper footwear, watching one's weight, and engaging in regular stretching and strengthening activities. Athletes should also ensure that they undergo proper training techniques. It is also important to rest, elevate your leg, and use ice packs for acute causes of forefoot pain (Gotter, 2023). Final Words Forefoot pain is usually a complex constellation of problems and imbalances in the foot. Focusing on one region of the foot may not be sufficient, and it is often necessary to correct imbalances elsewhere to achieve lasting relief. Oftentimes, we may forget to take care of our feet. If you experience foot pain, remember to take breaks, and contact your orthopaedic surgeon for ball of foot pain treatments if your symptoms do not subside. Frequently Asked Questions What is ball of foot pain? Ball of foot pain refers to discomfort in the area beneath the metatarsal heads, which can result from overuse, injury, or conditions like metatarsalgia and hallux valgus. This pain can affect mobility and daily activities. When should I seek medical help for ball of foot pain? You should seek medical help if your pain persists for more than two to three weeks, worsens despite home treatments, or is accompanied by severe swelling or difficulty walking. An orthopaedic surgeon can provide a comprehensive evaluation. Are there any over-the-counter drugs that provide temporary relief from this condition? - Paracetamol and ibuprofen are common pain medications which can provide relief, but they are typically not effective for moderate to severe pain. - See “Diagnosis and Treatments for Ball of Foot Pain” for a list of potential treatments. What vitamins and supplements may be beneficial in treating ball of foot pain? - Vitamins and supplements may not be beneficial for this condition. Your orthopaedic surgeon will advise you on the best treatment plan for your unique needs. - See “Diagnosis and Treatments for Ball of Foot Pain” for a list of potential treatments. How can athletes prevent themselves from experiencing this condition through proper training techniques? - Athletes do high-intensity activities during training. They can engage in effective warm-up and cool down exercises and use taping and good shoe wear to prevent traumatic causes of forefoot pain. - See “Lifestyle Changes to Manage Ball of Foot Pain”for more tips. Is acupuncture or acupressure a viable treatment option for those suffering from ball of foot pain? - Depending on the cause of forefoot pain, acupuncture may have a limited role especially if the cause is muscular in nature. Some patients may prefer to utilise this method, but its relief tends to be short-lived. Are there any home remedies that may provide relief without resorting to medical intervention? - Proper rest, elevation, icing can be effective for acute causes of forefoot pain if performed immediately after injury. If symptoms persist or worsen, you should book an appointment with your orthopaedic surgeon. What are the potential side effects associated with taking certain over-the-counter medications to treat this ailment? - Inadvertent overdosage of over-the-counter medications can happen if pain control is sub-optimal and patients overdose to try and control the pain. Some over-the-counter medications also cause abdominal pains, chest pains, nausea, and headaches. Is it dangerous to wear high heels if you suffer from this ailment? - High heels tend to exacerbate forefoot pain and may result in tight calf muscles which can worsen forefoot pain. You can use cushioned footwear to prevent any injury or strain from daily activities. Should I use cushioned foot orthotics as part of my treatment regimen if I have this condition? - Depending on the condition, appropriate shoe modifications can offload areas of the forefoot that experience excessive stress. Your orthopaedic surgeon will recommend a customised treatment plan for you. What recent research has been done on treatments for ball of foot pain, and what do doctors recommend as the best course of action? - Forefoot pain may have different causes. The treatment plan for the most common cause of forefoot pain, hallux valgus (bunion pain), involves minimally invasive techniques for treatment of the condition. Forefoot pain is usually a complex area of problems and imbalances in the foot. Addressing only the region that is painful may not be sufficient, and it is often necessary to correct imbalances elsewhere to achieve lasting relief. Are there any alternative therapies that may help reduce symptoms related to this condition? - Main adjunctive treatment is in the use of physiotherapy to stretch and strengthen tissues and muscles. The use of appropriate foot orthotics such as custom shoe inserts can effectively support the feet and alleviate pain. When should surgery be considered as a treatment option for extreme cases where other treatments have failed or are deemed ineffective? - In general, the type and timing of surgery depends on the severity and clinical presentation of the condition in question. For the most common cause of forefoot pain, which is hallux valgus, surgery can be conducted at an earlier stage to prevent worsening of the condition. As the type of surgery depends on the severity, early intervention typically means that less invasive methods can be recommended for the patient. Dr Yong Ren profile Dr Yong Ren graduated from the National University of Singapore’s Medical faculty and embarked on his orthopaedic career soon after. Upon completion of his training locally, he served briefly as an orthopaedic trauma surgeon in Khoo Teck Puat hospital before embarking on sub-specialty training in Switzerland at the famed Inselspital in Bern. He underwent sub-specialty training in pelvic and spinal surgery, and upon his return to Singapore served as head of the orthopaedic trauma team till 2019. He continues to serve as Visiting Consultant to Khoo Teck Puat Hospital. Well versed in a variety of orthopaedic surgeries, he also served as a member of the country council for the local branch of the Arbeitsgemeinschaft für Osteosynthesefragen (Trauma) in Singapore. He was also involved in the training of many of the young doctors in Singapore and was appointed as an Assistant Professor by the Yong... --- - Published: 2023-05-30 - Modified: 2025-07-25 - URL: https://www.theorthopaedicandpainpractice.com/the-latest-advances-in-elbow-nerve-pain-treatment/ - Categories: Articles by Doctor - Tags: Cubital Tunnel Syndrome, Decompression Surgery, Elbow Nerve Pain, elbow nerve pain treatment, elbow pain causes and treatment, Nerve Gliding Exercises, Radial Tunnel Syndrome Diagnosing this form of bursitis is much like any other diagnosis of bursitis, but should be done with extra caution. If the affected elbow is punctured in order to remove any fluid, it is imperative that the area in which the procedure was done on does not become infected. Infected bursitis is much more serious than clean bursitis and can be very difficult to treat, and much more painful for the patient. Clean olecranon bursitis will yield a yellow-greenish fluid if removed, and tests on this fluid, be it from an x-ray or a lab test, should confirm if the affected elbow has olecranon bursitis or another form of bursitis. This will help ensure that whatever treatment the patient receives, it will have full effect on the bursitis. Olecranon bursitis can occur in anyone across different age groups. For the most part, however, the issue affects grown adults and is most commonly associated with repeated pressure on the back of the elbow. This can lead to some uncomfortable sensations or even pain. Those dealing with the issue may also notice redness or warmth around the affected area, and it is even possible for there to be a fever present. One other sign of olecranon bursitis is the appearance of a lump on the affected elbow. This lump is due to the projection of the swollen bursa sac and can definitely be felt when pressed upon. If you are experiencing any of these symptoms, there is a good chance you may have olecranon bursitis. Understanding Elbow Nerve Pain Nerve pain in the elbow usually hinges on an irritation of the ulnar nerve that rests at the back of the elbow. This is known as Cubital Tunnel Syndrome. It may also be due to irritation of the radial nerve, most commonly at the front of the elbow. Nerves can be irritated by external pressure or some internal problem. External pressure is usually from prolonged leaning on the elbows, or repetitive bending of the elbow. An internal problem could be anything that takes up space in and around the elbow, e. g. swelling of the elbow joint following injury, or arthritis of the elbow. Frequently, patients are unable to recall a specific incident that may have caused the problem. Symptoms of nerve pain around the elbow will depend on which nerve is affected. If the radial nerve is affected, there may be pain at the front of the elbow, with some radiation down the forearm. The patient may experience numbness or tingling that affects the back of the hand or possibly the thumb and index finger. Ulnar nerve irritation typically causes pain at the back of the elbow, which may be quite acute. This may be associated with some numbness or pins and needles in the little and ring fingers. (image source: anatomytool. org) Causes and Symptoms The ulnar nerve is the most frequent site of compression in the arm. Different sites of nerve compression will cause different signs and symptoms. When the nerve is pinched in the cubital tunnel, it produces pins and needles in the little and ring fingers. This is often worse at night and may wake the patient from sleep. Severe compression can cause wasting of the small muscles of the hand, resulting in clawing of the ring and little fingers. If the compression is prolonged, a fixed claw deformity may develop and the strength in the grip may be lost. Compression higher up in the arm can cause symptoms in the upper arm and weakness of some of the muscles in the forearm. Common peroneal nerve compression typically occurs at the fibular head. The patient may be quite unaware of the cause of the foot drop. The cause can again be due to prolonged pressure. Individuals who are intoxicated or have insensibility are at increased risk of nerve palsies due to the fact they may remain in one position for a prolonged period and be unaware of discomfort due to pressure on a nerve. Nerve palsies can also occur as a complication of other diseases or illnesses. For example, a patient with an unconscious fit may sustain a brachial plexus injury. Individuals who present with what appear to be multiple nerve entrapments may need investigation for causes related to systemic illnesses. For example, diabetes and vasculitis are more known to cause multiple nerve entrapments. (image source: commons. wikimedia. org) Diagnosis and Treatment Options to Elbow Nerve Pain If a patient elects to proceed with surgical therapy, then the decision-making process for type of surgical procedure and the location of surgical treatment can be complex. The surgeon needs to determine if the lesions at the elbow are truly the primary source of symptoms and only then can it justify surgical release. Patients with primarily axonal lesions often have less predictable post-operative recovery and this needs to be communicated to them before getting consent for surgical therapy. More controversial treatments are use of a formal elbow flexion pad and avoidance of prolonged or frequent elbow flexion. Recent advances include use of low-level laser therapy and therapeutic ultrasound. Corticosteroid injection is widely used and may be effective in some patients with mild symptoms. If the nerve conduction study shows worsening lesions, then such treatment should be discontinued and surgery discussed. There are a variety of non-operative and operative methods to treat cubital tunnel syndrome. The primary goal of treatment in each case is to reduce the pressure on the ulnar nerve. Non-operative options include activity modification, use of a padded foam elbow splint, and a corticosteroid injection. If the lesion is mild or intermittent, then simply avoiding exacerbating factors or activities may suffice. A nightly elbow splint is done get to by some patients may help keep the elbow in. The diagnosis of cubital tunnel syndrome involves taking a careful history and through clinical examination. An electrodiagnostic study is a very important adjunct to the clinical examination. It is common for patients to have ulnar neuropathy at the elbow as well as in different locations such as the wrist. The clinical examination may be suggestive of ulnar nerve symptoms at the wrist. An electrodiagnostic study should demonstrate that there is no ulnar neuropathy at the wrist. The study will also give information as to whether the neuropathy is primarily axonal. This is important because patients with predominantly demyelinating neuropathies respond better to surgical therapy than do those with primarily axonal neuropathies. Non-Invasive Treatment Methods Rest and Ice Therapy Pain relief and a decrease in muscle spasm can be achieved in 10-30 minutes, longer than this is unnecessary and could ultimately be damaging to the tissues, especially if the ice/compression is too tight. Too much ice application can reduce tissue extensibility to a point that could be counterproductive to the stretching techniques in the rehabilitation phases. 3-4 times a day for 15-20 minutes every time is a good guideline to follow for the first 48 hours. This should be continued until the pain alleviates and there is no morning stiffness. A crushed polystyrene foam cup of water that has been frozen then peel back the top of the cup to expose the ice can make an easy-to-hold handle and mess-free ice massage. Later in the rehabilitation, cold sprays and patches make an easy-to-use method of pain relief before and after exercise. Application of ice or cold therapy to the elbow is a very old and still effective method of treatment for elbow pain, especially the type of pain that comes on suddenly (acute). Most people understand that ice is the best immediate treatment for a new injury, although many have been advised to use heat. There is rarely an occasion to use heat on elbow injuries. Ice decreases inflammation, muscle spasm, and pain. It does this by causing the blood vessels to constrict (frostbite is extreme vasoconstriction), reducing blood flow to the tissue. This limits the amount of inflammation that can occur. When the ice is subsequently removed, the blood vessels dilate (reactive vasodilation) bringing with it a clean sweep of the chemicals and debris produced by these inflammatory processes. Ice should be applied to the painful area in the form of crushed ice in a plastic bag or frozen peas, and will be more effective if combined with a compression bandage. Elbow Pad for Protection An elbow pad can work as an excellent protectant for the ulnar nerve. It can serve to cushion the nerve from outside pressure. Pressure on the ulnar nerve can cause symptoms in the ulnar aspect of the forearm, hand, and fingers. Ulnar nerve symptoms include pain, numbness, tingling, and weakness. Pressure on the ulnar nerve can also cause symptoms in the elbow itself, because the ulnar nerve provides sensation to the skin over the medial olecranon. This can cause symptoms when leaning on the elbows. Symptoms occurring when leaning on the elbows are often from the nerve becoming trapped between the skin and the bone, and can eventually be a cause of ulnar nerve compression. An elbow pad can also serve to keep the elbow warm, which can be beneficial to promoting blood flow and healing in an area of nerve compression. Warmth can also help to decrease nerve sensitivity. Nerve Gliding Exercises Each of these exercises attempts to move the specific nerve through a full range of motion with the least possible irritation. High levels of pain during or after these exercises may not be well tolerated by the nerve. In such cases, it is best to see which motion caused the pain and try a different exercise that moves the same part of the nerve with less tension. There are 7 basic nerve gliding exercises. These are: 1) Neck Extension - Nerve Glide. 2) Shoulder Depression - Nerve Glide. 3) Shoulder Abduction - Nerve Glide. 4) Shoulder Horizontal Abduction - Nerve Glide. 5) Elbow Extension - Nerve Glide. 6) Wrist and Finger Extension - Nerve Glide. 7) Resisted Forearm Supination - Nerve Glide. A nerve easily becomes adhered and bound down along its path, restricting movement and causing local pain in the region of the body where the nerve is impinged. Such is the case with radial tunnel syndrome and posterior interosseous syndrome. Nerve gliding exercises are thought to help restore the nerve's ability to glide smoothly through the surrounding tissue. This, in turn, should help the nerve move in and around the area of pain without becoming irritated. Before starting these exercises, it is a good idea to first identify which specific nerve is causing the symptoms. This may require assistance from a physical or occupational therapist. It is also a good idea to first attain pain relief, increase the range of motion of the elbow, and strengthen the muscles around the elbow before nerve gliding is started. This may ensure that the exercises are well tolerated and increase the likelihood that the nerve will glide without becoming irritated. Invasive Treatment Methods 10% of people with tennis elbow are resistant to non-surgical treatments, and for severe chronic sufferers, surgery may become a consideration. With the vast majority of tennis elbow patients, a period of waiting to see if the condition subsides is recommended. This is a good approach, as half of all patients will improve within a year, and only 5% of patients who have waited will require surgery. Injection Techniques Steroid injections should be considered in patients who have pain or stiffness that is irritating and affecting sleep or daily activities. They can be given or guided by the doctor through a variety of different ways, including the veins near the elbow joints, injecting straight into the upper forearm, or the most common method of injecting into the common extensor origin. This method involves treating the point where the extensor muscles originate from the lateral epicondyle and is voice of the elbow through the holes in the radial head. Steroid injections for tennis elbow treatment are another, more invasive form of treatment. Basically, the injection is a higher dose of anti-inflammatory... --- - Published: 2023-05-17 - Modified: 2025-07-25 - URL: https://www.theorthopaedicandpainpractice.com/pain-management-and-orthopaedic-care-what-you-need-to-know/ - Categories: Articles by Doctor - Tags: bone doctor orthopaedic near me, bone specialist, Chronic Pain, Musculoskeletal Conditions, Orthopaedic Care, orthopaedic surgery, pain management, pain management in orthopaedics Is there an orthopaedic surgeon, bone specialist, or bone doctor orthopaedic near me? The Orthopaedic & Pain Practice is here to address your musculoskeletal needs through personalised treatment plans and a multi-faceted approach to pain management. Reach out to us by contacting +65 9898 3595 for a consultation with an orthopaedic surgeon. From head to toe, our body is capable of impressive processes and complex actions. The body is a structure of parts operating as a unit, serving a common purpose of growth and survival. It is a well-oiled machine that continues to function even as we sleep. Thanks to our bodies, we can move, walk, dance, play, and experience what life has to offer. As time passes, we become more vulnerable to the hardships of life. As we face challenges and overcome struggles, our body grows and ages with us. In Singapore, it is forecasted that 25% of the population will be aged 65 and older by the year 2023 (Asian Development Bank, 2020). This demographic shift will affect the country’s current health and social infrastructure. When we feel pain, it’s our body’s way of telling us that something is not right. The root cause of the pain may be obvious, such as a foot fracture. Other times, the root cause may be something that is indiscernible, such as h as nerve problems. Pain may be a sign of an underlying condition that necessitates medical treatment. As this ageing trend continues, Singaporeans will need advice from trained doctors to make informed decisions about their health and wellbeing. The Basics of Pain Management and Orthopaedic Care (image source: https://www. amicarehospital. in/blog/some-important-details-of-orthopaedic-treatment-and-orthopedist/) The treatment of the musculoskeletal system is the focus of orthopaedic care. This system is made up of your tendons, ligaments, joints, bones, and joints. People of all ages can experience pain resulting from orthopaedic conditions. It can range from muscular pain from strains, joint pain from deterioration or injury to joints, bone pain from fractures or breaks, tissue pain from inflammation, and nerve pain. Acute pain is typically characterised by a sudden and sharp pain that lasts shorter than 6 months. Acute pain can come from a specific cause, such as papercuts or childbirth. Chronic pain is a long-lasting pain typically caused by an underlying issue. It lasts longer than 6 months and it can come from headaches or nerve pain. No matter what kind of pain you are experiencing—from mild to severe—it can prevent you from experiencing the best things in life. While some people refer to them as “bone specialists”, the correct term would be orthopaedists or orthopaedic surgeons. Orthopaedists treat musculoskeletal conditions like sports injuries, joint discomfort, and back disorders using surgical and nonsurgical methods. There are several subspecialties for orthopaedic care, such as hand & upper extremity, foot & ankle, orthopaedic oncology (includes tumour and cancer treatments), paediatric orthopaedics, sports medicine, spinal surgery, trauma surgery, and joint replacement surgery (Davis, 2020). Common Causes of Chronic Pain and Its Impact on Your Quality of Life (image source: https://www. centracare. com/blog/2018/march/what-is-pain-/) Chronic pain can have a variety of causes. It can come from injuries, falls, or accidents. It may have persisted even after recovering from a previous disease or injury. It can also be rooted in a persistent source of pain, like cancer or arthritis. Many people experience pain without any prior injuries or signs of sickness. Typically, chronic pain manifests itself through symptoms such as stiffness, inflammation, soreness, and frequent pain. Since chronic pain can be misdiagnosed, it makes it difficult to determine a single course of treatment, which is why medical providers often resort to a variety of tests and treatments. Chronic pain diminishes a person’s capacity to maintain a normal lifestyle. Living with chronic pain causes irritability, poor sleep patterns, mental health issues, exhaustion, and a predisposition to other ailments (Christiano, 2018). It is crucial for Singaporeans to be knowledgeable about the treatment options available to them. It may lead to other conditions such as anxiety, depression, fatigue, and mood swings, which raise your risk for other conditions. We must remember that chronic pain manifests differently for each person. There is no general solution for every type of chronic pain. Risk Factors for Orthopaedic Conditions (image source: https://www. caryortho. com/10-commonly-asked-orthopaedic-questions/) People of all ages, lifestyles, and backgrounds can be diagnosed with orthopaedic conditions. Even so, there are several risk factors that are associated with a higher likelihood of developing specific diseases (Mishra, 2022). Age - Older individuals are more at risk for orthopaedic ailments due to the normal wear and tear of joints. Nevertheless, younger individuals may also develop these ailments due to injuries and excessive strain. Heredity – The likelihood of developing arthritis may increase if there is a family history of this ailment. The same can happen to descendants of people afflicted by osteoporosis. Pre-existing ailments – People who have diabetes are prone to muscle weakness. Some conditions cause joint instability, which can weaken the musculoskeletal system. Weight – Being overweight places additional strain on joints and bones. Even so, underweight individuals, who have less muscle mass, are also likely to develop osteoporosis. Lifestyle – People who perform repetitive tasks at work may develop carpal tunnel syndrome. One can develop bursitis through exercise by overusing or putting excessive pressure on a joint. The Importance of a Symptom-Based Approach to Patient Diagnosis It can be challenging for medical professionals to pinpoint the origin of pain, especially if it comes from multiple sources. It may be a difficult task to tackle chronic pain, but medical providers are well-equipped to choose the appropriate tests and procedures. The patient’s history, current symptoms, and diagnostic imaging exams can help in the decision-making process. Advanced imaging techniques can help medical professionals investigate your condition. These techniques include ultrasounds, MRIs, and CT scans. Your doctor may also ask you to undergo other tests, such as blood tests and reflex & balance tests (Davis, 2020). Team-based approach to treatment – Along with an orthopaedic surgeon, the team of healthcare providers may consist of other non-doctor specialists such as physical therapists and psychologists. A team-based approach to healthcare aims to address patients' needs and preferences by involving professionals with different specialisations. Personalised treatment plans – In orthopaedic care and pain management, treatments are tailor-made for the specific needs of the patient. It considers individual factors such as patient preferences, lifestyle, and pre-existing conditions. Multi-faceted pain treatments – Pain treatments are designed to treat multiple sources of pain. This can be in the form of medicine (pills, injections, IV medication), therapy (exercises for strength and mobility), or medical procedures (minimally invasive methods and open surgery) Good functional outcomes – The goal is for the patient to continue doing everyday chores, family errands, and social activities with ease. The ability to cope with everyday stressors and disease complications may enhance functional results. Exploring and Understanding Various Orthopaedic Conditions (image source: https://thomsonhospitals. com/orthopaedic-surgery/) Numerous musculoskeletal conditions are treated by orthopaedic surgeons. These diseases might be inherited, the result of an injury, or the natural ageing process (Mishra, 2022). Pain in the lower back, buttocks, foot, ankle, elbow, shoulder, neck, knee, hand, or wrist can be caused by injurious sources (such as sprains, fractures, or dislocations from accidents) or non-injurious sources (such as overworked muscles, tendon overuse, worn-out joints, blood supply problems, and more). Upon examination performed by your orthopaedic specialist, you may be diagnosed with the following conditions: Low bone density – This condition is caused by changes in hormones, age, and correlated medical conditions. People who have low bone density experience a higher risk of fractures. Fractures – This is caused by high energy injuries such as a vehicular accident or low energy injuries such as a fall from a significant height. Fractures are commonly treated using splints, casts, or slings. Arthritis – There are different types of arthritis, but all of them are characterised by joint inflammation, which results in damage and loss of function. Common types are osteoarthritis, lupus, and rheumatoid arthritis. Muscle atrophy – This causes difficulties in mobility because of muscle tissue loss. It may result from inactivity, such as being confined to a bed, or from harm to the nerves that control muscle movement. Pinched nerve – This occurs when a spinal nerve root is irritated, which results in spinal disc ailments. This can happen in many areas throughout the body. Bursitis – Bursae are protective sacs inside joints in the shoulder, elbow, and hip. When these are inflamed, it can cause severe pain and discomfort. Musculoskeletal cancer – Bone cancer and cartilage cancer are examples of this ailment. It is developed through mutations that destroy tissues. Orthopaedic autoimmune diseases – This happens when the immune system attacks healthy cells and tissues. Autoimmune diseases like lupus can negatively affect the musculoskeletal system and result in more complications. Osteoporosis – This happens when bone mass, bone mineral density, or the composition and strength of bones change. People with osteoporosis are more likely to experience fractures and bone problems. Tendonitis - A tendon is a connective tissue that connects muscles to bones. When the tendon is inflamed, it can cause swelling and discomfort. Aside from this list, there are many other orthopaedic conditions that you may experience. Common symptoms of an orthopaedic condition are joint deformities, fatigue, joint swelling, limited range of motion, muscle spasms, numbness, pain, and inflammation in the affected area (Lewis, 2020). It is important to seek advice from a medical provider to assess your symptoms so you can get the care you deserve. Management and Treatment of Orthopaedic Ailments Generally, orthopaedic care focuses on the restoration of function and movement pertaining to the joints or muscles. Majority of orthopaedic surgery is focused on the management of pain and relief of related symptoms. There various methods for treating orthopaedic conditions: Interventional methodsSurgical treatments of the limb, spine, neck, and joints are targeted at relieving a patient’s symptoms and restoring function to the affected area. Patients can undergo pain treatments targeted at pain relief for functional improvement. Surgical procedures can include joint fusion, ligament reconstruction, spine surgery, bone grafting surgery, and more. There are also newer orthopaedic services, such as minimally invasive procedures that is characterised by using smaller incisions to improve recovery time and minimise tissue damage. Non-interventional methodsThese methods include rest, medications, lifestyle modification advice, physiotherapy, orthotics, hormone replacement therapy, and other methods to manage pain and improve function. This can include orthotics, which can be in the form of shoe inserts and leg braces. These can provide cushion, support, and comfort. Physiotherapy is the use of massages and exercises to improve posture, prevent injury, and reduce swelling. Physiotherapists use a range of techniques, such as customised exercises, joint manipulation, muscle stretching, and more. Alternative forms of treatment include chiropractic care, yoga, exercise, and nutritional counselling. Orthopaedic surgeons create customised treatment plans for their patients. There are numerous therapy methods available for managing pain, and these are determined by the patient's symptoms (Dwyer, 2009). These treatment plans are often a combination of pain management techniques and orthopaedic surgery methods (Davis, 2020). Orthopaedic Surgery: Expectations from Consultation to Aftercare In many degenerative conditions, such as osteoarthritis, it may not be possible to completely heal from the ailment. It is only possible to relieve symptoms and manage sources of pain. The overall goal is for the patient to feel normal enough to be able to perform daily activities with ease. Additionally, the focus is on restoration of the joint’s range of motion and improvement of joint stability with muscle strengthening and therapeutic exercises (Davis, 2020). Consultation and diagnosis– During this stage, the orthopaedist will attempt to diagnose the patient's ailment during the initial visit. This may entail performing a physical exam and taking X-rays. To confirm the diagnosis, the doctor may occasionally do in-office diagnostics or request additional tests. In-office procedures – Depending on the complexity of the condition and the patient’s needs, the orthopaedist may perform ultrasound scans and administer injections, such as corticosteroid injections,... --- - Published: 2022-12-16 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-does-it-mean-if-i-have-low-bone-density/ - Categories: Articles by Doctor - Tags: Bone Health, Calcium and Vitamin D, Fracture Risk, Low Bone Density, osteoporosis Very low bone density is known as osteoporosis. It can predispose you to fractures and impact many areas of your life. Let us help you. Introduction Our bones are made up of a hard-living material that builds up strength during our youth, reaching its peak in our 4th decade of life (the 30s). One of the important components of bone is calcium, and this balance of storing calcium and removing calcium in bones is tightly regulated in the human body. As we grow older, our bones progressively start to get weaker, losing strength. This is due to both a loss in the amount and quality of bone. Bone has a very intricate structure, with a solid outer layer known as the cortex, and a net-like inner portion known as trabeculae. The loss in bone is most apparent in the trabeculae. As bone density decreases, the ‘holes’ in the net-like trabeculae get larger. This loss is permanent, and there is currently no way to replace lost trabeculae. In general, ladies lose bone at a greater rate than men. This difference is more apparent after menopause. This loss of bone density can be measured, and once it reaches a critical stage, it is known as osteoporosis. What does it mean if I have low bone density What are the problems with low bone density? Low bone density predisposes a person to fractures. The lower the bone density the higher this risk is. Depending on the affected body part, this can have further repercussions on a patient’s life and livelihood. Commonly affected areas are the wrists, the hips and the spine. In the wrists, low bone density can predispose to distal radius fractures, which are fractures affecting the wrist bones. These commonly occur due to falls in the elderly. Once broken, the wrists are usually deformed, and wrist and hand function is usually affected adversely. This may make it hard for the patient to feed and clothe themselves. The hips are another commonly affected area, with hip fractures in the elderly seen as an epidemic across the world. Hip fractures usually render a patient immobile and bedbound. This immobility can lead to pressure sores, infections of the urinary tract and lungs, and blood clot formation in the legs and lungs. In un-operated hip fracture patients, the 1-year mortality has been reported to be as high as 25%. In the spine, low bone density often results in compression fractures, where the spinal bones get compressed and flattened. Not only does this cause severe pain, but over time, patients find themselves hunching more. In severe cases, the patient can no longer stand upright. While these areas are commonly affected, every bone in the body is weakened by osteoporosis, fractures can therefore affect many other areas in the body. It is therefore crucial that patients with low bone density be assessed and treated before a fracture happens. Why Do I Have Low Bone Density? In most patients, the reason for low bone density is not known. That is not to say that it happens without any reason. Rather, there are many possible risk factors, with no factor thought to be more important than others. Possible risk factors include: Female gender Cigarette smoking and alcohol consumption Poor nutrition Low vitamin D levels Hormonal problems including menopause Age above 55 Immobility Vitamin D deficiency is being recognized as one of the more important factors in low bone density. Vitamin D is a naturally occurring substance that is formed in our bodies on exposure to sunlight. It is important in the absorption of calcium from food, and its retention in our bodies as bones. How Can We Diagnose Low Bone Density? Usually, patients with low bone density present after a fracture. This is usually a low energy fracture, in which the injury seems like it would not cause a severe injury. This can range from breaking a toe while accidentally kicking an object, to any of the previously mentioned fractures. Once your doctor suspects that you have low bone density, he/she will refer you for a special scan known as a dual energy x-ray absorptiometry or DEXA scan, which will allow the assessment of bone density in the body. This is usually performed on the spine and the hip, two commonly affected areas. He/she may also order some blood tests to check the calcium and vitamin D levels in the body. Based on this information, the doctor will be able to diagnose low bone density and offer you treatment for your problem. What are the Available Treatments for Osteoporosis? Currently, there is no way to completely reverse osteoporosis. We can slow down the rate of bone loss, and even reverse the loss in bone density, but medical science is currently unable to recreate the net-like trabeculae, which is important for the strength of bones. Despite these challenges, there are some good options available: Surgery for treatment of osteoporotic fractures Medications to treat low vitamin D and calcium levels Medications to slow down the rate of bone loss ● Hormone replacement therapies for menopausal women In addition to these methods, patients currently being treated for osteoporosis are recommended to undergo yearly or twice-yearly screening of their bone density, in order to monitor progress of the disease and correct any nutritional imbalances that exist. 9898 3595 (Call & WhatsApp) enquiry@orthopainpractice. com (Email) Related Articles A Singaporean’s Guide to Low Bone Density TreatmentWhat It Means to Have Low Bone DensityTreatments for Joint Pain: Causes and SolutionsOvercoming Joint Pain: Treatment Options from SpecialistsOsteoarthritis 101: Causes, Symptoms, Diagnosis, and Treatment Options --- - Published: 2022-12-15 - Modified: 2025-07-26 - URL: https://www.theorthopaedicandpainpractice.com/what-are-some-shoulder-pain-treatments/ - Categories: Articles by Doctor - Tags: frozen shoulder, Impingement Syndrome, Orthopaedic Treatment, Rotator Cuff Injury, shoulder internal rotation pain treatment, shoulder pain, Shoulder pain specialist Singapore, Shoulder pain treatment in Singapore If you have been suffering from shoulder pain, fret not! Here are some treatment options you should consider to aid your shoulder pain, before you visit a shoulder pain specialist Singapore. Traditionally, shoulder pain treatment in Singapore consists of physiotherapy, medication, joint injections and lastly, surgery. Home Remedies: Consider these home remedies before seeking a shoulder pain specialist Singapore: Ice Wrap ice or an ice pack in a cloth and place it on the shoulder for about 15 minutes. Repeat this action 3 to 4 times a day, ensuring at least 15 minutes of rest between each time you ice your shoulder. After 2 to 3 days, allow your shoulder to rest for the next few days, and monitor the pain on your shoulder. If the pain persists, you should seek a medical professional. Medication When experiencing shoulder pain, medication you should consider taking would be Ibuprofen or paracetamol, all the while taking note of the rightful dosage of each type of medication. If, after medication, the pain persists, you should seek a medical professional. Minimally Invasive Treatment Options: In the case where the above home remedies did not work, you should consider heading down to a shoulder pain specialist. The Orthopaedic & Pain Practice clinic offers shoulder pain treatment in Singapore. Below is a list of some minimally invasive treatment options that are done at The Orthopaedic & Pain Practice clinic. Shoulder Artery Embolisation This is a minimally invasive procedure in which spherical particles are injected into the artery in the shoulder to create a blockage, through the use of a catheter. The particles are injected at the site in the shoulder where pain is brought about. Through this process, pain in the shoulder experienced by patients is greatly reduced. This type of treatment is typically used to treat patients with shoulder pain due to frozen shoulders. Shoulder Joint Injection of steroids/Autologous Protein Solution (APS)APS is a protein injection that involves the harvesting of proteins in the patient’s blood which is later injected into the joints. APS is designed to treat pain, slow the progression of cartilage degradation and the destruction of the joint, thus treating the pain caused by osteoarthritis. This is a non-surgical option that patients with shoulder osteoarthritis can consider. Alternatively, injection of steroids (cortisone) into the shoulder joint helps to reduce the pain felt in the shoulder by reducing inflammation. The injection can be administered either at the bursa, the fluid filled sac inside your shoulder, or at the joint. Bursa injections are typically used to treat pain from rotator cuff tendinitis, bursitis and other inflammatory diseases, while joint injections are used to target pain caused by frozen shoulders or joint arthritis. Suprascapular Nerve Ablation Through ultrasound and fluoroscopic guidance, radiofrequency waves are applied to the nerves in the shoulder to reduce the pain felt in the shoulder for a longer period. This procedure is relatively short. This form of treatment is mainly used if you are experiencing shoulder pain, a rotator cuff injury or scapular (shoulder blade) pain. Prevention Techniques After recovering from treatment for shoulder pain, it is very important to understand and know how to prevent shoulder pain from recurring. Below are some steps you should take in order to prevent experiencing shoulder pain again: Know when to stop When exercising and if you begin to start feeling sharp, unusual pain, do not ignore it and consult a doctor if it does not go away. Exercising the right way Be sure to warm up sufficiently before exercise. This is extremely crucial as warming up helps to prepare the body for exercise, which is very important as it reduces the risk of serious injuries and muscle soreness. Regular Exercise Through regular exercise, the strength and flexibility of the shoulder can increase, which also reduces the risk of injuries. If you are looking for shoulder pain treatment in Singapore, you should seek a shoulder pain specialist. Singapore such as our specialists at the Orthopaedic and Pain Practice. Contact us with the details below: +65 98983595 (WhatsApp) enquiry@orthopainpractice. com (Email) Related Articles Strategies for Chronic Neck and Shoulder Pain Relief: Transforming Discomfort into VitalityConquer Shoulder Pain: Solutions from Orthopedic and Pain Management DoctorConquer Chronic Neck and Shoulder Pain: Strategies for Long-Lasting ReliefShoulder Pain Relief: Treatment Options for Long-Term RecoveryDon't Delay: Advice on Managing Pain Shoulder Internal Rotation Pain Treatment Shoulder Internal Rotation Pain Treatment Shoulder internal rotation pain can stem from rotator cuff issues, tendonitis, bursitis, or joint instability. Effective treatments range from rest, physical therapy, and anti-inflammatory medications to more advanced options like injections and minimally invasive procedures. Early diagnosis and personalised care are key to long-term relief. https://www. theorthopaedicandpainpractice. com/what-are-some-shoulder-pain-treatments/ --- - Published: 2022-12-14 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-are-some-conditions-associated-with-back-pain/ - Categories: Articles by Doctor - Tags: back pain, bone, Degenerative Disc Disease, Herniated Disc, lower back, Lower Back & Buttock Pain, Spinal Stenosis, spine, Spondylolisthesis What Causes Lower Back Pain? A. TraumaticDuring trauma, fractures or dislocations in the spine may occur, leading to lower back pain. B. Non-traumatic Bad postureBad posture can cause excessive pressure to be exerted on your spine, leading to changes in your spine, pressure on your muscles, disks and joints, and nerve damage. Common forms of bad posture include:■ Sitting slumped on your chair■ Putting pressure on your stomach as you lie in bed■ Sitting/ walking in a huddled manner – your shoulders/ arms are curved in Correcting your posture when sitting/ standing/ walking can help to lessen the pressure on your spine, preventing lower back pain● Lifting heavy objects, or not lifting safely What are some conditions associated with back pain What are some Medical Conditions that may lead to Back Pain? Back conditions are unique as they occur sequentially. The degree of pain is a continuous spectrum that ranges from a healthy back to spinal stenosis. Your condition may fall between the problems listed, so do refer to the diagram below to match the symptoms you have to the symptoms listed, to accurately estimate the condition of your back. For more information on the conditions listed in the diagram, read on. ConditionDescriptionSlipped disc Your spinal column consists of bones stacked together, and each bone is cushioned by a disc. Discs help to absorb shock from your daily activities (e. g. , walking, moving your limbs), thus protecting your bones. It also ensures that you maintain the stability of your back while still being able to move about with agility. Each disc has a gelatinous inner portion and a tougher outer portion. A slipped disc occurs when the inner portion pushes out through a tear in the outer portion of your disc. If the condition is severe, surgery may be required to remove the slipped disc. SpondylosisSpondylosis describes the general spinal degeneration, which may occur in the joints, discs, and/ or bones of the spine. This, therefore, encompasses degenerative disc disease, facet joint arthritis, and osteophytes. Degenerative disc disease Degenerative disc disease occurs when one or more of your discs gets worn out. Although this condition is closely related to age (as your disc may gradually wear out as you age), age is not directly the cause of this condition. Injuries sustained during sports, for example, may also lead to a degenerated disc. The discs in our spine normally allow us to move and bend our back without any issue. However, they wear out over time, and cannot protect our back well. When the discs deteriorate, it can lead to lower back pain. Osteophytes (bone spurs)Osteophytes (bone spurs) are small bone growths that often form in the joints (where bones meet each other) or on the bones of the spine. A bone spur becomes problematic when it starts to cramp up the space around a spinal nerve or the spinal cord, and/ or compress it. Facet joint arthritis Facet joint arthritis is a type of osteoarthritis that occurs between the facet joints, which are located in the back portion of your spine. The facet joint is almost always in motion, and it bears your weight, and it will be worn out over time, leading to facet joint arthritis. The cartilage breaks down, and moving your joints becomes harder with increased friction. Spinal stenosisSpinal stenosis is a condition in which the spaces within your spine (spinal canal) narrow, putting pressure on the nerves that travel through the spine and causing pain. This can occur throughout the entire spine. At the lumbar or lower back portion of the spine, this manifests as back pain, numbness, and cramps in the legsSpondylolisthesis and spondylolysisSpondylolisthesis occurs when a segment of bone falls out of alignment with the bones above and below it in the spinal column. This can result in pain and nerve symptoms. Spondylolysis is a form of spondylolisthesis when there is a fracture or crack in the bone(s) of your spine. It is common in young athletes who do sports such as gymnastics, which involves excessive or repetitive bending backward. Spondylolysis may not cause any symptoms but may result in back pain and nerve symptoms such as numbness and weakness. Spinal infectionSpinal infections are rare but serious diseases that happen when the spinal tissue gets infected. Bacteria, fungi or viruses enter the bloodstream and affect the spinal discs, bones, and spinal cord. When your spine gets infected, your risk of spinal fractures/ cracks are much higher. In serious cases, you may even develop a spinal deformity. Symptoms include: Lower back painMay worsen at nightDoes not get better with restLoss of mobility/ range of moment (neck may be stiff)Fever/ sweating at nightLoss of appetiteSurgical wounds that do not heal/ have pusSpinal tumoursThe spine is a common site for tumors, especially in patients who have cancer affecting other organs. This can manifest as chronic lower back pain, that is unremitting and worsens at night. In severe cases, spinal deformities and nerve symptoms such as numbness, weakness can occur. If you want to book an appointment with Dr Yong Ren, please contact us at +65 98983595. We will be happy to help you with any medical consultation you may need. Related Articles Understanding Knee Pain Singapore: Causes, Symptoms, Management Strategies, and Knee Pain in Elderly TreatmentTop Sleeping Positions for Neck Pain ReliefTreatment Options for Lower Back and Knee Pain: Exploring Conservative and Surgical ApproachesTreatments for Neck Pain: Understanding the Causes and Management OptionsNeck Pain Solutions: Your Complete Guide --- - Published: 2022-11-19 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/joint-pain-what-causes-it-and-what-are-some-treatments-offered/ - Categories: Articles by Doctor - Tags: Gout, Joint Pain, Joint pain specialist Singapore, Joint Replacement Surgery, Low Bone Density, Osteoarthritis, Rheumatoid Arthritis Looking for a joint pain specialist Singapore? Joint pain is a very common medical condition that can have a range of causes. Did you know that in Singapore, joint pain is one of the most common medical conditions? In the year 2007, it was reported that about 23. 7% of Singaporeans aged between 18 and 50 suffered from chronic joint pain. As such, it is important that you also seek treatment for your condition if you are also experiencing joint pain. If you are experiencing joint pain, approach a joint pain specialist Singapore to understand more about your condition! It is always better to seek treatment while your condition is in the early stages. Learn more about the types of treatment a pain management doctor will offer in this article, If you have joint pain in only one joint, possible condition include: Knee/shoulder osteoarthritis. Osteoarthritis is one of the most common types of arthritis and is caused by the wear and tear of the articular cartilage at the joint. This condition becomes increasingly common with age. Symptoms of osteoarthritis include pain at the joint, swelling, pains at other joints in the body, and/or a grinding sensation in the joint when moving. Find out more about shoulder pain in this article, . Learn more about knee pain in this article, . Gout Gout is a type of arthritis caused due to hyperuricemia, a condition where there is too much uric acid in the body. As a result, excess uric acid builds up in the body and in the joints, causing inflammation. Gout usually affects the joint at the big toe first, and gradually, other joints in the body. Symptoms include pain in the joint, swelling of the joint, as well as redness and warmth at the joint. Injury Injuries such as fractures can also result in sudden pain in the joint. In addition, injuries such as a torn ligament or muscle can also cause bleeding into the joint space, which would eventually cause pain in the joint. Hence, it is important that you treat your injury if u ever sustain one Septic arthritis Septic arthritis is a serious condition caused by an infection in the joint fluid and joint tissues. Septic arthritis most commonly affects the knee and symptoms of this condition include pain, hotness and swelling at the joint. If you suspect you have this condition, do seek medical attention immediately. Other less common causes include: CancerEarly stages of rheumatoid arthritisAvascular necrosis, a disease caused by a lack of blood supply to the bone. This condition can thus cause bone tissue to die and collapse. If this occurs near one of your joints, it can result in the collapsing of the joint surface. Repeated dislocations of the joint  If you are experiencing pain in more than one joint in the body: Rheumatoid arthritis Rheumatoid arthritis is an autoimmune disease that results in inflammation of joints around the body. Symptoms of rheumatoid arthritis include pain, stiffness, swelling and/or redness at the joints. Gout If you already had gout and if your condition has progressed to the later stages, you may have inflammation at the other joints of your body. As a result, you may experience joint pains. Psoriatic arthritis Psoriatic arthritis is a condition that affects patients with a chronic skin disease known as psoriasis. This condition results in inflammation of joints, and symptoms of this condition include pain, swelling, stiffness and the difficulty to move the joint. Diseases and other illnessesJoint pain experienced at multiple joints could be an indication of a disease that could be affecting the joints in your body. Some diseases that can result in joint pain include lupus and scleroderma Other infections that can also result in joint pain include rubella and hepatitis Other less common causes also include CancerRare types of arthritis such as ankylosing spondylitis and/or reactive arthritisRare conditions such as Henoch-Schönlein purpura and/or Behçet's syndrome Some treatments such as steroid therapy and/or hydralazine If you have been experiencing joint pain for a while now, do not be afraid to seek treatment from a medical professional such as a joint pain specialist Singapore. It is important that you seek prompt treatment before your condition worsens. At The Orthopaedic & Pain Practice, we treat a range of conditions that may have been giving you joint pain. Visit this article, to learn more about the treatments provided at our clinic by our joint pain specialist, Singapore. If you are looking for a joint pain specialist Singapore, feel free to drop by our clinic for an appointment today! You may also contact us to book an appointment by calling us at +65 9898 3595 or email us at enquiry@orthopainpractice. com References https://www. nhs. uk/conditions/joint-pain/ Related Articles A Singaporean’s Guide to Low Bone Density TreatmentWhat It Means to Have Low Bone DensityTreatments for Joint Pain: Causes and SolutionsOvercoming Joint Pain: Treatment Options from SpecialistsOsteoarthritis 101: Causes, Symptoms, Diagnosis, and Treatment Options --- - Published: 2022-11-18 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/i-have-a-broken-bone-what-should-i-do/ - Categories: Articles by Doctor - Tags: Bone Fracture, First Aid, Fractures, How are Fractures Diagnosed?, Immobilization, Orthopaedic Surgeon, Surgical Fixation, What are the Symptoms of a Fracture? Broken bones are known as fractures, which are serious injuries that can have wide ranging effects. Let us help you recover. Broken bones are common injuries. A broken bone is known as a fracture. Fractures usually occur as a result of injury. Commonly, injuries can be considered either high energy, such as in the case of a motor vehicular accident, or low energy, as in the case of a fall onto the ground from a standing position at ground level. The energy level of the injury often determines the severity of the injury. Fractures are not only broken bones, but are also injuries to the muscle, nerves, blood vessels and skin around the broken bone. A higher energy injury would mean a higher risk of damage to these soft tissues. Because of this, it is important that any person who suspects that they might have a broken bone, should seek help from a doctor as soon as possible. This minimizes the risk of damage to the soft tissues surrounding the bone, and can prevent complications. What are the Symptoms of a Fracture? A patient who has a fracture usually has severe pain at the site of the injury. There is usually also a lot of swelling and bruising seen, and you are usually not able to move that part of the body due to pain. The affected body part may also be floppy, with the injured portion appearing out of shape as compared to the other uninjured side. Occasionally, as in the case of high energy injuries, fractures can have broken skin overlying the fracture site, a condition known as an open fracture. In this scenario, there is direct access of the broken bone with the external environment, this places the patient at a very high risk of infection. Patients with broken skin and features suggestive of a fracture should therefore seek medical attention immediately. High energy fractures may also cause damage to the nerves and blood vessels of the affected area. If there is any numbness in the area, or if the area appears very pale and cold, medical attention should similarly be sought immediately. How are Fractures Diagnosed? When you first see a doctor, a medical interview will be conducted. Based on the information gained during this interview, the doctor will perform a focused examination on the injured broken part and its associated areas. This will include feeling the bone for breaks, checking the skin, blood vessels and nerves, and looking for other injured areas in the body. Usually, X-rays of the affected area will then be taken, which will confirm the diagnosis of a fracture. Occasionally, X-rays do not provide sufficient information about a fracture, and the doctor may ask that you undergo a computerized tomography (CT) scan. This will allow visualization of the fracture in 3 dimensions, which is especially important in joint fractures. What can be done to treat a Fracture? In the early phase of fracture treatment, your doctor will usually recommend that you immobilize the fracture. This is conducted by application of a temporary half-cast known as a backslab. This cast supports the broken bone and prevents injury to the surrounding soft tissues. As it is a half cast, it allows for further swelling to occur. Occasionally, the fracture may have to be reduced (put back together) before the temporary cast is applied. Depending on the area of fracture, the type of fracture and the severity of the fracture as well as the severity of the damage to the surrounding soft tissues, the fracture may either be treated with operative or non-operative methods. For patients who are suitable for non-operative management, the cast is changed to a full cast about a week after the injury. The fracture is then monitored for healing, with most upper limb fractures requiring 4-6 weeks in a cast, and lower-limb fractures requiring 6-8 weeks in a cast. Should operative treatment be recommended, surgery will then be undertaken. Broken bones are usually put in place surgically (open reduction) and fixed with metal implants (internal fixation). These implants are usually left in place until the fracture heals. There is usually no need to remove the implants unless they irritate surrounding tissues. The implants are biologically inert and do not pose any health risks. In some cases, rather than fixing the broken bone, the broken bone will sometimes be removed and replaced with a metal replacement (prosthesis). This is more common in hip bone fractures and related to the lower rates of healing in these types of fractures. References: Patient, R. (n. d. ). Ankle fracture: Rehab my patient. Retrieved January 27, 2022, from https://www. rehabmypatient. com/ankle/ankle-fracture Related Articles Ankle Pain Relief: Guide to Diagnosis and Treatment in SingaporeEssential Steps for Treating a Broken BoneDon't Delay: Advice on Managing PainWhat are Patella Fractures? Understanding the Different Bones in Your Hand --- - Published: 2022-11-17 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/how-can-a-joint-pain-specialist-treat-your-pain/ - Categories: Articles by Doctor - Tags: Injections, Joint Pain, Joint pain specialist Singapore, Joint Replacement, Low Bone Density, Osteoarthritis, Rheumatoid Arthritis Joint pain affects many people, and its causes can vary greatly. Depending on your age group and demographic, the type of joint pain you may experience is different. Osteoarthritis, gout, injury, septic arthritis, and repeated dislocation are just some of the reasons why you may be experiencing joint pain. If you have been having joint pain for a while and it is affecting your daily activities, do consider seeing a joint pain specialist Singapore to receive treatment. Check out this article as well to find out more about the types of joint pain. TREATMENT These are some of the procedures that a joint pain specialist Singapore can perform for you. Radiofrequency nerve ablation: During radiofrequency nerve ablation, a needle is inserted to the targeted joint where you are experiencing pain, and radiofrequency waves are administered to the nerves of the joint, preventing them from sending out pain signals. As a result, your brain will no longer register any pain from the joint, and you will have pain relief for the next 6 to 12 months. The whole procedure will also only take between half an hour to an hour and a half. Because this is a minimally invasive treatment method, you can undergo radiofrequency ablation as a day procedure and return home after the procedure without an overnight stay. Physical and Occupational therapy: These two kinds of therapy aim to help restore as well as maintain your mobility, range of motion and motor-skills. Occupational therapy specifically focuses on ensuring you have the skills needed to live and work independently. Overall, physical and occupational therapy should help to improve your flexibility and slowly provide pain relief by reducing both swelling and inflammation in your joint. Arthroscopy: During this procedure, the doctor will insert a narrow tube with a camera at the end of it into the joint where you are experiencing pain. While often used as a method to diagnose the kind of joint pain you have, arthroscopy can also be a surgical method to treat the joint pain. With the guidance of the images captured by the camera, the surgeon can repair the cartilage and remove any small pieces of bone that have chipped off due to wear and tear as your bones rub against each other at the joint. You should feel less pain after the surgery. Artery embolisation: This is a minimally invasive procedure where a catheter is inserted into the painful joint. Spherical particles are then injected into certain arteries, obstructing the blood flow to the parts of the joint that are causing you pain, reducing inflammation and therefore providing you with relief from your joint pain. Joint injection of Autologous Protein Solution (APS): Blood is extracted from your own body, and this contains the proteins responsible for healing and for anti-inflammation. Your blood is processed and concentrated to form the autologous protein solution. Since inflammatory proteins are a common cause of joint pain, the high concentration of anti-inflammatory cytokines and anabolic proteins in the APS helps to prevent further degeneration of the cartilage at the joint, and may reduce inflammation, giving you pain relief. Joint replacement surgery: In this surgery, parts of your bone near the joint is removed and replaced with a plastic or metal bone. This is necessary when all the cartilage between your bones has been worn away, and your joint is no longer lubricated or cushioned. Without joint replacement surgery in this case, the pain will only get worse over time. Joint replacement surgery has been proven very successful and most patients have much less joint pain after it. HOME REMEDIES In addition to receiving professional medical treatment and undergoing procedures for your joint pain, there are ways for you to alleviate the pain at home. These methods are often not permanent cures to the causes of the pain; however they can give you some comfort and mobility. When the cause of your joint pain is osteoarthritis and rheumatoid arthritis, you may have no other option but home remedies to treat your condition. Take nonsteroidal anti-inflammatory drugs (NSAIDs) or pain relievers Exercise regularly (moderate exercise): This enables you to strengthen the joints and the ligaments supporting the joint without damaging them too much. Maintain a healthy weight: Weight is an additional stress that your joints have to bear, so maintaining a healthy weight helps to avoid the degeneration of your joints. Take a warm bath: The heat from the warm bath can help to loosen up stiffened joints and encourage circulation that reduces inflammation. Place heat packs on your joint: In the same way as a warm bath, heat packs help to relieve joint pain. If you are looking for a joint pain specialist, Singapore The Orthopaedic & Pain Practice is here for you! Our doctors specialise in interventional, minimally invasive techniques and will be able to offer you treatment for your joint pain. Do feel free to book an appointment with us today! Contact details have been included below: 9898 3595 (WhatsApp) enquiry@orthopainpractice. com (Email) REFERENCES https://my. clevelandclinic. org/health/symptoms/17752-joint-pain#care-and-treatment https://creakyjoints. org/living-with-arthritis/showering-with-arthritis/ Related Articles A Singaporean’s Guide to Low Bone Density TreatmentWhat It Means to Have Low Bone DensityTreatments for Joint Pain: Causes and SolutionsOvercoming Joint Pain: Treatment Options from SpecialistsOsteoarthritis 101: Causes, Symptoms, Diagnosis, and Treatment Options --- - Published: 2022-11-16 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/chondromalacia/ - Categories: Articles by Doctor - Tags: Cartilage Damage, Chondromalacia Patellae, Knee Pain, Overuse Injury, physical therapy It occurs when the cartilage – which cushions the moving parts of the knee and prevents them from being damaged by friction – under the kneecap (patella) softens and wears away, causing the knee to lose this protective cushion. Chondromalacia may lead to dull pain when the knee is bent, or when the knee straightens right after being bent, such as when you: Walk down hills or stairs Climb stairs Straighten the knee while it is bearing weight This is because such movement means that the kneecap has to slide up and down the thigh bone more frequently, rubbing against the cartilage that is being worn out and causing knee pain. Some may also notice a cracking/ grinding sensation after heavy use of legs and knees. Plica Syndrome This is a condition when your medial plica, one of the four folds that line your knee joint, gets irritated. This can happen due to an injury, or overuse of the knee. If you have plica syndrome, you may experience: Knee painHurts to walk up and down the stairs, squat down, bend, or stand up after sitting for awhilePain may worsen at night/when active Knee does not feel stable (may give way) Swelling (of the knee) Locked knees Clicking sound when bending knee Inflammatory arthritis (rheumatoid arthritis, gout) Gout of the knee is a type of inflammatory arthritis that occurs when your knee joint is inflamed. The fluid-filled sacs (bursae), which surrounds and protects the soft tissues and bones of the knee, get infected, causing: Swelling of the knee and surrounding parts PainOften sudden and severe To the extent where the joint cannot be touched Skin discolouration/ shiny skin around the knee Itchy, peeling skin Rheumatoid arthritis (RA) is an autoimmune disease that occurs when the body’s immune system mistakes healthy tissue to be foreign bodies. The immune system attacks the healthy body tissue, causing inflammation. While RA occurs in the hands or feet first, it may also occur in any other joint, resulting in pain and difficulty in moving. What other symptoms are associated with knee pain? Loss of function Some symptoms that are associated with knee pain include the inability to squat, climb stairs/ slopes and walk for prolonged periods of time. These symptoms could be due to physical conditions that cause knee pain, such as: Chondromalacia It occurs when the cartilage – which cushions the moving parts of the knee and prevents them from being damaged by friction – under the kneecap (patella) softens and wears away, causing the knee to lose this protective cushion. Chondromalacia may lead to dull pain when the knee is bent, or when the knee straightens right after being bent, such as when you: Walk down hills or stairs Cimb stairs Straighten the knee while it is bearing weight This is because such movement means that the kneecap has to slide up and down the thigh bone more frequently, rubbing against the cartilage that is being worn out and causing knee pain. Some may also notice a cracking/ grinding sensation after heavy use of legs and knees. Patellofemoral Pain Syndrome This refers to dull, aching pain at the front of your knee, around your kneecap (patella). It is a condition that is sometimes referred to as “runner’s knee”, and although it has no known cause, has been associated with overuse of/ injuries to the kneecap and muscle imbalances. People with this condition feel pain around the kneecap when doing activities such as squatting, running, jumping or kneeling. Patella Tendonitis It is an overuse injury to the patellar tendon, which connects your kneecap to shinbone (tibia). Repeated stress on the patellar tendon results in tiny tears in the tendon, and multiple tears can cause inflammation and weakening of the tendon. Also known as “jumper’s knee”, patella tendonitis is common in those who do sports that involve frequent jumping (e. g. basketball, volleyball). Initially, knee pain is only felt before or after an intense workout; as the pain worsens over time, you may also experience pain when: Climbing stairs Walking up an incline Rising from a chair Sensation of the Knee giving out Weak knees or knee instability, which are commonly described as the knee “giving out” or “buckling”, can be the only symptom of a knee condition, or can be accompanied by other symptoms such as popping, locking, pain, bruising or swelling of the knee. Common knee conditions that lead to the knee giving out include: Ligament Tears Partial or complete tears to one or more of the four ligaments of the knee can cause knee instability: ACL tearOccurs with sudden movements, such as a change in direction during sports or a motor vehicle accident Complete ACL tears occur with the sensation of the knee giving out completely, often followed by pain and swelling PCL tearOccurs during a fall, when the person lands directly on the front of the knee, or when the front of the shin is forcefully hit (e. g. during a motor vehicle accident) For PCL tears, the knee does not actually give out, but feels like it could MCL tearOccurs when the outer side of the knee is hit If a sensation of the knee giving out is present, it could imply that a significant MCL tear is present LCL tear Occurs when there is excess pressure on the inside of the knee, or when the knee bends inwards excessively due to quick stops or collisions Similar to MCL tears, if there is a sensation of the knee giving out, it could imply that there is a significant LCL tear Meniscal Tears A tear in the meniscus – a cartilage that absorbs shock – is one of the main causes of a locked knee. The torn portion of the cartilage can be stuck in the joint, causing the knee to swell. Your knee may also make a popping sound, stiffen, and/ or be painful when moving. A torn cartilage may occur due to an injury or wear and tear. Plica Syndrome This is a condition when your medial plica, one of the four folds that line your knee joint, gets irritated. This can happen due to an injury, or overuse of the knee. If you have plica syndrome, you may experience: Knee painHurts to walk up and down the stairs, squat down, bend, or stand up after sitting for awhilePain may worsen at night/when active Knee does not feel stable (may give way) Swelling (of the knee) Locked knees Clicking sound when bending knee Patella dislocation Some injuries may cause your kneecap (patella) to move into an abnormal position. As such, your knees may lock when you extend your knees. A variety of reasons may cause a pseudo locked knees: Knee injury (fracture, dislocation) The pain from a knee injury may activate your body’s automatic defence mechanism. As your body recognises that your knee has been injured and is weak, your knee muscles spasm and contract, restricting your movement. This helps to protect your knee as it prevents any further damage. Inflammatory arthritis (rheumatoid arthritis, gout) Gout of the knee is a type of inflammatory arthritis that occurs when your knee joint is inflamed. The fluid-filled sacs (bursae), which surrounds and protects the soft tissues and bones of the knee, get infected, causing: Swelling of the knee and surrounding parts PainOften sudden and severe To the extent where the joint cannot be touched Skin discolouration/ shiny skin around the knee Itchy, peeling skin Rheumatoid arthritis (RA) is an autoimmune disease that occurs when the body’s immune system mistakes healthy tissue to be foreign bodies. The immune system attacks the healthy body tissue, causing inflammation. While RA occurs in the hands or feet first, it may also occur in any other joint, resulting in pain and difficulty in moving. Sensation of Locking A locked knee occurs when the knee cannot be bent or straightened. A complete loss of mobility of your knee joint (true locked knee) and extreme difficulty in moving the knee joint (pseudo locked knee) are considered to be locked knees. There are a few causes of a true locked knee: Meniscal tear (see above) Plica syndrome (see above) Patella dislocation (see above) “Loose body”A “loose body” in the joint may cause true locked knees When the “loose body”, which may be a fragment of bone or foreign bodies left in the body after surgery, gets stuck in the knee joint, the knee may be “locked” Painful Clicking You may hear a clicking sound when you bend/ straighten your knees, or when you climb up the stairs. This clicking sound is referred to as crepitus. Sometimes, crepitus may occur even if you do not feel any pain. Do not worry as this is entirely normal and it occurs to everyone every now and then. However, for the clicking sounds that occur along with pain, these are the following causes: Patellofemoral pain syndrome (PFS) PFS causes a clicking sound along with pain behind your kneecap, especially when there is a sudden increase in activity level. In severe cases, it could cause painful grating when you move your knee. Osteoarthritis This is a condition when the cartilage degenerates, leaving the bones unprotected and potentially resulting in inflammation. When the bones rub against one another, the lack of lubrication causes pain and stiffness, and occasionally crepitus. Cartilage Tear Meniscal tear Chondromalacia patella For more information or if you require a medical consultation, please contact The Orthopaedic & Pain Practice at +65 9898 3595, or visit us at Novena Specialist Center, #06-08, 16, 17, 18, 19, Novena, Singapore, Singapore, 307470.   Related Articles Understanding Knee Pain Singapore: Causes, Symptoms, Management Strategies, and Knee Pain in Elderly TreatmentTreatment Options for Lower Back and Knee Pain: Exploring Conservative and Surgical ApproachesExploring New Therapies for Nerve Pain and Knee DiscomfortNon-Surgical Solutions for Knee Pain: Enhancing Mobility and ComfortComprehensive Guide to Knee Cap Replacement: Understanding Orthopaedic Surgery Essentials --- - Published: 2022-11-15 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/all-you-need-to-know-about-osteoarthritis/ - Categories: Articles by Doctor - Tags: Joint Degeneration, Low Bone Density, Osteoarthritis, Osteoarthritis treatment Singapore, Risk Factors, Symptoms, Treatment Options Causes, Symptoms, Diagnosis, and Osteoarthritis treatment, Singapore WHAT IS OSTEOARTHRITIS? Osteoarthritis is the most common form of arthritis, with around 20% of people above the age of 60 suffering from it. It is a long term condition where inflammation causes the cartilage in the joints gradually degenerate and become destroyed. Essentially, it is a condition of “wear and tear”, and can cause stiffness as well as pain in various joints, mainly in the shoulders, knees, hands, hip and spine. Unfortunately, the damage to the joints cannot be cured or reversed, however you can receive treatment to alleviate the pain and prevent the worsening of your condition. Old age, obesity, injury to joints are all common causes of osteoarthritis. There may also be a genetic basis for osteoarthritis. Those who participate in high impact sports are also at high risk for having osteoarthritis. Symptoms of osteoarthritis include pain, stiffness/loss of flexibility, tenderness, popping or cracking of joints, swelling and bone spurs (hard lumps around the joint) DIAGNOSIS There are a few ways for your healthcare provider to decide whether you have osteoarthritis and to determine whether you need osteoarthritis treatment, Singapore. Physical Examination: during the physical examination, your doctor will check for swelling, tenderness, and range of motion of your joints, weakness of the muscles around the joint as well as for the other symptoms mentioned earlier. Joint instability and joint deformity are also things your doctor will look out for, especially since these indicate advanced osteoarthritis. Imaging: this is used to obtain visual pictures of your joints, so that your doctor can understand the extent of the cartilage degeneration. MRI: magnetic resonance imaging technology enables you to have a radiation-free scan that provides a detailed picture of your joint, the soft tissue surrounding it and the cartilage. Although you do not need to have an MRI scan to diagnose osteoarthritis, the images obtained help your doctor to have a better understanding of your condition, especially in more complex cases. X rays: X-ray scans provide clear images of your bones, however the cartilage will not show up on the image. Instead your doctor will deduce the situation based on the space between the 2 bones at the joint. Joint space narrowing is an indication of osteoarthritis. Lab tests: These are simply to confirm your diagnosis, and are not standalone diagnostic techniques. Blood tests: This allows doctors to rule out other causes of similar symptoms, like rheumatoid arthritis Joint/Synovial fluid analysis: fluid from the affected joint will be drawn, and tests will be conducted on it based on its appearance, chemical properties and microscopic composition. This helps doctors to check whether your pain is caused by gout or infection TYPES OF OSTEOARTHRITIS TREATMENT Singapore orthopaedic clinics will be able to provide you with treatment for osteoarthritis treatment. Listed below are some of the established ways to treat early osteoarthritis. Artery embolisation: Genicular and shoulder artery embolisation are conducted for knee and shoulder joint osteoarthritis respectively. This is a minimally-invasive procedure where a catheter is used to inject spherical particles into certain arteries, blocking the blood flow to the parts of the joint that are causing you pain. Nerve ablation: Similarly to artery embolisation, there is genicular and scapular (shoulder blade) nerve ablation. During this procedure, radiofrequency waves are applied to specific affected nerves in the joint, to heat up the nerve and inhibit them from sending out pain signals. As a result, your brain no longer registers the pain and you should experience significant relief from the discomfort after the procedure. Joint injection of Autologous Protein Solution (APS): An N-Stride injection consists of APS, where blood is extracted from your own body, containing proteins responsible for healing and for anti-inflammation. Inflammatory proteins are the cause of the pain in osteoarthritis, so the high concentration of anti-inflammatory cytokines and anabolic proteins in N-Stride helps to prevent further degeneration of the cartilage at the joint. Blood is first drawn from your arm and processed, then it is separated to remove red blood cells and white blood cells so that concentrated plasma (part of blood containing proteins) is obtained. This is then reinjected into the joint. The whole process should take around 20 to 30 minutes to be completed. This treatment method can relieve symptoms of osteoarthritis, reducing the pain by 70%, for up to 3 years. Always remember to consult a medical professional about your condition, and avoid self-diagnosis based on what you have read. Especially when the symptoms of osteoarthritis begin affecting your quality of life, you should consider receiving treatment for it. If you are looking for a clinic that offers osteoarthritis treatment, Singapore The Orthopaedic & Pain Practice is here for you! Book an appointment today, with any of the details below: 6694 6270 (Call) 98983595 (WhatsApp) enquiry@orthopainpractice. com (Email) REFERENCES https://www. sbfsportshand. com. sg/osteoarthritis-arthritis-of-hand https://www. mayoclinic. org/diseases-conditions/osteoarthritis/symptoms-causes/syc-20351925 https://www. verywellhealth. com/diagnosis-of-osteoarthritis-2552128 https://www. onehealthcare. co. uk/gp-blog/what-is-nstride-injection/ https://www. testing. com/tests/synovial-fluid-analysis/ Related Articles A Singaporean’s Guide to Low Bone Density TreatmentWhat It Means to Have Low Bone DensityTreatments for Joint Pain: Causes and SolutionsOvercoming Joint Pain: Treatment Options from SpecialistsOsteoarthritis 101: Causes, Symptoms, Diagnosis, and Treatment Options Below is the code for more than 1 tag --- - Published: 2022-10-31 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/heres-why-you-shouldnt-wait-to-see-a-doctor-for-your-pain/ - Categories: Articles by Doctor - Tags: Bursitis, elbow pain, Foot & Ankle Pain, Fractures, Hip & Groin Pain, Knee Pain, Low Bone Density, Lower Back & Buttock Pain, Meniscus Tear, neck pain, Pain management doctor in Singapore, shoulder pain, Tendinitis Are you experiencing any pain or any other related symptoms? In this article, here’s why you should not wait to seek treatment for your pain, and head down to a pain management doctor in Singapore, Dr. Yong Ren, to get your pain treated! Very often, when you are in pain, do you ever tell yourself, “It’s not that bad” or “It’ll go away after a while”? Commonly, people refuse to seek treatment due to their preconception of treatment options being highly costly and unaffordable, they deem it unnecessary or are just unaware that there are many treatment options out there that may not require surgery. However, there are many reasons why we need to seek immediate treatment for unusual pain, for example, it could be due to an underlying health problem, or simply because you could have torn a tendon in your shoulder. It is very important to seek treatment to ensure a successful recovery, so head down to a pain management doctor in Singapore today! Below is a list of reasons why we should seek medical attention when we experience pain: Waiting before seeking professional medical attention can worsen your condition. For example, if you are experiencing joint pain, it could be a case of arthritis. Leaving arthritis untreated can result in joint deformity and can cause permanent damage to the knee. In addition, if you are suffering from rheumatoid arthritis that you are unaware of, leaving it untreated can lead to multiple cardiovascular and/or lung diseases. In addition, seeking treatment for your condition at an early stage can also increase the chances of a successful recovery. Seeking early medical intervention for your condition increases the chances of a successful recovery. This is because consulting your doctor while your condition is in an early stage may reduce the chances of your condition worsening, and as such, the treatment offered to you would be much simpler. Not only will treatment be less invasive, but the recovery would also be faster. For example, if you had the choice between receiving an autologous protein solution (APS) injection as compared to receiving a knee or shoulder replacement surgery, the APS injection would have much faster and easier after effects, and it also conserves your original knee. As compared to replacement surgery, receiving an artificial knee very often does not allow for the same functionality as a healthy, natural knee. In addition, the earlier you seek treatment for your pain, the more treatment options are available to you. While your condition is in the early stage, there will be a wide range of treatment options for you. For example, if you have been diagnosed with early knee osteoarthritis, you may not immediately require knee replacement surgery, and your condition may improve with just a simple APS injection. However, if you choose to continue your daily activities without seeking treatment for your knee, it might reach the stage where the only treatment option for you would be knee replacement surgery. Hence, it is very important to seek treatment early. As you wait, your quality of life is heavily impacted. This is because when you are experiencing pain, you tend to refrain from activities that require you to utilise that part of your body. For example, if you are experiencing back pain, it makes it difficult for you to stand for long hours. As such, this hinders you from your daily activities, and you may find yourself leaving events early, or being unable to participate in activities. In addition, when you compensate for the pain area by using an alternative muscle or body part, you are also running the risk of having strains or overuse injuries. Your ability to heal decreases with age. The older you are when you seek treatment, the greater the difficulty for you to recover. As one age, their body changes. Bones get more fragile, muscles are weakened, and cells that are in charge of repairing structures in the body gradually slow down. As such, it is always better to seek treatment while you are young and still have the energy and ability to recover. Seeking treatment at a later age for the same problem can result in you not being able to achieve the same level of recovery as compared to if you have sought treatment at an earlier age. Do seek a medical professional immediately if you have been experiencing pain that will not go away or pain that is unusual to you, as this could be a sign of an underlying health issue. You can visit one of our pain management doctors at The Orthopaedic and Pain Practice Singapore. Contact us with the details below: 9898 3595 (Call & WhatsApp) enquiry@orthopainpractice. com (Email) Related Articles Understanding Knee Pain Singapore: Causes, Symptoms, Management Strategies, and Knee Pain in Elderly TreatmentTop Sleeping Positions for Neck Pain ReliefTreatment Options for Lower Back and Knee Pain: Exploring Conservative and Surgical ApproachesTreatments for Neck Pain: Understanding the Causes and Management OptionsNeck Pain Solutions: Your Complete Guide --- - Published: 2022-10-31 - Modified: 2024-07-10 - URL: https://www.theorthopaedicandpainpractice.com/how-can-a-knee-pain-treatment-specialist-help-me/ - Categories: Articles by Doctor - Tags: acl injury, Disability Prevention, Knee Pain, knee pain singapore, knee pain specialist in singapore, knee pain treatment specialist, knee replacement surgery, Meniscus Tear, Osteoarthritis, singapore knee pain specialist If you are currently experiencing knee pain Singapore, the best course of action would be to see a specialist. As stated here, there are several causes and types of knee pain which are difficult to determine on our own - and if we choose to leave knee pain untreated, it can get progressively worse very quickly even if we do not take part in extreme physical activity. A Singapore knee pain specialist will be able to provide suitable treatment for you to recover to full health, and give you personalised instructions according to your current lifestyle; you might not be able to obtain credible advice on knee pain Singapore from other sources like the Internet alone. Treatments Offered By a Knee Pain Specialist in Singapore: For ACL Injuries Injuries (usually tears) to the ACL - anterior cruciate ligament – an important ligament in your knee, usually occur upon a sudden twisting of the joint in another direction. If your ACL is torn, your knee will start to swell and you will find it difficult to stand up straight without support. Often, other ligaments and muscles in your knee may be injured as well when the ACL tears. You should see a Singapore knee pain specialist as soon as possible before the ACL and other muscles are damaged further. Treatment for the ACL may or may not involve surgery. For non-surgical treatment, your knee pain treatment specialist may advise you to wear a brace to support your knee, and/or refer you to a therapist who will lead you through physical therapy exercises (which must be done regularly) to regain your knee’s previous range of motion. It should be noted that non-surgical treatment allows lesser freedom of movement of the knee as it is difficult for the ACL to heal completely on its own. Non-surgical treatment is suited for those who only wish to exercise lightly, such as walking. On the other hand, surgical treatment is more likely to reduce the risk of re-injuring the ACL and ensures greater stability of the knee. Hence those looking to resume taking part in vigorous sports on a regular basis will usually opt for surgery, which involves reconstruction: replacement of the torn or damaged ACL with a tendon called a graft. The tendon could be taken from your own knee (autograft) or from a donor (allograft). The ACL surgery would be done by making incisions in the injured knee, then inserting the necessary instruments and a small camera inside to perform the surgery. After the ACL reconstruction surgery, you would still have to undergo physical rehabilitation and therapy, but you should be able to go back to playing sports within 6 to 12 months. Please discuss with your knee pain specialist in Singapore which option is best for you. For Patellar Tendonitis Patellar tendonitis occurs most often in athletes who play jumping sports like basketball. The patellar tendon becomes overstressed as it is not given a chance to heal, and the affected individual not resting and continuing to participate in vigorous physical activity. Advised treatment for patellar tendonitis is non-surgical, such as wearing a brace for additional support while the patellar tendon heals, and regularly doing stretching and strengthening exercises to prevent the tendon from wearing away due to inactivity. If needed, pain relievers like ibuprofen are able to provide temporary pain relief. However, if you wish to opt for surgery for patellar tendonitis, you may try corticosteroid injections, where a pain reliever is injected into your knee near the patellar tendon. This procedure may be riskier as it has shown more occurrences of weakening tendons. Oscillating needle procedure is also relatively new, where a small needle is guided to only cut away damaged tissue and leave healthy tendons uncut via ultrasound imaging, but results have been promising. Do contact your knee pain specialist in Singapore to check if they offer surgery for patellar tendonitis, and which types. For Knee Osteoarthritis Knee osteoarthritis is a condition where the cartilage and fluid between the two bones in your leg (femur, thigh bone and tibia, shin bone) have worn away over time. This causes increased friction between the two bones and they rub against each other, eventually leading bone spurs (extra bits of bone) and severe knee pain. Treatments for knee osteoarthritis include genicular nerve ablation, where a pain-relieving and anti-inflammatory agent will be injected around the genicular nerve branches in the knee, then the nerves responsible for the pain will be burnt off by using radiofrequency energy. Viscosupplementation is also an option, where hyaluronic acid is injected into the knee to boost its concentration level in the knee joint, as a lower level of hyaluronic acid speeds up the onset and progression of knee osteoarthritis as well. Both procedures are relatively pain-free and non-invasive, meaning a shorter recovery time (under observation) so you can go home a few hours after the surgery, and less chances of surgical scars on your knees. Do note that pain relief treatments for knee osteoarthritis are rarely permanent as its primary cause is wear and tear, which means it worsens with physical activity that stresses your knees. Where I Should Go: Knee pain Singapore should never be ignored, as it may be a sign of serious knee conditions which worsen over time. You can do a quick search for Singapore knee treatment specialists who offer these specific treatments. Our clinic offers non-invasive treatments for knee osteoarthritis (genicular nerve ablation and viscosupplementation) as well as other options, so feel free to book an appointment with our knee pain treatment specialist today! Related Articles Understanding Knee Pain Singapore: Causes, Symptoms, Management Strategies, and Knee Pain in Elderly TreatmentTreatment Options for Lower Back and Knee Pain: Exploring Conservative and Surgical ApproachesExploring New Therapies for Nerve Pain and Knee DiscomfortNon-Surgical Solutions for Knee Pain: Enhancing Mobility and ComfortComprehensive Guide to Knee Cap Replacement: Understanding Orthopaedic Surgery Essentials --- - Published: 2022-10-31 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/living-with-osteoarthritis/ - Categories: Articles by Doctor - Tags: Exercise, Joint Protection, lifestyle modifications, Low Bone Density, Osteoarthritis, Osteoarthritis treatment Singapore, pain management Home remedies as osteoarthritis treatment, Singapore. Osteoarthritis is a condition where the wear and tear of the cartilage in the joints lead to symptoms that are a source of discomfort. In advanced cases of osteoarthritis, you may have trouble picking up things or using the joints normally. Here are some of the common symptoms of osteoarthritis for you to look out for so that you know when you should seek treatment for it. SYMPTOMS Common symptoms Pain in joints: Usually when you move the joints, especially to the end of their range of motion. The pain may even continue after the movement has stopped. Limited range of motion/reduced flexibility: This is due to the stiffness of the joints when the cartilage is worn thin. Without this soft tissue between the bones, movements are a lot less smooth than before. Stiffness is most noticeable after a period of inactivity or in the morning when you wake up. Tenderness around joint: The inflammation of the tissue around the joint presses on nerves that cause it to be a lot more sensitive to touch, and is more likely to cause you pain. Crepitus (grating sensation) on movement: This is because the bones start rubbing each other when the cartilage between them is wearing out. You may feel or hear popping and cracking when you move the affected joint. Swelling: Caused by inflammation around the joint Bone spurs: These are small bits of bone that grow from and deform the joint. They form around the affected joint as your body’s response to the damage of the cushioning cartilage in between the two bones at the joint. Mild inflammation and warmth over the joint : Cartilage fragments that break off due to wear and tear cause irritation to the synovium (smooth lining of the joint), triggering the inflammation. Advanced Osteoarthritis Joint Instability: When your joints feel like they are giving way and buckling. This is a feeling that 75% of individuals with osteoarthritis experience. Joint Deformity: As osteoarthritis progresses, joints can begin to look crooked and misshapen HOME REMEDIES/TREATMENT The goal of home remedies is to prevent further degeneration and worsening of the condition. These treatments are not supposed to completely cure you or replace professional medical treatment. Instead, they should help make your condition more bearable, reducing its impact on your quality of life. Hence, home remedies should be done in conjunction with osteoarthritis treatment Singapore. Hot/Cold compress: You can prepare your own compress by soaking a towel either in hot or cold water. Not only is there no risk of having any side effects when using hot or cold compresses, but they can also prove useful for patients with osteoarthritis. Hot compresses help lessen joint stiffness by stimulating and encouraging better blood flow, and cold compresses help to relieve joint pain and swelling. They may even reduce pain in the muscles surrounding the joint. You may want to try both to see which one works better for you. Epsom salt bath: This is mainly to help relieve overall osteoarthritis pain. Epsom salt contains magnesium which can reduce inflammation. It is recommended that you prepare the bath with 2 cups of Epsom salt in the water of around 38°C, and soak in the bath for 30 minutes. Support devices: Some examples include braces, canes, shoe inserts, kinesiology tape, crutches, walkers, grab bars etc. These should make it easier to continue everyday movement, and allow you to still carry out your day to day activities. Additionally, they could reduce your chance of injury. Diet: Green tea contains polyphenols, which have anti-inflammatory properties. Studies have also shown that green tea can have cartilage-protecting effects, helping to slow down the progression of one’s osteoarthritis condition. Ginger can help to reduce pain from osteoarthritis, however, it should be taken moderately to avoid side effects like stomach upset and heartburn. As with many foods, having too much will harm you, not help you. Generally, avoid foods that cause inflammation, like alcohol, artificial sweetener, salt, saturated and trans fat, sugar, white bread, and rice. Lifestyle changes: Exercising regularly can help to strengthen your muscles around the joints affected by osteoarthritis, which makes them more resistant to further damage. Low-impact exercises such as walking, swimming, and cycling are recommended for patients living with osteoarthritis. High-impact activities that cause more wear and tear would be counterproductive to your goal of preventing deterioration. Maintain a healthy weight. This ensures that you do not make your joints bear too much weight and be strained when doing simple activities. SEEKING MEDICAL HELP/TREATMENT The earlier you seek treatment for your osteoarthritis, the faster doctors can step in to prevent your condition from worsening. To find out more about the medical treatment options for osteoarthritis, take some time to check out this article . Should you like to receive osteoarthritis treatment Singapore The Orthopaedic & Pain Practice is happy to be of service. Feel free to book an appointment with us today! Details have been included below. 9898 3595 (Call & WhatsApp) enquiry@orthopainpractice. com (Email) Related Articles A Singaporean’s Guide to Low Bone Density TreatmentWhat It Means to Have Low Bone DensityTreatments for Joint Pain: Causes and SolutionsOvercoming Joint Pain: Treatment Options from SpecialistsOsteoarthritis 101: Causes, Symptoms, Diagnosis, and Treatment Options --- - Published: 2022-10-28 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/osteoarthritis-treatment-singapore-faqs/ - Categories: Articles by Doctor - Tags: Injections, Joint Replacement, Low Bone Density, Medications, Osteoarthritis, Osteoarthritis treatment Singapore, Treatment Options Considering different treatment options and receiving the treatment is never easy, and you are bound to have questions. This article gives you the answers to the most commonly asked questions, and hopefully you can receive the treatment you need with peace of mind. Do check out this article to find out more about osteoarthritis treatments available. How can I prepare for nerve ablation? These are some of the main things to take note of before you have a radiofrequency ablation: Remove jewellery and piercings so that they do not interfere with the radio waves during the procedure You may have to stop taking some of your medications a few days prior to having the procedure. Blood-thinning medicine especially may have to be temporarily stopped. Do check with the doctor that prescribed this for you before doing this. Refrain from eating 6 hours before the procedure Refrain from having clear liquids/water 2 hours before the procedure Do check out this FAQ on radiofrequency nerve ablation to find out more. What do I have to do before a joint injection? You may discontinue certain medicines like aspirin and other blood thinning medications. Your doctor will advise on what to do and how long before the procedure you have to do this. Do let the doctor know if you are taking insulin for diabetes. Before the actual joint injection, the doctor will also have to draw your blood to prepare the solution that will be injected later on. This should take about 10-20 minutes. What do I have to do before an artery embolisation? You may discontinue certain medicines like aspirin and other blood thinning medications. Your doctor will advise on what to do and how long before the procedure you have to do this. Additionally, you should arrange for transport so that you do not have to drive home when the anaesthesia still has not fully worn off. Refrain from food or drink for 6 hours before the procedure. Are these treatments safe? Yes, these treatment methods have all been proven to be highly effective with minimum risk posed to your health. For the nerve ablation procedure, the risks of severe side effects occurring are very low, at around 3. 5-5%. Secondly, N-Stride joint injections use your own blood, so your body is unlikely to reject it or have any reaction to it. The risk of side effects after this procedure is therefore very low. Finally, artery embolisation is a minimally-invasive procedure, so any infection is unlikely to happen. Your doctors are skilled and they will keep you safe during the procedures. Who will perform the treatment procedures for me? Anesthesiologists, radiologists, orthopaedic surgeons are all specialists that can perform the nerve ablation procedure for you. Generally, pain management specialists will also perform joint injections. Interventional surgeons will perform the artery embolizations. Is there anaesthesia involved in these treatment procedures? You will not be administered general anaesthesia for any of the osteoarthritis treatment procedures and will remain under conscious sedation. Local anaesthesia will be administered to the specific site of the surgery, so you will not feel anything at all during the procedure. What are the side effects of osteoarthritis treatment? Nerve ablation: There is a risk of nerve damage, excessive bleeding and infection at the site of insertion, however these are very rare. After the procedure, you would usually experience common side effects like temporary numbness, swelling or bruising, and these will go away a few days after the procedure. Joint injection: You may experience bruising and discomfort where the blood was drawn and where the injection was given. Artery embolisation: Common side effects include pain or discomfort in the thigh or knee area where the catheter was placed, as well as some bruising. Having some side effects is normal and they usually do not pose a risk to your health. How much time do I have to spend in treatment? (Duration of the procedure) Nerve ablation: 20 to 45 minutes Joint injection: 20 to 30 minutes Artery embolisation: 1 to 2 hours How long does it take to recover from osteoarthritis treatment, Singapore? Nerve ablation: It may take up to 2 weeks for you to be completely recovered from the nerve ablation. Following this, you should experience much less pain as compared to before you had the radiofrequency ablation. Joint injection: You should experience less swelling and stiffness in the affected joint about 4-5 days after the procedure, and you may even feel less pain than before the procedure just 1-2 weeks after the injection. For most people, pain relief is experienced after 4-8 weeks. Artery embolisation: It should take 2-3 weeks for the inflammation to be reduced, and for you to experience relief from the original pain and discomfort. If you are looking to have osteoarthritis treatment, Singapore The Orthopaedic & Pain Practice is able to provide this for you! Feel free to book an appointment with us today. Details can be found below: 9898 3595 (Call or WhatsApp) enquiry@orthopainpractice. com (Email)   Related Articles Understanding Knee Pain Singapore: Causes, Symptoms, Management Strategies, and Knee Pain in Elderly TreatmentStrategies to Manage Knee Pain in Older AdultsA Singaporean’s Guide to Low Bone Density TreatmentDecoding Knee Replacement Surgery: Your Complete Guide to Pain Relief and MobilityKnee Replacement Surgery: Understanding the Benefits and Risks for Effective Decision-Making --- - Published: 2022-10-20 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/back-pain-should-i-be-concerned-about-back-pain/ - Categories: Articles by Doctor - Tags: back pain, Causes, Diagnostic Evaluation, lower back pain, Red Flags, Treatment Options What is Back Pain? Back pain is one of the most common reasons for seeking medical treatment and is a leading cause of disability worldwide. It may range from muscle aching to a shooting, burning, or stabbing sensation. In addition, the pain may radiate to other parts of the body or worsen with bending, twisting, lifting, standing, or walking. It can affect men and women of all ages and may be a result of injury, activity, or an underlying medical condition. There are two types of back pain:● Acute back pain, which starts and develops suddenly, lasts for up to 6 weeks and does not cause ongoing problems● Chronic or long-term back pain, which develops over a longer period, lasts for over 3 months, and causes ongoing problems How do we assess back pains? A. History and Clinical ExaminationDuring history and clinical examination, a medical professional is likely to examine a person’s back and assess their ability to sit, stand, walk and lift their legs. Additionally, the person may be asked to rate the pain on a scale of 0 to 10 and how well they are functioning with the pain. These assessments help determine the source of the pain, the maximum range of movement or activity a person can do before pain forces them to stop and whether you have muscle spasms. They can also help rule out more serious causes of back pain. B. Physical ExaminationA physical examination assesses a person’s ability to carry out simple tasks with limited or no pain in the back. It may consist of a test on gait and posture, range of motion, palpitation or percussion of the spine, heel-toe walk and squat and rise, palpation of the sciatic notch, and a straight leg raising test to identify possible secondary causes of back pain. C. Radiological Examinations● X-RayA procedure that uses electromagnetic waves to generate black and white images of bones, to identify any alignment issues or broken bones● CT ScanA procedure that uses X-rays to generate three-dimensional images of bones, muscles, tissue, tendons, nerves, ligaments and blood vessels, to show problems in these areas that are linked to back pain● Magnetic Resonance Imaging (MRI)A procedure that uses radiofrequency waves in a strong magnetic field to generate two- and three-dimensional images of bones, muscles, tissue, tendons, nerves, ligaments and blood vessels, to show problems that are linked to back pain● Bone ScanA procedure that uses radioactive substances, which is injected into a vein and collected in the bones, to help detect bone problems, such as tumors or compression fractures, with the aid of a special camera D. Blood testsThese can help determine whether you have an infection or other condition that might be causing your pain. E. Nerve conduction study (NCS)Nerve conduction study (NCS) is a test that involves placing small electrodes close to nerves, where electrical impulses transmitted by nerves are monitored. It is typically used to test for nerve compressions, as well as distinguish between nerve root disease and peripheral nerve disease. How to Treat Back Pain? There are three broad categories of back pain treatment: non-invasive (a conservative procedure that does not enter the body), less-invasive (a procedure that enters the body by puncturing the skin or by inserting instruments), and invasive (a procedure that involves surgery). Generally, non-invasive treatments are often used to try to cure the disease first. Then, if non-invasive treatments are not effective enough, less-invasive treatments and invasive treatments will be carried out. Non-Invasive TreatmentsA. MedicationOver-the-counter medications, nonsteroidal anti-inflammatory drugs and antidepressants may be taken to relieve any discomfort as a result of back pain. B. Physical TherapyApplying heat, ice, ultrasound, and electrical stimulation may be able to reduce pain. As the pain improves, a physical therapist may also recommend some posture-improving and muscle-release techniques, as well as flexibility and strength exercises for the back muscles and tissues. Even after the pain is gone, it is encouraged to continue to practise the techniques and exercises regularly to prevent back pain recurrence. Less-Invasive TreatmentsA. InjectionsCortisone, an anti-inflammatory drug which can help to reduce inflammation around the nerve roots, may be injected into the space around the spinal cord. Other injections such as Botox, may also be used to numb painful areas by paralyzing any sprained muscles in spasm. B. NucleoplastyPerformed with X-ray imaging guidance, nucleoplasty involves the use of a needle which removes a small amount of excess disc tissue by emitting radio waves that generate heat and shrink the soft tissue. This relieves pressure on the nerves, in turn improving mobility and reducing back pain brought on by a slipped disc. C. AnnuloplastyDuring annuloplasty, energy and heat are applied via fine radiofrequency needles to the damaged discs in the spine. This causes the damaged disc wall fibers to shrink and thicken to seal any damages and also numbs the nerves to effectively reduce back pain. D. Radiofrequency AblationRadiofrequency ablation involves the use of an electrical current produced by a radio wave, to reduce pain signals from that area by heating up a small area of nerve tissue to reduce pain signals from that area. Invasive TreatmentsA. SurgeryAlthough rare, surgery can be carried out for people who have severe back pain that does not go away with the use of other non-invasive or mildly invasive treatments. Depending on the cause of the back pain, different types of surgery can be carried out:● Fusion: The joining of two vertebrae with a bone graft inserted between them. The vertebrae are splinted together with metal plates, screws, or cages. ● Artificial disk: An artificial disk is inserted to replace the cushion between two vertebrae. ● Diskectomy: The removal of a portion of a disk which may be irritating or pressing against a nerve. ● Partially removing a vertebra: The removal of a small section of a vertebra which may be pinching the spinal cord or nerves. When to Seek HelpBack pain typically gradually improves within a few weeks with home treatment, proper body mechanics, and self-care. However, it is recommended to seek help if the back pain:● Persists past a few weeks● Is severe and does not improve with rest● Spreads down one or both legs, especially if the pain extends below the knee● Causes weakness, numbness, or tingling in one or both legs● Is accompanied by unexplained weight loss● Causes new bowel or bladder problems● Is accompanied by a fever● Follows a fall, blow to your back or other injuries PreventionAs the saying goes, “Prevention is better than cure. ” To keep yourself safe from back pains, practise the following prevention methods:● Maintain good posture. When standing, maintain a neutral pelvic position and avoid slouching. When sitting, keep your knees and hips level. Avoid heavy lifting and movements that twist or strain your back. ● Exercise. Regular low-impact aerobic activities can increase strength and endurance in your back and allow your muscles to function better. ● Build muscle strength and flexibility. Abdominal and back muscle exercises, which strengthen your core, help condition these muscles so that they work together like a natural corset for your back. ● Maintain a healthy weight. Being overweight strains back muscles. If you're overweight, trimming down can prevent back pain. ● Quit smoking. Smoking increases your risk of low back pain. The risk increases with the number of cigarettes smoked per day, so quitting should help reduce this risk.   Related Articles Treatment Options for Lower Back and Knee Pain: Exploring Conservative and Surgical ApproachesMastering Lower Back Pain Relief: A Comprehensive Guide for a Healthier YouStrategies to Alleviate Post-Workout Lower Back PainTreatments for Lower Back and Buttock Pain in SingaporeComprehensive Chronic Lower Back Pain Treatment | Expert Care for Relief --- - Published: 2022-10-20 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/is-my-shoulder-pain-caused-by-a-rotator-cuff-tear/ - Categories: Articles by Doctor - Tags: Diagnostic Tests, Impingement Syndrome, rotator cuff pain, Rotator Cuff Tear, shoulder pain, Treatment Approaches What does it mean by a rotator cuff degeneration and how does this happen? The rotator cuff consists of a group of muscles and tendons which surround the shoulder joint and keep the head of your upper arm bone firmly within the shoulder socket. Rotator cuff degeneration occurs as we age. Most tears are caused by the wearing down of the tendons. This can eventually lead to rotator cuff tears. Rotator cuff degeneration occurs in around 20-40% of individuals aged 60 and above. What are the symptoms I can look out for? There are common symptoms that you can look out for which may indicate that you are suffering from the degeneration of your rotator cuff. These symptoms include:● Pain when lifting your arm, which can worsen over time, leading to pain at night and at rest. ● Weakness when lifting or making movements with your arm What does this mean to me? Having rotator cuff degeneration means that you will be more prone to suffering from rotator cuff tears due to the wearing down of the tendons. There are a few limitations experienced with rotator cuff tears as you may not have your arm’s full range of motion. Massive cuff tears may also result in long term consequences if not treated. These include,● Osteoarthritis of the shoulder joint, which refers to loss of the joint cartilage● Progressive degeneration of the muscles, loss of function in the shoulder and restricted range of motion. How is this diagnosed? Based on your history, if a doctor suspects that you have a rotator cuff tear, he/she will conduct a focal examination followed by imaging tests to confirm the diagnosis. During the physical examination, your doctor will examine your shoulder to check for any form of pain. Your doctor will also move your arm around to measure the range of motion and to test your arm strength. The doctor may also examine your neck to rule out the possibility of shoulder pain arising from a neck condition. Since physical examinations are not sufficient enough to diagnose the degeneration of the rotator cuff, other imaging tests may be carried out. Imaging tests: ● X-rays. X-rays are useful because they can help show a decrease in the sub acromial distance which can indicate massive cuff tear. It is used to rule out other possibilities such as arthritis or fractures. ● Magnetic resonance imaging (MRI). An MRI is much more detailed and can clearly show soft tissues like the rotator cuff. Through an MRI, the rotator cuff tear can be seen. ● Ultrasound. This test produces images of the soft tissues such as the rotator cuff and allows for a quick comparison between the affected shoulder and the healthy shoulder. What are the treatment options? Treatment options depend on an individual’s severity of the tear, age, activity, general health and aim to reduce pain as well as restore function. Non-surgical treatments In most patients, nonsurgical treatments help to alleviate their pain and improve the function in the shoulder and hence, surgery is not needed. These treatments include:● Rest and activity modification by avoidance of heavy lifting and overhead activities. ● Nonsteroidal anti-inflammatory drugs (NSAIDs) are prescribed to reduce the pain and swelling caused by the injury● Strengthening exercises and physical therapy. Your physical therapist will teach you certain exercises which will help to build back your shoulder strength as well as to restore movement. ● Steroid injections may be given if the pain is persistent even after all of the above has been tried out. The injection is given into your shoulder joint and helps to reduce pain especially if it interferes with your sleep or daily activities. Surgical treatmentsSurgery is often recommended for patients with large tears, significant loss of shoulder function or if you have prolonged symptoms. The surgeries available depend on the size of the cuff tear,:● Small cuff tears○ Usually be repaired via a minimally invasive technique such as an arthroscopic rotator cuff repair, in which a small camera is placed into the joint with small instruments, which are used to repair the torn tendon. ○ Another minimally invasive technique is the mini-open technique, where a small incision is made over the rotator cuff, allowing surgeons to repair the tendon. ● Massive cuff tears are large tears that involve 2 or more tendons, and usually cause alot of functional loss. As the tears are frequently very severe, the option of direct repair is usually not feasible. As such, the options are,○ Superior capsular reconstruction. This is a surgical procedure to repair irreparable, massive rotator cuff tears. This surgery is often performed among middle aged and younger elderly with massive cuff tears. ○ Tendon transfer is a technique used to supplement the function of the damaged rotator cuff tendons especially if the tendon is too damaged and cannot be reattached to the bone. A nearby tendon is recruited to help augment the function of the damaged rotator cuff tendon. ○ Reverse shoulder replacement. This is used for severe rotator cuff injuries that result in shoulder osteoarthritis. Rehabilitation and recovery After surgery, you may be instructed to keep your arm in a sling for around 4-6 weeks. Pain medications may also be prescribed to alleviate the pain post-surgery. Physical therapy will start immediately after surgery. This therapy will help restore your muscle strength and range of motion. You will also learn exercises to strengthen your shoulder muscles, learn how to carry objects safely, find new ways to do activities to ensure that your shoulder does not get hurt. Most patients will be able to recover most of their shoulder function 4 to 6 weeks after surgery. For assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Strategies for Chronic Neck and Shoulder Pain Relief: Transforming Discomfort into VitalityConquer Shoulder Pain: Solutions from Orthopedic and Pain Management DoctorConquer Chronic Neck and Shoulder Pain: Strategies for Long-Lasting ReliefShoulder Pain Relief: Treatment Options for Long-Term RecoveryDon't Delay: Advice on Managing Pain --- - Published: 2022-10-20 - Modified: 2025-07-25 - URL: https://www.theorthopaedicandpainpractice.com/my-knee-hurts/ - Categories: Articles by Doctor - Tags: Bursitis, inner knee pain treatment, Knee Pain, Knee Pain doctor singapore, knee pain singapore, knee pain specialist in singapore, Knee pain specialist singapore, knee pain treatment specialist, Meniscus Tear, Osteoarthritis, singapore knee pain specialist, Tendinitis Image taken from PT Health Canada Knee pain is an extremely common problem across all ages, though the chances of getting knee pain increase with age, as well as frequency and type of physical activity. There are several causes of knee pain Singapore: Strained/Torn Ligament Ligaments are soft, flexible bands of tissue joining bones to bones, and are commonly found in joints such as the shoulder joint where the upper arm bone (humerus) is joined with the scapula (shoulder blade). At the knee joint, the thigh bone (femur) is joined to the shin bone (tibia) and there are four important ligaments around that area: Taken from John Hopkins Medicine Cruciate Ligaments The ACL (anterior cruciate ligament) is located in the centre of the knee. It controls the rotation and forward movement of the tibia. The PCL (posterior cruciate ligament) isalso found in the centre of the knee. It controls the backward movement of the tibia. The ACL and the PCL form a ‘cross’ shape, extending in opposite directions. Collateral Ligaments The MCL (medial collateral ligament), joins the femur and tibia along the inner side of the knee - the ligament closest to the other knee. The LCL (lateral collateral ligament), joins the femur and tibia along the outer side of the knee - the ligament furthest from the other knee. The MCL and LCL both enforce stability of the knee. The most common knee ligament injury is an ACL tear, which happens when the joint undergoes a sudden twisting motion, for example if one’s feet are planted flat on the floor while the knees snap to face another direction. Therefore, people who play basketball and football face a higher risk of having their ACL torn1, as they have to pivot extremely quickly during plays. A PCL tear is caused by blunt impact, such as being tackled to the ground during rugby or football or colliding with a car. Stretching or tearing of the collateral ligaments are usually caused by a direct blow to the ligament itself at the side of the knee - so sports which involve hitting the lower body with sticks or other objects such as hockey will increase the risk of getting MCL or LCL injuries. Please always exercise caution when playing sports. Someone who has just torn their ACL, PCL, MCL or LCL may hear something popping, though not experiencing any pain, and they may be unable to stand unsupported on the leg as it buckles. Swelling at the knee may also be observed1. It is advisable to go to a Singapore knee pain specialist for your symptoms to be diagnosed as the symptoms of a torn ligament may be similar to other conditions causing knee pain. Iliotibial Band Syndrome (IT Syndrome) Taken from Orchard Health Clinic If the iliotibial (IT) band - fascia extending from the hip to the knee - becomes too tight, it may rub excessively against the femur, which could cause the IT band to swell and become painful. IT band syndrome (ITBS) can be identified by steadily worsening pain on the outside of the knee as the person cycles, runs or participates in exercise involving repetitive leg motion. You may also hear a snapping, popping or clicking sound at the knee area when you move your leg. 2 Often, incorrect or insufficient stretching before exercise is the key cause of ITBS, but you should see a knee pain specialist in Singapore, like Dr Yong Ren from The Orthopaedic and Pain Practice (TOPP) for an official diagnosis and to determine the specific reason for getting it, plus recovery instructions for them to heal properly. Patellar Tendonitis Patellar tendonitis is a condition where the patellar tendon (tissue connecting the knee cap/ patella to the tibia) is overstressed, usually because it is partially torn over and over again before it has a chance to heal. This leads to inflammation of the tendon; due to it having insufficient time to recover, it gets progressively more damaged3 every time the individual participates in vigorous exercise, and the body issues a warning sign through knee pain. Patellar tendonitis tends to befall individuals who jump and land heavily on their feet often (hence the name jumper’s syndrome), such as basketball players, however even someone who rarely exercises might suffer from patellar tendonitis. Taken from Medical Wave Someone might have patellar tendonitis if they feel acute pain at the base of their kneecap, especially when leaving a kneeling or squatting position to stand4. If left untreated, the condition will start to worsen until everyday activities (which involve bending and straightening of the knee) like getting up from a chair or walking slowly start to hurt. If you suspect you may have patellar tendonitis, please take early steps and see a Singapore knee pain specialist as soon as possible. It is inadvisable to try to treat patellar tendonitis on your own or continuing to exercise at the same rate5, as it is easily complicated by even simple actions like walking. Knee Bursitis Bursitis occurs when the bursa, a fluid-filled sac in the knee, swells because of excess pressure or overuse6. It’s especially likely to happen to someone who spends a lot of time in positions which put pressure on their knees, for example if they are gardening or scrubbing the floor for a long time. As this can be mistaken for other causes of knee pain, please visit a knee pain treatment specialist - Dr Yong Ren of The Orthopaedic and Pain Practice, to receive an official diagnosis and certified treatment options. Knee Osteoarthritis A diagram of knee osteoarthritis, taken from the American Academy of Orthopaedic Surgeons The probability of getting knee osteoarthritis increases with age, as it is caused by wear and tear of the cartilage covering the ends of the femur (thigh bone) and tibia (shin bone). The amount of synovial fluid in the space between the two bones drops, hence there is a lot of friction between the two bones’ hard surfaces which start to rub against each other7, which is very painful and gradually gets worse the longer the knee has to support the individual’s body weight. You might have knee osteoarthritis if you hear a grating sound when you move your knee joint, or feel stiffness around your knee when you wake up or after a long period of not moving. Bone spurs, extra lumps of hard bone, can form on the femur and tibia due to the absence of the cartilage and will be painful. There are a number of knee pain treatment specialists which can perform procedures to reduce the pain caused by knee osteoarthritis, like the minimally invasive methods of genicular nerve ablation and viscosupplementation, which are offered by our clinic – The Orthopaedic and pain practice. Should I see a knee pain treatment specialist? If you detect pain in your knee, it could become more serious if left untreated. Please take early action and see a knee pain specialist in Singapore - Dr Yong Ren of The Orthopaedic and Pain Practice if you are unable to walk or climb the stairs without feeling pain in your knee. A Singapore knee pain specialist will be able to advise you accordingly on stretching exercises you can do at home, or if preferred, give injections to lessen the pain. Feel free to book an appointment with us today if you would like to see a knee pain specialist in Singapore - Dr. Yong Ren. Contact us with the details below: 6694 6270 (Call)9898 3595 (WhatsApp)enquiry@orthopainpractice. com (Email) Novena Specialist Centre #06-08, 16-198 Sinaran Drive, Singapore 307470 Related Articles Understanding Knee Pain Singapore: Causes, Symptoms, Management Strategies, and Knee Pain in Elderly TreatmentTreatment Options for Lower Back and Knee Pain: Exploring Conservative and Surgical ApproachesExploring New Therapies for Nerve Pain and Knee DiscomfortNon-Surgical Solutions for Knee Pain: Enhancing Mobility and ComfortComprehensive Guide to Knee Cap Replacement: Understanding Orthopaedic Surgery Essentials Find a Trusted Knee Pain Specialist in Singapore for Lasting Relief Accurate Diagnosis and Personalised Care Plans for Every Knee Condition If you’re searching for a reliable knee pain specialist in Singapore, The Orthopaedic & Pain Practice offers expert care backed by years of experience in managing knee joint conditions. Whether you're facing osteoarthritis, cartilage wear, meniscus injuries, or ligament strains, our team is equipped with advanced diagnostics and holistic treatment methods. We understand how knee pain can affect every part of your life—from walking to climbing stairs, even to sleeping at night. That’s why our approach goes beyond temporary relief. Our specialist will create a treatment plan tailored to your condition, lifestyle, and goals. This may include physiotherapy, joint injections, regenerative therapies, or minimally invasive techniques that aim to restore function without major surgery. Trust us to guide you through a clear path to recovery—safely and confidently. https://www. theorthopaedicandpainpractice. com/lower-back-and-buttock-pain/ The Best Medicine for Knee Pain in Old Age Depends on the Cause Discover Safe, Effective Pain Relief Options Tailored to Older Adults When it comes to managing knee pain in old age, the best medicine isn't one-size-fits-all—it depends on the underlying cause. At The Orthopaedic & Pain Practice, we assess each patient’s condition thoroughly to determine the safest and most effective treatment, especially for those aged 55 and above. While over-the-counter medications like paracetamol or topical NSAIDs may provide short-term relief, long-term management often includes joint supplements, prescription anti-inflammatories, or targeted injections like hyaluronic acid or platelet-rich plasma (PRP). For those with severe arthritis or degeneration, regenerative medicine and physical therapy are often recommended in combination. Our clinic prioritises non-invasive options that relieve pain, improve mobility, and support long-term joint health without unnecessary side effects. We work with you to select the best possible solution—so you can walk, move, and live with ease again. https://www. theorthopaedicandpainpractice. com/my-knee-hurts/ Non-Surgical Treatment for Knee Joint Pain That Really Works Explore Safe, Evidence-Based Options Before Considering Surgery Not ready for surgery? You don’t have to be. The Orthopaedic & Pain Practice offers non-surgical treatment for knee joint pain that targets the root of the problem, not just the symptoms. Whether you’re dealing with early-stage arthritis, tendonitis, or cartilage degeneration, we provide effective alternatives to invasive procedures. Our non-surgical methods include shockwave therapy, viscosupplementation (hyaluronic acid injections), PRP therapy, and physical rehabilitation programmes tailored to your knee's condition and your lifestyle. We focus on preserving your joint health, reducing inflammation, and improving strength to support daily movement. These approaches are ideal for older adults, active individuals, and anyone who wants to avoid the downtime and risks of surgery. Let us help you move better—without going under the knife. https://www. theorthopaedicandpainpractice. com/my-knee-hurts/ --- - Published: 2022-09-10 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-are-spurs-on-the-foot/ - Categories: Articles by Doctor - Tags: achilles tendinitis, ankle pain, ankle spur removal, Bone Spurs, foot and ankle pain, foot bone spur removal surgery, foot pain, foot spur removal, Foot Spurs, Plantar Fasciitis, Sprain ankle, Treatment What are spurs on the foot?   Many people might not even know that they have spurs on their feet. Foot spurs are tiny projections of bone that can form on many different bones in the body. Spurs are commonly formed at the back and the bottom of the heel. These spurs form as a reaction to wear and tear in the body and are a sign that there is ongoing degeneration. Although spurs are not usually painful, they can become irritating if they press against other tissues. If this happens, you may experience discomfort and inflammation. If you think you have a spur on your foot, it's best to consult a doctor for diagnosis and treatment. What Causes Foot Bone Spurs?   Bone spurs can develop in the foot as a result of excessive pulling from tissue such as tendons. Common sites of bone spurs include the bottom and the back of the heel. Bone spurs do not cause pain but are a result of disease processes that may in turn be painful. If you suffer from tight calf muscles or have frequent pain in the region of the heel, you may have bone spurs in your foot. While the spurs are not painful, tight shoe wear can cause pressure on the tissue overlying the bone spurs resulting in pain. What Are the Symptoms Of Foot Bone Spurs?   The symptoms of foot bone spurs vary depending on their location and size. The most common symptom is pain, which can range from mild to severe. Additionally, bone spurs can cause stiffness, numbness, and difficulty walking. How Are Foot Bone Spurs Treated?   The size, location, and symptoms of your bone spurs will all affect how they are treated. A bone spur that has been identified as a painless lump on your foot normally doesn't need to be treated. Common treatments for bone spurs include: Rest and ice: This may also help with any pain and inflammation. Physical therapy: People with a bone spur in their foot or ankle can benefit from physical therapy to help strengthen the muscles and tendons around the affected area. Stretching and the use of special pads or orthotics may also help to take the pressure off of the bone spur. Medication: OTC anti-inflammatory medications are frequently the first line of treatment for pain and inflammation because foot discomfort is the most prevalent symptom of a bone spur. Cortisone injection: This may be beneficial if over-the-counter painkillers, rest, and ice don't work to reduce pain and inflammation. Surgery may be recommended if conservative approaches fail to reduce your discomfort. Surgery to treat bone spurs focus on treatment of the cause of the bone spur and may include joint arthroscopy to open surgery for the spur. Can Foot Bone Spurs Be Prevented? Can foot bone spurs be prevented? Treatment of the conditions that cause foot bone spurs can delay the formation of the spurs. If you experience foot or heel pain, it is best to seek medical attention early, so that the appropriate diagnosis and treatment for your condition is instituted. This can prevent the downstream formation of foot bone spurs. Apart from preventing bone spur formation, you can prevent pain from bone spurs by wearing good fitting shoes that are neither too loose nor tight. Make sure your shoes are comfortable and have plenty of area in the toe box for your toes to move. Consult a professional shoe fitter to get fitted for new shoes if you're unsure of what a well-fitting shoe feels like. Your heel rubbing against your shoes can also be avoided by wearing socks, especially thick ones. What Could Be Causing My Heel and Ankle Pain in The Morning? Heel and ankle pain in the morning might be because of a condition like plantar fasciitis or Achilles tendinitis. It may also be due to an injury like a stress fracture. Similarly, you might also experience heel pain getting up after a prolonged period of sitting down. Heel pain can sometimes be treated with at-home remedies like ice and rest. If your heel pain is more debilitating, an orthopaedic doctor can diagnose your symptoms and recommend treatment options that are best for you. While heel pain in the morning can be caused by any number of things, early diagnosis and treatment can help improve your quality of life. Don't let heel pain keep you from living your best life - consult a doctor today to get started on a treatment plan. Could this be a sign of something more serious? Heel and ankle pain can oftentimes be caused by plantar fasciitis, but there are other disorders that can cause heel pain as well. if your heel pain is accompanied by any redness, fever, or extreme swelling, then it's time to consult a doctor because those are all red flags that indicate a more serious issue. Heel pain can also be caused by Achilles tendonitis, heel bursitis, or stress fractures. Achilles tendonitis is the inflammation of the Achilles tendon, which connects the calf muscle to the heel bone. heel bursitis is an inflammation of the small sacs of fluid that act as cushions between bones and tendons near the joints. Stress fractures are tiny cracks in the bone that are caused by overuse or repetitive impact. If you've been having heel pain, make sure to ask your doctor what could be causing it because it may be something more serious than just plantar fasciitis. What are some Common Causes of Foot and Ankle Pain? Foot and ankle pain can be caused by a variety of problems, from short-term soft tissue injuries to long-term structural alterations or underlying conditions. The most common short-term causes of foot or ankle pain are sprains or strains, usually due to overuse or repetitive motion. However, some pain may not considerably improve with self-care or have a clear reason. In these cases, a structural alteration in the foot or ankle, as well as an underlying condition, may be the cause of the pain. Long-term discomfort in the feet or ankles may have a number of causes, such as: Osteoarthritis Nerve Damage Bad Fitting Shoes Inflammatory Arthritis Connective Tissue disorders Can anything be done to Prevent Foot and Ankle Pain from occurring? There are a few things you can do to prevent foot and ankle pain. First, it's important to wear the right shoes. Make sure you have supportive, comfortable shoes that are appropriate for the activity you're doing. You may need to change your shoes frequently, especially if you notice signs of uneven wear. Second, stretch before any activity. Stretching the muscles in your feet, ankles, and legs can prevent injuries and ease muscle soreness. Finally, be aware of your body and any discomfort or swelling you may experience. If you feel any pain, reduce your activity and rest until your body feels better. By following these simple tips, you can prevent foot and ankle pain. What could be the Potential Causes of Heel and Ankle Pain?   Achilles tendinitis and plantar fasciitis, which affect the bottom of the heel, are the two most typical causes of heel discomfort (back of the heel). heel discomfort can also result from: Achilles tendinitis Achilles tendon rupture Bone tumor Bursitis (joint inflammation) Crystalline arthropathy such as gout Haglund's deformity Heel spur Osteomyelitis (a bone infection) Peripheral neuropathy Plantar fasciitis Reactive arthritis Retrocalcaneal bursitis Rheumatoid arthritis (inflammatory joint disease) Sarcoidosis (collections of inflammatory cells in the body) Stress fractures Tarsal tunnel syndrome Are there any Exercises that can help Relieve Heel and Ankle Pain?   Heel and ankle pain can be caused by a variety of issues, including arthritis, a sports injury, or simple wear and tear. However, exercises to strengthen and stretch the lower limb muscles can often significantly reduce discomfort. For example, the calf muscle is responsible for plantar flexing the foot (i. e. , pointing the foot downward). When this muscle is too weak or too tight, it can contribute to heel pain. As such, exercises that target the calf muscle, such as calf raises, can be effective in reducing heel pain. Similarly, exercises that stretch the Achilles tendon can also help to relieve heel pain. The Achilles tendon is a large tendon that connects the calf muscle to the heel bone. If this tendon becomes tight, it can pull on the heel bone and cause discomfort. As such, exercises that stretch the Achilles tendon, such as heel drops, can be helpful in reducing heel pain. Finally, exercises that strengthen the muscles around the ankle joint can also help to reduce ankle pain. These exercises may include single-leg balance exercises or resisted dorsiflexion exercises. If you are experiencing heel or ankle pain, talk to your doctor about which exercises might be right for you. What are some Tips for Preventing Heel and Ankle Pain?   Heel pain is a common ailment that can strike at any time, but there are some tips you can follow to help prevent it. First, always stretch before any strenuous activity, as this will help keep the muscles and tendons around your ankles and feet loose and limber. Second, apply ice to the area for 20 minutes each day if you suffer from Achilles tendonitis or plantar fasciitis, as this will help reduce any swelling. Finally, try to keep your feet in a stress-free environment as much as possible - wear comfortable shoes, avoid walking barefoot on hard surfaces, and take breaks often if you're on your feet all day. By following these tips, you can help prevent heel and ankle pain before it starts. Is Surgery necessary for treating Heel and Ankle Pain?   Surgery is always the last option when treating any condition in order to avoid any potential hazards that may be involved. For example, in treating plantar fasciitis, the plantar fascia ligament is released from its attachment to the heel bone in order to permanently relieve the pain. The removal of the heel spur also helps to reduce pressure on the heel. Could Wearing Proper Footwear Help Prevent Heel and Ankle Pain? Wearing proper footwear is important for foot health, and can help prevent heel and ankle pain. orthotics can help treat arthritis by altering muscle stimulation to lower the joint burden. Additionally, wearing shoes that fit properly can aid with this because shoes that are too narrow or too tight may harm the joints in the foot. This is why wearing high heels is bad for arthritis since they put a ton of pressure on the foot's arch, which can harm nearby joints. Inflammation of the joint in the morning or after resting it are signs of this condition, as is a pain in the foot when walking or performing high-intensity exercises. Wearing proper footwear can help prevent these issues, and keep you pain-free. Related Articles Comprehensive Guide to Foot Pain and Tendonitis Relief: Tips and TreatmentsBanish Foot Pain: Uncover the Causes and Find ReliefEliminate Foot and Ankle Pain with These Simple Home TreatmentsAnkle Pain Relief: Guide to Diagnosis and Treatment in SingaporeUnderstanding Heel Spurs: Causes, Symptoms, and Treatments --- - Published: 2022-09-07 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/treatment-for-swollen-arthritic-knee/ - Categories: Articles by Doctor - Tags: Injections, knee osteoarthritis, Knee Pain, knee replacement surgery, Medications, Pain, Swelling What Is Knee Arthroplasty Knee arthroplasty is a surgical procedure for the treatment of end-stage knee osteoarthritis. It is commonly known as knee replacement surgery, as the patient’s knee is replaced with an artificial joint made from plastic and metal. This surgery is mainly performed to treat knee pain from knee osteoarthritis, but has the effect of potentially improving knee function, in terms of knee range of motion, and knee alignment. What Is Knee Osteoarthritis Osteoarthritis is a disease of the joints, where the cartilage over the knee joints is damaged and worn out over time. This results in uncovered bone in the joint surfaces, which results in severe knee pain, as well as progressive knee deformity. Patients with end-stage knee osteoarthritis often have a bow-legged deformity and have their quality of life adversely affected. Patients with knee osteoarthritis often find themselves unable to walk for long distances, are unable to squat, and have difficulty climbing up stairs. With activity, they may develop painful knee swelling. How Is Knee Replacement Performed Knee arthroplasty is performed through an incision made at the front of the knee joint. Through this incision, the damaged bone and cartilage in the patient’s knee are removed and the bone ends are shaped to receive the new artificial joint. This surgery can be performed with the aid of computers and robots to increase the accuracy of joint replacement. There is no difference in outcomes between the use of robotic surgery and the use of computer-aided surgery, with computer-aided (navigation) surgery having a cost advantage. After the artificial joints are inserted, the cut joint is stitched up again, the skin is repaired and the patient is sent to rest in the inpatient ward. In general, this surgery will take about 2 hours, and patients are usually placed under general anaesthesia for the surgery. What Happens After Knee Replacement Surgery After surgery, patients typically stay for 2 to 5 days in the hospital to receive pain relieving medications and antibiotics and undergo knee physiotherapy. After their stay in the hospital, some patients opt to return home, whilst others may choose to be transferred to a step-down facility such as a community hospital, where they will undergo more intensive rehabilitation to improve knee function and balance before returning home. Recovery Time After Knee Replacement Surgery After knee replacement surgery, patients will find themselves having increased pain due to the surgery for the first few days. This is the reason why prolonged inpatient stays are usually necessary for pain management. Once the pain has subsided, the patient is required to undergo physiotherapy, which will focus on a range of knee motion exercises, and strengthening exercises for the thigh muscles. Patients are usually advised to start with the use of walking aids such as crutches and walking frames for the initial 2 to 6 weeks. Thereafter, as their balance and strength improve, they may be able to downgrade to walking sticks or even walk without the use of any walking aids. In general, most patients undergoing knee replacement surgery will be able to walk independently by 6 weeks after surgery. Most patients will be able to return to normal activities after 3 months, though some patients find themselves having difficulty due to pain from the other unoperated knee. When Can I Have Surgery for My Other Knee In general, younger patients under the age of 65 years of age can undergo bilateral knee replacement surgery, meaning that they can have both knees replaced during the same surgery. This is more cost-effective, but carries a higher overall surgical risk, and should only be performed on younger patients. For patients above the age of 65, it is safer to perform staged surgery, meaning that knee replacement surgeries are not performed concurrently. The time interval between surgeries should be at least 3 months to allow for the first operated knee to recover. This ensures optimal rehabilitation for both knee surgeries. What Artificial Joints Options Are There In general, most knee replacement options are similar in design and function, with the difference being the accuracy of the instruments used for the knee replacement. Most implants consist of metal components used to replace damaged bone at both ends of the knee, which sandwich a plastic component that is meant to replace the function of the cartilage in the knee joint. Additionally, the cartilage over the patella or kneecap is replaced with a piece of plastic, which is cemented in place. Advantages Of Computer-Assisted Surgery Computer-assisted surgery improves the accuracy of bone cuts during knee replacement surgery, without sacrificing surgical time or significantly increasing complexity. It is especially useful if there are subtle deformities in the shin or thigh bones, which may not be recognized prior to surgery. When compared to robotic surgery, computer-assisted surgery has the great advantage of being much cheaper, with shorter surgical time. Shorter surgical time translates to lower overall surgical risk, without significant changes to outcomes. Complications Of Knee Replacement Surgery Knee replacement surgery is considered major surgery and has some rare complications. There is a risk of infection from the surgical wounds and the implants. In severe cases, the surgical wound may need to be reopened and revision surgery may need to be performed. There are also major nerves and blood vessels behind the knee joint, which are rarely injured during knee replacement surgery. Damage to these structures can result in numbness, and weakness of the foot. In severe cases, revision surgery may be necessary to repair any damaged blood vessels. Due to the prolonged period of rehabilitation and rest needed for recovery, some patients may also develop deep vein thrombosis, which refers to the formation of blood clots in the veins in the leg. These blood clots can result in pain and swelling of the leg, and may also travel to the lungs, where they can cause a condition known as pulmonary embolism, which can threaten life. As a result, most patients are encouraged to move as soon as possible, and patients undergoing knee replacement surgery are often given anti-platelet or anti-coagulant medications to prevent blood clots. Some patients may find themselves developing knee stiffness after knee replacement surgery. This is frequently due to inadequate rehabilitation after surgery. Most patients are encouraged to enter into a structured post-operative rehabilitation schedule after surgery, where they are taught a range of motion exercises and stability exercises. These help to prevent knee stiffness after knee replacement surgery. Should post-operative rehabilitation be neglected, patients may be required to undergo additional procedures, such as knee manipulation under anaesthesia. Or even revision knee replacement surgery to treat post-operative knee stiffness. Related Articles Understanding Knee Pain Singapore: Causes, Symptoms, Management Strategies, and Knee Pain in Elderly TreatmentTreatment Options for Lower Back and Knee Pain: Exploring Conservative and Surgical ApproachesExploring New Therapies for Nerve Pain and Knee DiscomfortDecoding Knee Replacement Surgery: Your Complete Guide to Pain Relief and MobilityKnee Replacement Surgery: Understanding the Benefits and Risks for Effective Decision-Making --- - Published: 2022-09-07 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-is-knee-arthritis/ - Categories: Articles by Doctor - Tags: knee arthritis, Knee Pain, Osteoarthritis, Rheumatoid Arthritis, Symptoms, Treatment Options Knee arthritis is an umbrella term that refers to a group of conditions that affect the cartilage in the knee joint. Cartilage is the flexible coating on the bone ends that functions as a lubricant and cushion, allowing for smooth bending or straightening movements without feeling any discomfort; however, when this protective layer erodes away due to conditions like osteoarthritis there may be increased rubbing between bones leading to pain and deformity, such as knock-knees or bowlegs. What are the Symptoms of Knee Arthritis?   One of the most common symptoms of knee arthritis is pain. This pain typically gets worse with activity and improves with rest. For many people with knee arthritis, simple everyday activities such as walking or climbing stairs can be difficult. Other symptoms of knee arthritis may include stiffness, increased fluid in the joint (which can cause swelling), and bowleg deformity. With joint movement, you may also hear a creaking sound or feel a grating sensation (known as crepitus). Some people find that their symptoms worsen on days when it is cold and damp outside. If you are experiencing any of these symptoms, it is important to see a doctor for diagnosis and treatment. How is Knee Arthritis treated? There are a number of different treatments that can help to relieve these symptoms and improve knee function. Weight loss and physical rehabilitation exercises are particularly important for treating knee arthritis, as they can help to reduce the amount of weight bearing on the knee joint. Canes, knee braces, and other assistive devices can also be helpful. Medications such as acetaminophen or ibuprofen can be used to relieve pain, while therapeutic joint injections may provide longer-lasting relief. Surgery may be an option if other treatments do not sufficiently improve symptoms or if there is a significant loss of function. With proper treatment, knee arthritis does not have to significantly interfere with your daily life. What is osteoarthritis of the knee?   Osteoarthritis of the knee is a degenerative joint disease that is the most prevalent type of arthritis in the knees. It can also affect other joints but often worsens over time. Inflammation and pain are caused by cartilage degradation. osteoarthritis of the knee is a debilitating disease that can lead to loss of mobility and independence. There are treatments available to treat the symptoms and slow the progression of the disease. If you think you may be suffering from osteoarthritis of the knee, it is important to see a doctor for a proper diagnosis and treatment plan. How is osteoarthritis of the knee treated? This degenerative joint disease makes it painful to even perform daily activities. The good news is that there are a number of treatment options available that can help lessen the pain and improve mobility. For instance, doctors often recommend a combination of anti-inflammatory drugs and physical therapy for patients with moderate osteoarthritis of the knee. This can help to reduce inflammation and pain and increase the range of motion. If the osteoarthritis is more advanced, however, medical professionals might recommend therapeutic injections or surgery. These more aggressive treatments can be very effective in alleviating symptoms and improving quality of life. So, if you are living with osteoarthritis of the knee, be sure to talk to your doctor about all of the treatment options available to you. I have pain in the back of my knee, could this be due to arthritis?   Although arthritis is a possibility, there may be other causes for your symptoms. Conditions such as Baker's cyst (cyst at the back of the knee), muscle, tendon, and ligament injuries, tumors, blood vessel problems, and even bone fractures, can result in pain behind the knee. To identify the precise reason or causes of discomfort behind the knee, a doctor visit may be required, especially if the pain is recurrent or chronic. Joint swelling, stiffness, and discomfort are some of the typical signs of arthritis. Along with soreness behind your knee, if you experience any of these conditions, it's conceivable that arthritis is at blame. But a precise diagnosis can only be given to you by a doctor. Together with your doctor, you can create a pain-relieving treatment plan once the source of your discomfort has been identified. What are some exercises that can help with arthritis in the knees? There are a number of exercises that can help with arthritis in the knees, including strengthening leg muscles. By reducing pressure and tension on these joints, this support may help someone feel better while being more active overall! The following list includes some knee-friendly workouts: Straight leg raises are suitable exercises to help strengthen your thigh muscles. Lie on your back on the floor and while keeping your knee as straight as possible, raise it up to an angle of 45 degrees to the floor. Swimming or walking in a pool is a great way to get some aerobic exercise while avoiding impact on your damaged knee joints. Leg Stretches: Kick out your left and right legs alternately while seated on the edge of a chair or bed. What could be the cause of my swollen and painful knee? When extra fluid gathers in or around your knee joint, it can cause swelling. This problem may be referred to as an effusion in your knee joint by medical professionals. Trauma, overuse injuries, or an underlying illness or condition can all cause knee swelling. Your healthcare professional may need to test a sample of the fluid for an infection, disease, or blood from an injury in order to determine the reason for the swelling. Could the pain and swollen knee be caused by something other than osteoarthritis?   Swollen knees are often caused by osteoarthritis, injury, or infection. However, there are other inflammatory conditions that can also cause swelling in the knee, such as gout, lupus, and thyroid disease. If you have recently experienced a sudden onset of pain and swelling in your knee, it is important to see a doctor to determine the cause and receive proper treatment. What are some of the home remedies available for a swollen and painful knee?   There are a few treatments available for a swollen and painful knee. In the early stages, one could attempt to ice pack wrapped cloth against the knee for 15-20 minutes at a time. Additionally, one could apply a band or compression sleeve, or bandage around the knee joint to maintain constant pressure. Lastly, anti-inflammatory drugs are another option. All of these treatments could potentially help lessen the pain and swelling associated with a swollen and painful knee. If you are experiencing severe pain or swelling, however, it is always best to consult with a medical professional to ensure that you are receiving the best possible treatment. Are there any natural remedies that can help to reduce swelling and pain in the knee?   When it comes to natural remedies for knee pain, there are a few options that are worth considering. Ginger, lemon, and Epsom salt all have anti-inflammatory properties that can help to reduce swelling and discomfort. If you're looking for a natural way to ease your knee pain, these ingredients may be worth a try. As always, however, be sure to consult with your doctor before trying any new remedy, especially if you have a health condition that could be exacerbated by the treatment. With a little trial and error, you may be able to find a natural remedy that provides some relief from your knee pain. I’ve been having trouble bending my knee, is this normal? There are several factors that can cause us trouble when bending our knees. Let's take a look at a few of them. Tight muscles: Bad posture when walking, standing, and sitting can lead to muscular problems in the back and thighs, which may affect knee bending. Tight muscles may also be a sign of underlying problems in the back and knee. Meniscus Tear: Meniscus tears whether lateral or medial may cause excruciating pain when turning or engaging in high-impact activities like jumping. Jumper's Knee: Patellar tendonitis is referred to as Jumper's Knee. This condition can be debilitating with pain when walking, especially when stopping, and difficulty with stairs and squatting. Runner’s Knee: As its name implies, it is widespread among runners and joggers. The underlying problem is softening of the cartilage over the kneecap, and the myriad other issues that results in. If you're experiencing pain when bending your knees, it's important to consult with a medical professional to determine the root cause and get appropriate treatment. Knee pain is a very common medical complaint. What are some of the most common causes of knee pain?   Knee pain is a very common medical complaint. Overuse injuries, arthritis, and trauma are a few typical reasons of knee pain. Let's take a closer look at some of the most common causes of knee pain. One of the most common causes of knee pain is overuse injuries. These occur when you repetitively use the same motion over and over again. For example, if you're a runner, you're more likely to experience a runner’s knee, also known as patellofemoral pain syndrome. This is pain under or around the kneecap that is frequently caused by softening of the kneecap cartilage. Another common cause of knee pain is osteoarthritis. This is a degenerative disease that results in the loss of joint cartilage in the joints, which is the most common type of arthritis in the knees. This occurs when the cartilage in the joints breaks down, causing pain and stiffness. Finally, trauma such as fractures or dislocations can also cause knee pain. These injuries usually occur from falls or accidents and can be quite serious. If you've experienced trauma to your knee, it's important to see a doctor right away so that you can get the proper treatment. Knee pain is very common, but there are many different causes. If you're experiencing knee pain, it's important to talk to your doctor so that you can get an accurate diagnosis and treatment plan. Many people suffer from knee pain for an extended period before seeking treatment. Why do you think this is?   There are many reasons why people suffer from knee pain for an extended period before seeking treatment. Some people may not realize they have a problem and others may be in denial about the extent of their injury. Additionally, some people may feel like they cannot afford to see a doctor or do not have time for treatment. Hopefully, this blog post will help to educate people on the importance of seeking treatment for knee pain and provide them with information on how to get the best care possible. Knee pain can often be treated without surgery. What are some of the treatments that are available for knee pain?   These treatments, whether used singly or in combination, can lessen discomfort, promote mobility, and enhance the quality of life. One of the first options that most doctors try is a lifestyle change. This might involve losing weight; for every kilogram lost, there is four kilograms less pressure on the knees. Physical activity and therapy are also important in strengthening and increasing flexibility. Medicines that reduce inflammation can also be helpful in relieving pain caused by arthritis. Oral supplements such as Glucosamine/chondroitin may relieve knee arthritis pain. These are just some of the available treatments for knee pain. It is important to talk to your doctor to find out which option or combination of options is right for you. Surgery is often seen as a last resort for treating knee pain. What are some of the risks associated with surgery?   Knee surgery is often seen as a last resort for treating knee pain, as there are inherent risks associated with the surgery itself. Some of these risks include infection, blood clots, and damage to surrounding tissues or nerves. It is important to weigh the pros and cons of surgery carefully before... --- - Published: 2022-09-07 - Modified: 2025-07-25 - URL: https://www.theorthopaedicandpainpractice.com/lower-back-and-buttock-pain/ - Categories: Articles by Doctor - Tags: back pain, buttock Pain, how to fix lower back and glute pain, Lower Back and Buttock Pain, lower back pain, Piriformis Syndrome, Sciatica, Treatment Approaches If you're like many adults, you experience pain in your lower back and buttocks at some point. Lower Back and Buttock Pain can range from subtle, continuous discomfort to a sharp, sudden agony. It can develop quickly as a result of an accident or fall, or it can develop gradually over time. While there are many ways to treat this type of pain, it's important to first understand what may be causing it. If you're experiencing discomfort in this area, it's best to speak with a doctor to find the root of the problem and get started on the best treatment plan for you. Don't let this pain stop you from living your life to the fullest. What are the most common causes of lower back pain?   The most common causes of lower back pain are mechanical or structural problems with the spine, spinal discs, muscles, ligaments, or tendons. Other common causes of back pain include inflammatory conditions, such as rheumatoid arthritis, and other medical conditions, such as osteoporosis, fibromyalgia, kidney stones or infections, endometriosis, and tumors. Pregnancy is also a common cause of back pain. What are some of the treatments for lower back pain?   Some of the treatments available for lower back pain include medications, injections, physical therapy, and surgery. Medications can help relieve pain and inflammation. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can be used to treat mild to moderate back pain. Anti-inflammatory drugs, such as aspirin or corticosteroids, may be prescribed for more severe cases of back pain. Muscle relaxants may also be prescribed for certain types of chronic back pain. Physical therapy can also help relieve lower back pain. Physical therapy may include exercises to strengthen the muscles in the back and stretching exercises to improve flexibility. Hot packs and cold packs can also be used to help relieve symptoms. Surgery may be necessary for some people with severe lower back pain. Surgery may be needed to remove bone spurs, herniated discs, or other tissues that are causing compression or irritation of the nerves. Are there any preventative measures that can be taken for lower back pain?   There are a few preventative measures that can be taken for lower back pain. The first is to maintain good posture. When you sit or stand, make sure your back is straight and don't slouch. You should also try to limit the amount of time you spend sitting or standing in one position. If you have to sit for a long time, take breaks to move around and stretch. Another important prevention measure is to stay at a healthy weight. Carrying too much extra weight puts unnecessary strain on your back. Finally, it's important to exercise regularly. Stronger muscles help support your spine and can help prevent lower back pain from developing. What do you think is the root cause of most cases of lower back pain?   There are a number of root causes of lower back pain, but the most common is degenerative changes in the spine. As people age, the discs between the vertebrae can become worn and thin, which can lead to pain and stiffness. Additionally, arthritis can cause inflammation and pain in the joints of the hip and lower back. Injury or overuse can also lead to inflammation and pain in these areas. How long does it usually take for lower back pain to go away after treatment? The amount of time it takes for the pain to go away after treatment varies from individual to individual. Some people may experience relief shortly after treatment, while others may require more time. In some cases, back pain may not completely go away, but it can be managed with proper treatment and care. It is important to listen to your body and take things slowly when returning to normal activities. If you aggravate the injury by resuming certain activities too soon, you may only extend the pain. What are some common causes of lower back pain in the butt region?   Lower back pain in the butt region can be caused by a number of things but is most commonly associated with a muscle strain. This can be caused by overuse or injury, and often results in pain, stiffness, and reduced range of motion. Another common cause is referred pain from arthritic facet joints in the lower back. Other less common causes of lower back pain in the butt region can include Piriformis syndrome, which is a condition that results from compression or irritation of the sciatic nerve. This can lead to pain, tingling, or numbness in the buttocks and down the leg. This is caused by spasms or inflammation of the piriformis muscle and often leads to pain and discomfort in the hip and buttocks. What are some common treatments for lower back pain in the butt region?   Lower back pain in the buttock region can be caused by a number of things, such as muscle weakness, poor posture, and even stress. Some common treatments for this type of pain include: 1. Physical therapy and exercise: Physical therapists can provide exercises and stretches that can help to ease pain and improve function. Exercises may also strengthen back muscles and help improve posture. 2. Rest: It is important to allow the body time to heal, so resting is often recommended when experiencing lower back pain in the buttocks. This may mean taking a break from your regular routine or at least slowing down. 3. NSAIDs: Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen can help relieve pain and inflammation. What could be the cause of lower back pain and flank pain above the level of the hips?   Lower back and flank pain above the level of the hip can be caused by various issues in the reproductive system or gastrointestinal tracts. The pain may vary in intensity depending on the underlying issue. Any problem in the abdomen can cause pain in the hip and flank area. The abdomen is a vigorous organ consisting of kidneys and bladder, pancreas, gallbladder, intestine (small and large), stomach, and liver. Slight disturbance or disorder of rational functions in these organs can cause massive pain in the abdomen. If you are experiencing lower back and flank pain above your hip, it is advisable to seek medical attention to rule out any serious underlying causes. What are some common treatments for lower back pain and flank pain above the hips?   Treatment for lower back pain above hip can vary based on the underlying cause. If the source of the pain isn’t clear, you may need one or more diagnostic screenings, like an MRI, X-ray, or blood tests, to help determine the best course of action. Treatment options can range from conservative measures, like rest and physical therapy, to more aggressive treatments, like surgery. The goal of treatment is to relieve pain and restore function. How can patients prevent lower back pain and flank pain above the hips from happening again?   Lower back and flank pain above the hip can be caused by a number of conditions, including muscle strains, problems with abdominal visci, back arthritis, or a herniated disc. However, there are ways to prevent lower back pain from happening again. First, it’s important to maintain good posture and alignment when sitting, standing, and moving. This will help to prevent strain on the muscles and ligaments. Second, regular exercise is important for strengthening the muscles and keeping the joints healthy. Third, it’s important to eat a healthy diet to manage weight problems. Lastly, if you do experience lower back pain, it’s important to seek treatment early to prevent the condition from worsening. By following these tips, you can prevent lower back pain from becoming a chronic problem. When is it necessary to see a doctor for lower back pain and flank pain above the hips?   It is necessary to see a doctor for lower back pain and flank pain above the hips if you are experiencing any of the following symptoms: loss of bladder or bowel function, sudden, severe pain, weakness or loss of sensation in your lower body, or pain accompanied by fever, clammy skin, a rapid heart rate, nausea, vomiting, or any other concerning symptoms. What could be the possible causes of lower back and hip pain on one side?   If you're experiencing a sharp, shooting pain on one side of your lower back and hip, it could be caused by a number of conditions, including muscle spasms, joint dysfunction, or nerve compression. Here are some of the most common causes of this type of pain: Piriformis Syndrome: This condition occurs when the piriformis muscle - a small muscle located in the buttocks - becomes tight or spasms. This can compress the sciatic nerve, causing pain in the lower back and hip. Sacroiliac Joint Dysfunction: This condition affects the joints that connect the sacrum (the triangular bone at the base of the spine) to the hip bones. It can cause pain in the lower back and hip due to inflammation or instability in the joints. - Chronic Lower Back Pain: As the name suggests, this is simply ongoing pain in the lower back that can be caused by a variety of factors, including muscle strains, poor posture, degenerative disc disease, and spinal stenosis. - Lumbar Herniated Disc: This condition occurs when one of the discs in your spine becomes damaged and begins to bulge out. This can put pressure on nerves and lead to pain in the lower back and hip. - Spinal Stenosis: This condition is caused by a narrowing of the spaces between your vertebrae, which can put pressure on your spinal cord and nerves. This can lead to pain, numbness, or weakness in your lower back and hips. - Scoliosis: This is a sideways curvature of the spine that can occur due to congenital defects or other conditions. It can cause pain in the lower back and hips as well as fatigue and difficulty breathing. - Spondylolisthesis: This condition occurs when one of your vertebrae slips out of place. This can put pressure on nerves and cause pain in the lower back and hip. Could it be a sign of something more serious? Lower back and hip pain on one side of the body can be indicative of a number of different conditions. Some of these conditions are more serious than others, and some may even be considered medical emergencies. For example, high-risk causes of lower back and hip pain on one side include internal organ diseases such as kidney failure, kidney diseases, and advanced kidney infections. Another high-risk condition is cauda equina syndrome, which is a condition that affects the nerves in the lower back and can lead to bowel and bladder incontinence and even paralysis in the lower body. If you are experiencing lower back and hip pain on one side of your body, it is important to seek medical attention so that a proper diagnosis can be made. What are some of the treatments that are available for this type of pain? Treatment for lower back and hip pain on one side varies greatly depending on the underlying reason, which is why a precise diagnosis is crucial. Before making a diagnosis, a doctor will usually perform a physical exam, obtain a medical history, and go over the patient's symptoms. CT scans, X-rays, MRIs, and ultrasounds are all useful tests. Is surgery ever an option? If nonsurgical methods are unsuccessful in relieving pain, surgery may be considered. The type of surgery depends on the underlying cause of the pain. For example, if the pain is caused by a pinched nerve, surgery may involve decompressing the nerve. If the pain is caused by a herniated disc, surgery may involve removing the disc or part of the disc. Surgery is typically only recommended as a last resort after all other nonsurgical treatments have failed. lower back and hip pain on one side can be a... --- - Published: 2022-09-07 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/low-bone-density/ - Categories: Articles by Doctor - Tags: Bone Health, Fracture Risk, Low Bone Density, osteoporosis, Treatment Strategies Low bone density can lead to a number of problems, including fractures and osteoporosis. Bone health deteriorates over time, so early diagnosis and treatment are crucial for maintaining bone density as you age. In some cases, osteoarthritis can result from low bone density, so taking the necessary precautions is important. What are your Signs and Symptoms of Osteoarthritis? Osteoarthritis is a progressive joint condition where joint cartilage gradually deteriorates. It is the most common form of arthritis, and elderly people are more likely to develop it. The majority of individuals with osteoarthritis have years-long, progressive joint degeneration. Osteoarthritis can, however, swiftly get worse for certain people. The neck, lower back, knees, hips, and hands are the joints that are most frequently affected. Pain and stiffness in the afflicted joint or joints are signs of osteoarthritis. After resting or being idle, this pain typically gets worse. Reduced range of motion in the joints is another symptom of osteoarthritis for certain patients. Osteoarthritis can cause significant pain and disability for some people, while for others it is relatively mild and does not affect day-to-day activities. If you think you may be suffering from osteoarthritis, speak to your doctor for diagnosis and treatment options. What is the Difference Between Osteoarthritis and Osteoporosis? Osteoarthritis (OA) and osteoporosis are two conditions that often affect older adults. Although they sound similar and are both chronic diseases affecting the quality of life, there are several key differences between the two conditions. osteoarthritis is a condition that results in the deterioration of the cartilage that cushions the ends of bones in your joints. Osteoarthritis most commonly affects the hands, knees, hips, and back. Osteoporosis, on the other hand, is a condition that causes bones to become weak and brittle. It can affect any bone in your body but is most common in the hips, spine, and wrist. While osteoarthritis can cause a variety of symptoms, osteoporosis typically does not cause any symptoms until the bone fractures. When osteoarthritis does cause symptoms, they may include pain, stiffness, and decreased range of motion in the affected joint. Osteoporosis can lead to fractures, but these are typically caused by a minor fall or bump. Another way to tell them apart is by their age group; osteoarthritis generally affects adults from middle age onwards, while osteoporosis mostly affects older adults. Finally, osteoarthritis is a disease of the joints while osteoporosis is a disease of the bones. Bearing these distinctions in mind will help you better understand these two diseases and how to treat them accordingly. What is the Best Treatment for Low Bone Density? Low bone density is a stage between healthy bones and osteoporosis. It is diagnosed when a person's bone density is lower than average but not low enough to be called osteoporosis. Low bone density, like osteoporosis, arises when new bone growth does not keep pace with bone degradation. There are several therapy options for low bone density. The most popular therapies involve lifestyle changes such as boosting calcium and vitamin D intake, getting more exercise, and quitting smoking. Calcium is present in dairy products, green vegetables, and supplements. Vitamin D is found in eggs, fish, and fish oil; your body also creates vitamin D in response to sunlight. Exercise helps to build and maintain healthy bones by putting stress on them that causes them to become stronger. Weight-bearing exercises such as walking, running, lifting weights, and playing tennis are especially good for bones. Smoking cigarettes decreases the amount of blood that flows to the bones, making them weaker. If lifestyle changes do not help low bone density, there are other treatment options available such as medications that stop or slow down low bone density. How do you know if you have Osteoarthritis? Osteoarthritis is a type of arthritis that most often affects the hands, knees, hips, or spine. It usually develops gradually, and in the early stages, joints may pain after physical work or activity. Osteoarthritis is caused by the breakdown of cartilage, the tissue that cushions and protects the ends of bones in your joints. When cartilage breaks down, it leaves bone unprotected. This makes it easier for bones to rub against each other, causing pain, swelling, and loss of motion. If you think that your bones may be hurting because of osteoarthritis, contact us. Is there a Cure for Osteoarthritis? There is no cure for osteoarthritis, but there are treatments that can help reduce pain and improve joint function. If you think you may have osteoarthritis, it's important to see a doctor for a diagnosis. The sooner you start treatment, the better chance you have of slowing the progression of the disease. There is no one-size-fits-all treatment for osteoarthritis. The best treatment for you will depend on your symptoms, as well as the severity of your osteoarthritis. Most doctors will start with conservative, noninvasive treatments such as lifestyle modifications and medication. If these treatments are not effective in managing your symptoms, you may require more intensive treatment such as surgery. Regardless of what treatment you need, the goal is to reduce pain and improve joint function. With the right treatment plan, it's possible to live a full and active life despite osteoarthritis. What are the Early Symptoms of Osteoarthritis? Early symptoms of osteoarthritis can be subtle, and because they occur gradually, you might not notice them at first. However, there are early warning signs that can indicate the presence of osteoarthritis, even before noticeable symptoms appear. One early symptom is clicking or cracking sounds during movement. This is caused by the loss of cartilage in the joints, which allows the bones to rub together. Joint stiffness is another early symptom of osteoarthritis. This is usually worse in the morning or after a period of rest. Reduced flexibility and limited range of motion are also early symptoms. As the condition progresses, joints may swell due to the buildup of fluid. Unfortunately, once the cartilage that protects your joints starts to deteriorate, it does not regenerate on its own. Pain and discomfort are common osteoarthritis symptoms, but being aware of early warning signals can make a significant difference in how much you suffer the calling card symptoms of osteoarthritis. Understanding the symptoms of osteoarthritis might drastically alter your treatment plan as well as your daily life. How is Osteoarthritis Treated? Osteoarthritis treatment focuses on symptoms such as pain and reduced mobility. If you have osteoarthritis and are experiencing early warning signals, you may be able to avoid surgery. Non-surgical osteoarthritis therapies include: Anti-inflammatory drugs: These can be taken orally or injected directly into the affected joint. Mobility exercises and physical therapy: A physiotherapist can help you develop an exercise program that improves your range of motion and strengthens the muscles around the joints. Joint Aspiration: This involves draining fluid from the joints to reduce pain and inflammation. Steroid injection: This can help to reduce inflammation and pain in the short term. If your osteoarthritis is severe or you have delayed too long to seek medical attention, you may need to explore surgical options. Osteoarthritis surgical treatments can relieve pain and improve range of motion. Surgery is usually only recommended if other treatments have failed to provide relief. The most common type of surgery for osteoarthritis is joint replacement surgery. This involves replacing the damaged joint with an artificial one. Joint replacement surgery can be highly effective, but it is a major operation with a long recovery time. Are there any Lifestyle Changes I can make to Help Manage my Osteoarthritis? Lifestyle changes can play a role in managing osteoarthritis. These changes can help to slow down the progression of the disease and improve symptoms. Some lifestyle changes that may be helpful include: Eating a healthful diet: A diet rich in fruits, vegetables, and calcium-rich foods can help to support bone health and reduce the risk of osteoarthritis. Exercising regularly: Exercise can help to strengthen bones and muscles, and improve joint range of motion. It is important to consult with a doctor or physical therapist before starting an exercise program. Avoiding smoking: Smoking can increase the risk of osteoarthritis and lead to bone loss. If you smoke, quitting is one of the best things you can do for your health. Limiting alcohol and caffeine consumption: Excessive alcohol consumption can damage bones and joints, while caffeine can promote dehydration. It is important to drink alcohol in moderation and stay well-hydrated by drinking plenty of water throughout the day. Preventing falls: Falls are a common cause of fractures in people with osteoporosis. Taking measures to prevent falls, such as removing obstacles from walkways and using proper lighting, can help to reduce the risk of injury. What are the long-term treatment options for Osteoarthritis? The long-term treatment options for osteoarthritis largely focus on managing the pain and symptoms of the disease. In patients who do not respond to initial non-drug therapy and lifestyle change, long-term treatment options for osteoarthritis may include supplements like glucosamine and chondroitin, as well as topical pain-relieving creams, gels, and ointments. These options can help to relieve pain and improve joint function. However, it is important to speak with a doctor before starting any new medication or supplement, as they may interact with other drugs or have side effects. Additionally, while these treatments can be effective in managing symptoms, they do not cure osteoarthritis or prevent further joint damage. As such, it is important to continue to follow up with a doctor and make lifestyle changes to help manage the disease long-term. What happens if I Don't Treat my Osteoarthritis? If you don't treat your osteoarthritis, it can lead to worsening of the chondrolysis (breakdown of articular cartilage). This leads to more pain and disability. Frequently, with more severe, untreated osteoarthritis, patients eventually lose their ability to ambulate independently. They often become wheelchair-bound, and this may increase their risk of infections such as urinary tract of respiratory tract infections. Prolonged sitting and or bed rest can also result in skin ulcers, which are also become infected. Inactivity from osteoarthritis is also a known cause of deep vein thrombosis, which refers to the development of blood clots in the veins in the calf and leg. These blood clots can result in chronic leg swelling, and may also migrate to the lungs, where they can pose a threat to life. If you are experiencing any of the symptoms associated with osteoporosis, osteoarthritis, or low bone density, please do not hesitate to contact us at The Orthopaedic & Pain Practice for treatment. We can help diagnose the problem and recommend an appropriate treatment plan to slow down the rate at which your bones are deteriorating. Our team is passionate about helping our patients maintain their mobility and independence for as long as possible, so don't wait – contact us today! We can help slow down the rate of bone loss and keep you on your feet for years to come. Related Articles Understanding Knee Pain Singapore: Causes, Symptoms, Management Strategies, and Knee Pain in Elderly TreatmentStrategies to Manage Knee Pain in Older AdultsOsteoporosis:Orthopaedic and Pain Management StrategiesA Singaporean’s Guide to Low Bone Density TreatmentDecoding Knee Replacement Surgery: Your Complete Guide to Pain Relief and Mobility --- - Published: 2022-06-16 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/why-is-the-bottom-of-my-heel-painful/ - Categories: Articles by Doctor - Tags: achilles tendinitis, ankle and heel pain in the morning, heel bone, heel pain, heel spur, Heel Spurs, pain in ankle and heel, pain in bone of heel, Plantar Fasciitis, Treatment Options What is plantar fasciitis? The plantar fascia, also known as the plantar aponeurosis, is the tissue that stretches across the bottom of the foot and connects the heel bone to the toes. Plantar fasciitis occurs because of inflammation of the plantar fascia, causing the base of the heel to become painful. People who are at greater risk of developing plantar fasciitis include: Individuals who engage in weight-bearing endurance activities (running or dancing)Overweight or obese individuals (high BMI)Individuals who wear shoes with inadequate supportIndividuals who have flat feet or a high arch The symptoms of plantar fasciitis include: Stabbing pain in the bottom of the foot (usually the most painful immediately after waking up)Pain after standing for a prolonged period of timePain when standing after sittingSwelling on the bottom of the heel This pain is normally exacerbated after exercise. What causes plantar fasciitis? While the cause of plantar fasciitis commonly remains unclear, in some cases, repeated tension on the plantar fascia might cause small tears. In addition, the plantar fascia might become inflamed after repeated stretching and tearing. These are all possible causes of plantar fasciitis. What are the implications of plantar fasciitis? While the pain experienced may be bearable at first, not seeking appropriate medical treatment can result in chronic heel pain that might affect your daily activities. Furthermore, some patients tend to adjust the way they walk to relieve the pain felt on the bottom of their heel, but this may instead lead to other foot or back problems in the future. Therefore, if you suspect you or someone you know might have plantar fasciitis, it is important to seek medical attention. How is plantar fasciitis diagnosed? Plantar fasciitis is typically diagnosed after comprehensive history taking, physical examination of the foot, and diagnostic imaging, such as X-rays. In some cases, through x-rays, your doctor may discover the presence of a heel spur, which is bone formation at the insertion of the plantar fascia. It is a sign of underlying problems, but in itself usually does not cause pain.   Plantar fasciitis can be treated by both non-surgical and surgical methods, which can be briefly summarised below: Non-surgical treatment methods Lifestyle changesAvoiding going barefoot can help to reduce strain and stress on the plantar fascia, helping to relieve inflammation and pain. Limiting physical activity can help your heel rest and recoverMaking modifications to your shoes, such as purchasing shoes with good arch support and a slightly raised heel can help to reduce strain on the plantar fasciaPhysical therapyPhysiotherapy and appropriate stretching exercises could help to relieve pain experienced on the plantar fascia. MedicationsNonsteroidal anti-inflammatory drugs may be prescribed by your doctor in order to reduce inflammation and pain. However, do remember to communicate any drug allergies to your doctor. Night splintsDorsiflexion night splints may also be used for patients with plantar fasciitis. These patients wear the night splint while sleeping, helping them to maintain an extended stretch of the plantar fascia and therefore helping to reduce the pain experienced in the morning. Other orthotic devicesSometimes, using custom orthotic devices such as insoles or pads that are inserted into the shoe can help to support the foot and reduce the strain on the fascia. Surgical treatment methods Surgery is only used as a last resort to treat plantar fasciitis, when the pain is severe even with non-surgical treatment and lasts for more than six to twelve months.  Gastrocnemius recessionThrough this procedure, your doctor will lengthen the muscle and tendons at the back of your leg. More specifically, the surgeon will make a small incision on the inner side of the leg over the calf muscle before inserting a retractor between the gastrocnemius and soleus muscles. This will then allow the surgeon to access the fascia, causing the muscle to relax and length and causing the foot to be able to flex properly. Plantar fascia releaseDuring this procedure, your doctor will partially detach the plantar fascia from the heel bone, helping to reduce tension in the plantar fascia. In addition, your doctor may remove the smooth bone surface to help the plantar fascia heal, and may remove any heel spurs or damaged tissue. In some cases, your surgeon may also perform distal tarsal tunnel decompression during this surgery. However, this procedure may also weaken the arch of the foot, and in some cases, the range of mobility of the foot may be reduced after the surgery. After surgery, patients may be required to wear orthopaedic devices to support the foot, such as a boot for at least two to three weeks after surgery. This will aid the patient in avoiding putting weight on the foot and allowing the tissues to heal. Furthermore, your doctor will also recommend physiotherapy in the form of strengthening and flexibility exercises. For assessment of your condition, please book an appointment with Dr. Yong Ren. --- - Published: 2022-06-15 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/why-cant-i-straighten-the-tip-of-my-finger/ - Categories: Articles by Doctor - Tags: Finger Joint Pain, Flexor Tendon Injury, Hand and Wrist Pain, Osteoarthritis, Treatment Approaches, trigger finger What is a mallet finger? Mallet finger is a finger deformity that occurs when the extensor tendon (the tendon that allows the finger to straighten) at the fingertip is stretched/ torn. As a result, the injured finger cannot be straightened and will bend inwards towards the palm (droop). Pain, swelling, and bruising of the finger may occur as well. How does this injury occur? A mallet finger occurs when the thin tendon that straightens the final joint of a finger/ thumb is injured. This usually happens when an object hits the tip of your outstretched finger with great force, forcing it to flex. This results in damage to the extensor tendon, and the tip of your finger can no longer be straightened. How will a mallet finger affect my daily life? After a mallet injury, you may lose the ability to fully straighten your finger, which may affect hand function. How is a mallet finger diagnosed? Clinical examination will establish if a mallet injury exists. X-rays are often used to assess if the injury involves a fracture or dislocation of the finger joint. What are the treatment options available for a mallet finger? Non-surgical Anti-inflammatory pain medications can be used to relieve pain. In cases where surgery is deemed unnecessary, a splint can be used to keep the joint straightened to allow recovery. Surgical Surgery is usually necessary only if the finger joint is dislocated or if the injury results in a large fracture. During surgery, hardware like pins, wires, screws, and or plates may be used to hold the pieces of bone together. This keeps the finger straight until the tendon has completely healed, preventing your injury from worsening. Once the tendon has healed, another surgery may be conducted to remove the hardware from your body. What is the recovery and rehabilitation process like for a mallet finger? For patients managed without surgery, the splint should be worn 24 hours a day, for at least 6 weeks. After that, the splint is removed, and finger exercises are commenced. For patients who undergo surgery, sutures will be removed 10 to 14 days after the procedure. Hardware inserted may be removed 6 weeks after surgery. After the removal of hardware, you will be started on a course of finger rehabilitative exercises designed to increase finger flexibility. For an assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Causes and Treatment for Finger Tip ContractureUnderstanding Finger Joint Pain: Causes, Symptoms, and ReliefUnderstanding the Different Bones in Your HandWhy does the Side of my Wrist Hurt? Why does my finger “Get stuck”? --- - Published: 2022-06-14 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/why-are-my-finger-joints-swollen-and-painful/ - Categories: Articles by Doctor - Tags: broken wrist treatment, finger, Finger Joint Pain, Gout, Hand and Wrist Pain, orthopaedic doctor, osteo arthritis, Osteoarthritis, Rheumatoid Arthritis, Treatment Options What causes finger joint swelling and pain? Finger joint swelling can be due to traumatic (injury) or atraumatic (not from injury) causes. Traumatic A. Finger strains/ sprains Finger strains or sprains can lead to finger joint pain and swelling. A sprain occurs when a ligament in your finger becomes stretched or tornA strain occurs when a muscle or tendon in your finger becomes stretched B. Dislocated finger joint This occurs when the bones in your affected finger are no longer in the correct position/ out of alignment with each other. C. Finger fractures/ breaks If your finger bone is fractured or broken, finger joint pain and swelling may occur, especially if the fracture or break is located near the finger joint. Atraumatic The most common cause of atraumatic finger swelling is some form of finger joint arthritis. Arthritis refers to inflammation/disorders of the joint. Osteoarthritis refers to the loss of joint cartilage and is a degenerative process (wear and tear). Other forms of arthritis include rheumatoid and gout. The rest of the article will focus on arthritis affecting the finger joints. A. Osteoarthritis (OA) Osteoarthritis is a joint disease that involves the wearing down of your cartilage (a connective tissue that eases friction between your joints), causing your bones to rub against each other without a cushion. Repeated rubbing in the affected finger joint can lead to pain and swelling of the finger joint. B. Rheumatoid arthritis Rheumatoid arthritis is a chronic inflammatory condition that occurs when your immune system mistakenly attacks your body’s own healthy tissues. Unlike osteoarthritis, rheumatoid arthritis affects the lining of your joints – in this case, the lining of your finger joint, known as the synovial membrane. As a result, inflammation of the synovial membrane occurs, causing painful swelling in your affected finger joint. Eventually, bone erosion and joint deformity may result. What are the symptoms of finger joint arthritis? The symptoms of finger joint swelling and pain include: Painful joints (described to be deep and aching)Especially after being inactive/ applying light pressureJoint may feel warm when touchedStiffnessDifficulty or inability to move your fingers normallyLoss of flexibility of jointSwelling of finger joint How can finger joint arthritis affect my daily life? For some people, your finger joint pain/ swelling may worsen when you move your finger, rendering you unable to effectively perform daily activities that require the use of your fingers, such as: WritingGrippingTyping This may eventually affect the quality of your life. How is finger joint arthritis diagnosed? Your doctor will conduct a medical interview and perform a clinical examination of the finger joints. Other joints in the body may also be affected by the same processes that cause finger arthritis. The examination may also include these joints. Based on the findings, he/she may recommend lab tests and radiographical examinations for the joints involved. Test such as inflammatory markers, autoimmune markers, and which cell count may be useful to differentiate the type of finger joint arthritis that you might be suffering from. Plain radiographs (X-rays) are typically ordered as part of the diagnostic process as well. Occasionally, MRI scans may also be indicated for finger joint arthritis. What are the treatment options for finger arthritis? Non-surgical Medication Nonsteroidal anti-inflammatory drugs (NSAIDs) and painkillers can help to relieve pain and swelling. For patients who suffer from autoimmune arthritis, special drugs such as steroids and disease-modifying agents (DMARDs) may also be prescribed as part of your treatment. Injections Corticosteroid, which is an anti-inflammatory agent, may be injected into your affected finger joint to help target joint inflammation and reduce finger joint pain. Physical therapy For people with arthritis, joint stiffness and pain can worsen when these joints are not frequently active. Receiving physical therapy can help you to reduce joint stiffness and pain, and relieve stress on your affected finger joint. Orthotics A splint immobilizes your injured finger, giving it time to rest and recover. Surgical Surgical treatment for finger joint arthritis varies according to the condition that you are suffering from, the severity of the disease, and your occupational and social requirements. Treatments can range from finger joint debridement (cleaning up inflamed tissues), contracture releases, and joint fusions, to finger joint replacements if appropriate. For an assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Causes and Treatment for Finger Tip ContractureUnderstanding Finger Joint Pain: Causes, Symptoms, and ReliefManaging Knee Osteoarthritis Symptoms in the ElderlyUnderstanding the Different Bones in Your HandWhy does the Side of my Wrist Hurt? --- - Published: 2022-06-13 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-does-it-mean-to-have-a-frozen-shoulder/ - Categories: Articles by Doctor - Tags: Adhesive Capsulitis, Causes, frozen shoulder, frozen shoulder treatment, shoulder pain, Symptoms, Treatment Frozen shoulder is a condition that affects your shoulder joint. It usually involves pain and stiffness that develops gradually, gets worse, and then finally goes away. This can take anywhere from a year to 3 years. The cause of frozen shoulder is not fully understood. However, there are groups who have a higher risk of developing frozen shoulder. These include people who have diabetes, are 40-70 years old, the majority of whom are women, people with chronic diseases, those who have been immobilized for a long period of time or had to look after a relative who has been immobilized, and people who have had trauma to the shoulder, such as surgery. It is not apparent why these groups of people are at higher risk. The shoulder is made up of three bones which are connected by ligaments to form a ball-and-socket joint. The bones in question are the upper arm bone (humerus), the shoulder blade (scapula), and the collarbone (clavicle). The end of the scapula, known as the acromion, forms the roof of the shoulder. A layer of connective tissue, the shoulder capsule, surrounds the joint. The synovial fluid inside the capsule helps to lubricate the joint, enabling the humerus to move freely. In frozen shoulder, the capsule becomes so thick and tight that movement is painful and very difficult. Collagen bands called adhesions develop, causing pain and restricting movement to the point where the shoulder can be very hard to move. This restricted movement causes the tissues around the joint to contract and form a shoulder "capsule". In the worst cases, the doctor may have to put the patient to sleep and move the arm (manipulation) to loosen the capsule and make movement of the shoulder easier. Definition of frozen shoulder Frozen shoulder is a condition that leads to pain and stiffness in the shoulder. It is also known as adhesive capsulitis or shoulder contracture. The range of movement is also decreased. It is not certain why this condition develops, but there are a number of things that may increase the risk of having it. It is more common in people who have other health conditions such as diabetes or stroke. Other problems with the shoulder which cause pain and mean it is moved less are also thought to increase the risk of frozen shoulder. In comparison to other types of shoulder pain, people who experience frozen shoulder are often less likely to move their shoulder. This is because moving the shoulder leads to pain, so it becomes stiff due to lack of use. It is the prolonged lack of movement that leads to a frozen shoulder. Normally the shoulder has a very wide range of movement, with three main bones supported by a group of muscles, tendons, and ligaments. The humerus fits into the socket of the shoulder blade and movement is coordinated by the rotator cuff which keeps the ball of the humerus in the socket. The bone of the shoulder is covered by the shoulder capsule; strong connective tissue which joins the socket to the head of the humerus. The inside of the capsule is lined by synovium, which produces synovial fluid. This lubricates the shoulder and helps movement. In frozen shoulder, the capsule becomes inflamed and contracted. This leads to adhesions and bands of tissue developing and the amount of synovial fluid is reduced. Any movement of the shoulder causes pain and due to the lack of synovial fluid, the movement of the shoulder becomes grating. Finally, in the freezing stage there is very little movement of the shoulder and the pain gradually decreases, though the stiffness remains. Causes of frozen shoulder Just as its name suggests, the primary reason for frozen shoulder is the very fact that it is "underused". This is a very typical scenario for people with chronic shoulder pain; due to the pain, they will move their shoulder less and less with time. This lack of movement is what allows the shoulder to "freeze". There are other people who are more susceptible to getting a frozen shoulder, including those who have had prolonged immobility or reduced mobility of the shoulder, such as after a stroke, or individuals who have had recent surgery or trauma to the area. Diabetics, in particular, have a higher potential to develop a frozen shoulder, to the extent that diabetics have been reported as being twice as likely to develop a frozen shoulder than the general population. If you are at risk of getting a frozen shoulder, it is useful to recognize this sooner rather than later, as early intervention is actually the most effective way of preventing it from occurring in the first place. A frozen shoulder can also develop spontaneously without an obvious cause. This typically happens over a long period of time, and most people are not aware of exactly when it started, just that their shoulder gradually became more and more painful and stiff until they were unable to ignore it. Symptoms of frozen shoulder Stiffness of the shoulder is the hallmark of this condition. It affects active and passive range of motion of the shoulder, particularly external rotation. Patients experience pain, which is often worse at night. It can also be bad enough to affect all activities of daily living and cause a significant degree of disability. There are three phases that each last for several months to years. These are freezing, frozen, and thawing. In the freezing phase, there is the onset of pain and progressive loss of movement. It is usually the worst during the night and can be very painful to lie on the affected shoulder. This phase usually lasts 2-9 months. The frozen phase involves a slow improvement in pain, but the stiffness and loss of movement remain for 4-12 months. Finally, the thawing phase sees a gradual return to normal movement. Around 90% of people with a frozen shoulder will have significant improvement with a return to function to a level near the pre-disease status. It is, however, difficult to know how long this will take. Complete resolution is likely within 2 to 3 years; however, it may take up to 5 years. Diagnosis and Examination Global ROM will be considerably reduced on the affected side of frozen shoulder. A study by Shaffer et al. (1994) determined that there was an average reduction of 50% in flexion, 48% in abduction, 38% in internal rotation, 29% in external rotation, and 25% reduction in adduction. Measures taken with a goniometer have shown that these results can be even more substantial in comparison to the ranges of ROM on the unaffected shoulder. Assessing range of motion Assessing range of motion (ROM) is considered to be the most reliable way to diagnose adhesive capsulitis when the appropriate measures are taken. Active ROM is defined as the movement of a joint with the use of a patient's own muscle. Passive ROM is the movement of a joint provided entirely by an external force. ROM is measured best by a goniometer to identify the different movements on the affected shoulder in comparison to the unaffected shoulder. This can be used to measure the limitations of movement and can indicate the improvement being made. In the early stages of frozen shoulder, there is a global reduction in ROM, especially when measured passively. During the later stages of the condition, ROM will be reduced mostly concerning external rotation and abduction. However, it has been shown that in some late-stage cases, internal rotation has been more affected. Adhesive capsulitis has been described as having three distinct stages. This begins with the 'freezing' phase, which can be the area of most pain and can typically last 2-9 months. This phase involves a gradual onset of pain with progressive loss of movement. The 'frozen' phase is the stage where pain eases; however, the movement remains reduced and this can last 4-12 months. Finally, the 'thawing' phase is when the movement begins to improve and return to normal and can last between 5-26 months. Physical examination for frozen shoulder The physical examination for frozen shoulder is usually by observation and touch to determine the restrictions in movement and pain experienced. However, it needs to be systematic for all movements: flexion, abduction, external rotation, internal rotation, and extension. Physical examination for frozen shoulder Palpation is important to find the source of pain. Palpation should be systematically done on the bony structures, joints, and muscular insertions and origin. The patient's feedback when pain is provoked should be noted. Numerous ligamentous tests may be done, particularly involving the acromioclavicular and glenohumeral joints. Due to patient guarding and protective muscle spasm, the frozen shoulder patient may not allow complete testing. Range of motion testing allows documentation of the natural history of the frozen shoulder. Both active and passive ROM should be tested on the patient. This will provide baseline data and also assist in planning therapy by identifying which stage the patient is in. ROM testing is also important in order to document any adjacent or associated pathologies. Active ROM may be normal in early adhesive capsulitis, with restrictions occurring with passive movements. This would indicate an intra-articular problem involving the glenohumeral joint. Any deficits in active ROM suggest a muscular condition. Isolated subscapularis tendon tears, which are common in patients over the age of 50, can be tested with the lift-off from the extension and external rotation positions. The physical examination for the frozen shoulder consists of mainly three things: observation, palpation, and range of motion (ROM) testing. BYU Medical Group suggests comparing the affected shoulder with the unaffected side. Observing any abnormal or deviated posture may indicate a muscular or joint condition. Unilateral superior trapezius atrophy may indicate nerve root impingement due to disc herniation. Wasting of the deltoids and anterolateral arm may indicate axillary nerve lesions. Swelling or atrophy of the shoulder girdle muscles can occur in a variety of conditions and should be followed. Observation of any swelling, erythema, or ecchymosis should note any overt signs of inflammation or trauma. Any discoloration or scars are also important to document. Gait and posture when approaching and turning the patient from the side, front, and back views to observe for any abnormalities. Different stages of frozen shoulder The clinical stages of frozen shoulder were outlined by Harry and Hannafin, and are based largely on the degree of symptom severity, including pain and stiffness. Stage one is considered the "freezing" stage, which can last from 6 weeks to 9 months. Onset is gradual, with pain being the earliest and most dominant symptom in this stage. As the pain increases around the shoulder, the range of motion decreases and it becomes harder to perform activities of the upper limb, particularly those where the arm is raised away from the body. This stage ends when the shoulder has very little movement. Stage two is the "frozen" phase and can last from 4-6 months. The pain may or may not decrease in intensity, but remains the prominent symptom in the condition. The loss of motion becomes the biggest issue compared to the pain. However, the capsule and synovium inflammation in the first two phases are self-limiting and typically resolve without serious long term effects. In the final phase, "thawing", there is a gradual return to shoulder movement. It can last anywhere from 5 months to 4 years, with significant variability of time. The primary concern in this phase is the pain that occurs when attempting to move the shoulder. This usually leads to avoidance of shoulder movement, thus perpetuating the stiffness and creating a psychological effect on the individual. Assessing range of motion in frozen shoulder The range of motion is vital as it is a reflection of the stage of the condition. Usually, when assessing range of motion in frozen shoulder, it can be inferred with the help of the patient's history. The doctor will usually ask how long was the duration of pain before the stiffness sets in and the duration... --- - Published: 2022-06-12 - Modified: 2025-07-25 - URL: https://www.theorthopaedicandpainpractice.com/knee-pain-in-older-patients-ages-55/ - Categories: Articles by Doctor - Tags: Bursitis, Knee Pain, knee pain singapore, Meniscus Tear, osteo arthritis, Osteoarthritis, osteoarthritis knee, Treatment Approaches Why is my knee in pain? The most common cause of knee pain in older patients is Osteoarthritis of the knee. This means that the cartilage over the knee joint is worn out and destroyed. This is also known as degeneration of the knee and can cause severe limitation in knee function. It is estimated that up to 40% of patients above the age of 50 have knee osteoarthritis. Osteoarthritis is not limited to the knee joint and can occur in other joints, especially joints in the legs and the spine. Osteoarthritis can also cause other symptoms such as stiffness of the knee, and weakness of the legs. You may become more prone to falls, and may also find that activities such as stair climbing, walking on slopes or uneven ground, and squatting may become more difficult or even impossible. How does Osteoarthritis occur? There are 2 types of osteoarthritis, Primary - which means that there are multiple factors that contribute to the formation of knee arthritis, with no factor thought to be the most important. This is the most common form of osteoarthritis in the elderly in Singapore. Secondary - which means that there is one factor that is the most likely cause of knee degeneration. Some examples of secondary osteoarthritis of the knee are, Previous infection of the knee jointAuto-immune conditions in which the patient’s own body for whatever reason attacks the lining of their own knee jointPrevious fractures involving the knee joint How does this occur? Knee problems in old age are caused by the continual damage and stress on the knee joint. Although Old age does not directly cause damage to the knee joint, an older person is more likely to have sustained more injuries in their lifetime than a younger person. This together with other factors including body weight and genetics leads to the accumulation of irreversible damage to the knee, which triggers a vicious cycle leading to the eventual breakdown of knee cartilage, menisci, and ligaments within the knee. How do doctors diagnose the cause of Knee pain? Doctors can diagnose the cause of knee pain through a combination of clinical evaluation, Imaging tests, and Laboratory Tests. Clinical evaluation During clinical evaluation, your doctor will: Interview you to ask about your symptoms and disabilitiesCheck your knee for any swelling, pain, tenderness, warmth Check the alignment of the knee to see if you are knock-kneed or bow-legged Imaging tests In some cases, your doctor might suggest tests such as: a.  X-ray This is the most important test for diagnosing osteoarthritis. A long leg X-ray may also be taken to check the alignment of your knee. b. MRI scan for Bone Marrow Lesions (BML) MRI scan is sometimes necessary if your knee pain is more severe than what the X-rays suggest. MRI scans can look for other causes of knee pain, such as meniscus tears, and may also uncover Bone Marrow Lesions (BML). BML represents an area of swelling within the bone under the cartilage, and is thought to represent an earlier stage of knee arthritis, and can cause severe pain in the knee. Early identification of BML will allow early treatment and will lessen pain and discomfort considerably. c. Lab tests Blood tests are useful to identify other causes of knee pain in the elderly, such as gout and septic arthritis. Septic arthritis is a severe infection of the knee joint and can cause severe pain. In patients with severe swelling of the knee, your doctor will usually offer to remove the fluid within the knee. This serves 2 functions, firstly, it relieves pain in the knee joint, secondly, it allows testing of the fluid removed, which may point to other causes of knee pain in older patients, such as gout or pseudogout. How does Arthritis impact my lifestyle? Arthritis, and other conditions with joint pain and stiffness can become severe enough to make daily tasks difficult. Arthritis of the knee can affect activities like prolonged walking, climbing stairs, and squatting, making them more difficult or impossible. This affects the quality of life of the individual, and may also affect them emotionally and socially. Can we slow this down? The evidence is currently evolving, and there is much we do not understand about osteoarthritis. While there is currently no reliable way to delay the onset of arthritis, there are ways to mitigate the effects of osteoarthritis, to allow the individual to continue to lead fruitful lives. These include the principles of general health, such as the maintenance of healthy body weight and regular exercise. Regular moderate exercise, in particular, has a positive effect on the health of cartilage cells and should be considered an integral part of maintaining knee health in older individuals. There is some recent evidence that also suggests that irreversible muscle loss as a result of inactivity, a condition known as sarcopenia, is bad for the health of knee cartilage, and can lead to more severe osteoarthritis of the knee. For an assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Understanding Knee Pain Singapore: Causes, Symptoms, Management Strategies, and Knee Pain in Elderly TreatmentTreatment Options for Lower Back and Knee Pain: Exploring Conservative and Surgical ApproachesExploring New Therapies for Nerve Pain and Knee DiscomfortNon-Surgical Solutions for Knee Pain: Enhancing Mobility and ComfortComprehensive Guide to Knee Cap Replacement: Understanding Orthopaedic Surgery Essentials Effective Knee Pain in Elderly Treatment for Long-Term Relief Restore mobility and live pain-free with expert-led orthopaedic solutions tailored for older adults Knee pain in elderly treatment requires a unique approach that factors in age-related changes, joint wear, and existing health conditions. At The Orthopaedic & Pain Practice, we specialise in diagnosing and treating chronic and acute knee conditions commonly affecting seniors. Whether the pain is due to osteoarthritis, degeneration, or inflammation, our team customises each treatment plan to ensure the safest and most effective outcome for ageing joints. We offer a full suite of non-surgical and surgical solutions including advanced imaging diagnostics, guided injections, physiotherapy, and minimally invasive procedures. Our goal is to reduce discomfort, improve function, and enhance your overall quality of life. Don’t let knee pain limit your independence — discover targeted care designed to keep you moving comfortably through the years. https://www. theorthopaedicandpainpractice. com/knee-pain-in-older-patients-ages-55/ Personalised Elderly Knee Pain Treatment Plans That Work Target the root cause of pain with science-backed care for seniors aged 55 and above Elderly knee pain treatment isn’t one-size-fits-all. Ageing joints require extra care, and that’s exactly what we provide at The Orthopaedic & Pain Practice. Our experienced specialists evaluate your symptoms, health history, and lifestyle to develop a treatment strategy that alleviates pain while prioritising safety and function. We utilise a multi-disciplinary approach that includes medication, targeted physical therapy, viscosupplementation, and regenerative options where appropriate. For more severe cases, we also provide surgical interventions like partial or total knee replacements when non-invasive treatments are no longer effective. With the right plan, many elderly patients can regain pain-free movement and avoid further joint deterioration. https://www. theorthopaedicandpainpractice. com/knee-pain-in-older-patients-ages-55/ Proven Relief for Knee Pain in the Elderly Discover safe, age-appropriate treatments that reduce pain and improve joint function Knee pain in the elderly is often caused by decades of wear and tear, making early diagnosis and customised care essential. At The Orthopaedic & Pain Practice, we help seniors address the root cause of their discomfort, whether it’s arthritis, past injuries, or mobility issues due to muscle imbalance. Our clinic offers comprehensive assessments and conservative treatment plans that delay or prevent surgery. With services ranging from joint injections and bracing to strength training and low-impact rehabilitation, we aim to provide lasting relief without compromising your lifestyle. If you’re experiencing persistent pain, stiffness, or difficulty walking, it’s time to explore proven solutions with an orthopaedic expert. knee pain in elderly woman Tailored treatment for knee pain that considers age, bone density, and hormonal changes Tailored treatment for knee pain that considers age, bone density, and hormonal changes Knee pain in elderly women can be more complex due to factors like osteoporosis, postmenopausal changes, and decreased muscle mass. At The Orthopaedic & Pain Practice, we provide compassionate, personalised care that addresses these unique concerns while delivering effective pain management and rehabilitation. Our team combines cutting-edge diagnostics with conservative and surgical treatments to restore mobility and reduce inflammation. Whether you're dealing with degenerative arthritis or chronic ligament strain, we design a care pathway that improves daily comfort and long-term joint health. Trust our specialists to guide you through your recovery with expertise and empathy. https://www. theorthopaedicandpainpractice. com/knee-pain-in-older-patients-ages-55/ Managing Knee Pain in Old Age with Modern Orthopaedic Care Don’t accept pain as part of ageing — get targeted treatments for long-lasting relief Knee pain in old age is common, but it doesn’t have to be permanent. At The Orthopaedic & Pain Practice, we empower older adults with medical solutions that improve mobility, relieve chronic joint pain, and support active lifestyles. Our experts understand that older knees need gentler yet effective treatments to restore function without added risk. We address conditions like osteoarthritis, cartilage loss, and tendon wear with a combination of joint-friendly therapies. These include anti-inflammatory medications, physiotherapy, regenerative treatments, and surgical options when necessary. With proactive care, many patients can delay surgery and maintain a high quality of life well into their golden years. https://www. theorthopaedicandpainpractice. com/knee-pain-in-older-patients-ages-55/ Trusted Solutions for Knee Pain in the Elderly Expert-guided treatments to help seniors move freely and live without pain Knee pain in the elderly can be a major barrier to maintaining independence and enjoying everyday activities. At The Orthopaedic & Pain Practice, our orthopaedic specialists offer evidence-based treatments tailored for older adults dealing with joint deterioration, arthritis, or previous injuries. We believe in treating patients with dignity and care, providing in-depth consultations, safe treatment options, and realistic recovery timelines. Our goal is not just to treat the symptom but to support long-term joint health. Whether you’re walking less, avoiding stairs, or waking up with stiffness, we’re here to help you regain strength and stability with the right medical support. https://www. theorthopaedicandpainpractice. com/knee-pain-in-older-patients-ages-55/ --- - Published: 2022-06-11 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-are-cartilage-lesions/ - Categories: Articles by Doctor - Tags: Cartilage Lesions, Causes, Chondral Defects, knee osteoarthritis, Knee Pain, Symptoms, Treatment Options Joint cartilage is a connective tissue with a smooth and slippery surface, found in joints such as the knee. It allows bones of the knee joint to slide over each other smoothly, so as to minimise friction during movement. Cartilage Lesions are common injuries that refer to holes that develop in cartilage. These holes may be the result of direct injury from accidents or falls. Cartilage lesions may also develop in patients who have thinned out cartilage from regular wear and tear. In this case, the thinning of the cartilage makes it easier for the cartilage to be injured. Depending on the severity of the condition, the injury may range from a soft spot in the cartilage to cracks and fissures, to a hole that exposes the underlying bone. As cartilage lacks blood supply, the body cannot repair and heal the cartilage lesions on its own. Eventually, as the lesions become more widespread and larger, the patient develops a condition known as osteoarthritis, which can lead to severe joint pain and limit a person's ability to perform activities of basic living. Symptoms Some signs and symptoms include: Aching pain in the joint area which worsens with activitySwelling around your kneeStiffness when you move the kneeA locking or catching sensation when moving the kneeA painful clicking sound in the knee If any of these apply to you, you should seek medical attention as soon as possible. Diagnosis A. Physical and Clinical Examination Based on your symptoms, the doctor will conduct a focused examination on the injured limb, which would include an assessment of your ability to sit, stand, walk and lift your legs. The doctor will also feel around the knee for any spots that might be painful. This will give a clue as to the underlying cause of your knee pain. B.  Radiological Examinations The doctor will usually order Magnetic Resonance Imaging (MRI), a radiological test that uses radiofrequency waves in a strong magnetic field to generate two- and three-dimensional images of bones, muscles, tissue, tendons, nerves, ligaments, and blood vessels, to show problems that are linked to knee pain. It can also ensure that the knee pain is not due to a subchondral bone marrow lesion, a condition in which bone under a patch of damaged cartilage is also injured. Treatment of Cartilage Lesions Cartilage lesions are irreversible. However, there are several surgical techniques that can help to regenerate cartilage. In general, most patients with cartilage lesions should undergo cartilage restoration to prevent downstream knee osteoarthritis. Non-Surgical Treatments Non-surgical options are considered adjunctive to surgical treatment and can be taken in conjunction with surgery. These methods do not heal the cartilage lesion but may provide some symptom relief. A. Medication Prescription medications and nonsteroidal anti-inflammatory drugs may be taken to relieve any discomfort as a result of cartilage lesions. B.  Orthotics The use of an offloading brace is an option to provide stability, support, and pain relief to the affected knee. As its name suggests, an offloading brace effectively transfers the pressure from one side of the joint to another to reduce discomfort. Surgical Treatments Most of the surgical options for cartilage lesions in the knee are performed using arthroscopic techniques (keyhole surgery). Arthroscopic techniques allow for faster recovery from surgery due to the small incisions used. A.  Microfracture Microfracture During this procedure, after gaining access to the knee using keyhole techniques, the hole in the cartilage is identified, and the cartilage is trimmed. Holes are then made in the bone underlying the cartilage lesion (microfracture). This is to allow bone marrow to enter the defect. Bone marrow contains stem cells, which have the potential to heal the hole by becoming cartilage. To aid the process, a collagen patch is placed over the cartilage lesion, which traps and concentrates the stem cells. B. Autologous Chondrocyte Implantation (ACI) ACI is a double-step procedure that takes place across a few weeks. First, healthy cartilage-forming cells are taken from another area of the knee, and then cultivated and multiplied in the lab for several weeks. Second, the cultured cartilage cells are injected under a layer of bone-lining tissue stitched to the defect, to form new cartilage. C. Membrane-Induced Autologous Chondrocyte Implantation (MACI) MACI is a double-step procedure that takes place across a few weeks. First, healthy cartilage-forming cells are taken from another area of the knee, and then cultivated and multiplied on a patch-like membrane in the lab for several weeks. Second, the cultured cartilage cells are implanted via the membrane glued to the defect, to form new cartilage. D.  Osteochondral Autograft Transplantation (OATS) In OATS, healthy cartilage tissue is taken from another area of the knee and grafted to the area of the damaged cartilage. The graft is taken as a cylindrical plug of cartilage and bone, matched to the surface area of the defect, and impacted into place. This leaves a smooth cartilage surface in the joint. E. Knee replacement surgery If the cartilage lesion is deemed too severe, your doctor may advise that you undergo knee replacement surgery rather than keyhole surgery. In addition to the options discussed above for treatment of cartilage lesions, if you are found to have a bone marrow lesion (as detailed above), your doctor may also recommend that you undergo a procedure known as subchondroplasty. In this case, the damaged bone underlying the cartilage is drilled and an absorbable cement is injected to reinforce the bone. Regardless of the method used, patients who have undergone surgery will have their sutures removed after 2 weeks. They may also be asked to wear a brace for up to 6 weeks as the cartilage recovers. Rehabilitation and Recovery After treatment, patients are recommended to undergo proper individualised rehabilitation. The time taken for complete recovery could be up to three to six months, depending on the severity of the lesion and the type of procedure carried out. Physical therapy, such as flexibility and strength exercises for the muscles and tissues around the knee joint, should be carried out for rehabilitation and recovery, as recommended by the physical therapist. Even after the pain is gone, it is encouraged to continue to practise the techniques and exercises regularly. For an assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Understanding Knee Pain Singapore: Causes, Symptoms, Management Strategies, and Knee Pain in Elderly TreatmentTreatment Options for Lower Back and Knee Pain: Exploring Conservative and Surgical ApproachesExploring New Therapies for Nerve Pain and Knee DiscomfortNon-Surgical Solutions for Knee Pain: Enhancing Mobility and ComfortComprehensive Guide to Knee Cap Replacement: Understanding Orthopaedic Surgery Essentials --- - Published: 2022-06-09 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-are-ankle-fractures/ - Categories: Articles by Doctor - Tags: Ankle Fractures, Causes, foot ankle pain, Symptoms, toe and ankle pain, toe fracture treatment, Treatment, Types An ankle fracture refers to broken bones around the ankle joint. Three bones make up the ankle joint. These are the tibia (shinbone), the fibula (a smaller bone in your leg), and the talus (a bone in the foot). There are many types of ankle fractures, and fractured bones can be displaced (out of position) or undisplaced (in place). How do ankle fractures occur? Ankle fractures are very common and happen most commonly from twisting injuries such as during falls or from missteps. These fractures are said to be indirect injuries. Athletes are especially prone to getting ankle fractures of this sort, especially if they play high-impact sports or use improper equipment or technique. Ankle fractures can also occur from direct impact onto the bones involved. These injuries are most commonly caused by motor vehicle accidents. Symptoms of an ankle fracture include: Immediate pain, swelling, and bruising around the foot and ankle. Deformity of your footDifficulty or pain when walking or putting weight on the affected foot. If you observe deformity in your foot, or your ankle swelling and pain do not subside after first aid, you should seek medical attention. If you are unable to put weight on the affected foot after an injury, you should also see a doctor immediately. How is an Ankle Fracture diagnosed? Your doctor will first conduct a medical interview and focused examination of the injured ankle. You may be asked questions about how the injury occured, and whether there are any open wounds around the ankle. Your doctor may also ask if you are able to stand and walk after the injury. As part of the examination, you may be asked to put weight on the ankle and walk. The injured ankle will also be palpated (felt) with the aim to look for spots that are painful when touched (tender). If these points of tenderness occur over the bones, this may indicate an underlying fracture. You will also be asked to undergo plain radiographs of the affected ankle (X-rays). Occasionally, CT scans or MRI scans may be necessary as well. How are Ankle Fractures treated? The treatment of ankle fractures depends on whether or not the bones involved are displaced or undisplaced. The risk of subsequent displacement if the fracture is treated non-surgically is also taken into consideration when discussing treatment alternatives. In general, fractures that are undisplaced and at low risk of subsequent displacement may be treated non surgically, whereas fractures that are displaced or at a high risk of displacement are usually managed surgically. Non-surgical treatment of ankle fractures usually entails the application of a plaster cast. In the first one to two weeks after a fracture, you may be asked to wear a half-cast or backslab, which will subsequently be changed to a full cast. The cast is typically worn for up to 8 weeks, and you will be offered crutches to aid ambulation, and may also be advised to avoid putting weight on the affected ankle for the duration of the casting. Pain medications such as non-steroidal anti-inflammatory drugs (NSAIDs) may be prescribed to alleviate ankle pain during the initial period of treatment. Frequent X-rays of the ankle will be taken to ensure that no subsequent displacement of the ankle fracture occurs while it is being treated in a plaster cast. Most ankle fractures that are treated surgically are treated with open reduction of the fractured bones, where the skin over the fracture is incised, and the bones are placed back into their original positions. The bones are then fixed in place with metal implants (internal fixation). This method of treatment is especially indicated for displaced fractures of the ankle. After surgery, sutures used to close the skin are usually removed after 2 to 3 weeks. There is usually no need for a plaster cast, and most patients may be allowed to place some weight on the injured ankle after a few weeks of rest. Rehabilitation and Recovery After the fractures have healed, most patients will find their ankles stiff, and may even be painful when they try to walk on them. You will typically require a short course of ankle therapy to help in your recovery. This will involve curated sessions with a physiotherapist, focused on the range of ankle motion and strengthening of key muscles around the ankle joint. This process may take up to 6 months. For assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Lisfranc Injuries: Causes, Symptoms, and Treatment OptionsUnderstanding Ankle Fractures: Causes, Symptoms, and Treatment OptionsUnderstanding High Ankle Sprains: Causes, Symptoms, and Treatment Options --- - Published: 2022-06-08 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-are-patella-fractures/ - Categories: Articles by Doctor - Tags: Causes, Fractures, Knee Injuries, knee injury, Knee Pain, Patella Fractures, Symptoms, Treatment Approaches The patella, also known as the kneecap bone, is a flat and rounded triangular bone which connects the thigh bone and shin bone. Injuries to the knee can sometimes lead to the patella breaking. How does the Patella Fracture? Patella Fractures usually occur from direct impact onto the patella. An example of this is a fall onto the knee with the knee in a kneeling position. In some patients with low bone density, sudden knee straightening can also cause the patella to fracture. How is a Patella Fracture diagnosed? A. Clinical Evaluation During a clinical evaluation, a medical professional is likely to ask questions about how the injury occured, and questions about the patient's general health, occupation, and functional requirements. They will also examine for tenderness and movement in the knee. B.  Radiological Examinations The doctor will usually order X-rays, a radiological test that uses electromagnetic waves to generate black and white images of bones, to identify any alignment issues or broken or fractured bones. Occasionally, it may be necessary to also order CT scans for more severe injuries. What should I do if there is a Patella Fracture? A Patella Fracture requires treatment for optimum healing. If you display any of the following signs and symptoms, it is recommended to seek medical attention: Involved in a trauma incidentPain in the knee which worsens with activityInability to straighten the kneeSwelling and tenderness around the kneeDeformity or misalignment of the knee What is the worst that can happen if I have a Patella Fracture? If not treated immediately, patella fractures can cause complications such as: Post-traumatic arthritisPost-traumatic arthritis occurs when the knee or patella is worn out due to a prior injury. Symptoms such as an aching pain in the knee area which worsens with activity, swelling and stiffness around the knee, a locking or catching sensation when moving the knee, or a painful clicking sound in the knee may surface. Loss of mobilityPatella fractures, if left untreated, may result in complications such as chronic knee pain, muscle weakness, and loss of mobility. How are Patella Fractures treated? The treatment of patella fractures depends on the severity of the injury. In general, If the patient is able to straighten his or her knee using only his or thigh muscles, surgery is not necessary. Non-Surgical Treatments Non-surgical treatment of patella fractures is typically carried out with long leg casts to keep the knee straight. This keeps the fractured bones together and allows the fracture to heal properly. The cast is usually worn for 4 to 6 weeks. In some patients, the cast can be removed early and a brace applied for greater comfort. Surgical Treatments If surgery is deemed necessary, the fracture is usually treated with open reduction and internal fixation. This means that the fracture site is opened up surgically, and the broken bones are placed back together. The bones are then held together by strong wires. Rehabilitation and Recovery Patients with fractured patellas can usually still walk, even if they are required to wear a cast. If no surgery is required, most patients will have their cast removed after 6 weeks. After cast removal, they will be required to undergo a course of physical therapy to improve knee bending and allow strengthening of their thigh muscles. Patients who have to undergo surgery to fix their broken patella usually do not need to wear a cast. As such, they can usually commence physical therapy straightaway. In general, most patients can expect to return to full activities 6 weeks to 3 months after their fracture, if their injuries are managed appropriately. For assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Understanding Knee Pain Singapore: Causes, Symptoms, Management Strategies, and Knee Pain in Elderly TreatmentTreatment Options for Lower Back and Knee Pain: Exploring Conservative and Surgical ApproachesExploring New Therapies for Nerve Pain and Knee DiscomfortNon-Surgical Solutions for Knee Pain: Enhancing Mobility and ComfortComprehensive Guide to Knee Cap Replacement: Understanding Orthopaedic Surgery Essentials --- - Published: 2022-06-07 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-is-a-forearm-fracture/ - Categories: Articles by Doctor - Tags: Causes, elbow pain, forearm fracture, Forearm Fractures, fracture, Symptoms, Treatment Options, Types, wrist pain A forearm fracture is a break in one or both of the bones in the forearm. There are two bones in the forearm: the radius and the ulna. The ulna is located on the side of the little finger while the radius is located on the side of the thumb. Sometimes, either the radius or ulna is broken. However, it is far more common for both bones to be broken at the same time. Fractures of the forearm can occur at different levels. For instance, a fracture can occur at the distal end of the bone (near the wrist), in the middle of the forearm, or at the proximal end of the bone (near the elbow) Fractures of the forearm are either open or closed. A closed fracture occurs when the bone is broken, but the skin is intact. An open fracture occurs when both the skin and bone are broken. This might be caused by some part of the bone sticking out of the skin and breaking it. Open fractures are typically more severe and need immediate attention as the risk of infection is higher due to the exposed tissue underneath. Why are the bones in the forearm important? First of all, they are needed for us to turn our palms up and down. They are also needed for bending and straightening the wrist and elbow. What is the cause of a forearm fracture? The causes of a forearm fracture can be categorised into two main types: A direct injury, or an indirect injury. Direct injury A forearm fracture due to a direct injury means that direct trauma to the forearm has caused the break. They usually involve significant, excessive amounts of force being applied to the forearm. If the force was applied to the location where the bone was broken, then it is a direct injury. Examples of direct injuries that may result in a forearm fracture include: fall from a heightsports injuries (for instance, if a ball or bat struck the forearm)vehicle accidents or crashesa direct blow or hit from an object or during a fight Indirect injury Indirect injuries occur when the location of the break is not the exact same location as where the force was applied. An indirect injury that results in a forearm fracture can be caused by outstretching your arm and striking it against the floor as a result of a fall What are the signs and symptoms of a forearm fracture? Signs and symptoms for a forearm fracture can be different depending on the individual, their pain tolerance and the severity of the injury. However, some common symptoms include: Pain in the lower part of the arm immediately after the breakArm pain that worsens with movement of the wrist or elbowObvious deformity (broken forearm may appear bent or shorter than the other forearm)Swelling or warmth around the injured areaBruisingNot being able to rotate, straighten or bend the armHaving to support the injured forearm with the other armDifficulty using the arm normally How is a forearm fracture assessed? The first part of the assessment involves taking the patient history and physical examination. The doctor will need to find out how the injury happened, and if there are any other injured parts of the body. The doctor will then examine the injured arm and look for complications like open fracture, or nerve/blood vessel injuries. X-rays of the injured arm are then taken. Based on the x-ray, the doctor will then recommend treatment for your injury. What are the treatment options for a forearm fracture? Treatment options vary based on the age of the patient and the severity of the injury. Undisplaced injuries involving only one bone can usually be treated in a plaster cast. For adults, if there is any form of displacement of the broken bones, surgery is usually necessary to treat the fracture. Nonsurgical treatment If only one bone is fractured - ulna or radius, then non-surgical treatment may be suitable as the fracture is minimally displaced. The injured arm is placed in a long backslab that extends from the palm to above the elbow. This backslab is then replaced with a full cast a week after the injury. This is to allow time for the swelling from the fracture to subside. The full cast is usually removed 3 to 4 weeks after the injury, and the patient is then started on physical rehabilitation. Surgical treatment Most forearm fractures involving adults involve both bones in some way. Typically, these injuries are best treated with surgery. The method of choice in adults is open reduction and internal fixation of the fracture, where the skin and soft tissues lying above the bone are opened to allow the bone to be placed back in its original position. The bones are then held in place with metal plates and screws. The process is repeated for both broken bones using separate incisions. There is usually no need for a plaster cast after surgery, and rehabilitation can start immediately. Sutures are usually removed 2 weeks after surgery. Recovery and Rehabilitation For patients who have undergone surgery, the initial phase of rehabilitation is to improve the range of forearm, wrist and elbow motion. As the arm motions improve, strengthening exercises will be introduced to improve wrist and forearm function. Most patients will be able to return to full function 2 to 3 months after injury. For an assessment of your condition, please book an appointment with Dr Yong Ren. Related Articles Don't Delay: Advice on Managing PainUnderstanding Forearm Fractures: Causes, Symptoms, and Treatment OptionsWhy do my Inner Elbows hurt? Understanding Olecranon Fractures: Causes, Treatment, and RecoveryUnderstanding the Different Bones in Your Hand --- - Published: 2022-06-06 - Modified: 2022-09-01 - URL: https://www.theorthopaedicandpainpractice.com/what-other-symptoms-can-be-related-to-neck-pain/ - Categories: Articles by Doctor - Tags: chronic neck and shoulder pain, neck shoulder pain Patients with underlying neck conditions may not realise that they have neck problems, as their neck conditions may cause symptoms other than neck pain. Some of these symptoms include, 1. Posterior headache A posterior headache is a type of headache that feels like a severe piercing, throbbing, or shock-like pain in the upper neck. Posterior headaches may feel as though the pain is radiating from the base of the scalp to one or both sides of the head. It can also feel like a constant throbbing or aching. It is a result of a condition known as occipital neuralgia, where the occipital nerves are injured or inflamed. The occipital nerve can be seen in the image below: (taken from gray’s anatomy) The occipital nerve may be involved in degenerative conditions of the cervical spine, such as facet arthritis or cervical spondylosis. This type of pain may predominate over neck pain, and patients may often not realise that their “headache” is caused by neck problems. 2. Shooting pain in the upper limbs Shooting pains going down the upper limbs are a sign of nerve compression in the cervical (neck) region. Neck problems such as disc prolapse, disc degeneration or cervical spondylosis (degeneration of the cervical spine) can result in compression of the nerves that supply the arms. These nerves arise in the spinal cord, and are given off in pairs at regular intervals in the neck. As the nerves lie close to the intervertebral disc, bones and joints, any problems with these may result in nerve compression, and shooting pain down the upper limbs. This pain can usually be recreated by turning the head and neck to a specific position. If you have such pain, MRI scans will usually be necessary to evaluate the neck for any nerve compression. 3. Upper limb weakness/ numbness Conditions that cause shooting pains down the arms may also cause numbness or weakness in the arms and hands. The same mechanism of nerve compression, if left untreated can result in numbness or weakness, which can be transient or permanent. Compression of the nerves in the neck can result in weakness or numbness which usually follows a specific pattern (dermatomal or myotomal). Patients with such numbness may find themselves losing sensation over part of their hands, with the sensation of feeling things through a cloth or a glove. Patients with weakness due to nerve compression may similarly find themselves unable to perform specific tasks with their hands due to muscle weakness. Weakness and numbness is usually a sign of more severe nerve compression in the neck. In most cases, MRI scans are necessary as part of the work-up, and surgical treatment may be necessary as well, especially if the numbness or weakness occurs round the clock. 4. Tingling, burning, insect-crawling sensation in the arm (paresthesia) This is also commonly referred to as “pins and needles”, and it is usually harmless and painless. However, if this feeling persists, it may be indicative of underlying neck problems as detailed above, such as cervical spondylosis or cervical disc disease. 5. Loss of hand agility Loss of hand agility may be due to compression of the spinal cord by parts of the spinal canal which have become degenerate, such as in cervical spondylosis. With chronic compression of the spinal cord, the spinal cord may become damaged, resulting in patients finding themselves less able to manipulate small objects, and having difficulty with chopsticks, buttons, and needles/thread. MRI scans of the neck are usually required to confirm the diagnosis, with scans revealing a radiological finding known as cervical myelopathy. Should there be cervical myelopathy on the MRI scan, surgery is often necessary to treat this condition before it becomes more serious. 6. Altered gait pattern Cervical myelopathy can also result in altered gait, with patients finding themselves more unsteady, and needing to walk with widespread legs to avoid falling. As mentioned above, MRI scans of the neck are recommended to diagnose the condition, and surgery is usually recommended to treat this condition. For assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Top Sleeping Positions for Neck Pain ReliefTreatments for Neck Pain: Understanding the Causes and Management OptionsNeck Pain Solutions: Your Complete GuideStrategies for Neck Pain TreatmentStrategies for Chronic Neck and Shoulder Pain Relief: Transforming Discomfort into Vitality --- - Published: 2022-06-05 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-is-an-ingrown-toenail/ - Categories: Articles by Doctor - Tags: Causes, Ingrown Toenail, Prevention, Symptoms, toe pain, Treatment An ingrown toenail is a common condition where the side or corner of the toenail curves down and digs into the surrounding flesh. Ingrown toenails grow into the skin and flesh causing pain. The growth of the nail into the surrounding skin and flesh may also cause a painful infection of the skin beside the toenail, a condition known as paronychia. Ingrown toenails most commonly occur over the big toes. How does it occur Ingrown toenails can be caused by a number of factors including, Excessive cutting of toenails. Short, curved nails have a higher chance of growing into the surrounding fleshShoes that are too tight can increase the risk of ingrown toenailsDamage to the toenail, especially to the growth plate can cause deformities in the toenail, which may result in ingrown nails. Symptoms and infection At the initial stage, ingrown nails can cause pain, especially with tight shoes and with sporting activities. As the condition worsens, paronychia usually develops, causing excruciating throbbing pain. This may be accompanied by bloody or yellowish discharge from the edge of the nail. If left alone, the infection may spread to the pulp of the toe, or to the bone causing even more severe pain. Patients may develop fever and chills at this stage. Assessment and work-up When seeing your doctor for ingrown nails, he/she will conduct a medical interview and perform a focused examination on your affected toe. Based on the information gained, your doctor may recommend that you undergo plain radiographs (X-rays) of the toe to assess if any infection has spread to the bone. Further radiological evaluations are generally not necessary. Treatment Based on the severity of the ingrown toenail and the presence of infection, treatment options may differ. Non-surgical treatment may be offered for patients with mild cases of ingrown nails. This usually entails a change in footwear to loose fitting shoes, soaking of nails to soften them, and placement of cotton wads in order to prevent further ingrowth. Nail care such as the correct way to trim nails is usually also taught to patients. Patients with minor infections may also be treated with a short course of oral antibiotics. Oral pain medication such as non-steroidal anti-inflammatory drugs may also be prescribed in order to treat pain. Patients with recurrent, recalcitrant or badly infected ingrown nails may be offered surgery. This can range from, Removal of the nail to drain any nail fold abscessExcision of part of the nail causing the ingrowingDestruction of part of the growth plate that is responsible for the part of the ingrown nail These procedures are generally performed as day surgery, and under local or regional anaesthesia. There is a small risk of recurrence after surgery. In general, if the entire nail is removed, it will take about 2 months for the nail to regrow. For assessment of your condition, please book an appointment with Dr Yong Ren. Related Articles Unveiling the Truth About Ingrown Toenails: Causes, Symptoms, and Treatment --- - Published: 2022-06-04 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/i-have-pain-over-the-front-of-my-hip-do-i-have-femoral-acetabular-impingement/ - Categories: Articles by Doctor - Tags: back hip pain, Causes, Femoral Acetabular Impingement, hip, hip fracture elderly, hip joint pain, hip pain, Symptoms, Treatment Approaches What is Hip Impingement? The hip joint is formed by the acetabulum (part of the pelvic bone) and the head of the femur. It is a shallow joint to allows a wide range of leg motions. The joint is stabilised by ligaments, muscles, and also a piece of cartilage known as the labrum. The labrum deepens the acetabulum and greatly increases the stability of the joint. This prevents it from dislocating. In some patients, this labrum is caught by the surrounding bones in the extremes of joint movement. This can cause pain and is termed femoral acetabular impingement (FAI). What causes the Impingement in FAI? The exact cause is often not well understood. Some cases of FAI are congenital (born with), whilst the cause of others can be difficult to pinpoint. There are two types of FAI impingement, Impingement between a small extra bump of bone (CAM) over the neck of femur and the hip is termed CAM impingement. Impingement caused by excessive coverage of the femoral head is known as pincer type impingement. Regardless of the type of impingement, if left alone the impingement may lead to tears in the labrum. Labral tears heal poorly, and if left alone can result in hip osteoarthritis (OA). Hip OA is an extremely debilitating condition, and patients often find themselves unable to walk properly. Patients with established hip OA will generally require total hip replacement surgery. What are the symptoms of a labral tear and FAI? For FAI, there may be no symptoms for the initial stages. However, patients may start to experience symptoms after developing a tear in the labrum. Such symptoms may include, Pain over the front of the hip joint (groin pain). That occurs or worsens during activity, and may get worse as the condition deteriorates. nStiffness in the hip, which may prevent some activities. In severe cases, patients may find themselves unable to put on socks or sit cross-legged on the floor. Painful “clicking” sensation in the hip joint How is a labral tear and FAI diagnosed? Your doctor will conduct a medical interview and perform focused medical examination on your hips. This may entail a short walk to assess for abnormal gait patterns, palpating around your hip joint to elicit pain, moving your hip joint to check its range of motion. In particular, your doctor may attempt to recreate the pain of FAI by placing your hips in 2 positions, FABER (Flexion, Abduction, External Rotation) and FADDIR (Flexion, Adduction, Internal rotation). Based on the findings from the interview and examination, you might be asked to undergo imaging tests. This typically entails plain radiographs of your pelvis and hip. In most cases, a MRI scan will also be offered to confirm the diagnosis of FAI. If there is any diagnostic uncertainty about FAI being the cause of hip pain, your doctor may offer a diagnostic hip injection, where a small amount of steroid and local anaesthetic is injected into the hip joint. If pain relief occurs, the diagnosis of FAI is confirmed. How can a labral tear and FAI be treated? In most patients with FAI without a labral tear, the treatment is supportive and non-surgical. A range of modalities may be offered to you. This includes, Rest and lifestyle modification, avoiding activities that cause pain and could potentially worsen the condition. Medications such as non-steroidal anti-inflammatory drugs to manage the pain. A course of curated hip physiotherapy designed to improve hip range of motion and functionInjections as detailed above to reduce hip pain Patients who have already developed torn labrums generally will require surgical treatment, especially for large tears. This is usually conducted via hip arthroscopy. Hip arthroscopy is a minimally invasive technique where a camera is inserted into the hip joint via small incisions. Utilising the camera, and a separate instrument portal, diagnostic and therapeutic procedures can be carried out. Specific to FAI and labral tears, the tears can be repaired, and the extra bone causing impingement can be removed as well. Small labral tears can also be excised utilising arthroscopic techniques. This operation can be performed as day surgery, and patients usually recover quickly due to the small incisions used. Rehabilitation and Recovery Regardless of the method used to treat FAI/labral tears, most patients will be asked to undergo a course of hip physiotherapy. This may last for up to 6 months. Patients will undergo hip range of motion exercises, and strengthening exercises for the muscles around the hip joint. They may also undergo gait and postural training. Most patients with repaired labral tears will be able to return to sport 3 months after surgical repair of their labral injuries. For assessment of your condition, please book an appointment with Dr Yong Ren. Related Articles Understanding Femoroacetabular Impingement: A Guide to Diagnosing and Managing Hip Impingement SyndromeUnderstanding Groin Pain: Unveiling the Link to Hip Osteoarthritis --- - Published: 2022-06-03 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/why-do-my-inner-elbows-hurt/ - Categories: Articles by Doctor - Tags: Causes, elbow pain, Golfer’s elbow diagnosed, inner elbow pain, Medial Epicondylitis, Symptoms, Treatment Options What is a common cause of inner elbow pain? Medial epicondylitis, or golfer’s elbow is a painful condition that occurs when the common origin of the flexor tendons is inflamed. The pain is found on the inner side of the elbow and may extend to your forearm, wrist, and fingertips. Patients may also experience swelling over the inside of the elbow and weakness of the hand and wrist. Similar to its name, golfer’s elbow often occurs to elbows. However, this condition is not limited to golfers. Anyone who repeatedly uses their hands, such as chefs, keyboardists, and IT personnel, may also suffer from inner elbow pain. This condition is typically caused by the overuse of your muscles and tendons that control your wrist and fingers. Activities that cause you to bend your wrist towards your palm forcefully, such as: Serving a ball in racquet sportsThrowing sportsCarrying a heavy objectManual work such as chopping wood How is Golfer’s elbow diagnosed? Your doctor will first conduct a medical interview and perform a focused examination of the elbow. This may include palpation of the area involved to elicit pain. You may also be asked to resist forced movements of the wrist in order to provocate the affected tendon. Based on the results of the examination, you may be offered plain radiographs of the elbow. In some cases, MRI scans or ultrasound scans of the elbow may also be used as part of the diagnostic process. How is a Golfer's elbow treated? The mainstay of treatment for a golfer’s elbow is non-surgical. This usually entails the use of non-steroidal anti-inflammatory pain medications, in combination with steroids and local injections into the area. Typically, a single injection coupled with a short course of physical therapy is enough to treat most the patients with golfer’s elbow. Besides medical treatment, you will also be asked to avoid activities that might worsen the pain or cause recurrence after treatment. Injections with plasma enriched platelets into the region of the affected tendon can also be considered if initial treatment with steroids fails. This procedure utilises the healing factors derived from your own blood to help heal the damaged tendon. In some patients, surgery may be necessary to treat recalcitrant or recurrent golfer’s elbow. One of the techniques used is radiofrequency ablation of the common flexor tendon origin at the inner portion of the elbow. This procedure is typically performed as day surgery. The operation is safe and effective, with the majority of patients experiencing permanent relief from the condition. After the surgery, you may be asked to undergo a short course of curated physiotherapy. Rehabilitation and recovery A short course of physiotherapy will usually be required. This might entail “range of elbow motion” exercises, and muscle exercises to aid tendon recovery. Typically no more than 3 to 6 months of physical therapy is necessary for painkillers, an elbow wrap may also help to relieve some pain. For assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Don't Delay: Advice on Managing PainUnderstanding Forearm Fractures: Causes, Symptoms, and Treatment OptionsWhy do my Inner Elbows hurt? Understanding Olecranon Fractures: Causes, Treatment, and RecoveryOlecranon Fractures: Causes, Symptoms, and Treatment --- - Published: 2022-06-02 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/i-have-shoulder-pain-do-i-have-shoulder-osteoarthritis/ - Categories: Articles by Doctor - Tags: Causes, Osteoarthritis, shoulder pain, shoulder pain treatment, Symptoms, Treatment Approaches What is shoulder osteoarthritis? Shoulder osteoarthritis (OA) refers to the loss of joint cartilage that is normally found over the shoulder joint surfaces. The shoulder joint is a joint formed between the humerus head (arm bone) and the glenoid (part of the shoulder blade). This is a very flexible joint with a wide range of possible motions and is stabilised by a variety of ligaments and tendons. This is a degenerative process, and maybe in response to a variety of causes, including injuries and infections affecting the shoulder joint. Of note, the chronic damage to the rotator cuff tendons around the shoulder can result in a particularly severe type of shoulder OA known as rotator cuff arthropathy. Similar processes are found in other joints in the body. The loss of joint cartilage results in pain, stiffness, and loss of shoulder joint function. As the shoulder joint is a critical part of the arm, patients can sometimes find themselves severely debilitated, with patients reporting the inability to lift their arms and carry heavy loads. Some patients even have problems feeding and clothing themselves. What are the symptoms of shoulder arthritis? The loss of joint cartilage results in pain, stiffness, and loss of shoulder joint function. As the shoulder joint is a critical part of the arm, patients can sometimes find themselves severely debilitated, with patients reporting the inability to lift their arms and carry heavy loads. Some patients even have problems feeding and clothing themselves. In severe cases, patients may find themselves complaining of pain even when their arms are not being used, and may also experience pain when lying on the affected shoulder, such as when side-sleeping. How is shoulder arthritis diagnosed? If you suspect that you have shoulder OA, please seek medical help. Your doctor will first conduct a medical interview and perform a focused clinical examination of the shoulders. Based on the information gained from this, he/she may recommend a battery of tests. This may include plain radiographs (X-rays) of the shoulders, looking specifically for characteristic changes of shoulder OA. Additional imaging such as CT scans and MRI scans may also be necessary. In patients with acute shoulder swelling, a shoulder tap may also be offered. The fluid will be extracted for testing, and this usually reduces the pain and swelling over the shoulder joint as well. What are the treatment options? Arthritis can be treated by both surgical and non-surgical means. Non-surgical means are often opted for before surgery is considered. Non-surgical Treatment Non-surgical treatments for shoulder OA is usually used in the early stage of the disease and may include the following, Modifications in daily activities, such as the avoidance of activities that cause shoulder pain. Physical therapy exercises to improve the range of shoulder motion, and shoulder function. Nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed to reduce inflammation and pain. Corticosteroid injections may be given to reduce severe pain in the shoulder.   Surgical Treatment Surgical treatment for shoulder OA depends on the stage of the disease, as well as other factors such as the patient's age, occupation and expected functional outcomes. Factors such as the condition of the rotator cuff tendons and muscles of the shoulder may also influence the method used to treat shoulder OA. In general, treatment for late-stage shoulder OA will necessitate the replacement of part of or the entirety of the shoulder joint. These options are, Hemiarthroplasty, where only the arm bone part of the shoulder joint is replaced. Total shoulder arthroplasty, where both the shoulder blade part, and the arm bone part of the shoulder joint are replaced. Reverse total shoulder arthroplasty, where the entire shoulder is replaced, but with the reversal of the ball and socket part of the joint. This procedure is reserved especially for patients with OA due to rotator cuff arthropathy. Rehabilitation and recovery Depending on the treatment options offered for your condition, you may be required to also undergo a course of shoulder physical therapy. This usually entails a range of motion exercises and shoulder strengthening exercises performed in a monitored and controlled fashion. The type and duration of therapy really depend on the severity of OA and the type of treatment. For assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Strategies for Chronic Neck and Shoulder Pain Relief: Transforming Discomfort into VitalityConquer Shoulder Pain: Solutions from Orthopedic and Pain Management DoctorConquer Chronic Neck and Shoulder Pain: Strategies for Long-Lasting ReliefShoulder Pain Relief: Treatment Options for Long-Term RecoveryDon't Delay: Advice on Managing Pain --- - Published: 2022-06-01 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/how-is-knee-osteoarthritis-treated/ - Categories: Articles by Doctor - Tags: Injections, knee arthritis, knee injury, knee osteoarthritis, Knee Pain, knee replacement surgery, Medications, osteoarthritis knee, swollen knee, Treatment Options Treatment of knee osteoarthritis (OA) depends on the stage of the disease. In the early stages of the disease, non-surgical treatments, minor surgical procedures, and knee injections predominate. When knee degeneration has become moderate to severe, surgical treatments become the predominant option. Do discuss with your surgeon the options available for your specific condition. Non-surgical Options Physical therapy Physiotherapy is an essential part of the non-surgical treatment of osteoarthritis. Your physiotherapist may use heat treatments, range of motion exercises as well as targeted muscle strengthening to improve the function of your knee. While there is no evidence that this can help to slow down or reverse osteoarthritis, it can lessen the symptoms of osteoarthritis, and allow better knee function. Lifestyle modifications Osteoarthritis can impact many aspects of your life. Learning to cope with the changes brought about by osteoarthritis can help to alleviate symptoms, and can sometimes prevent injury. Modifications in your lifestyle are hence an important part of osteoarthritis treatment. These can include, The use of a walking aid, such as a stick or modified umbrellaWeight management via changes in diet, and control of metabolic diseases such as diabetesEngagement in moderate age-appropriate exerciseModification of the home environment to improve comfort and safety for patients with knee problems Pain medication Your doctor may prescribe pain medications such as non-steroidal anti-inflammatory drugs (NSAIDs), paracetamol (Acetaminophen/Tylenol/Panadol), and opiate medication such as tramadol. These medications can be used to alleviate most of the pain caused by osteoarthritis, but should be used judiciously due to possible side effects such as stomach ulcers and kidney damage from NSAIDs. Do not take more than the prescribed dosage and frequency, and inform the doctor if you feel unwell after taking such medications. If you find yourself relying too much on such medication, consider other forms of treatment, as pain medications alone cannot heal your knee, and may not be sufficient to control your pain. Oral supplements There are a variety of oral supplements available for the treatment of osteoarthritis. Unfortunately, there is currently no evidence that shows that taking any oral supplements can heal knees affected by osteoarthritis. Some patients may however find that their knee pain is slightly relieved after taking these supplements. Most of such supplements are safer than traditional pain medication, and your doctor may suggest that you try these supplements to see if it helps in relieving your knee pain. Knee Injections for the treatment of pain ●Intra-Articular Hyaluronic Acid (IAHA) Intra-Articular Hyaluronic Acid Injections are injections filled with Hyaluronic Acid, that are injected into the joints. Hyaluronic Acid is a thick fluid. It is similar to the fluid in your body that naturally lubricates the joints. This helps patients feel less pain, improves mobility, and reduces stiffness in joints. These results may last as long as 6 months. However, the specific ways how it manages to do so are still unclear, and study results have been mixed about the effectiveness of this treatment. ●Cortisone Cortisone is a hormone that is naturally produced in your body and is often used to reduce inflammation. It is effective for short-term pain relief in Osteoarthritis patients, however, Cortisone injections may worsen joint damage over time, so this option may not be suitable for all patients. ●Autologous blood protein injections Autologous protein solutions (APS) injections are a newer category of knee injections that are derived from your own blood. This technique concentrates on anti-inflammatory factors which are used to prevent inflammation in the knee. Current evidence suggests that inflammation in the knee is one of the factors that exacerbates the worsening of knee OA. The benefit therefore of injecting APS solutions into the knee is that it may slow down the development of more severe knee OA. ●Offloading Braces In most patients with knee OA, the body weight is carried on the inner portion of the knee joint. Consequently, most patients with knee OA suffer from medial (inner) compartment knee OA. Such patients would benefit from the shifting of their body weight so that the weight is borne on the outer part of the knee instead. This can be achieved by a category of knee braces known as offloading braces. Depending on your specific needs, your surgeon may prescribe these braces as part of your treatment. Related Articles Understanding Knee Pain Singapore: Causes, Symptoms, Management Strategies, and Knee Pain in Elderly TreatmentTreatment Options for Lower Back and Knee Pain: Exploring Conservative and Surgical ApproachesExploring New Therapies for Nerve Pain and Knee DiscomfortNon-Surgical Solutions for Knee Pain: Enhancing Mobility and ComfortComprehensive Guide to Knee Cap Replacement: Understanding Orthopaedic Surgery Essentials --- - Published: 2022-05-31 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/is-my-kneecap-dislocated/ - Categories: Articles by Doctor - Tags: Causes, knee injury, Knee Pain, Kneecap Dislocated, Kneecap Dislocation, pain bending knee, Rehabilitation, swollen knee, Symptoms, Treatment What is kneecap dislocation? Kneecap dislocation, also known as patellar dislocation, occurs when the kneecap (patella) moves out of its original position. In the process, the connective tissues that hold the patella bone in place may also stretch and tear. We will focus on acquired patella dislocations that happen due to injuries. Some patients may also be born with patella dislocations (congenital). How does the injury occur? Most cases of acquired patella dislocations are caused by injury, such as, Twisting injury to the knee during sport - indirect injuryDirect force pushing the patella out of position - such as during a fall Patella dislocations often occur in dancers and athletes. It is more common in ladies than in men, and there might be underlying anatomical factors that may predispose a person to get dislocated patellas. Miserable malalignment syndromeOccurs when the femur and/or tibia rotate and develop in such a way that the tibia or femur is rotated relative to the other bone. This can predispose to dislocations of the patella. Trochlear or patella hypoplasia (abnormal shape)The trochlea is a groove on the end of the femur, where the kneecap sitsWhen a person has a flat or dome-shaped trochlea, this causes the kneecap to be unstable, and thus it can be easily dislocated when the knee is bentTrochlea hypoplasia is often accompanied by patella hypoplasia. Symptoms of a dislocated kneecap include, A sudden painful popping sound in the knee accompanies the knee injuryPain, usually at the front of the kneeStiffness or swelling of the kneeLocking sensation in the knee - inability to straighten or bend the knee What are the complications of kneecap dislocation? Kneecap dislocations may pop back into place by itself. However, there are some complications that can arise from a dislocated kneecap, Patellar instability and recurrent dislocations - in certain patients, especially those with predisposing factors, patella dislocations can happen again. These patients frequently have developed chronic patella instability, where the patella is unstable and comes out with the slightest provocation. Osteochondral fractures may occur during the initial dislocation or during subsequent re-dislocations. An osteochondral fracture refers to an injury to the cartilage of the joint, where a piece of the cartilage, with its underlying bone, is broken off. These injuries frequently require surgical treatment and can lead to knee osteoarthritis if left untreated. Knee osteoarthritis refers to the chronic loss of joint cartilage over the joint surfaces in the knee. It can arise due to patella instability damage, especially after recurrent dislocations. How is kneecap dislocation diagnosed? Your doctor will conduct a medical interview and examination of the knee. Based on the findings, he or she may recommend further imaging tests, which usually includes plain radiographs (X-rays) of the knee. MRI scans and CT scans may also be requested, especially if the injury is recurrent or chronic. How are kneecap dislocations treated?  Non-surgical treatment Non-surgical treatment is the mainstay of most patients with single dislocations. This includes initial placement in a plaster half-cast or cast, which is removed after 2 to 3 weeks. This is followed by a course of knee physiotherapy. Recovery in this case is usually supported with the use of medications for pain reliefPatients may also be required to wear a knee brace for up to 2 months following the injury Surgical treatment Surgical treatment is reserved for patients with a high risk of redislocation, or who have already had multiple episodes of dislocations. Depending on the chronicity (how long) of the injury, surgery can range from repair of the restraining patella ligaments, to reconstruction and reshaping options for the trochlea. Similarly, most patients after surgery may be placed on a half-cast or cast for a few weeks, and may then be transitioned to a knee braceMost patients undergoing surgery will also be required to undergo a course of rehabilitation designed to hasten recovery and improve knee function. What is the rehabilitation and recovery process like? Most patients will make a full recovery if the dislocation or surgery were uncomplicated, in 6 weeks. Return to full sporting activities may sometimes take up to 3 or 4 months. For assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Understanding Knee Pain Singapore: Causes, Symptoms, Management Strategies, and Knee Pain in Elderly TreatmentTreatment Options for Lower Back and Knee Pain: Exploring Conservative and Surgical ApproachesExploring New Therapies for Nerve Pain and Knee DiscomfortNon-Surgical Solutions for Knee Pain: Enhancing Mobility and ComfortComprehensive Guide to Knee Cap Replacement: Understanding Orthopaedic Surgery Essentials {"@context":"https://schema. org","@type":"FAQPage","mainEntity":} --- - Published: 2022-05-15 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-is-a-proximal-humeral-fracture/ - Categories: Articles by Doctor - Tags: Causes, chronic neck and shoulder pain, neck and shoulder pain relief, Proximal Humeral Fracture, Proximal Humerus Fracture, Shoulder Injury, shoulder pain, Symptoms, Treatment Options The humerus is the bone between the shoulder and the elbow. The proximal humerus is the upper part of the bone near the shoulder. A proximal humeral fracture is common, especially in the elderly with osteoporosis (brittle bones). If the fracture occurs in the elderly, it is usually caused by falling from ground level on an outstretched arm (low-energy fall). Having osteoporosis also increases the risk of a fracture. If the fracture occurs in young people, it is usually caused by high-energy trauma, such as falling from a high level or traffic accidents. In these cases, there may also be injury to the nerves, blood vessels and tissue surrounding the fracture. What should I do if there is a fracture? Signs of a fracture include Pain and swelling in the areaInability to raise the armThe arm may appear deformed You should avoid moving your arm. You should seek medical treatment immediately. How is a Proximal Humeral Fracture diagnosed? A fracture is usually diagnosed through an X-ray. During an X-ray, electromagnetic waves are used to look at the structure of the bones, which can help the doctor determine if it is broken or not. Although the patient is exposed to some radiation, it is very minimal. The doctor may also test if you have your sense of touch or are able to move your hand to ensure that the nerves and blood vessels near the fracture are not damaged. How is the fracture treated? The method of treatment depends on what type of fracture and how severe it is. For example, if the broken part of the bone is out of place or the bone is shattered into 3 or more pieces, surgery may be required to put the bone back in place so that it can grow back in the correct position. If surgery is not required, you may need to wear a cast for several weeks. Surgical treatment of such fractures can consist of either fixation with plate and screws or with metal rods placed in the bone. The choice of the technique depends on factors such as the type of fracture, and the age of the patient, amongst others. In severe cases, especially in fractures involving older patients, partial or reverse total joint replacement may also be an option. For normal shoulder replacements, the top of the humerus bone is still the ball while the shoulder is the socket. For reverse total shoulder arthroplasty, the roles of the ball and socket are reversed. Reverse total shoulder arthroplasty is performed in order to compensate for poor muscle function in older patients. Physical therapy sessions may also be involved in treatment to help the patient recover mobility in the arm and shoulder through light exercises. It usually takes a few months for the bone to completely heal. For an assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Strategies for Chronic Neck and Shoulder Pain Relief: Transforming Discomfort into VitalityConquer Shoulder Pain: Solutions from Orthopedic and Pain Management DoctorConquer Chronic Neck and Shoulder Pain: Strategies for Long-Lasting ReliefShoulder Pain Relief: Treatment Options for Long-Term RecoveryDon't Delay: Advice on Managing Pain --- - Published: 2022-05-15 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-is-a-high-ankle-sprain/ - Categories: Articles by Doctor - Tags: Ankle Instability, Diagnosis, foot ankle pain, High Ankle Sprain, pain in ankle and heel, pain in bone of heel, Syndesmosis Injury, toe and ankle pain, Treatment Approaches High Ankle Sprain A high ankle sprain is an injury to the syndesmosis (a joint at the lower leg). The syndesmotic ligaments connect the distal ends of the tibia and the fibula (two bones located at the lower leg). They are important for the stability of the ankle. How does it happen? Pattern of injury: This injury is often caused when the foot is forcibly turned outwards and upwards, especially when body weight is applied at the same time. Commonly, sports like ice hockey or football can cause injuries like this. For non-sportsmen, a missed step resulting in a hard step off stairs or a similar pattern of injury, may also cause this. How do I know if I have a high ankle sprain? Some common signs and symptoms of high ankle sprain include: (do note that this list is not exhaustive! ) Pain that radiates from the ankleDifficulty when walking or bearing weightTenderness or bruising at the upper ankle What does having a high ankle sprain mean to me? If left alone, a high ankle sprain, apart from being very painful, causes the ankle joint to become unstable. This means that the bones that make up the joint will move abnormally compared to before the injury. This leads to a feeling of joint looseness, where the joint feels like it ‘gives way’ easily. This can lead to falls and further injury. In the long term, an unstable ankle will result in damage to the joint cartilage, leading to cartilage being broken down. This is a condition known as ankle osteoarthritis, which can be severely debilitating. Patients with ankle arthritis will have chronic pain, and the ankle will become stiff, making stair climbing and walking on slopes very difficult. Assessment and Work-up Based on your history, the doctor will perform a focused examination on the ankle. Besides checking the range of motion and feeling for pain over the ankle joint and surrounding tissues, the doctor may also perform provocative tests designed to assess the syndesmosis. This includes turning the ankle outwards to see if the pain is reproduced (external rotation test) and squeezing the bones of the shin together to see if it causes pain (squeeze test). Your doctor may require you to undergo imaging tests such as X-rays and MRI scans to confirm the diagnosis. Treatment Options In most patients with an unstable syndesmosis, surgery is strongly recommended to repair the injury. If you are medically unfit for surgery, you may be offered casting as an alternative. You will be required to wear a cast for up to 2 months. Patients undergoing casting will not be allowed to step on the affected ankle for the duration of the casting. After cast removal, your ankle is retested for stability. If it is found to still be unstable, surgery may then be required. Surgical repair of the syndesmosis is a surgical procedure that involves the insertion of a suture device (such as a tightrope) between the tibia and the fibula. This stabilises the syndesmosis and allows the damaged ligaments to heal. In general, any sutures placed as part of the surgery will be removed at the 2-week mark. You will be referred to physical therapy thereafter. Rehabilitation and Recovery Physical therapy after surgery or casting will initially focus on regaining ankle range of motion. Once you have recovered a sufficient range of ankle motion, balance exercises and strengthening will be introduced. The entire process can take 3-6 months. For an assessment of your condition, please book an appointment with Dr Yong Ren. Related Articles Eliminate Foot and Ankle Pain with These Simple Home TreatmentsAnkle Pain Relief: Guide to Diagnosis and Treatment in SingaporeUnderstanding Heel Spurs: Causes, Symptoms, and TreatmentsWhat is an Ankle Sprain and what to do? --- - Published: 2022-05-15 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/why-does-the-back-of-my-heel-hurt/ - Categories: Articles by Doctor - Tags: achilles tendinitis, ankle and heel pain in the morning, bone spur heel, Haglund's Deformity, heel bone, heel pain, heel spur, pain in ankle and heel, pain in bone of heel, Retrocalcaneal Bursitis, Treatment Options The achilles tendon is the largest tendon in the body that stretches from calf muscles to the heel bone. Achilles tendinitis is an injury that is caused by overuse of this tendon, and it occurs most commonly in runners who increase the intensity and duration of their runs suddenly without proper build-up. In addition, middle-aged people who play sports might also experience this condition, since the structure of the tendon often becomes weaker as people age, making it more susceptible to injuries. There are two main types of achilles tendinitis: Insertional achilles tendinitisThis form of achilles tendinitis involves the lower part of the heel where the tendon attaches itself to the heel boneResults most often from overuse (eg: runners)However, can occur any time, even in patients who are not activeNon-insertional achilles tendinitisThis form of achilles tendinitis occurs when the fibers in the middle part of the tendon have started to degenerate and swell, causing it to become thickenedOccurs in younger and active patients. Symptoms of achilles tendinitis include: Mild aches in the back of the leg / above the heel after engaging in sports Tenderness or stiffness in the area Pain when stretching ankle or standing on toes Trouble pointing toes and pushing off toes when taking a step Bruising and swelling A snapping or popping noise (occurs when your Achilles tendon tears) If you hear a sudden snapping or popping sound, you may have ruptured or torn your tendon. In this case, please see your doctor immediately for medical attention. What causes Achilles Tendinitis? Achilles tendinitis is often not related to trauma, but is instead caused by the repetitive overuse and stress placed on the tendon. More specifically, the following situations might cause achilles tendinitis: A sudden increase in intensity and duration of physical activity Tight calf muscles (engaging in vigorous physical activity without stretching first) Bone spur (Extra growth of bone occurring where the tendon attaches to the heel bone may rub on the tendon and cause discomfort) What are the Implications of Achilles Tendinitis? While the pain experienced at first may be bearable, if achilles tendinitis goes untreated, the patient is likely to experience chronic pain and the tendon might rupture. This might cause the range of motion of the ankle and foot to be significantly reduced. How is Achilles Tendinitis Diagnosed? If your doctor suspects that you might have achilles tendinitis, he or she might use diagnostic imaging such as X-rays and MRI scans to confirm the diagnosis. Using X-rays, your doctor will be able to identify if the lower area of the tendon has calcified (become hardened), as the presence of this calcification would indicate achilles tendinitis. MRI scans are typically used only when confirming the precise location and extent of the tendon damage in preparation for surgery. How is Achilles Tendinitis Treated? If you suspect yourself or someone you know might have achilles tendinitis, it is important to seek treatment as soon as possible to avoid any serious and severe injuries. There are several treatment methods for achilles tendinitis, which can be largely divided into non-surgical treatment options and surgical treatment options. Non-surgical treatment options Rest, Ice, Compress, Elevate (RICE) Rest your leg and avoid putting any weight on it as much as possible. Athletes might want to consider switching to lower-impact exercises, such as biking and elliptical exercise. Ice your affected heel for around 20 minutes at a time. Compress the leg by using an elastic bandage to reduce swelling Elevate the leg by propping it up using a pillow Pain medication Nonsteroidal anti-inflammatory drugs (NSAIDs) might help with pain relief. However, please consult your doctor for specific information about the dosage and frequency. In addition, be sure to communicate any drug allergies with your doctor. Use of a heel lift Your doctor may recommend that you use a heel lift, an insert in the shoe, as this will help to protect the achilles tendon from stretching further. Other similar treatment options include wearing a cast, walking boot, or heel cups, which aid in reducing pressure on the tendon and minimising movement of the tendon. Physiotherapy Your doctor might recommend physiotherapy or other stretching and strengthening exercises in order to increase the mobility of the foot and reduce injuries due to lack of stretching. One potential stretching exercise that can be considered is the calf stretch. To do this stretch, lean forward against a wall with knee straight and the heel flat on the floor. Position the other leg in front, with the knee bent. Push your hips towards the wall in a slow and controlled manner. Hold the stretch for around 10 seconds before relaxing and changing feet. If done effectively, a pull in the calf should be felt while attempting the stretch. *Do consult your doctor before attempting this stretch. Extracorporeal shockwave therapy (ESWT) During this non-invasive procedure, shockwave impulses of high energy will be sent to the tendon tissue to stimulate healing. Surgical treatment options In the event that the achilles tendon is torn or ruptured, or the pain does not improve even after six months of treatment, your doctor might recommend surgery. There are various forms and surgical procedures used, which typically depend on the extent and location of tendon damage, as well as the age of the patient. The various surgical options can be summarised below: Gastrocnemius recession This procedure is used for patients who continue to have difficulty in flexing their feet, even with consistent stretching and physiotherapy. During this procedure, your doctor will lengthen the calf (gastrocnemius) muscle. This procedure is performed either through a usual-sized incision, or a smaller incision and an endoscope. Depending on your condition, your doctor might also remove the damaged tendon tissue (débridement) during the surgery. Debridement and repair This surgery is used in patients whose tendon has degenerated. Your doctor will simply remove the damaged portion of the tendon and then repair the other parts of the tendon. If the patient has insertional tendinitis, the bone spur will also be removed, and the doctor may use metal or plastic anchors to help hold the achilles tendon and heel bone together. Debridement with tendon transfer This procedure is used in patients whose tendon has suffered significant and severe damage, as the remaining portion of the tendon is no longer strong enough to function properly. Hence, your doctor might transfer the tendon from another place in the foot to the back of the heel during the procedure. Depending on the damage to the tendon, it is possible that some patients may be unable to return to the same level of vigorous physical activity as before. What can I Expect after Treatment? The duration of recovery needed by a patient would largely depend on the extent of damage to the tendon. The greater the extent of tendon damage, the longer the time the patient would require to recover from the surgery. Your doctor might refer you to a physiotherapist for physical therapy, which is a vital part of recovery. Through regular physiotherapy for around 3 to 6 months after the surgery or treatment, the range of mobility of the ankle will be slowly increased, and the pain experienced by the patient will also gradually subside. For assessment of your condition, please book an appointment with Dr Yong Ren. Related Articles Tips for Relieving Foot and Heel Pain: A Complete GuideUnderstanding Heel Spurs: Causes, Symptoms, and TreatmentsUnlock the Secret to Pain-Free Heels: Insights on Heel Pain Causes and SolutionsUnderstanding the Causes of Heel Pain: A Comprehensive Guide --- - Published: 2022-05-15 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-is-a-meniscal-injury/ - Categories: Articles by Doctor - Tags: Causes, Knee Injuries, knee injury, Knee Pain, Meniscal Injury, Meniscus Tear, meniscus tears, Symptoms, Treatment Approaches Meniscal Injury The meniscus is a C-shaped piece of cartilage (a type of connective tissue)within the knee. There is an inner (medial) and outer (lateral) meniscus in each knee. It acts as a shock absorber in the knee, helps to lubricate the knee, and helps to stabilise the knee joint. Common Patterns of injury Meniscal injuries are some of the most common injuries in the knee. A common way that this occurs is a sudden twisting injury to the knee during activity. This can sometimes also result in ligament injuries. Sometimes, a meniscus tear can occur in a meniscus that is already worn out. Tears of this sort can happen without any injury. Even the act of stepping off the curb is sometimes enough. Typically, a patient might complain of sudden pain in the knee, with a sudden popping sound. The knee is usually not immediately swollen but may get swollen later. If in any doubt, one should seek medical advice as soon as possible. Signs and Symptoms The signs of a meniscal injury can vary depending on the individual and the severity of the tear, but there are a few symptoms that most patients with this injury will have. Here is a list of common problems that someone with a meniscal injury might face: pain that is confined to medial (part of the knee facing toward the other knee) and lateral (facing away from other knees)An inability to bend or straighten the knee (locking)swelling - can be delayed (a while after the injury) or intermittent (comes and goes)knee stiffnessunable to extend knee fully How is this injury diagnosed? Based on your history of injury, the doctor will likely carry out a focused examination which may include assessment of your knee range motion, assessing for tenderness (pain when pressing) at the joint, and special tests for assessing the ligaments and cartilage within the joint. An example of such a test is known as McMurray’s test where knee movements are made in an attempt to reproduce the pain or clicking within the knee. After examining your knee, the doctor will usually offer an MRI scan, which uses a magnetic field to generate an image of the inside of your knee. It is very sensitive and will allow a doctor to diagnose meniscal tears, cartilage injuries and ligament injuries by looking at the tissues directly. Common types of meniscus tears The Radial Tear is the most common type. Imagine a knife piercing the centre of the C-shaped cartilage. The Horizontal Tear is a longitudinal tear along with the C shape. Usually easier to repair A Bucket Handle Tear is similar to a horizontal tear, but more severe and involves more of the meniscus. Part of the meniscus can get stuck in the knee and cause a painful locking sensation. Usually requires urgent surgery. What does this mean to the Patient? Menisci have a poor blood supply, with only ⅓ of the meniscus supplied directly by nutrients from our circulation. Menisci heal very poorly, and will usually require some form of surgery to repair. As meniscus tears do not heal well, they can have both short and long-term effects on you. Usually, a patient with a torn meniscus will find it difficult to extend the knee fully and may feel pain or swelling when trying to move the knee. In the short term, this will affect your ability to participate in sporting activities that you enjoy. In the longer term, untreated meniscal tears can lead to wearing out of the knee cartilage, a condition known as osteoarthritis. Osteoarthritis results in pain and stiffness of the knee, and can severely impact your lifestyle. Early diagnosis and treatment remain the best option for minimising the risk of osteoarthritis, and patients are encouraged to seek medical opinion early. What are the Treatment Options? There are various treatment plans, both surgical and non-surgical. Non-Surgical Treatment If your doctor does not recommend surgery for the meniscal tear, he/she might recommend some of the following non-surgical treatments, Activity modification and rest can help to relieve symptoms, and in some selected patients, may allow the meniscus to healPain-relieving medications such as Non-Steroidal Anti-inflammatory Drugs (NSAIDs) may help the control pain symptoms and restore some degree of functionKnee rehabilitation can likewise relieve knee pain, and improve knee functionKnee injections with autologous proteins can sometimes be considered in lieu of surgery if surgery is not a consideration. Surgical Treatment Surgical treatment is the mainstay of treatment for meniscal injuries. Depending on the type of tear, the age of the patient, and the severity of the tear, severe treatment options may be offered. All of the subsequent treatments can be performed using arthroscopic surgical techniques (keyhole surgery). Partial meniscectomy, where part of the torn meniscus is deemed irreparable and removed. Meniscal repair, where the torn part of the meniscus is placed back in its original position and repaired using sutures. In severe cases, a total meniscectomy may be the only option available. Total meniscectomy is when the entire meniscus is removed. In younger patients, there is an option of transplanting a meniscus from a donor into your knee. In general, patients undergoing surgery will have their sutures removed after 2 weeks, during which they may be advised to move around using crutches. Patients who have undergone meniscal repair may sometimes be advised to wear a knee brace for 2 to 6 weeks. What is the Rehabilitation and Recovery Process like? Regardless of the type of treatment offered, most patients will be recommended to undergo a course of rehabilitation. This process improves knee range of motion and strength. The period of rehabilitation varies, and most patients should expect to return to activity within 2 months. Patients who underwent partial meniscectomy in particular, can usually return to sport within 6 weeks. For assessment of your condition, please book an appointment with Dr Yong Ren. Related Articles Understanding Knee Pain Singapore: Causes, Symptoms, Management Strategies, and Knee Pain in Elderly TreatmentTreatment Options for Lower Back and Knee Pain: Exploring Conservative and Surgical ApproachesExploring New Therapies for Nerve Pain and Knee DiscomfortNon-Surgical Solutions for Knee Pain: Enhancing Mobility and ComfortComprehensive Guide to Knee Cap Replacement: Understanding Orthopaedic Surgery Essentials --- - Published: 2022-05-15 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-happens-if-i-injure-my-posterior-cruciate-ligament/ - Categories: Articles by Doctor - Tags: Causes, knee arthritis, Knee Injuries, knee injury, Knee Pain, PCL Injury, Posterior Cruciate Ligament injury, Symptoms, Treatment Options What is a Posterior Cruciate Ligament injury? The posterior cruciate ligament (PCL) is located at the back of the knee. The PCL connects the thighbone to the shinbone. Ligaments are strong bands of tissue that attach bones to one another. A PCL injury is not usually as serious as an ACL injury, though it can still cause pain and a feeling of weakness in the knee. How does a PCL injury usually occur? A PCL injury usually happens when a force is directed towards the back of the knee from the front of the shin bone close to the knee. Examples of such injuries include landing on your shin bone after a fall, with your knee in a bent position. You may hear a painful popping sound and may have difficulty straightening the knee or walking after the injury. What are the symptoms of a PCL injury? Although the signs and symptoms of a posterior cruciate ligament injury may be mild for certain individuals, over time, the symptoms may worsen. These signs and symptoms include: mild to moderate pain which may start at the back of the knee. over time the patient may experience pain at the front of the knee which may get progressively worsestiffnessdifficulty walkinginstability (your knee might give way) especially when climbing stairsswelling may occur at the back of the knee, but is usually missed Isolated PCL injuries typically do not cause a lot of problems. With a good rehabilitation program, most patients do not require surgery. Occasionally, however, the PCL injury may be part of a larger injury involving other ligaments that help to stabilise the back and outer side of the knee joint. In that case, the knee is usually very unstable, and surgery is usually required. PCL injuries that are left undiagnosed may give rise to damage to the cartilage over the knee cap bone, if this is severe, the patient may require subsequent surgery or may even develop knee arthritis in the future. Assessment and Work-up A posterior cruciate ligament injury is usually diagnosed with a combination of history and physical examination, as well as an MRI scan. During the physical exam, the doctor may press on your knee to feel for any looseness, injury, or fluid in the joint from bleeding. The doctor may also move your knee or leg in different directions and instruct you to stand or walk. Your knee would be compared with a healthy one to look for any injury. The MRI scan is an important tool to assess knee injuries such as the PCL injury as it allows the doctor to check the status of the ligaments in the knee without the need for radiation or surgery. In addition, the MRI scan will allow the assessment of other injuries within the knee joint. What are the Treatment Options? Treatment options vary for each individual depending on the extent of their injury. There are both non-surgical and surgical options. However, surgery is often not required unless it is associated with other ligament injuries. Therapy Therapy is a common option to enable one’s knee function to improve over time. It also helps to strengthen your knee. This is conducted by a physiotherapist who will teach you exercises to practice. Surgery If the PCL injury is severe or if it is combined with other knee ligament injuries, cartilage damage or broken bone, surgery may be needed. If you have persistent knee instability despite physical therapy, surgery would also be considered an option. This surgery can be performed arthroscopically through several small incisions around the knee. A camera would then be inserted into the incision sites for the surgeon to perform the surgery. After surgery, you may have to wear a knee brace, use crutches as well as undergo a course of physical therapy. Rehabilitation and Recovery Rehabilitation of a PCL injury depends on whether surgery was performed or not. In the case of a PCL injury managed without surgery, the patient typically undergoes 6 to 12 weeks of knee rehabilitation and is usually able to return to sport thereafter. Rehabilitation following surgery for PCL injury will depend on the type of surgery performed, and the other injuries that occurred together with the PCL injury. Depending on the severity, such rehabilitation can take up to a year before the patient is able to return to sport. For assessment of your condition, please book an appointment with Dr Yong Ren. Related Articles Understanding Knee Pain Singapore: Causes, Symptoms, Management Strategies, and Knee Pain in Elderly TreatmentTreatment Options for Lower Back and Knee Pain: Exploring Conservative and Surgical ApproachesExploring New Therapies for Nerve Pain and Knee DiscomfortNon-Surgical Solutions for Knee Pain: Enhancing Mobility and ComfortComprehensive Guide to Knee Cap Replacement: Understanding Orthopaedic Surgery Essentials --- - Published: 2022-05-15 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-is-an-anterior-cruciate-ligament-acl-injury/ - Categories: Articles by Doctor - Tags: acl injury, acl surgery, acl tear, Causes, Knee Injuries, Knee Pain, Symptoms, Treatment Approaches What is the ACL? The anterior cruciate ligament (ACL) is one of the main ligaments in the knee joint. It connects the thigh bone (femur) to the shin bone (tibia), as seen below: The ACL is a rope-like structure that mainly functions to prevent the tibia from sliding out in front of the femur, and it also resists twisting. How does the injury occur? ACL injuries mostly occur during sports such as football, netball, and basketball. This is because such sports involve many start-stop movements, changes of direction, and speed changes. They sometimes occur during simple falls or even at work. The usual way this happens is when a sudden twist happens when the foot is planted on the ground. There is usually a sudden painful pop, and very frequently the patient falls down. Signs and Symptoms If you suspect that you have an ACL injury, here are some possible signs and symptoms which you can look out for: Painful ‘popping’ noise, right when the injury occursA feeling that your knee is giving way (losing stability), significantly when changing directionIntense pain and immediate swelling of the knee jointDifficulty with putting weight on the injured legDiscomfort or inability to walkRange of motion becomes limited What does this mean to the patient? If left untreated, an ACL injury can significantly impact the patient’s activities, especially those that involve sports. It can result in pain, discomfort, and instability in movement. Most athletes will find themselves unable to return to their sport of choice. In the long term, an unstable knee caused by an ACL injury can result in the knee wearing out faster than usual. This may necessitate further treatment, which can include more extensive surgery. Assessment and Work-up To diagnose an ACL injury, your doctor may conduct physical assessments alongside other tests. The doctor may also ask questions about how you got the injury and your medical history. Your doctor may demonstrate that the knee is unable by pulling on the shin bone, where a torn ACL would lead to the shin bone shifting towards the doctor abnormally. This is known as the anterior drawer test. The most important part of the assessment is frequently an MRI scan. This scan is useful as it allows the doctor to assess the status of the ACL, as well as other parts of the knee joint without any form of surgery. An ACL tear may also coexist with other knee injuries, such as fractures, cartilage injuries, and injuries to other ligaments in the knee. Treatment Options For treatment of an ACL injury, the recommendation is for all fit and healthy individuals to undergo surgical reconstruction in order to improve their quality of life and minimise the risk of future knee degeneration. The surgical treatment of ACL injuries is a prolonged process beginning with reconstructive surgery, followed by a 9 to 12-month course of monitored rehabilitation. ACL reconstruction surgery is usually performed through arthroscopy. The patient will be under general anaesthesia. The orthopaedic surgeon makes several small incisions at the knee and inserts a viewing instrument and other surgical instruments. The torn ACL will then be replaced with a tissue graft, usually harvested from a tendon of the patient. The most common source of this tendon is the two hamstring tendons from the inner thigh. The benefits of arthroscopy is that it is a minimally invasive procedure, which can mean less pain and quicker recovery times. Patients can usually be discharged within 24 hours. After surgery, the patient may be fitted with an ACL brace and taught to walk with crutches. Most patients will regain the ability to walk without crutches within 2 weeks. They will then embark on a 9-12 month course of monitored rehabilitation in stages. Rehabilitation and recovery The estimated time for a return to the patient’s sporting activity of choice is 9 months. After the initial 2 weeks of recovery from surgery, the patient will begin with knee strengthening and range of motion exercises, which will take anywhere from 6 weeks to 3 months. At the 3 month mark, most patients will be able to embark on a more rigorous course of physical therapy which might include squats and straight-line running. This stage of rehabilitation continues till the 9-month mark. Typically, at 9 months most patients will be able to return to their sport of choice and may begin sport-specific rehabilitation. If you are looking for orthopaedic treatments in Singapore, feel free to book an appointment at The Orthopaedic and Pain Practice today! Dr. Yong Ren will be happy to give you a consultation. For assessment of your condition, please book an appointment with Dr Yong Ren. Related Articles Understanding Knee Pain Singapore: Causes, Symptoms, Management Strategies, and Knee Pain in Elderly TreatmentTreatment Options for Lower Back and Knee Pain: Exploring Conservative and Surgical ApproachesExploring New Therapies for Nerve Pain and Knee DiscomfortNon-Surgical Solutions for Knee Pain: Enhancing Mobility and ComfortComprehensive Guide to Knee Cap Replacement: Understanding Orthopaedic Surgery Essentials --- - Published: 2022-05-14 - Modified: 2025-07-26 - URL: https://www.theorthopaedicandpainpractice.com/what-is-a-long-bone-fracture/ - Categories: Articles by Doctor - Tags: Causes, fractured bones, Knee Pain, Long Bone Fracture, long bone fractures, Low Bone Density, low bone density treatment, Symptoms, Treatment Options, Types eA long bone is a bone that is longer than it is wide. It makes up most of the length of the limbs in humans. Some examples of long bones are the Femur (thigh bone), the Tibia (shin bone), and the Humerus (bone of the upper arm). Long Bone Fractures are soft tissue injuries that include a partial or complete break in the continuity of the long bones in question. What can cause a Long Bone Fracture? Long Bone Fractures usually occur from direct or indirect injuries to the long bone. An example of a direct injury is a gunshot wound through the femur bone. Indirect injuries refer to injuries sustained when the force exerted is away from the site of the fracture. An example would be a fracture sustained from a twisting injury to the thigh bone, such as is common during sport. In some patients with low bone density, minor injuries such as slips or falls from a low height can also cause the long bones to fracture. How is a long bone fracture diagnosed? A.  Clinical Evaluation Based on the reported mechanism of injury, and the symptoms reported by the patient, a doctor will conduct a focused examination of the injured limb. This would include an assessment of the skin at the site of the injury, the status of the nerves, muscles, and blood vessels of the affected limb, as well as the continuity of the bone in question. B. Radiological Examinations Plain X-rays use electromagnetic waves to generate an image of the bone being surveyed. In most cases, it will allow the diagnosis of any long bone fractures. In some cases, CT scans may be necessary, especially if the injury is severe. What should I do if I suspect that I might have a Long Bone Fracture? Long bone fractures can cause complications such as damage to the skin, blood vessels, and nerves. If any of the following applies to you, it is recommended to seek medical attention:  Involved in a car accident or fall from heightPain and swelling in the affected limb, which may prevent or worsen with activityDeformity or misalignment of the injured limbDiscolouration or an open wound of the skin around the injured areaA feeling of numbness or coldness in the affected limb What can happen if I do not treat my Long Bone Fracture? If not treated appropriately, long bone fractures will result in loss of function in the affected limb. This can lead to loss of upper or lower limb mobility and can hamper a person’s way of life. In some cases, this can lead to other complications, such as skin ulcers, and infections of the urinary tract or the respiratory tract, which may even lead to death. How are Long Bone Fractures treated? Treatment for long bone fractures depends on the site and severity of the injury. In general, upper limb injuries with minimal displacement may not require surgery. Lower limb injuries however typically require surgery unless the fracture is incomplete. This is due to the fact that lower limb fractures have a propensity to undergo subsequent shifting of the fracture ends. Non-Surgical methods Casting is an option for minimally displaced upper limb fractures and some lower limb long bone fractures. Depending on the area of injury, your doctor may recommend a period of casting which may last between 3 to 6 weeks depending on location. Occasionally, the doctor will also recommend that you undergo anaesthesia to allow resetting of the broken bone before casting is performed. Surgical methods A. Intramedullary FixationIntramedullary fixation involves the use of a long intramedullary rod, which is an internal splint inserted inside the bone and permanently fixed to the fractured bones using large screws, to manage and keep the fractured bones in place. Additional large screws are also inserted at the lower end of the rod to prevent rotation of the fractured bones around the rod. This is the most common form of treatment for long bone fractures in the lower limb. Open ReductionOpen reduction involves the use of a long plate, which serves as a splint and is permanently fixed to the side of the bone using small screws, to manage and keep the fractured bones in place. Open reduction is a procedure that is very similar to intramedullary fixation in that they both make use of internal splints which are put into the body during open surgery. However, open reduction makes use of a plate with screws attached, while intramedullary fixation makes use of a long intramedullary rod. This procedure is mainly carried out in the upper limbs, though it remains a good option in the selected cases involving the lower limbs. Recovery and Rehabilitation In general, most long bone fractures treated with surgery will require a period of rehabilitation. Most fractures heal within 3 months for upper limb injuries and 6 months for lower limb injuries. Most patients will find themselves able to move their limbs immediately after surgery, though their ability to walk or carry heavy objects may be affected during the period of recovery. Patients will be required to undergo a course of physical therapy which will help with muscle conditioning and joint suppleness, and allow a faster return to their original lifestyle. For assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Understanding Knee Pain Singapore: Causes, Symptoms, Management Strategies, and Knee Pain in Elderly TreatmentTreatment Options for Lower Back and Knee Pain: Exploring Conservative and Surgical ApproachesExploring New Therapies for Nerve Pain and Knee DiscomfortA Singaporean’s Guide to Low Bone Density TreatmentNon-Surgical Solutions for Knee Pain: Enhancing Mobility and Comfort Understanding Long Bone Fractures: Types and Effective Treatment Expert Care to Restore Function—From Conservative Healing to Surgical Repair Long bone fractures—commonly involving the femur, tibia, humerus, radius, or ulna—result from significant trauma or falls. These breaks can range from non-displaced (simple) fractures, managed with casting or bracing, to complex or open fractures requiring surgical stabilization with nails, plates, or external fixators arxiv. org +3 stanfordhealthcare. org +3 dmd-guide. org +3 . Treatment begins with a precise diagnosis using clinical assessment and imaging, followed by a personalized plan based on injury severity. For stable, closed fractures, non‑surgical options like splinting, closed reduction, and rehabilitation are often effective amboss. com stanfordhealthcare. org . Severe cases—such as displaced, open, or comminuted fractures—typically require surgical intervention such as internal fixation (rods, pins, plates), bone grafting, or external fixation devices stanfordhealthcare. org verywellhealth. com en. wikipedia. org en. wikipedia. org . Following stabilization, physical therapy supports muscle strength, joint mobility, and a safe return to activity. https://www. theorthopaedicandpainpractice. com/what-is-a-long-bone-fracture/ --- - Published: 2022-05-14 - Modified: 2025-04-24 - URL: https://www.theorthopaedicandpainpractice.com/subtrochanteric-fractures-what-is-it-2/ - Categories: Articles by Doctor - Tags: Causes, Hip Injury, injury, lower back and hip pain on one side, lower back hip pain, lower back pain butt, lower back pain right side above hip, Subtrochanteric Fracture, Subtrochanteric Fractures, Surgical Treatment, Symptoms, Treatment Approaches What are Subtrochanteric Fractures? The subtrochanteric region is a part of the thigh bone (femur). It is the area proximally 10 cm from the top of the femur bone. This area is important because there are a lot of muscles attached to the bone here. Any fractures that occur in this area will often result in the muscles pulling the fracture ends away from each other. If the bone ends are not in contact, fracture healing cannot occur. The femur is an important part of the leg, and is crucial to allowing walking, and sitting. If the fracture is not allowed to heal with the bone placed in a good position, patients may find themselves wheelchair-bound indefinitely. How do you get a Subtrochanteric Fracture? A subtrochanteric fracture is a serious injury that often results from an accident (trauma). Examples of such accidents include falls from height and car accidents. Occasionally, elderly patients with very poor bone quality, may suffer a subtrochanteric fracture after a minor injury, such as a fall from a standing height. The use of anti-osteoporotic medications for a long time may also predispose patients to subtrochanteric fractures. What are the symptoms of a Subtrochanteric Fracture? Patients who have sustained a subtrochanteric fracture are often in severe pain, with the leg grossly deformed and held at a weird angle. There may also be accompanying bleeding especially if there is a break in the skin. Patients will often be unable to stand, much less put weight on the affected leg. There may also be other injuries sustained, especially to the leg on the same side of the injury, and to the lower back. How is a Subtrochanteric Fracture diagnosed? Patients who have sustained a leg injury will usually be assessed with a clinical interview with regard to the mechanism of their leg injury. Additional questions will be asked with regard to bleeding, the presence of an open wound, and numbness of the affected leg. Questions will also be asked about pain elsewhere in the body. Based on the information gleaned during the medical interview, a focused clinical examination will be conducted where the patient’s affected leg will be examined. A neurological and vascular examination of the leg may also be conducted. Plain X-rays are usually sufficient to diagnose subtrochanteric fractures. Occasionally, computerised tomography (CT) scans may be necessary to delineate the exact fracture pattern. How are Subtrochanteric Fractures treated? Surgical treatment of subtrochanteric fractures is strongly recommended. As mentioned previously, subtrochanteric fractures heal poorly, and immobility/prolonged bed rest can have disastrous effects on patients. Non-surgical treatment is usually reserved only for patients with other severe medical conditions, who may be at risk of death during the surgery to fix the fracture. Subtrochanteric fracture fixation is usually carried out with intramedullary nailing, where the fracture is reduced and held in place with a metal rod placed within the bone itself. This is a minimally invasive operation, and wounds from the surgery usually go on to heal within 2 weeks. Following the surgery, patients will be allowed to put weight on the affected leg but may require a set of crutches to aid in walking. Sutures placed during surgery will usually be removed 2 weeks after surgery. Rehabilitation and Recovery Patients who have undergone surgery to repair their subtrochanteric fracture will usually be referred for a course of physiotherapy for the lower limbs. During rehabilitation, they will be trained to walk on the affected leg. Strengthening exercises will also be taught to the muscles around the hip. In general, subtrochanteric fractures take 3 to 6 months to fully heal. Thereafter, most patients will be able to return to sport/exercise. In the case of fractures occurring due to prolonged use of osteoporotic medications, the fractures may take up to a year or more to heal. For assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Hip Pain Treatment Options for ReliefUnderstanding Femoroacetabular Impingement: A Guide to Diagnosing and Managing Hip Impingement SyndromeSubtrochanteric Fractures? What is it? What are Proximal Femur Fractures? What is Avascular Necrosis of the hip? --- - Published: 2022-05-14 - Modified: 2025-04-24 - URL: https://www.theorthopaedicandpainpractice.com/what-is-an-olecranon-fracture-2/ - Categories: Articles by Doctor - Tags: Causes, Elbow Injury, elbow pain, olecranon fracture, Surgical Treatment, Symptoms The olecranon is part of the upper end of one of the bones in the forearm. It forms part of the elbow joint. An olecranon fracture can be caused by a direct impact on the elbow or impact on an outstretched arm. If the fracture occurs in the elderly, it is usually caused by falling from ground level on an outstretched arm (low-energy fall). Having osteoporosis (brittle bones) also increases the risk of a fracture. If the fracture occurs in young people, it is usually caused by high-energy trauma, such as falling from a high level of traffic accident. What should I do if I fracture my Olecranon? Signs of a fracture include: Pain and swelling around the elbowInability to extend your arm You should avoid moving your arm. You should seek medical treatment immediately. How is an Olecranon fracture diagnosed? A fracture is usually diagnosed through an X-ray. During an X-ray, electromagnetic waves are used to look at the structure of the bones, which can help the doctor determine if it is broken or not. Although the patient is exposed to some radiation, it is very minimal. How is the fracture treated? The fracture can be treated through surgical or non-surgical methods depending on how severe the fracture is and what type of fracture it is. Non-surgical method The arm will usually be immobilised using a cast or a splint. The duration of immobilisation depends on the severity of the fracture and the age of the patient, but the patient can usually move after 3 to 4 weeks. Physical therapy sessions may also be involved in treatment to help the patient recover mobility in the elbow through light exercises. It usually takes a few months for the bone to completely heal. Surgical methods The type of procedure depends on various factors such as the severity of the fracture, whether or not the patient has osteoporosis etc. 1. Tension band wiring Wires are used to hold the broken parts of the olecranon together to allow the bone to heal incorrect positions. After the surgery, the elbow may be placed in a splint for a few days to minimise pain. The patient will be able to move the elbow but not carry heavy loads as the fracture is healing. This procedure is usually carried out for fractures where the bone has broken into 2 parts horizontally and the fragments are not close together (displaced transverse fracture). 2. Open reduction internal fixation (ORIF) An incision will be made with the patient under general anaesthesia. Hardware, such as plates and screws will be used to secure the bones in place. This allows the bones to heal in the correct positions. For an assessment of your condition, please book an appointment with Dr Yong Ren. Related Articles Don't Delay: Advice on Managing PainUnderstanding Forearm Fractures: Causes, Symptoms, and Treatment OptionsWhy do my Inner Elbows hurt? Understanding Olecranon Fractures: Causes, Treatment, and RecoveryOlecranon Fractures: Causes, Symptoms, and Treatment --- - Published: 2022-05-05 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-are-tibial-plateau-fractures/ - Categories: Articles by Doctor - Tags: Causes, knee fractures, knee injury, Knee Pain, Surgical Treatment, Symptoms, Tibial Plateau Fracture, Tibial Plateau Fractures What is a Tibia? The shin bone is also known as the tibia and forms part of the knee joint. This part of the tibia is also known as the tibia plateau. As part of the knee joint, the tibial plateau helps to support your body weight and allows the knee to bend and straighten. Tibial Plateau Fractures happen when an injury causes the bone to break. This is a serious injury and is often accompanied by soft tissue injuries to the ligaments, menisci, muscles, blood vessels, nerves, and skin in the vicinity of the knee. What can cause a tibial plateau fracture? Tibial Plateau Fractures usually occur from high-energy direct or indirect injuries to the knee. An example of a direct injury is a gunshot wound to the knee. Indirect injuries refer to injuries sustained when the force exerted is away from the site of the fracture. An example would be a fracture sustained from a twisting injury to the knee, which is common during sport. In some patients with low bone density, minor injuries such as slips or falls from a low height can also cause the tibial plateau to fracture. What symptoms will I have? Patients who have sustained a tibial plateau fracture usually complain of severe pain around the knee. The knee will also be swollen, with patients unable to bend or move the affected knee. Most patients will also find it difficult to stand, much less walk on the affected leg. In some patients, there can be severe pain in the calf region as well. This is an important symptom of a condition known as compartment syndrome, which is a complication known to occur after a tibial plateau fracture. If you have any of the above symptoms after an injury, please seek medical help as soon as possible. How is a tibial plateau fracture diagnosed? Your doctor will first conduct a medical interview, where he/she will ask about the injury that occurred, and the ensuing symptoms. He/she will then conduct a focused medical examination on the affected limb, to assess for the skin condition and blood circulation of the affected leg. A general medical examination may also be conducted to rule out injuries in other parts of the body. Plain X-rays of the knee are usually sufficient to diagnose a tibial plateau fracture. In most patients, a computerised tomographic (CT) scan will also be ordered to better understand the fracture configuration. This is especially helpful for patients who need to undergo surgery to repair the damaged bone. How are tibial plateau fractures treated? In general, most patients who have sustained a tibial plateau fracture will require surgery. This is because the tibial plateau is a very important part of the knee joint. If damage to the tibial plateau is not repaired, patients will frequently suffer from knee pain with even minimal physical activity. In addition, a damaged tibial plateau greatly increases the risk of subsequent knee osteoarthritis. In some patients with undisplaced tibial plateau fractures, the doctor may elect to manage the fracture with non-surgical methods. This usually involves placing the affected leg in an above knee cast. This cast will typically be worn for 6 to 8 weeks, with the knee held in extension (straight). If the fracture has healed sufficiently, the patient is frequently referred for knee physiotherapy subsequently. Surgical Treatment The mainstay of treatment for tibial plateau fractures is surgery. Depending on the fracture pattern, as well as the state of the surrounding soft tissues, the methods used for the treatment of this condition can include, Open Reduction and internal fixation refer to the technique whereby the skin around the fracture site is cut to reveal the broken bones. These bones are then put back in place, and held in place by the use of metal plates and screws. This allows the bones to heal in a good position, minimising the risk of osteoarthritis. Recovery and Rehabilitation After a Tibial Plateau Fracture surgery, rehabilitation is an important step to ensure that the patient recovers range of knee motion, and regains the ability to climb stairs, walk long distances and participate in sport or exercise. Patients who have undergone surgery, will usually be referred for physiotherapy after a short period of rest. During the initial phase, they may also be required to use crutches to prevent too much weight being borne on the injured leg. If patients adhere to the physiotherapy regime prescribed, most patients will be able to return to sport within 3 to 6 months after a tibial plateau fracture. For assessment of your condition, please book an appointment with Dr Yong Ren. Related Articles Understanding Knee Pain Singapore: Causes, Symptoms, Management Strategies, and Knee Pain in Elderly TreatmentTreatment Options for Lower Back and Knee Pain: Exploring Conservative and Surgical ApproachesExploring New Therapies for Nerve Pain and Knee DiscomfortA Singaporean’s Guide to Low Bone Density TreatmentNon-Surgical Solutions for Knee Pain: Enhancing Mobility and Comfort --- - Published: 2022-05-02 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/subtrochanteric-fractures-what-is-it/ - Categories: Articles by Doctor - Tags: Causes, groin pain, hip and groin pain, Hip Injury, hip pain, Subtrochanteric Fracture, Symptoms, Treatment Approaches What are Subtrochanteric Fractures? The subtrochanteric region is a part of the thigh bone (femur). It is the area proximally 10 cm from the top of the femur bone. This area is important because there are a lot of muscles attached to the bone here. Any fractures that occur in this area will often result in the muscles pulling the fracture ends away from each other. If the bone ends are not in contact, fracture healing cannot occur. The femur is an important part of the leg, and is crucial to allowing walking, and sitting. If the fracture is not allowed to heal with the bone placed in a good position, patients may find themselves wheelchair-bound indefinitely. How do you get a subtrochanteric fracture? A subtrochanteric fracture is a serious injury that often results from an accident (trauma). Examples of such accidents include falls from height and car accidents. Occasionally, elderly patients with very poor bone quality, may suffer a subtrochanteric fracture after a minor injury, such as a fall from a standing height. The use of anti-osteoporotic medications for a long time may also predispose patients to subtrochanteric fractures. What are the Symptoms of a Subtrochanteric Fracture? Patients who have sustained a subtrochanteric fracture are often in severe pain, with the leg grossly deformed and held at a weird angle. There may also be accompanying bleeding especially if there is a break in the skin. Patients will often be unable to stand, much less put weight on the affected leg. There may also be other injuries sustained, especially to the leg on the same side of the injury, and to the lower back. How is a Subtrochanteric Fracture Diagnosed? Patients who have sustained a leg injury will usually be assessed with a clinical interview with regards to the mechanism of their leg injury. Additional questions will be asked with regards to bleeding, the presence of an open wound, and numbness of the affected leg. Questions will also be asked about pain elsewhere in the body. Based on the information gleaned during the medical interview, a focused clinical examination will be conducted where the patient’s affected leg will be examined. A neurological and vascular examination of the leg may also be conducted. Plain X-rays are usually sufficient to diagnose subtrochanteric fractures. Occasionally, computerised tomography (CT) scans may be necessary to delineate the exact fracture pattern. How are Subtrochanteric Fractures treated? Surgical treatment of subtrochanteric fractures is strongly recommended. As mentioned previously, subtrochanteric fractures heal poorly, and immobility/prolonged bed rest can have disastrous effects on patients. Non-surgical treatment is usually reserved only for patients with other severe medical conditions, who may be at risk of death during the surgery to fix the fracture. Subtrochanteric fracture fixation is usually carried out with intramedullary nailing, where the fracture is reduced and held in place with a metal rod placed within the bone itself. This is a minimally invasive operation, and wounds from the surgery usually go on to heal within 2 weeks. Following the surgery, patients will be allowed to put weight on the affected leg but may require a set of crutches to aid in walking. Sutures placed during surgery will usually be removed 2 weeks after surgery. Rehabilitation and recovery Patients who have undergone surgery to repair their subtrochanteric fracture will usually be referred for a course of physiotherapy for the lower limbs. During rehabilitation, they will be trained to walk on the affected leg. Strengthening exercises will also be taught to the muscles around the hip. In general, subtrochanteric fractures take 3 to 6 months to fully heal. Thereafter, most patients will be able to return to sport/exercise. In the case of fractures occurring due to prolonged use of osteoporotic medications, the fractures may take up to a year or more to heal. For an assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Hip Pain Treatment Options for ReliefUnderstanding Femoroacetabular Impingement: A Guide to Diagnosing and Managing Hip Impingement SyndromeUnderstanding Groin Pain: Unveiling the Link to Hip OsteoarthritisSubtrochanteric Fractures? What is it? What are Proximal Femur Fractures? --- - Published: 2022-04-29 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-are-the-different-bones-found-in-my-hand/ - Categories: Articles by Doctor - Tags: Carpal Bones, Fractures, Hand Anatomy, Hand and Wrist Pain, hand pain, Metacarpal Bones, Phalanges, wrist pain What are the bones of the hand? The hand contains numerous bones which are essential to its function. The hands are also often injured, as they are frequently our first point of contact with the environment, and are not well protected by soft tissues. The bones of the hands include the metacarpal bones and the phalanges or finger bones. Except for the thumb, each digit has 3 bones, while the thumb has 2. Each digit is attached to the wrist by the metacarpal bones. How do hand fractures occur? Hand fractures can occur either due to direct forces applied to them or indirectly. An example of a direct force causing a hand fracture is when a hand is struck by an object such as a hammer. Should a fracture occur, it will occur at the spot struck by the hammer. Another way by which a fracture occurs is when a force is applied to the bone at a site distant from the site of the fracture. This is known as an indirect force. This is less common than the direct mechanism. What are the symptoms and signs of a hand fracture? After an injury to the hand, patients with hand fractures will complain of severe pain and swelling over the fracture site. There may also be a change in the orientation of the finger, and the patient frequently finds it difficult to move the finger. In severe cases, there may be broken skin over the finger, and bleeding from the wounds. Patients may also complain of numbness of the injured digit, and the digit may appear pale and cold. In all cases of hand injuries where you suspect that you might have a fracture, it is recommended that you seek medical help early. How will my hand fracture be assessed? You will first be interviewed by the doctor, who will ask about how the injury was sustained. He/she will also ask about your symptoms and may ask relevant functional questions about your handedness and occupational requirements. The doctor will then perform a focused examination on your hand, which will include an assessment of the underlying bones and ligaments, and of the skin overlying the site of injury. The nerves and blood vessels in the vicinity will also be assessed for potential injury. You will then be asked to go for plain X-rays of the hands, which will usually be enough to diagnose any fractures. In severe injuries, or if there is any clinical uncertainty, a computerised tomography scan (CT scan) may also be offered. How are hand fractures treated? Bone alignment in the hand is critical for optimal function. As a result, there is usually a low threshold for recommending surgery to treat hand fractures. In cases where the displacement of the fractured bones is considered minimal, non-surgical treatment may be appropriate. Non-surgical treatment comprises the use of splints to immobilise the fractured bones in a good position, as to allow for the bones to heal properly. These splints are usually removable for hand hygiene, but frequently have to be worn for 3 to 4 weeks. In addition to splinting, your doctor may also recommend intermittent exercises for the hands, to keep the joints supple. These are usually guided by a qualified hand therapist. Surgical treatment of hand fractures depends on the configuration of the fracture and can include modalities such as, Open reduction of the fracture, where the skin is incised and bones placed in a good position, followed by fixation with either plates or wires Closed reduction of the fracture and pinning with wires, for patients with suitable injuries that can be treated in such a fashion External fixation for severe joint injuries After surgery, patients may be required to wear a splint for a short period of time. Sutures placed will usually be removed in 1 to 2 weeks. In certain patients, removal of implants may be necessary. This is usually performed 6 to 12 weeks after the initial surgery Rehabilitation and Recovery Regardless of the method used to treat the fracture, patients are generally expected to undergo a course of curated hand therapy. This will allow the joints in the hand to remain supple, and aid subsequent hand function. Therapy for hand fractures may take up to 6 months to complete. For an assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Causes and Treatment for Finger Tip ContractureUnderstanding Finger Joint Pain: Causes, Symptoms, and ReliefUnderstanding Forearm Fractures: Causes, Symptoms, and Treatment OptionsUnderstanding the Different Bones in Your HandWhy does the Side of my Wrist Hurt? --- - Published: 2022-04-26 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-is-an-olecranon-fracture/ - Categories: Articles by Doctor - Tags: Causes, elbow fracture, Elbow Injury, elbow pain, olecranon fracture, Olecranon Fracture?, Surgical Treatment, Symptoms The elbow joint is a joint of the upper limbs, formed between the arm bone (humerus) and the forearm bones (radius and ulna). The olecranon (upper end) of the ulna articulates with the humerus, allowing bending motions of the upper limbs at the elbow. The radial head (upper end of radius) articulates with the humerus and the olecranon to allow supination and pronation (palm up and palm down) motions of the forearm. As can be seen, the elbow joint is a very critical joint for the function of the upper limb. Damage to the joint will affect many aspects of a person’s life, including feeding, dressing, and hygiene. Unfortunately, the elbow joint is not covered by much soft tissue and lies very close to the skin. This makes it vulnerable to injury. Injuries around the elbow can include fractures (broken bones) of any of the bones and/or dislocation (joint surfaces no longer in contact) of the ulno-humeral, or the radio-humeral articulations. What types of fractures can occur at the elbow? Fractures around the elbow include the following, Fractures of the olecranon processFractures of the distal humerusFractures of the radial head This article will focus on fractures of the olecranon process. What are olecranon fractures and how do they occur? The olecranon is the upper part of the ulna bone, and it articulates with the trochlea groove of the distal humerus to form part of the elbow joint. Olecranon fractures usually occur due to a fall onto the point of the elbow. These fractures may also happen indirectly, when one falls onto their outstretched hand. In this case, the muscle attached to the olecranon, the triceps brachii contracts strongly, and breaks the olecranon, pulling it away from the rest of the ulna bone. This second mechanism is especially prevalent in older patients who might have poorer bone stock. Why are olecranon fractures a problem? The triceps brachii muscle is attached to the olecranon. When the bone is fractured, the triceps invariably will pull the broken part of the bone away from the rest of the ulna. This means that in most patients, the fracture ends will be a significant distance apart. If the bone ends are too far away, the fracture will not heal properly, and in severe cases might not heal at all. If the fracture does not heal, elbow function may be severely affected, with weakness of arm straightening being the most disabling. How are olecranon fractures diagnosed? Generally after a fall, your doctor will begin by asking about the details of the fall, and the location and type of pain. He/she will then proceed to examine the elbow, looking especially for broken skin. The doctor may also evaluate your shoulder, upper arm and forearm/wrist, depending on the mechanism of injury. Following the clinical examination, a plain X-ray of the elbow is frequently conducted, which will confirm the diagnosis of the fracture. In some patients with severe fractures, a computerised tomography (CT) scan may also be necessary to fully characterise the fracture. How are olecranon fractures treated? After diagnosing the fracture, your doctor will often recommend placing the arm in an above elbow backslab with the arm held straight. Depending on the severity of the fracture, one of 2 treatment options may be offered, Non-surgical treatment may be considered if the fracture is undisplaced. In this case, the arm is left in the backslab for a week, before a full above arm cast is applied. This cast is then worn for 3 to 4 weeks, before removal. Prior to removal of the cast, the fracture healing is typically evaluated with plain X-rays. Surgical treatment is the preferred option if the bone ends are no longer in contact. The treatment of choice is open reduction and internal fixation, with the skin overlying the fracture ends cut to expose the broken bone within. This is then placed back into its original position, and the bone is then held with metal implants to allow bone healing in a good position. The skin overlying is then closed with sutures. If surgery is deemed necessary, sutures will usually be removed 2 weeks after surgery, and an arm sling may be recommended for a week. How is the rehabilitation of the elbow conducted? If the fracture was fixed surgically, elbow rehabilitation can begin once the pain subsides. In the case of fractures managed with casts, elbow rehabilitation begins after cast removal. In both cases, the focus is on restoring elbow range of motion. Later on, the focus may shift to increasing arm strength, especially with regards to bending and straightening motions of the elbow. In most patients, a period of 3-4 months of rehabilitation is sufficient. For an assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Don't Delay: Advice on Managing PainUnderstanding Forearm Fractures: Causes, Symptoms, and Treatment OptionsWhy do my Inner Elbows hurt? Understanding Olecranon Fractures: Causes, Treatment, and RecoveryOlecranon Fractures: Causes, Symptoms, and Treatment --- - Published: 2022-04-23 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/why-do-i-have-neck-pain-understanding-neck-pain/ - Categories: Articles by Doctor - Tags: Causes, Diagnosis, neck pain, shoulder pain, Symptoms, Treatment Options The Neck The neck is a complex structure in humans that connects the body to the head. Of particular importance is the cervical part of the spinal column. The spinal column is made up of bones and intervertebral discs, as well as the joints, ligaments, and muscles that connect each spinal segment. It is within the spinal column that the spinal cord runs. At every disc space, a pair of nerves leaves the spinal cord to provide power and give sensation to the upper limbs. What Causes Neck Pain? Neck pain can arise from any of the structures mentioned above. Primarily, neck pain is usually from problems involving the intervertebral disc, the facet joints, and the muscles of the neck. Disc related problems, ranging from tears in the disc to prolapse of disc material (slipped disc), to degenerated discs, can cause pain that is localised to the neck. In the case of slipped and degenerate discs, the discs may in addition cause compression on the spinal cord and nerves, giving rise to additional symptoms. Facet joints lie to the side of the intervertebral discs and are important for neck movement and stability. Facet joints are often damaged as sequaelae from injuries involving the discs. In the neck, pain from facet joints often gives rise to pain in the neck, and this pain is sometimes referred to in the shoulders as well. Muscles help to stabilise and move the neck and are very commonly injured. Neck pain arising from muscle injuries are localised to the neck and can radiate to the shoulders and upper back. A large diamond-shaped muscle, the trapezius is one of the most common causes of neck pain. For most patients, their neck pain is a combination of different factors. Proper assessment of the underlying anatomy will allow better determination of the source of pain and allow targeted treatment. What are some of the symptoms associated with neck pain? Common symptoms include, Numbness and weakness of the upper limbs, and especially of the hands. Shooting pain (electric) down either or both upper limbs. Loss of hand agility, with difficulty manipulating small objects such as buttons, chopsticks, needles, and thread. Unsteadiness in walking, with a wide-stepping gait. Posterior headaches, and tingling sensation over the back of the head. The lower limbs are less commonly affected by neck problems, and if there are lower limb complaints, these are more commonly due to concomitant lower back problems as well. How will my neck pain be worked up? Typically, you will undergo a medical interview with your doctor, who will ask about the pain and the associated symptoms. Based on the information gained during the interview, a focused examination will be conducted focusing on neck movements, pain on palpation of the neck, and on an examination of the nerves of the arms. Based on the above information, the doctor will usually offer plain X-rays of the neck, which will provide a clue as to whether there are underlying degenerative changes in the neck. Based on whether you have any nerve symptoms, an MRI scan may also be offered to you. The information gained from both the clinical evaluation and the radiological assessment will allow the doctor to come to a diagnosis. Treatment may then be offered based on the underlying problems detected. For an assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Top Sleeping Positions for Neck Pain ReliefTreatments for Neck Pain: Understanding the Causes and Management OptionsNeck Pain Solutions: Your Complete GuideStrategies for Neck Pain TreatmentStrategies for Chronic Neck and Shoulder Pain Relief: Transforming Discomfort into Vitality --- - Published: 2022-04-20 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/my-joints-hurt-do-i-have-gout/ - Categories: Articles by Doctor - Tags: arthritis, Causes, Gout, Joint Pain, Symptoms, Treatment Approaches Gout is a condition caused by excess uric acid in the body. Uric acid is a byproduct of the breakdown of purine in the body. Purine is a chemical compound found in a wide variety of foods. When the uric acid levels in the body are too high, the body is unable to remove the uric acid quickly enough. This results in the build-up of uric acid crystals in joints. The accumulation of uric acid crystals results in localised inflammation, swelling, and pain, the symptoms of gout. What can trigger gout attacks? Purines are found in many sources of food, especially in animal products. The following are some high-purine foods where overconsumption may increase the risk of a gout attack. (This list is not exhaustive) Organ meats (liver, kidneys, intestines) Red meat and game meat Soybean products Alcohol and beer Drinks sweetened with fruit sugar (fructose) Some seafood (i. e. sardines, mussels, scallops) Dehydration may also trigger gout attacks. In some patients, gout may be caused by underlying conditions such as certain types of cancer. If in doubt do seek early medical attention. What are the signs and symptoms of a gout attack? These are some common signs and symptoms experienced by gout patients,● Sudden extreme pain at joint(s)● Redness, swelling, tenderness, and warmth at the affected joint● Stiffness of affected joint● Fever and chills● Patients may find themselves unable to walk or stand properly● Occasionally, patients may develop permanent lumps around the joint with whitish lumps seen through the skin (Tophaceous gout) Gout attacks usually happen suddenly, and often at night. They can go away in a few hours, but symptoms can also last for more than a week. Commonly affected joints include the big toe joint, ankles, knees, elbows, wrists, forefoot, and fingers. How is Gout diagnosed? Your doctor will conduct a medical interview, during which questions pertaining to the location, intensity, and type of pain might be asked. You will also be asked about possible triggers, especially dietary triggers. Based on the information gleaned, a focused clinical evaluation will be conducted on the affected areas of your body. This is usually followed by plain X-rays of the affected joints, and blood tests. The blood tests will usually include a measurement of your blood uric acid levels. For patients with large swellings of joints such as the elbow, knee, and ankle, a needle may be introduced to remove fluid from within the joint for testing. This is the gold standard diagnostic test, as the presence of uric acid crystals in the joint fluid will confirm the diagnosis of gout. What are my treatment options? The main goal of treatment would be to reduce the levels of uric acid present in the body, as it is the primary cause of gout. Although gout cannot be completely cured, it can be treated successfully to prevent future gout attacks. Strategies for the treatment of gout include, Lifestyle changes a. Dietary changesi. This mostly involves avoiding foods that are high in purine such as organ meats, red meats, some types of seafood, and sugary foods. ii. Having a healthier diet with fruits and vegetables, whole grains, and low-fat products. b. Removal of certain medicines such as diuretics, which are medications that induce urination. Some diuretics may not be suitable for patients with gout. c. If one is obese, losing weight is also encouragedd. Avoid alcohole. Drinking more fluids, as proper hydration can help remove excess uric acid present in the body. Medications are used both to treat acute attacks and for the prevention of future gout attacks. a. A combination of anti-inflammatory painkillers and colchicine may be used for acute attacksb. If you suffer from frequent attacks, urate lowering therapy (ULT) may be necessary. The criteria for ULT is,● Frequent acute gout flares (2 or more per year)● Presence of any tophus● Clinical or imaging findings of gouty arthropathy● History of urolithiasis (kidney stones) Surgical treatment is usually not necessary for most patients with gout. It is sometimes necessary if there is,● Permanent joint damage as a result of gout. In this case, joint replacement surgery may be offered, especially in the knee. ● Large and painful tophi which affect joint function may necessitate debridement of the tophi. Unlike most chronic diseases, gout does not cause consistent symptoms to the patient except during gout attacks. However, it is a progressive disease that will worsen and potentially cause other problems when left untreated. With treatment, most patients will be able to continue daily life as normal. For an assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Neck Pain Solutions: Your Complete GuideComprehensive Chronic Lower Back Pain Treatment | Expert Care for ReliefAnkle Pain Relief: Guide to Diagnosis and Treatment in SingaporeTreatments for Joint Pain: Causes and SolutionsUnderstanding Finger Joint Pain: Causes, Symptoms, and Relief --- - Published: 2022-04-17 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/why-does-the-side-of-my-wrist-hurt/ - Categories: Articles by Doctor - Tags: Causes, De Quervain's Tenosynovitis, Hand and Wrist Pain, hand pain, Symptoms, Treatment Options, wrist pain What are the common causes of thumb-sided wrist pain? There are many causes of thumb-side wrist pain, with the two most common ones being, DeQuervain’s tenosynovitis is the most common cause of thumb-side wrist pain. It is a condition in which pain occurs at the wrist joint, near the base of the thumb, due to inflammation of the thumb tendons around the base of the thumb. You may also notice swelling at the base of the thumb. The pain is especially noticeable when you form a fist, or when you grasp/ grip something. Carpometacarpal joint (CMCJ) osteoarthritis. The CMCJ is the joint formed between the thumb and the wrist, and is important for thumb function. This condition occurs when the joint cartilage over the CMCJ is worn out, causing pain with thumb movements. Patients frequently notice an abnormal bump at the base of the thumb, and will also experience weakness and limitation of thumb movements in addition to pain. How does DeQuervain’s tenosynovitis occur? The exact cause of DeQuervain’s tenosynovitis is not fully understood, however, repetitive trauma or overuse of the thumb/ wrist in daily activities has been linked to the disease. Activities such as repetitive thumb motions, repetitive gripping motions, such as in wringing of wet clothes, are among the activities that are known to predispose to DeQuervain’s tenosynovitis How is my thumb sided wrist pain assessed? The doctor will first conduct a medical interview, where information such as the location of pain, the type of pain, and the activities that might have triggered the pain will be sought. Based on this information, a focused medical examination will be conducted, where the doctor will try to elicit pain by palpating on the affected area and performing provocative tests on your wrist. In general, DeQuervain’s tenosynovitis is a clinical diagnosis, however, if there is any diagnostic doubt, plain X-rays of the wrist may be offered. These X-rays are especially useful to detect CMCJ OA as a differential diagnosis. Further imaging such as MRI scans may also be offered to further delineate the cause of the wrist pain. How is DeQuervain’s tenosynovitis treated? Non-surgical Majority of patients with DeQuervain’s tenosynovitis can be treated without surgery. Options include, Resting the injured portion, by avoiding activities which cause pain. Medications such as non-steroidal anti-inflammatory pain medication can be used to treat pain and swelling. Splintage of the thumb and wrist, will immobilise the injured tendons, and aid recovery. Hand and thumb therapy with a certified occupational therapist will improve function and hasten recovery. Injection therapy with steroid and local anaesthetic is successful in majority of patients (~60-70%) if performed in combination with rest and therapy. Surgical Surgery for DeQuervain’s tenosynovitis is only recommended if non-surgical treatments fail to work. Surgical decompression of the affected tendons is undertaken through a small incision. This procedure can be performed as a day surgery, and patients can usually be discharged a few hours after surgery. In general, stitches will be removed 1-2 weeks after the surgery, and your hand should heal completely in 3-6 weeks. For an assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Understanding Forearm Fractures: Causes, Symptoms, and Treatment OptionsUnderstanding the Different Bones in Your HandWhy does the Side of my Wrist Hurt? --- - Published: 2022-04-14 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/why-do-my-outer-elbows-hurt/ - Categories: Articles by Doctor - Tags: Causes, elbow pain, lateral epicondylitis, Outer Elbow Pain, pain in the outer elbows, Symptoms, Tennis Elbow, Treatment Approaches What is a Tennis Elbow? Lateral epicondylitis, or tennis elbow, is a painful condition that occurs when a tendon located at the outer part of the elbow is inflamed. The pain is found on the outer side (lateral side) of the elbow, and may extend down to your wrist or fingertips. Pain is usually felt when you straighten your elbow, or fully extend your arm. Pain associated with tennis elbow may also extend from the elbow towards the wrist. You might also find yourself unable to grip objects properly, and have pain when performing day to day activities such as lifting loads, and grasping objects. How does the tennis elbow occur? The tendon involved is the extensor carpi radialis brevis (ECRB) tendon, which arises from the outer portion of the elbow. The muscle helps to extend the wrist, and is one of the stabilisers of the wrist especially when the elbow is held straight. Despite the name tennis elbow, this injury is more commonly due to overuse, during activities that require repetitive wrist extension movements, such as in wringing of wet clothes, painting, or carpentry. The location of the tendon close to bony prominences on the outer portion of the elbow also further predisposes it to damage. Small tears in the tendon arise as a result, which causes pain and inflammation. How is tennis elbow diagnosed? Your doctor will begin by conducting a medical interview, asking in particular about questions pertaining to the duration of symptoms, and about activities which may have resulted in your injury. Based on the information gleaned, he/she will conduct a focused examination on the elbow, which may include palpation of the tendon involved. Provocative tests may also be performed in order to elicit pain similar to that experienced during activities. Clinical examination and history taking are frequently all that is required to diagnose tennis elbow. In cases where there is any doubt, an ultrasound or MRI scan may be offered to confirm the diagnosis. How is outer elbow pain treated? Non-surgical Non-surgical treatment is the mainstay of treatment for most patients. This can entail a combination of several therapies including, Rest and avoidance of activities may be prescribed by your doctor in order to allow time for the tendon to recover. Anti-inflammatory pain medication, which helps to reduce swelling and pain at the site of the tennis elbow. Physical therapy, where stretching exercises and other modalities are used to aid recovery of the inflamed tendon. Injection therapy, where medication or healing factors are injected at the site of the tendon injury to promote healing of the tendon. Steroid and local anaesthetic injections are safe, have anti-inflammatory effects, and give good pain relief in majority of patients. 4. For patients with recalcitrant tendon pain, platelet enriched plasma, where healing factors derived from your own blood are injected to help heal the tendon, can also be considered. Shockwave therapy is another good option, where shockwaves generated by a machine are used to stimulate healing in damaged elbow tendons. Surgical Surgery is only necessary, if non-surgical methods have been attempted, but fail to resolve the elbow pain. If deemed necessary, radiofrequency ablation (RFA) of the ECRB tendon can be considered. RFA is a minimally-invasive procedure that helps to promote angiogenesis – the development of new blood vessels. RFA is also used to stimulate healing of the ECRB tendon, effectively treating tendon damage and subsequently, outer elbow pain. For an assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Tennis Elbow Relief: Strategies for Pain ManagementDon't Delay: Advice on Managing PainUnderstanding Forearm Fractures: Causes, Symptoms, and Treatment OptionsWhy do my Inner Elbows hurt? Understanding Olecranon Fractures: Causes, Treatment, and Recovery --- - Published: 2022-04-11 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-are-shoulder-joint-dislocations/ - Categories: Articles by Doctor - Tags: Causes, Shoulder Dislocation, shoulder joint, Shoulder Joint Dislocations, Shoulder Joint pain, shoulder pain, Symptoms, Treatment Options, Types Why do Shoulder Joints dislocate? Dislocation of a joint is a condition in which the joint surfaces of a particular joint are no longer in contact with each other. Shoulder dislocations happen when the head of the upper arm bone (humerus) moves out from the socket (glenoid cavity). The socket formed by the glenoid is very shallow, this allows the shoulder great mobility. The shallow socket, however, makes it very susceptible to dislocation compared to other joints. In other to ensure shoulder stability, the socket is deepened by a piece of cartilage known as the labrum and is further stabilised by muscles and ligaments around the joint. Shoulders can dislocate in 3 directions, with dislocations with the humeral head coming out the front being the most common. We will focus the rest of the article on anterior dislocations of the shoulder. How do shoulder dislocations happen? Most anterior dislocations of the shoulder happen with sudden forces exerted on an arm in the cocked position. This forces the humeral head out of the socket and can cause damage to the labrum and other structures as the dislocation happens. Damage to the labrum, in particular, predisposes a patient to a subsequent dislocation. In some patients, shoulder dislocations can happen due to lax soft tissues around the shoulder joint. These patients frequently report dislocations happening without any major injury or trauma. It could be caused by something as innocuous as sneezing. What are some of the symptoms of a Shoulder Joint Dislocation? Surgical treatment of shoulder dislocations is tied into the risk of recurrence. Isolated dislocated shoulders at low risk of recurrence can usually be treated just with shoulder reduction, a short period of immobilisation (~2 weeks), and subsequent shoulder physiotherapy. Labral repair surgery - the torn labrum is repaired to its original position Bone augmentation procedures - in cases with bone damage or loss from the glenoid Capsular/tendon advancement procedures - in cases where there is bone damage to the humeral head Capsular plication techniques for patients with lax shoulder joints Rehabilitation and Recovery Most patients after an initial shoulder dislocation or surgery to fix recurrent dislocations will be asked to undergo a curated course of shoulder rehabilitation. This usually includes shoulder range of motion exercises, and strengthening exercises for the muscles in the shoulder region, with a view to subsequent return to sport. After acute dislocations and or surgery, most patients can return to sport within 6-12 weeks. For an assessment of your condition, please book an appointment with Dr. Yong Ren. Related Articles Strategies for Chronic Neck and Shoulder Pain Relief: Transforming Discomfort into VitalityConquer Shoulder Pain: Solutions from Orthopedic and Pain Management DoctorConquer Chronic Neck and Shoulder Pain: Strategies for Long-Lasting ReliefShoulder Pain Relief: Treatment Options for Long-Term RecoveryDon't Delay: Advice on Managing Pain --- - Published: 2022-03-24 - Modified: 2025-01-17 - URL: https://www.theorthopaedicandpainpractice.com/what-are-proximal-femur-fractures/ - Categories: Articles by Doctor - Tags: Causes, hip and groin pain, Hip Injury, hip pain, Proximal Femur, Proximal Femur Fracture, Proximal Femur Fractures, Surgical Treatment, Symptoms What are proximal femur fractures? Proximal femur fractures are fractures that occur within the hip region. They mainly occur in older patients, especially those with osteoporosis, but can also occur in younger patients due to high-impact trauma. Image is taken from https://www. orthobullets. com The femur is the hip bone that links the knee joint to the hip joint. The proximal femur would hence be the part of the femur which is closer to the hip joint. It includes the femoral head and neck, amongst other regions. What is the purpose of the femur bone? The femur bone is very important. It helps to stabilise your movement when you walk and also is necessary to spread out your body weight. There are a few main types of hip fractures: femoral neck fractures, femoral head fractures, intertrochanteric fractures, and subtrochanteric fractures. Image is taken from https://orthoinfo. aaos. org/ Femoral neck fractures are the most common location of hip fractures, accounting for around 50% of such fractures. Some femoral neck fractures are considered intracapsular, which means that the fracture is within the hip joint. This distinction is important because intracapsular fractures can cut off the blood supply to the bone of the femoral head, which may lead to bone death, a condition known as avascular necrosis (AVN). Intertrochanteric fractures occur a little less frequently than femoral neck fractures. They are also fractures of the femur and are located outside the fibrous joint capsule. These fractures happen more commonly in elderly patients. Subtrochanteric fractures are the least common type of hip fracture, accounting for 5-15% of all hip fractures, and are also the most difficult to fix as they are the least stable. What are the causes of proximal femur fractures? Older patients typically have such fractures due to low-impact trauma. Low-impact trauma includes Fall from a standing position A typical slip and fall accident Tripping incident The elderly are more susceptible to hip fractures as they are more likely to have low bone mass, where the bones become weaker and brittle. They are likely to have vision or balance problems, which increases the risk of them suffering a particularly bad fall that can cause a hip fracture. High-impact trauma includes Sports accident Motor vehicle accident What are the signs and symptoms of proximal femur fractures? There are various signs and symptoms for a proximal femur fracture and vary based on the individual and the severity of the injury. However, common symptoms include Not being able to get up from a fall Not being able to walk normally Not being able to put weight on your leg (that is on the side of your injured hip) Shorter leg on the side of your injured hip, that is turning outwards Pain, swelling and tenderness (pain on pressing) in the groin region Bruising around the hip region How are proximal femur fractures diagnosed? The doctor will conduct a medical interview during which he/she will ask about the pain and the cause of the injury. He/she will also ask about your pre-existing medical conditions, such as osteoporosis. He/she will then perform a focused examination on the injured hip, paying attention to any open wounds, and the circulation and nerves of the leg affected. Following this examination, you will be asked to undergo x-rays of the hip and pelvis, to confirm the diagnosis of a hip fracture. Occasionally, additional x-rays, CT, or MRI scans may also be necessary especially if the fracture is not well visualised on x-rays. What is the treatment like for proximal femur fractures? Treatment options vary based on the age and activity level of the patient, as well as the severity of the injury, amongst other factors that may influence the chances of a successful recovery following surgery. In most cases of proximal femur fracture, surgery is advised, as the immobility caused by these fractures can have severe effects on the patient. Immobile patients are more prone to chest and urinary infections may develop blood clots in the leg veins and may develop pressure ulcers from prolonged bed rest. In general, complications arising from an unoperated proximal femur fracture have been implicated as the cause of death in up to 25% of patients in the first year after the fracture. Surgical options include, Fixation of the hip using metal implants. This may include screws, plates or even rods placed in the bone. Surgery is performed to place the broken bones back in place before the implants are used to hold them together to allow bone healing. Partial hip replacement (It is possible that the ends of the bone were damaged during the injury. If your hip is badly damaged, your doctor may remove certain parts of the femur (e. g. head and neck) and replace them with metal parts instead. This is done especially if there is a risk of AVN. AVN leads to the collapse of the femoral head bone, which will cause even more pain and immobility to the patient. If there is a risk of AVN, your doctor will strongly encourage partial hip replacement rather than hip fixation. Total hip replacement is an option for treatment of a proximal femur fracture if the patient is younger and more active. This is because total hip replacements allow quicker return to activity, and results suggest that this has the effect of improving outcome in younger patients. This is again a good option if there is a risk of AVN. What is the rehabilitation process like? After surgery, the physical therapist will likely guide the patient on mobilisation, so that the patient can begin to restore their hip function and preserve their range of motion. The patient will learn how to use mobility aids, which may be beneficial or necessary after the surgery, especially if the patient is older and has balance or vision problems that may increase the risk of a repeat fall after recovery. The patient will be taught strengthening exercises so that they can gain function of their hip back and hopefully return to normal physical activity that they were involved in prior to the accident. Most people take around 10-12 weeks to get close to full recovery, but it may be a year post-injury for the patient to fully recover. For an assessment of your condition, please book an appointment with Dr. Yong Ren. --- - Published: 2022-03-21 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-is-a-distal-radius-fracture/ - Categories: Articles by Doctor - Tags: Causes, Distal Radius Fracture, Low Bone Density, physical therapy distal radius fracture, Symptoms, Treatment Options, Wrist Injury What is a distal radius fracture? A distal radius fracture is a break of the radius (one of the bones in your forearm) at the wrist. There are 2 bones in your forearm - The radius and the ulna. When the radius is broken near the wrist, it is called a distal radius fracture. Image is taken from https://orthoinfo. aaos. org/ Why is the distal radius important? The distal radius forms part of the wrist joint. If your distal radius is broken, you likely won’t be able to move your wrist as you normally would, and movement may cause pain. You may also find yourself having difficulty carrying heavy loads on the affected side. How does a distal radius fracture occur? The most common reason for a distal radius fracture is falling onto an outstretched or flexed hand. This most commonly happens in older patients. Occasionally, such fractures can also result from accidents. What are the signs and symptoms of a distal radius fracture? Distal radius fractures typically present with pain and swelling over the wrist after a fall. The wrist may also appear different compared to the other unaffected side. Movement of the affected wrist is usually severely limited and painful. In severe cases, you may also experience numbness and tingling of the fingers. How is a distal radius fracture diagnosed? To diagnose a distal radius fracture, your doctor will typically interview you to find out how the injury occurred. He will then examine the wrist, before ordering some X-rays of the wrist. In severe cases, a computerised tomography (CT) scan may be necessary. Image is taken from https://orthoinfo. aaos. org/ What is the treatment for a distal radius fracture? Treatment depends on the severity and type of your fracture. If the bone is in a good position, (i. e. , there is only a small crack), non-surgical treatment can be used. A backslab will be applied. This will be changed after a week to a full plaster cast, which will be removed after 3 to 4 weeks. In suitable patients, such as younger adults with good bone quality, the bones can be realigned before a cast is placed. This will require the patient to undergo anaesthesia. After cast removal, you will be required to undergo a course of physical therapy to regain movement of your wrist. X-rays may be scheduled throughout the recovery period to check that your fracture is healing properly inside the cast. Surgical treatment This is usually only needed for unstable injuries, or injuries which applying a cast cannot fix. The surgeon will cut open the skin and arrange the broken bone back together. After this is done, the fracture is held together with plates and screws. Splints are typically unnecessary after surgery. What is the rehabilitation process like? Firstly, physical therapy starts immediately after the surgery for the fracture - In the case of non-surgical patients, therapy will start right after cast removal.   The rehabilitation process starts with mobilisation. Mobilisation involves using exercises to ease the patient into being able to move the injured wrist again. Once you have achieved a good range of wrist motion, you will be started on strengthening exercises. This will allow you to return to your usual daily activities. In general, patients will take up to 6 months to fully recover. For an assessment of your condition, please book an appointment with Dr. Yong Ren. --- - Published: 2022-03-18 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-is-a-clavicle-fracture-is-it-serious/ - Categories: Articles by Doctor - Tags: Causes, Clavicle Fracture, Collarbone Injury, Physical therapy sessions, shoulder fracture, shoulder pain, shoulder pain treatment, Symptoms, Treatment Approaches What is a clavicle fracture? It is a fracture at the collarbone, which is connected to the breastbone (sternum) and the shoulder blade (scapula). The fracture can occur at different areas of the collarbone: In the middle of the collarbone (most common)Near the area where the collarbone connects to the shoulder blade (AC joint)Near the area where the collarbone connects to the breastbone (least common) Image is taken from https://orthoinfo. aaos. org What can cause a clavicle fracture? Common causes are sports injuries, falls, or traffic accidents. The collarbone is usually broken when there is an impact (such as a fall) on your shoulder or an outstretched arm. Babies can also have clavicle fractures when passing through a birth canal during natural childbirth. How is a clavicle fracture diagnosed? A fracture is usually diagnosed through an X-ray of the shoulder. During an X-ray, electromagnetic waves are used to look at the structure of the bones, which can help the doctor determine if it is broken or not. Although the patient is exposed to some radiation, it is very minimal. The doctor may also test if you have your sense of touch or are able to move your hand to ensure that the nerves and blood vessels near the fracture are not damaged. Image is taken from https://radiopaedia. org What should I do if there is a clavicle fracture? When your collarbone is fractured, you may be able to observe the following signs Difficulty in moving your arm due to the painA grinding sound or sensation if you attempt to life your armA bump on your shoulder above the fractureBruising, swelling or tenderness on your shoulder Image is taken from https://orthoinfo. aaos. org/ In more severe cases where nearby nerves or blood vessels are also damaged, you may also feel numbness or tingling in your arm on the side of the fracture. How are clavicle fractures treated? The fracture is usually treated through non-surgical methods. However, if the broken bone is shifted significantly out of place or the bone is shattered into three or more pieces (comminuted fracture), surgery is usually required to treat it. Non-surgical methods The arm will usually be immobilised using a collar and cuff. The duration of immobilisation depends on the severity of the fracture. As the fracture heals, the patient may be able to move his arm lightly. Physical therapy sessions may also be involved in treatment to help the patient recover mobility in the arm and shoulder through light exercises. The fracture heals faster in younger children (8 years old and below), and usually takes 4-5 weeks. In teenagers, it may take 6-8 weeks while in adults it may take 10-12 weeks to heal completely. There are usually no limitations in movement once the fracture heals. Surgical methods Treatment through surgery may be recommended if the fracture is more complicated such as when the bone shatters into many pieces or a broken end of the bone punctures the skin. If the patient is an athlete and wants to regain shoulder motion more quickly, surgery may also be recommended. Image is taken from https://orthoinfo. aaos. org/ The above image shows an X-ray of a patient with a plate fixation An incision will be made for the doctor to fix the bones in place to allow healing. Either a plate with screws (plate fixation) or a long pin inserted into the center of the bone (intramedullary fixation) will be used to secure the bones in place. In the case of an intramedullary fixation, the pin needs to be removed through a separate surgery once the fracture has healed. Surgery allows the injury to recover more quickly and patients can usually resume light activities after a few days in a sling. Physical therapy sessions will also help the patient to recover. For an assessment of your condition, please book an appointment with Dr. Yong Ren. --- - Published: 2022-03-15 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-is-an-ankle-sprain-and-what-to-do/ - Categories: Articles by Doctor - Tags: ankle pain, ankle pain treatment, Ankle Sprain, foot and ankle pain, Fractured ankles, Ligament Injury, Prevention, Rehabilitation, RICE Method, Sprained ankles An ankle sprain occurs when ligaments in the ankle are stretched or torn. Ligaments in the ankle are bands of fibrous tissue which hold bones in proper position and stabilise the joints. There are three main groups of ligaments in the ankle, the medial (inner) ligament, and the lateral (outer) ligament complex, and the syndesmotic ligaments. Most simple ankle sprains occur at the lateral ligament complex, which consists of 3 different ligaments. Of these, the anterior talofibular ligament is the most commonly injured. More severe injuries can result in tears of more than 1 ligament. The image is taken from Gray’s Anatomy The lateral ligaments are along the outside of the ankle, as seen in the image above Did I sprain or fracture my ankle? Signs and symptoms of an ankle sprain include: Pain is often felt right as it happensTenderness, bruising or swelling at site of sprainPopping or snapping sound which accompanies the pain If you are able to take a few steps while bearing weight on the injured ankle, it is a sprain and not a fracture! How does it usually happen? Pattern of injury Most often, an ankle sprain occurs when one has their foot planted firmly on the ground but suddenly makes a change of movement. This can happen during a fall when someone steps on your foot and often during sports when one has an awkward landing or pivots. This causes the ankle to roll inwards, and the ligaments may stretch or tear. In some cases, when the foot rolls outwards and the ankle rolls inwards, this will result in the medial ligament being sprained. What happens if I sprain my ankle? Ankle sprains can affect you in different ways depending on the severity of the sprain, and which ligament was affected. Sprains can be graded based on severity, with grade 3 tears meaning that the entire ligament is torn. More severe tears tend to cause more discomfort and may take longer to heal. For the majority of patients, ankle sprains will heal without complications. A small percentage of patients, however, will develop symptoms due to chronic ankle instability. The more severe the initial tear, and the more ligaments affected, the more likely that this chronic instability will occur. Patients with chronic ankle instability will find themselves having pain when walking on slopes and stairs and have difficulty with athletic pursuits. They might even feel that the ankle ‘gives way’ very easily, and might fall more frequently, leading to further injuries. Assessment and work-up Based on your medical history, your doctor will perform a focused examination on your ankle. This will include checking the range of ankle movement and feeling the ankle joint and ligaments/tendons for pain. He/She may also test if the ankle is stable by pulling on it (anterior drawer test). As part of the work-up, your doctor may order X-rays to check if there is a fracture, and may also recommend an MRI scan to evaluate the state of the ankle ligaments. Treatment options Most patients with ankle sprains can be managed without surgery. However non-surgical treatment carries the risk of chronic instability, especially in severe ligament tears, or tears involving more than one of the lateral ankle ligaments. Non-surgical 1. R. I. C. E. method This method should be carried out immediately as first-aid when one realises they have injured their ankle. It includes: Rest (ideally for the first 72 hours)Icing the injured area with an ice pack for 15-20 minutes a few times a day. This can help reduce swelling in the first 48-72 hours. Compressing the injured area to reduce swellingElevating the injured area by raising it above the heart when lying down 2. Medication Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen can be taken to help reduce pain and swelling in mild sprains. 3. Usage of orthotics (medical devices to support movement) Crutches may be recommended if the patient is struggling to walk in the first few days after injury. Elastic bandages, sports tape or ankle-support braces may also be used to help protect and stabilise the ankle. Please seek your doctors advice regarding the use of such devices. 4. Immobilisation For more severe sprains, immobilisation of the ankle may be necessary to prevent sudden movements and provide support. This can come in the form of a removable plastic device known as a cast-boot, an air-filled or gel-filled ankle brace, or a short leg backslab (half cast) to be worn for a couple of weeks. 5. Physical therapy Physical therapy is very important for recovery from an ankle sprain as it can help ensure the ankle heals properly and does not lead to further complications. Rehabilitation exercise can begin soon after the injury, especially for less severe injuries. The main goal of physical therapy would be to restore range of motion, strength, flexibility, and stability. Proprioception (balance) training, endurance, and agility exercises are also a part of physical therapy. This type of exercise can help prevent future ankle sprains or instability. Surgical Surgical treatment is an option for patients with chronic instability, and in patients who want to minimise the risk of chronic instability. Currently, surgery is conducted using arthroscopic techniques (keyhole surgery) and is safe with minimal down time. During surgery, small holes are made in the front of the ankle. This is used to access the joint and to allow the passage of small instruments for the repair of the torn ligament. In most cases, only the anterior talofibular ligament needs to be repaired. This repair is conducted using sutures, and no metal implants are necessary. After surgery, the patient is placed in a protective shoe, which protects the repaired ligament for up to 4 weeks. Sutures will be removed after 2 weeks, and most patients will be able to walk without crutches 2 weeks after surgery. Outcome of early repair Evidence suggests that adopting a strategy of early repair, rather than a wait and see approach gives better early outcomes in terms of ankle function and patient’s ability to do sport. This suggests that all physically active patients might benefit from early repair, especially if they intend to return to sport. Rehabilitation and recovery Based on the severity of the ankle sprain, the period for recovery will vary. For mild ankle sprains, patients are usually able to make a full recovery within 7-15 days. In more severe cases, it may require a few months of physiotherapy before ankle function and strength are fully restored. If you play sports, returning to the sport should only be when the symptoms of the ankle sprain have been resolved. Patients who have opted for surgery will usually be able to begin rehabilitation 4 weeks after surgery and can expect to return to sport 6 to 8 weeks after surgery. For an assessment of your condition, please book an appointment with Dr. Yong Ren. --- - Published: 2022-03-11 - Modified: 2025-04-24 - URL: https://www.theorthopaedicandpainpractice.com/what-is-avascular-necrosis-of-the-hip/ - Categories: Articles by Doctor - Tags: Avascular Necrosis, Causes, hip conditions, hip dislocation, hip pain, hip pain treatment, severe osteoarthritis, Symptoms, Treatment Options What is avascular necrosis? Avascular necrosis (AVN), or osteonecrosis, is a disease that arises as a result of temporary or permanent loss of blood supply to the bone. More specifically, avascular necrosis of the hip arises when the blood supply to the head of the thigh bone (also known as the femur) is disrupted. If the blood supply is cut off entirely, the bone tissues die and the bone collapses, leading to severe osteoarthritis. While this condition may happen in any bone in the body, it frequently happens in the hip. Image is taken from https://en. wikipedia. org This condition may affect anyone, but it is most commonly seen in people between the ages of 40 to 65. In addition, men have a greater chance of developing this condition than women. While this condition is largely irreversible, early diagnosis can help to treat and slow down the development of avascular necrosis in the patient. Hence, if you suspect you or someone you know might have avascular necrosis, do seek medical attention immediately. What causes avascular necrosis? There are two main types of AVN, traumatic or atraumatic. Traumatic AVN refers to AVN caused by injuries to the blood vessels supplying the bone. Common injuries that can cause AVN are hip fractures and hip dislocations. Atraumatic AVN refers to conditions that arise from conditions other than injuries to the hip. These conditions usually cause damage to the blood vessels. Examples of such conditions include long-term use of medications such as steroids, prolonged or frequent diving, excessive intake of alcohol, and/or other pre-existing medical conditions such as sickle cell disease. Do I have avascular necrosis? Avascular necrosis usually occurs in stages, with patients in the earliest stages usually pain-free. However, as the disease progresses, you may start to experience pain in the groin region. At first, it may only hurt after you walk on the affected leg, but it may progress to pain even at rest. In addition, you may also experience a more limited range of motion and may find yourself limping. In severe cases of avascular necrosis, and if treatment is not sought, it may lead to the bone collapsing entirely and may result in severe osteoarthritis. How is avascular necrosis diagnosed? If your doctor suspects that you may have developed avascular necrosis, he or she might use one or more of the following methods to confirm the diagnosis: History taking to gather information about any pre-existing medical conditions, as well as to better understand the patient’s current symptoms. Physical examination of the joints and examination of the patient’s range of motion and gait. Diagnostic imaging (Bone scans, MRI and / or CT scans, X-rays) Do note that the procedures of diagnostic imaging may involve the use of a contrast dye, so do let your doctor know if you have any allergies to the contrast medium. Can avascular necrosis be cured? In the early stages of the disease, with early appropriate treatment, it may be possible to cure the disease. Do seek treatment promptly if diagnosed to avoid more severe complications later on. In the late stages, however, avascular necrosis cannot be reversed entirely, treatment options focus on slowing the progress of the disease and improving the quality of life of the patient. Your doctor will take factors such as age and severity of disease into account when deciding the best treatment option for you. The treatment options (non-surgical and surgical) can be summarised below: Non-surgical treatment options Rest helps to minimise physical exertion on the joints. You will be asked to use walking aids as canes and crutches. Walking aids will help to decrease the loads passing through the joint, thereby relieving pain caused by avascular necrosis, and slowing the progression of the disease. Your doctor may also prescribe you some nonsteroidal anti-inflammatory drugs (NSAIDs) to help manage the pain. Your doctor may also refer you to a physiotherapist for physical therapy for you to learn some exercises that will help to ease joint pain and increase the range of motion. Surgical treatment options In the early stages, core decompression surgery may halt the progression of the disease. Your doctor will drill holes (cores) in the affected area to improve circulation to the area. Sometimes, injections or bone grafts may also be used to promote healing of the bone after the procedure is completed. Image is taken from https://orthoinfo. aaos. org In the later stages, you may be recommended to undergo joint replacement. This is especially if there are features of osteoarthritis caused by late-stage AVN. Your doctor will replace the affected joint (eg hip/knee) with an artificial one. This procedure is said to be the most effective in relieving the pain and improving the mobility of patients with avascular necrosis. In the advanced stages of AVN, hip replacement is the best option for you to return to your activities of choice. Image taken from https://orthoinfo. aaos. org What can I expect after treatment? (Rehab and recovery) If you have undergone a surgical core decompression procedure, you will require around 6 weeks to 3 months to fully recover from the surgery. During a follow-up appointment, sutures are usually removed by your doctor. In addition, your doctor will also check your bones using diagnostic imaging (X-rays) to see if they are healing effectively. You may also be placed on crutches to aid your mobility for around 6 to 8 weeks immediately after the surgery. If you have undergone a joint replacement procedure, you will also require around 3 to 6months to recover fully. Your doctor will also schedule follow-up appointments to check in on your status around six to twelve weeks after the surgery has taken place. In both cases, you will have to undergo a course of physical therapy as part of your recovery. The therapist will teach you exercises to improve the range of hip motion, as well as strengthen muscles around the joint. For an assessment of your condition, please book an appointment with Dr. Yong Ren. --- - Published: 2022-03-07 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/why-does-my-finger-get-stuck/ - Categories: Articles by Doctor - Tags: Causes, finger lock, Finger stiffness, Flexor Tendon Injury, Hand and Wrist Pain, Numbness of the fingers, Symptoms, Treatment Approaches, trigger finger, trigger thumb What is a trigger finger? Trigger finger, a type of stenosing tenosynovitis, is a condition in which your fingers catch or lock when you bend them, causing them to get stuck in a bent position. It can affect more than one finger at a time, and when the thumb is affected, it is called trigger thumb. Symptoms of trigger finger include: Finger catching/ locking in a bent position (which either suddenly pops straight, or cannot be straightened) Popping/ clicking sensation when moving your finger Finger stiffness (especially in the morning) A painful bump (nodule) at the base of the affected finger How does a trigger finger occur? Image is taken from https://www. mountelizabeth. com. sg The flexor tendon of your finger, which connects forearm muscles to your finger bones, passes through structures known as pulleys. In a trigger finger, inflammation causes the region of the A1 pulley to narrow, resulting in pain and a catching sensation as the tendon glides through it (the A1 pulley). In the early stages, it is still possible to straighten your finger, which gives way with a sudden snap. Image is taken from https://www. mountelizabeth. com. sg Inflammation may occur due to: Repeated movementsForceful use of your fingersMedical conditions (e. g. rheumatoid arthritis, gout, diabetes)Carpal tunnel syndrome surgery How does a trigger finger affect my daily life? Symptoms of trigger finger may render you unable to effectively perform daily activities that require the use of your fingers, such as: WritingTypingDrivingGripping Thus, if you find your trigger finger affecting your ability to perform everyday tasks, you should start to explore treatment options. Delaying treatment will cause you further pain and inconvenience. How is a trigger finger diagnosed? Clinical evaluation is often enough to diagnose trigger finger. As triggering gets more severe, the finger may be locked in a fixed flexed position. Plain x-rays may sometimes be necessary to exclude other causes of a locked finger What are the treatment options available for trigger finger? Non-surgical Initial treatment for a trigger finger is generally non-surgical. Rest and Medications Trigger finger is often caused by overuse/ repeated movement of your finger. The combination of anti-inflammatory pain medication, with rest may occasionally be sufficient to treat trigger finger. Orthotics You may wear a splint to immobilise your affected finger. Splintage enforces rest and can help to heal a trigger finger. Injections Steroid and local anaesthetic injections are commonly used to treat trigger fingers, and a single injection is successful in up to 70% of cases. The procedure is generally safe but carries a small risk of temporarily increased blood sugar levels and a small risk of infection involving the finger. Repeated treatments can be attempted if the initial injection fails to relieve symptoms completely. Hand Therapy A guided program of hand therapy exercises in combination with any of the above treatment methods can increase the success of non-surgical treatment of trigger fingers. ] Surgical Surgery may be recommended if your symptoms are severe, or if non-surgical treatments have not worked for you. Surgery for the trigger finger involves the release of A1 pulley, allowing the tendons (some of which are inflamed and have developed nodules) to move through the pulley without getting stuck. If you have developed a nodule at the tendon, this will usually be excised at the time of surgery. What is the recovery process like for a trigger finger? Recovery after trigger release is usually uneventful. Stitches are often removed after 10 days, and patients are started on a course of hand therapy thereafter. Most patients will be able to return to full activities a month after surgery. For an assessment of your condition, please book an appointment with Dr Yong Ren. --- - Published: 2022-03-04 - Modified: 2025-04-24 - URL: https://www.theorthopaedicandpainpractice.com/i-have-finger-numbness-is-it-carpal-tunnel-syndrome/ - Categories: Articles by Doctor - Tags: Carpal Tunnel Syndrome, carpal tunnel syndrome treatment, Causes, diagnosis for Carpal Tunnel Syndrome, Finger Numbness, Hand and Wrist Pain, Symptoms, Treatment Options How does carpal tunnel syndrome occur? The carpal tunnel is a passageway in the wrist that contains tendons and the median nerve. Carpal tunnel syndrome (CTS) occurs when there is compression of the median nerve within the carpal tunnel. As a result, the median nerve is unable to function properly, leading to loss of sensation and power to part of the hand. Image is taken from https://radiopaedia. org It can be caused by a variety of reasons, including: Overuse of the hand and wrist (typing, housework, manual labour)Conditions such as rheumatoid arthritisPregnancy How does carpal tunnel syndrome affect my daily life? CTS causes: A tingling and/ or numbing sensation in your fingers or hands, often occurring when you are holding something (e. g. phone, steering wheel). The sensation may be so intense that it causes you to wake up from your sleep. Over time, it may become more difficult for you to complete simple activities, such as buttoning your shirt or twisting open a bottle/ jar. Muscle weakness (in your hand/ thumb) may cause you to drop objects involuntarily, and make it difficult for you to do repetitive tasks or other activities that require excessive hand movement (e. g. painting, typing). Although CTS is not life-threatening, it may severely affect your quality of life. You need your wrist/ hands to perform simple actions, and carpal tunnel syndrome may affect your ability to do that. How is carpal tunnel syndrome diagnosed? Based upon your clinical history, your doctor will conduct a focused examination, which may include testing the sensation over the thumb, index, and middle fingers. He/she will also look and test the muscles of the thumb. Often, your doctor will also conduct simple tests to assess the function of the median nerve. This includes, Tapping on the carpal tunnel to reproduce the numbness or tingling in the fingers (Tinel’s test)Pressing on the carpal tunnel to reproduce symptoms (Durkan’s test)Hold the hands in a prayer or inverted prayer position for 30 seconds to reproduce symptoms (Phalen’s or reverse Phalen’s test) If these tests show that you have carpal tunnel syndrome, your doctor will often refer you for a nerve conduction test for the median nerve. This allows the assessment of the severity of the condition and may determine if you require surgery. Image is taken from https://en. wikipedia. org How is carpal tunnel syndrome treated? Non-surgical Lifestyle modifications Patients with mild CTS may opt to modify aspects of their daily life that may be causing the problem. Simple changes such as introducing a wrist cushion for keyboard use, or adjusting the height of the table can help if the condition is at an early stage. Steroid injections Steroids (e. g. cortisone), are effective anti-inflammatory medication. Steroid injections into the carpal tunnel can reduce local inflammation, which may be the cause of the CTS. Orthotics You may also wear a wrist splint/ brace at night. Many people with CTS sleep in positions that cause wrist numbness. The wrist splint/ brace can stop you from flexing your wrist at night, minimising the pain experienced. Medication Nonsteroidal anti-inflammatory drugs and painkillers may also help to reduce pain and swelling. However, this only treats the symptoms, and may not directly improve CTS. Stretching exercises Doing some simple stretching exercises daily may also help to relieve the pressure on your median nerve, improving your condition. The specific exercises will depend on your condition. Surgical Carpal tunnel release is a surgery that may be recommended if non-surgical treatments have not worked. It is used to relieve pressure on the median nerve by cutting the ligament pressing on it. This surgery can be performed either using a conventional open technique or via a small camera known as an endoscope. The outcomes of both techniques are similar. Image is taken from https://orthoinfo. aaos. org What is the recovery process like for carpal tunnel syndrome? After surgery, it is expected that your pinch strength will return in 6 weeks, and your grip strength by 12 weeks. Do note that this is a rough estimate and may not be applicable to every patient with CTS. Symptoms of CTS are expected to stop as well, but if your finger numbness or thumb weakness was very severe prior to treatment, the symptoms may not go away completely. It is, therefore, best for treatment to be performed before your CTS becomes too severe. For assessment of your condition, please book an appointment with Dr. Yong Ren --- - Published: 2022-03-01 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/why-is-my-elbow-swollen/ - Categories: Articles by Doctor - Tags: Causes, Causes of elbow pain, Diagnosis, elbow pain, Elbow pain treatment, elbow swelling, swollen elbow, Treatment Approaches What causes a swollen elbow? Many conditions can cause elbow swelling. In general, these conditions can be considered either trauma (related to injury), or atraumatic (not related to injury). Amongst the most common cause of atraumatic elbow swelling is olecranon bursitis. This refers to swelling that occurs as a result of inflammation in the cushioning tissue of the elbow, which is known as the olecranon bursa. Sometimes, this swelling can be a result of a hard knock on the elbow, but most commonly, it is not directly related to the injury. Atraumatic causes of olecranon bursitis include, Prolonged pressure on the sharp point of the elbow Infections involving the olecranon bursa - This usually begins as an insect bite or a scratch Inflammatory conditions such as gout What are the symptoms of olecranon bursitis? The most common complaint of olecranon bursitis is elbow swelling. Generally, patients do not notice the swelling until it is too large. These occasionally become so large that they might restrict elbow movements, or become injured due to the patient hitting them against something accidentally. Image is taken from https://orthoinfo. aaos. org In addition to swelling at the elbow, the condition can also be painful. This is sometimes related to the recurrent knocks on the enlarged bursa. It can also be painful for the patient to lean against the elbow The olecranon bursa can sometimes appear red and angry and feel warm to touch. Patients may also have a fever, and sometimes a spot that looks like a pimple may appear. This suggests that the olecranon bursa may have gotten infected. Inflammatory conditions such as gout can sometimes cause similar swellings in the olecranon bursa. How is olecranon bursitis related to gout? Gout is the most common cause of olecranon bursitis. Gout is a type of inflammatory arthritis that can develop in any joint of the body, though it occurs most commonly in the big toe. When your body has an increased level of uric acid (a waste product found in the blood), you may develop symptoms of gout. The uric acid crystals can appear within the olecranon bursa, causing swelling that is painful and red. The elbow is frequently also painful to move. How is olecranon bursitis diagnosed? Based on your history, the doctor will conduct a focused medical examination on the elbow, focusing on the area of swelling. He/She may also order X-rays of the elbow to determine if there is an underlying bone spur, which may be related to bursitis. If the bursa is very large, fluid can sometimes be extracted for analysis. This may help to confirm the diagnosis of gout or provide clues as to whether there is an infection in the bursa. How can I treat olecranon bursitis? Depending on the cause and severity of the olecranon bursitis, treatment options may vary. Small bursae that are not infective in nature may be treated with non-surgical methods, whereas infected/large bursae and bursae unresponsive to conservative treatment may require surgery. Non-surgicalActivity modification - very frequently the cause of olecranon bursitis is related to conditions in the home or workplace that requires the patient to rest their elbow on a hard surface. Adequate padding or changes made to this can sometimes cause the bursa to resolve spontaneously. Pain medications - anti-inflammatory painkillers may be used to relieve pain caused by olecranon bursitis, and can sometimes reduce the size of the swelling. Aspiration - As mentioned previously, this is usually used as a diagnostic test if the swelling is large enough. Aspiration can also decrease the size of the olecranon bursa and can be used as a form of treatment. Surgical If the bursa is large or infected, surgery may be necessary. This is usually done by cutting into the soft tissue around the bursa and removing it entirely, a surgery known as bursectomy. In the case of the infected bursa, it is sometimes necessary to perform the surgery in stages. The initial stage involves the cutting out of damaged and infected tissue, and the subsequent stage is required after antibiotics to repair the cut skin. This is necessary to prevent the infection from coming back. For an assessment of your condition, please book an appointment with Dr. Yong Ren. --- - Published: 2022-02-26 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/is-my-shoulder-pain-caused-by-an-acromio-clavicular-dislocation/ - Categories: Articles by Doctor - Tags: AC Joint Dislocation, Causes, neck and shoulder pain relief, neck shoulder pain, shoulder blade pain, shoulder impingement treatment, Shoulder Injury, shoulder joint, shoulder movement, shoulder pain, shoulder pain treatment, Symptoms, Treatment Options How does an Acromio-clavicular dislocation occur? The Acromio-clavicular (AC) joint is the joint formed between the end of the collar bone (clavicle) and the shoulder blade (scapula). It facilitates rotational and gliding motions and allows for shoulder movement. Acromio-clavicular dislocation is common among athletes and occurs predominantly among males. An acromio-clavicular dislocation is more common in individuals who participate in contact sports such as rugby, wrestling, or hockey. The injury can occur by either direct or indirect trauma. Most injuries occur through direct blows to the shoulder. The direct blow results in forces acting directly on the AC joint and acromioclavicular and coracoclavicular ligaments. An indirect injury is usually position-related and can occur after a fall on an extended arm. The force then acts indirectly on the AC joint. Image from https://www. wikimedia. org What does it mean to you? Patients with AC joint dislocations will usually present with shoulder pain after an injury. They will usually retain the ability to move their shoulders but may have pain when lifting their arms above the level of their head, and when reaching across their bodies. AC joint dislocations vary in severity. Less severe injuries can often be treated with physical therapy. Patients with less severe injuries, who have completed their physical therapy can often return to playing their sport of choice with little disability. Some patients with more severe injuries may be unable to return to sport without surgical treatment. These patients will suffer from severe pain especially with cross-body arm movements, and with lifting their arms above the level of their heads. Assessment and work-up Based on the patient’s complaints, a focused clinical examination will be conducted. The aim of the examination is to demonstrate that the AC joint has been dislocated and displaced from its original position. Your doctor will perform tests to confirm this. This may include palpating the joint and comparing it to the other side to assess for differences. He/she may also press on the joint to see if it springs back, a test known as the ballottement test. X-rays will be used to produce images of the affected shoulder joint as well as the normal shoulder. Through this, the doctor would be able to determine which grade the injury belongs to as well as to confirm that the injury is an acromio-clavicular dislocation.   Image is taken from https://radiopaedia. org/ What are the treatment options? Treatment depends on the individual's age, lifestyle, and type of injury. Most patients with less severe injuries may be treated non-surgically first. If the patients do not respond well to the treatments, a surgical approach may then be taken. Non-surgical treatments include pain medication, physiotherapy. Medication Painkillers and anti-inflammatory medications would help to reduce the symptoms and alleviate the pain. Physiotherapy Physiotherapy helps to alleviate symptoms by reducing the swelling, restoring the range of motion and muscle control to your shoulder. Through physiotherapy, one would work with a physiotherapist to regain control over their shoulder. Surgery If the shoulder does not seem to be getting better after the first 2-3 weeks of the injury and if the AC joint is unstable, surgery may be recommended. The type of surgery carried out is dependent on the time from injury. If the injury is detected within the first 3 weeks, the dislocated clavicle can be pushed back into its original location, and implants can be used to hold the clavicle in its original position. If such surgery is performed, there may be a need for subsequent removal of the implants. If there is a delayed presentation of the injury, or if the patient has failed conservative treatment, the joint can be reduced and held in place using a tendon harvested from the knee. This is known as reconstructive surgery. In either case, the patient will be started on gentle shoulder movements after surgery, and surgical sutures will be removed 2 weeks after the procedure. Image is taken from Gray’s Anatomy for Students 4th Edition Rehabilitation and recovery Patients who have undergone surgery for AC joint dislocations will typically have to undergo a course of physical therapy as part of their treatment. They may be placed on initial movement restrictions for up to 6 weeks. Thereafter, they will undergo increasingly intensive shoulder range of motion exercises and strengthening exercises. Most patients can expect to make a return to sport 8 weeks to 2 months after surgery. If necessary, implant removal is usually undertaken 4 to 6 months after the initial surgery for the AC joint dislocation. If you are looking for orthopaedic treatments in Singapore, feel free to book an appointment at The Orthopaedic and Pain Practice today! Dr. Yong Ren will be happy to give you a consultation. For an assessment of your condition, please book an appointment with Dr. Yong Ren. --- - Published: 2022-02-23 - Modified: 2024-07-09 - URL: https://www.theorthopaedicandpainpractice.com/what-should-i-do-if-i-have-a-collateral-ligament-injury-of-the-knee/ - Categories: Articles by Doctor - Tags: Collateral Ligament Injury, collateral ligament injury of the knee, knee injury, Knee Pain, Knee Sprain, Rehabilitation, RICE Method, Surgical Treatment What is a collateral ligament injury? A ligament is a connective tissue which connects two bones together. Collateral ligaments of the knees keep your knees stable by preventing your excessive sideways movement. There is a collateral ligament on the inside (medial) and outside (lateral) of the knee. How does this injury occur? A collateral ligament (CL) injury occurs when a ligament is stretched or torn by excessive movement of the knees sideways. This usually occurs with the knee being hit from the side while a person is in the standing position during sport. Sometimes, the collateral ligaments can also be injured in twisting motions of the knee. In this case, other ligaments of the knee may also be injured. What are some symptoms that I can look out for? If you think that you may have a CL injury, here are some indicative symptoms that you can look out for: A loud pop when the injury occurredA painful clicking sound with knee bending and straighteningA sensation of the knee giving way, which may lead to falls How is collateral ligament injury assessed? A. Physical Examination Your doctor will perform specific assessments used to test for CL injuries, including the: Varus stress test – used to test for LCL injuriesValgus stress test – used to test for MCL injuries Although physical examinations can diagnose most CL injuries, your doctor may order some imaging tests to rule out other possible injuries and determine the severity of your CL injury: B. X-ray An x-ray can show images of the bones, which can be used to check for broken bones. Stress views may also be performed, which are X-rays done while a valgus or varus stress test is performed on your knee. C. Magnetic Resonance Imaging (MRI) An MRI provides a detailed image of the ligaments, confirming a diagnosis of a CL injury. A MRI scan is also useful to assess the knee for injuries which may have occurred at the same time. y. D. Ultrasound An ultrasound makes use of high-frequency sound waves to build an image of the knee tissues, confirming a diagnosis of a CL injury. In some cases in which an MRI is not recommended, an ultrasound is used. What does this mean to me? Acute collateral ligament injuries usually heal uneventfully without surgery. In some cases, especially if the injury comes with other ligament injuries, or if there is a fracture at the same time, surgery may be required to heal your injury. Occasionally, repeated injuries to the collateral ligament can result in chronic collateral instability, which may lead to a feeling of the knee giving way with everyday activities and motions. In this case, surgery to repair the ligament may be required. In most cases however, isolated collateral ligament injuries do not require surgery, and can be managed with a course of rehabilitation and rest. There is also usually no long term effect from such injuries. How is collateral ligament injury treated? For most isolated cases, no surgery is needed. A combination of rest, anti-inflammatory pain medications, and knee braces may be prescribed to support your knee as it heals. A course of monitored physiotherapy is usually also prescribed to assist in recovery of knee motion and strength, and to facilitate return to sporting activities. For cases which are associated with other injuries such as fractures or other ligament injuries, surgery may be undertaken to repair the collateral ligament, as this aids overall recovery from the injury. For cases where there is chronic instability of the knee, surgery may similarly be advocated. Platelet enriched plasma or PRP treatment, is a relatively new treatment which utilises healing factors formed in your blood by cell fragments known as platelets. These healing factors are recognised as a potential treatment for ligament and tendon injuries, but not enough is known about its usefulness, and it is considered an experimental treatment. This treatment can potentially shorten recovery time in an isolated collateral ligament injury. Surgery for the treatment of a collateral ligament can vary depending on the type of injury. In general, acute injuries are repaired, by sewing the torn ligament together. Chronic injuries are reconstructed by replacing the ligament with a tendon or artificial ligament, which acts as the new ligament moving forward. Rehabilitation and Recovery In general, most isolated acute collateral ligament injuries heal within 3 months. You may be asked to use crutches for up to 2 weeks, and wear a brace for up to 4-6 weeks to aid recovery. Most patients will be able to return to sport by 6 to 8 weeks. You may also require 3-6 sessions of physiotherapy as part of your rehabilitation. If you are looking for orthopaedic treatments in Singapore, feel free to book an appointment at The Orthopaedic and Pain Practice today! Dr Yong Ren will be happy to give you a consultation. Contact us at: References: https://medlineplus. gov/ency/patientinstructions/000671. htm&sa=D&source=docs&ust=1645521173613333&usg=AOvVaw2Ua1gjZVqGjo55JNLRzM_m  https://www. sports-health. com/sports-injuries/knee-injuries/diagnosing-lateral-collateral-ligament-lcl-tears&sa=D&source=docs&ust=1645521173612179&usg=AOvVaw0f26O9d3ObwO4aFf3BvYOv  https://orthopaedia. com/page/Collateral-ligament-injuries-of-the-knee  Keywords: knee, pain, tear, ligament, bone --- --- ## All FAQs --- ## Services - Published: 2024-06-14 - Modified: 2024-12-02 - URL: https://www.theorthopaedicandpainpractice.com/service/knee-pain/ - Service Category: Core Feature - Tags: knee pain Knee pain is a common complaint in modern society. Knee pain can be debilitating, and a source for concern. Introduction Knee pain is a common complaint in modern society. Knee pain can be debilitating, and a source for concern. In general, there are two types of patients with knee problems, younger more active individuals, and older patients with worn out joints. This difference lies in the type of conditions that arise. Younger patients tend to have problems with tendons and ligaments within and around the knee. They tend to be more heavily involved in contact sports, so they might also suffer from injuries which may cause torn ligaments, cartilage/meniscus injuries and dislocated joints. Heavy involvement in sport may also result in overuse or strained/torn tendons. Elderly patients generally accumulate small injuries to their knees throughout life. This accumulates in a condition known as osteoarthritis of the knee, in which the joint cartilage over the knee surfaces gets worn out. They frequently have pain with everyday motions, such as prolonged walking or standing, may have problems with stairs or slopes and may be unable to squat. lderly patients generally accumulate small injuries to their knees throughout life What can cause pain in the knee? Pain can arise in the knee from several sources, damage to any of the above areas can result in pain in the knee. Most common, pain in the knee is felt in front or inside the knee (anterior knee pain). Sometimes, especially with meniscus injuries or muscle injuries, patients may feel pain at the back of the knee (posterior knee pain). In the early stages of knee problems, knee pain usually happens with activity only (mechanical), but as the conditions worsen, patients may start to experience knee pain even without knee movement or activity. Parts of the knee which can cause pain include: Ligaments – There are 4 major ligaments which are commonly injured in the knee. These are the anterior and posterior cruciate ligaments (inside the knee) and the medial (inner portion) and lateral (outer portion) collateral ligaments which lie outside the knee joint proper. Cartilage – The joint surfaces of the knee are lined with a special type of tissue known as joint cartilage or hyaline cartilage. This is a very smooth material which reduces friction and allows the knee to move smoothly. Meniscus – Menisci (plural) are C-shaped pieces of a special type or cartilage known as fibrocartilage, which helps to cushion impact in the knee, and also helps to stabilize the knee. Muscles and tendons – There are several groups of muscles and tendons around the knee, which can get inflamed from overuse during sport. Bone – Sometimes the bone of the knee joints can become damaged, whether during sport, or as a side effect of cartilage damage, this can also result in knee pain. What are the other symptoms associated with knee pain? Knee pain can be associated with a variety of other symptoms, including: Swelling of the knee. Swelling of the knee is one of the most common complaints, and can occur immediately after an injury or after several hours. It sometimes also occurs after prolonged use, and is a sign that something is wrong inside the knee. Clicking sounds in the knee, which is painful, may sometimes represent torn structures within the knee. This can include torn cartilage or meniscus. Painless clicking in the knee is also a common occurrence, but is otherwise harmless. Knee stiffness, or inability to fully straighten the knee sometimes happens in conjunction with knee swelling, but may occur alone. It usually indicates a serious underlying problem within the knee. A feeling of the knee giving way easily is another common complaint, especially amongst patients who have had ligament injuries to the knee. This is also common in patients with worn out joints due to muscle weakness arising from inactivity. Knee getting stuck in one position without being able to bend or straighten it is a condition known as locking, where the knee is locked in place. It is most commonly caused by meniscus tears. Loss of knee function is most apparent during activities such as stair climbing, slope walking, prolonged walking or squatting. Patients with knee problems may find it difficult or impossible to do these activities. Knee pain in younger patients As mentioned previously, knee pain in younger patients tends to arise due to injuries especially those sustained during sport. Patients will often give a history of a twisting injury to the knee, typically while standing on one leg only. Another common occurrence is for the injured knee to be hit from the side while the patient is standing. A variety of injuries can result from these mechanisms: Ligament injuries such as injuries to the anterior cruciate ligament, a vital ligament for knee stability can occur. Tears to the meniscus which may occur with or without ligament injury. In severe cases, it can cause locking as detailed previously. Cartilage injuries can also occur. This is sometimes also related to dislocations of the knee cap (patella). Apart from injury, younger patients may also experience knee pain due to tendon overuse, which results in pain and swelling especially over the front of the knee. This most commonly affects the area above the kneecap, but can affect the area below it as well. Knee pain in older patients Age itself does not always mean that one will start to experience knee pain. However, age makes it more likely that your knee has sustained injuries throughout your life. As a result, older patients especially those above the age of 60 often suffer from worn out joints (knee osteoarthritis). This is characterized by extensive loss of cartilage over the knee joint, and results in pain and stiffness. Many patients will find themselves losing knee function, and will have difficulty going up and down stairs. They usually also lose the ability to squat at an early stage, and learn mechanisms to cope. How will my knee pain be worked up? Patients with knee pain will undergo a medical interview, and based on the information gained from the interview, patients will undergo a focused examination of the knee and the associated regions. This will provide the doctor with information pertaining to the underlying condition. You may then be asked to undergo plain X-rays of the knee, and may also be asked to take standing X-rays of the leg to check leg alignment. In patients suspected of having ligament/meniscal damage, you may also be asked to go for an MRI scan. How will my knee pain be treated? Depending on the underlying condition, your treatment will be tailored for you. We provide a full suite of options to treat what ails you, be it surgical or non-surgical. In the knee these options include, Medications to manage knee pain Lifestyle modifications to help you cope with knee pain Knee bracing to protect and support your knee to help relieve pain and support function Knee physiotherapy for better function and movement Pain procedures and injections to relieve knee pain Ligament surgery to allow return to sport Keyhole knee surgery to repair meniscus and cartilage injuries Knee replacement solutions for patients with severe knee osteoarthritis References: Knee pain relief. (n. d. ). Retrieved January 27, 2022, from https://www. orthosportsdocs. com/knee-pain Related Articles by Dr Yong Ren Understanding Knee Pain Singapore: Causes, Symptoms, Management Strategies, and Knee Pain in Elderly TreatmentTreatment Options for Lower Back and Knee Pain: Exploring Conservative and Surgical ApproachesExploring New Therapies for Nerve Pain and Knee DiscomfortDecoding Knee Replacement Surgery: Your Complete Guide to Pain Relief and MobilityKnee Replacement Surgery: Understanding the Benefits and Risks for Effective Decision-Making FAQs What is knee arthritis? Knee arthritis, also known as knee osteoarthritis. This means that the cartilage over the knee joint is worn out and destroyed. This is also known as degeneration of the knee and can cause severe limitation in knee function. It is estimated that up to 40% of patients above the age of 50 have knee osteoarthritis. Osteoarthritis is not limited to the knee joint, and can occur in other joints, especially joints in the legs and the spine. Osteoarthritis can also cause other symptoms such as stiffness of the knee, and weakness of the legs. You may become more prone to falls and may also find that activities such as stair climbing, walking on slopes or uneven ground, and squatting may become more difficult or even impossible. What are the symptoms of knee arthritis? Knee arthritis or more specifically knee osteoarthritis (OA), is the leading cause of knee pain in adults. It occurs when the cartilage that cushions your bones degrade over time. The cartilage may degrade through injuries or repetitive motions. The joint lining (synovium) inflames and results in knee pain, joint swelling, stiffness and difficulty walking. There may be creaking, clicking, grinding or snapping noises (crepitus), knee buckling, skin redness, locking of the knees, warm skin and joint pain that progresses slowly or pain that happens suddenly. The most common symptoms are pain and swelling of the knee joint. To properly diagnose oneself, please do seek professional help. How is knee arthritis treated? Non-surgical OptionsPhysical therapyPhysiotherapy is an essential part of non-surgical treatment of knee arthritis. Your physiotherapist may use heat treatments, range of motion exercises as well as targeted muscle strengthening to improve the function of your knee. While there is no evidence that this can help to slow down or reverse arthritis, it can lessen the symptoms of arthritis, and allow better knee function. Lifestyle modificationsHaving knee arthritis can impact many aspects of your life. Learning to cope with the changes brought about by this condition can help to alleviate symptoms, and can sometimes prevent injury. Pain medicationYour doctor may prescribe pain medications such as non-steroidal anti-inflammatory drugs (NSAIDs), paracetamol (Acetaminophen/Tylenol/Panadol). These medications can be used to alleviate most of the pain caused by knee arthritis, should be used judiciously due to possible side effects such as stomach ulcers and kidney damage for NSAIDs. Do not take more than the prescribed dosage and frequency, and inform the doctor if you feel unwell after taking such medications. Knee Injections for the treatment of painIntra-Articular Hyaluronic Acid (IAHA)Intra-Articular Hyaluronic Acid Injections, are injections filled with Hyaluronic Acid, that is injected into the joints. Hyaluronic Acid is a thick fluid. It is similar to the fluid in your body that naturally lubricates the joints. This helps patients feel less pain, improve mobility and reduce stiffness in joints. These results may last as long as 6 months. However, the specific ways of how it manages to do so are still unclear, and study results have been mixed about the effectiveness of this treatment. CortisoneCortisone is a hormone that is naturally produced in your body, and is often used to reduce inflammation. It is effective for short-term pain relief in patients, however, Cortisone injections may worsen joint damage over time, so this option may not be suitable for all patients. Autologous blood protein injections Autologous protein solutions (APS) injections are a newer category of knee injections that are derived from your own blood. This technique concentrates anti-inflammatory factors which are used to prevent inflammation in the knee. Current evidence suggests that inflammation in the knee is one of the factors that exacerbates the worsening of knee arthritis. Thus, it helps slow down the worsening of knee arthritis. Offloading Braces In most patients with knee arthritis, the body weight is carried on the inner portion of the knee joint. Consequently, most patients with knee arthritis suffer from medial (inner) compartment knee arthritis. Such patients would benefit from the shifting of their bodyweight, so that the weight is borne on the outer part of the knee instead. This can be achieved by a category of knee braces known as offloading braces. Depending on your specific needs, your surgeon may prescribe these braces as part of your treatment. Surgical OptionsKnee arthroscopy / Arthroscopic SurgeryKnee arthroscopy is a minimally-invasive surgical procedure. A small optic tube (arthroscope) with a light attached will be inserted into the joint through a small incision. Images of the... --- - Published: 2022-02-25 - Modified: 2024-12-02 - URL: https://www.theorthopaedicandpainpractice.com/service/hand-wrist-pain-2/ - Service Category: Core Feature Wrists and hands are important parts of the body. They allow us to interact and manipulate our environment. Introduction Wrists and hands are important parts of the body. They allow us to interact and manipulate our environment. Unfortunately, wrist and hand pain are common complaints, and can seriously affect our way of life. Because of the complexity of the tasks that can be performed by our wrists and hands, the internal structure is very complex, with multiple tendons, muscles, nerves, blood vessels, ligaments, bones and joints. This means that wrist and hand pain can sometimes be very difficult to diagnose and treat. Causes of hand and wrist pain Broadly, hand and wrist pain can stem from injury or non-injury causes. Our hands are frequently first to encounter the environment, putting them at a higher risk for injury. Injuries to the hand and wrist include: Falls onto the hand and wrist, which can result in broken bones (fractures) Workplace injuries, which can be penetrating (sharp/piercing) or blunt Motor-vehicular accidents Fights and assaults Non-injury causes of hand and wrist pain generally stem from overuse, affecting mainly tendons and joints. Overuse results in wearing out of the joints and tendons and can precipitate swelling. This causes pain, and sometimes the swelling can result in compression of other structures nearby. Some examples of overuse include: Tendon overuse around the wrist resulting in wrist pain Triggering of fingers and the thumb, which is frequently due to overuse Nerve compression syndromes in wrist (carpal tunnel syndrome for example), which frequently stem from keyboard usage Painful joints especially at the base of the thumb are frequently due to worn out thumb joints In addition to pain, patients with problems of the hand and wrist often complain of other symptoms Symptoms associated with hand and wrist pain In addition to pain, patients with problems of the hand and wrist often complain of other symptoms. This includes: Joint stiffness, and inability to fully move joints. This includes triggering, where the finger or thumb gets stuck in one position and needs to be pushed, whereby it returns to its original position with a sudden “triggering” motion Swelling and deformity of the affected part Loss of hand function, which can include manipulating small objects, pinch, grasping and using items such as chopsticks Numbness of the fingers (can also be related to neck problems) Wasting of hand muscles (muscles becoming smaller) How are hand and wrist problems diagnosed Your doctor will conduct a medical interview, where he/she will pick up clues to the underlying condition. He will then perform a focused examination of the affected part and associated areas. This may often include an examination of the neck as well. Based on the information gained during this process, the doctor may offer you radiological investigations such as plain X-rays. These are used mainly to diagnose problems with bones and joints. An MRI scan may also be necessary if the underlying problem is one of soft tissues such as tendons, ligaments or nerves. What treatments can I expect? In general, there are non-surgical and surgical treatment options available for hand and wrist conditions. These will be carefully curated to treat your underlying problem. Such treatments may include: Medications to treat pain and manage swelling and numbness Hand therapy for splints, movement exercises, and hand strengthening Tendon injections to treat tendon pain and degeneration Joint injections for pain relief in worn out joints Surgery for broken bones Surgery to repair torn tendons or ligaments Surgery to treat worn out joints References: Articles. (n. d. ). Retrieved January 27, 2022, from https://www. cedars-sinai. org/health-library/diseases-and-conditions/r/rotator-cuff-disorder. html Related Articles by Dr Yong Ren Understanding Forearm Fractures: Causes, Symptoms, and Treatment OptionsUnderstanding the Different Bones in Your HandWhy does the Side of my Wrist Hurt? --- - Published: 2021-09-09 - Modified: 2024-12-02 - URL: https://www.theorthopaedicandpainpractice.com/service/fractures/ - Service Category: Core Feature Broken bones are common injuries. A broken bone is known as a fracture. Fractures usually occur as a result of injury. Introduction Broken bones are common injuries. A broken bone is known as a fracture. Fractures usually occur as a result of injury. Commonly, injuries can be considered either high energy, such as in the case of a motor vehicular accident, or low energy, as in the case of a fall onto the ground from a standing position at ground level. The energy level of the injury often determines the severity of the injury. Fractures are not only broken bones, but are also injuries to the muscle, nerves, blood vessels and skin around the broken bone. A higher energy injury would mean a higher risk of damage to these soft tissues. Because of this, it is important that any person who suspects that they might have a broken bone, should seek help from a doctor as soon as possible. This minimizes the risk of damage to the soft tissues surrounding the bone, and can prevent complications. A patient who has a fracture usually has severe pain at the site of the injury. There is usually also a lot of swelling and bruising seen, and you are usually not able to move that part of the body due to pain What are the symptoms of a fracture? A patient who has a fracture usually has severe pain at the site of the injury. There is usually also a lot of swelling and bruising seen, and you are usually not able to move that part of the body due to pain. The affected body part may also be floppy, with the injured portion appearing out of shape as compared to the other uninjured side. Occasionally, as in the case of high energy injuries, fractures can have broken skin overlying the fracture site, a condition known as an open fracture. In this scenario, there is direct access of the broken bone with the external environment, this places the patient at a very high risk of infection. Patients with broken skin and features suggestive of a fracture should therefore seek medical attention immediately. High energy fractures may also cause damage to the nerves and blood vessels of the affected area. If there is any numbness in the area, or if the area appears very pale and cold, medical attention should similarly be sought immediately. How are fractures diagnosed? When you first see a doctor, a medical interview will be conducted. Based on the information gained during this interview, the doctor will perform a focused examination on the injured broken part and its associated areas. This will include feeling the bone for breaks, checking the skin, blood vessels and nerves, and looking for other injured areas in the body. Usually, X-rays of the affected area will then be taken, which will confirm the diagnosis of a fracture. Occasionally, X-rays do not provide sufficient information about a fracture, and the doctor may ask that you undergo a computerized tomography (CT) scan. This will allow visualization of the fracture in 3 dimensions, which is especially important in joint fractures. What can be done to treat a fracture? In the early phase of fracture treatment, your doctor will usually recommend that you immobilize the fracture. This is conducted by application of a temporary half-cast known as a backslab. This cast supports the broken bone, and prevents injury to the surrounding soft tissues. As it is a half cast, it allows for further swelling to occur. Occasionally, the fracture may have to be reduced (put back together) before the temporary cast is applied. Depending on the area of fracture, the type of fracture and the severity of the fracture as well as the severity of the damage to the surrounding soft tissues, the fracture may either be treated with operative or non-operative methods. For patients who are suitable for non-operative management, the cast is changed to a full cast about a week after the injury. The fracture is then monitored for healing, with most upper limb fractures requiring 4-6 weeks in cast, and most lower-limb fractures requiring 6-8 weeks in a cast. Should operative treatment be recommended, surgery will then be undertaken. Broken bones are usually put in place surgically (open reduction) and fixed with metal implants (internal fixation). These implants are usually left in place until the fracture heals. There is usually no need to remove the implants unless they irritate surrounding tissues. The implants are biologically inert and do not pose any health risks. In some cases, rather than fixing the broken bone, the broken bone will sometimes be removed and replaced with a metal replacement (prosthesis). This is more common in hip bone fractures, and related to the lower rates of healing in these types of fractures. References: Patient, R. (n. d. ). Ankle fracture: Rehab my patient. Retrieved January 27, 2022, from https://www. rehabmypatient. com/ankle/ankle-fracture Related Articles by Dr Yong Ren Ankle Pain Relief: Guide to Diagnosis and Treatment in SingaporeEssential Steps for Treating a Broken BoneDon't Delay: Advice on Managing PainWhat are Patella Fractures? Understanding the Different Bones in Your Hand --- - Published: 2021-07-29 - Modified: 2024-12-02 - URL: https://www.theorthopaedicandpainpractice.com/service/hip-groin-pain/ - Service Category: Core Feature - Tags: front hip pain treatment, hip pain treatment without surgery Groin pain can mean underlying problems with the hip joint. The hip is a joint formed by the pelvis bone and the hip bone (femur). Introduction Groin pain can mean underlying problems with the hip joint. The hip is a joint formed by the pelvis bone and the hip bone (femur). This is deepened by a ring of cartilage that helps to stabilize the joint, which is known as the labrum. The groin is the area at the front of your body where your legs join the body. When we refer to groin pain, we mean pain that is felt at the front in the skin crease that forms when the legs bend (during sitting for example). Problems around the hip, including muscle problems, can cause pain at the side of the hip joint. Pain that occurs in the region of the buttocks are usually not from the hip, but may be related to back problems instead. Occasionally, patients with hip problems may also experience pain at the inside of the knee. This is a phenomenon known as referred pain, and is due to common shared nerves that pass through these areas. A multitude of hip problems can result in groin pain. This can be grossly divided into injury related and non-injury related Problems around the hip, including muscle problems, can cause pain at the side of the hip joint What causes hip (groin) pain? A multitude of hip problems can result in groin pain. This can be grossly divided into injury related and non-injury related. As the hip is a deep seated joint that is well protected by muscles, any injury to the bones of the hip tends to be high energy. Low energy hip injuries usually occur in elderly patients who have poor bone stock, which predisposes them to broken bones. Examples of hip injuries include: Motor vehicular accidents, especially when the knee hits the vehicle’s dashboard Fall from heights Hip fractures from falls In elderly with poor bone stock Non-injury causes of hip pain include: Muscle and tendon injuries around the hip from overuse or straining during sport Blood supply problems to the femoral head (the ball of the hip joint), which can result in localized bone death (avascular necrosis) Damage to the cartilage labrum, which is sometimes related to underlying structural abnormalities in the hip joint Worn out hip joint (osteoarthritis of the hip), where cartilage over the hip joint surfaces has been worn out What other symptoms are associated with hip conditions Apart from pain in the groin and at the inside of the knee, hip problems can also cause other symptoms including: Stiffness of the hip joint, which can affect the way a patient walks, sits and lies down Weakness of the hip muscles, which can cause the patient’s leg to give way when standing on the affected hip The way a patient walks may start to ‘look funny’ due to pain when walking. There is a lot of common ground between symptoms of hip pain and knee/back pain, and it is hence recommended that you seek expert medical advice to correctly diagnose your condition. How are hip problems diagnosed? On first seeing the doctor, he/she will conduct a medical interview focusing on your symptoms. Based on the clues obtained during history, the doctor will conduct a focused examination on the hip and associated areas including the knee and lower back. He/she may also request that you take a short walk in order to assess your gait. This is typically followed by plain radiographs of the pelvis and hip, which commonly allows the doctor to reach a diagnosis. Sometimes, it may be necessary for the doctor to order an MRI scan of the hip, especially if there is suspected tendon/muscle or cartilage problems in the hip. What treatment options are available for hip problems? Based on the diagnosis and your unique requirements, the doctor will offer a range of treatments curated for your needs. These may include: Medications to treat pain Physiotherapy for improving range of hip motion, and to strengthen hip muscles Injections for treatment of joint pain in the hip. This may include injection of hyaluronic acid and its derivatives or of healing factors into the joint Injections for muscle and tendinous pain around the hip Hip surgery to fix broken bones with metal plates and screws Keyhole surgery to repair torn cartilage labrums Hip surgery to replace part of (hemiarthroplasty) or the entire hip joint (total hip arthroplasty) References: Pelvis. (n. d. ). Retrieved January 27, 2022, from https://www. britannica. com/science/pelvis Osteonecrosis of the hip - orthoinfo - AAOS. (n. d. ). Retrieved January 27, 2022, from https://orthoinfo. aaos. org/en/diseases--conditions/osteonecrosis-of-the-hip Related Articles by Dr Yong Ren Hip Pain Treatment Options for ReliefUnderstanding Femoroacetabular Impingement: A Guide to Diagnosing and Managing Hip Impingement SyndromeUnderstanding Groin Pain: Unveiling the Link to Hip OsteoarthritisSubtrochanteric Fractures? What is it? What are Proximal Femur Fractures? --- - Published: 2021-07-29 - Modified: 2024-12-02 - URL: https://www.theorthopaedicandpainpractice.com/service/shoulder-pain/ - Service Category: Core Feature - Tags: broken collar bone treatment, dislocated shoulder treatment, frozen shoulder, frozen shoulder treatment, rotator cuff injury treatment, rotator cuff pain, rotator cuff tear treatment, shoulder blade pain, shoulder impingement treatment, shoulder pain, shoulder pain treatment, treatment for cold shoulder, treatment for rotator cuff Shoulder pain is a common complaint among adults in Singapore. Whether you are a young active sports person, or an elderly individual, shoulder pains can severely impact your lifestyle. Introduction Shoulder pain is a common complaint among adults in Singapore. Whether you are a young active sports person, or an elderly individual, shoulder pains can severely impact your lifestyle. In Singapore where space is a perennial concern, we find ourselves building higher. Shelves and cupboards are frequently accessible only by lifting our arms above our heads, a motion that causes pain in most shoulder problem sufferers. The shoulder joint is a joint formed between the humerus (arm bone) and the glenoid (part of the shoulder blade). The shoulder is an unstable joint to allow humans to have as much motion as possible. In order to compensate, the shoulder is stabilized with a piece of cartilage known as the labrum that deepens it. It is further stabilized by 5 tendons running around the joint. These are the 4 tendons of the rotator cuff, and the long head of the biceps tendon. These tendons serve not only to stabilize the shoulder, but also aid in shoulder movement. An additional joint, the acromioclavicular joint is formed between the acromion (part of the shoulder blade) and the clavicle An additional joint, the acromioclavicular joint is formed between the acromion (part of the shoulder blade) and the clavicle (also known as the collarbone). This joint allows smooth movement of the shoulder while keeping the arms away from the body. In general, shoulder pain can be considered from the perspective of age. A younger patient with shoulder pain is more likely to have sustained an injury during sport, whereas an older individual may have shoulder degenerative changes resulting in tears and hence pain. Younger patients Younger patients are more likely to engage in contact sport and as such are at the greatest risk of shoulder injuries. Common injuries in this category include shoulder dislocations (where the arm bone pops out of the shoulder socket), acromioclavicular joint dislocations (where the collar bone pops) and fractures around the shoulder joint. In younger patients, shoulder pain is often associated with symptoms of shoulder instability, including a sensation of the shoulder popping in and out especially with overhead motions. In severe cases, the shoulder may spontaneously dislocate with minimal activity. Patients with prior shoulder dislocations may also find themselves more prone to subsequent dislocations and may suffer from nerve symptoms due to nerve damage during the dislocations. They may also experience shoulder weakness especially when lifting the arm, if these symptoms are not dealt with early. Elderly patients Elderly patients tend to suffer from degeneration of the rotator cuff tendons in the shoulder. This results in weakening of the tendons which are then more likely to tear. Torn tendons cause pain and affect a patient’s ability to lift their arms. In severe cases, more than one tendon may be torn. This results in severe weakness, with patients often unable to lift their shoulders beyond 90 degrees in the front and side. Over time, these torn tendons result in loss of cartilage over the shoulder joint, further increasing shoulder pain. This condition is known as cuff tear osteoarthritis/arthropathy of the shoulder. How are shoulder problems worked up? Usually, the doctor will conduct a medical interview where he/she will discuss your symptoms and pattern of injury, as well as examine your lifestyle and requirements for your preferred activities. Based on that information, a focused clinical examination will be conducted on the shoulder and associated areas. Depending on the findings of both the interview and examination, your doctor will usually recommend imaging tests which may include plain X-rays of the shoulder, as well as an MRI scan or ultrasound of the shoulder region. What treatment options are available? A full suite of non-surgical and surgical options are available based on your diagnosis and requirements. In general if surgery is deemed unnecessary, your doctor may offer: Medications for pain relief Advice on lifestyle modifications to relieve pain and improve function Monitored rehabilitation with a physiotherapist Joint injections to treat pain and inflammation Should surgery be deemed necessary, your doctor will discuss options based on your problem and unique requirements. These may include: Arthroscopic surgery (keyhole) for shoulder stabilization or tendon repair Surgery to repair dislocated joints Surgery to fix fractures around the shoulder Joint replacement surgery for worn out shoulder joints References: Articles. (n. d. ). Retrieved January 27, 2022, from https://www. cedars-sinai. org/health-library/diseases-and-con ditions/r/rotator-cuff-disorder. html Related Articles by Dr Yong Ren Strategies for Chronic Neck and Shoulder Pain Relief: Transforming Discomfort into VitalityConquer Shoulder Pain: Solutions from Orthopedic and Pain Management DoctorConquer Chronic Neck and Shoulder Pain: Strategies for Long-Lasting ReliefShoulder Pain Relief: Treatment Options for Long-Term RecoveryDon't Delay: Advice on Managing Pain --- - Published: 2021-07-29 - Modified: 2025-04-24 - URL: https://www.theorthopaedicandpainpractice.com/service/neck-pain/ - Service Category: Core Feature - Tags: cervical spondylosis, cervical spondylosis treatment, chronic neck and shoulder pain, neck and shoulder pain relief, neck shoulder pain, poor posture neck pain treatment Neck pain is a common issue especially amongst working adults in Singapore. Long hours in front of computers can place unnecessary strain on neck muscles. Introduction Neck pain is a common issue especially amongst working adults in Singapore. Long hours in front of computers can place unnecessary strain on neck muscles. Despite it being a common complaint, many adults ‘live with’ the problem and do not seek medical help. Within the neck lies the cervical portion of the spine, which acts as a vital pathway for the nerves coming to and from the brain to the body. Any dysfunction at this level of the spine can severely impact the hands and upper limbs, and may even affect the rest of the body. The main issue lies in narrowing of the cervical spinal canal, through which these structures run. Narrowing can result in pressure on the spinal cord and may also cause pressure on the spinal nerves which exit the spinal canal at every segment. How does neck pain occur? Generally, neck pain can either be caused by injury or non-injurious reasons. Neck injuries include those sustained during falls, motor vehicular accidents, and blows to the head. Non-injurious or atraumatic neck pain is insidious and generally a result of poor workplace habits. Workplace ergonomics are generally poor, with a one size fits all approach. Often times, computer monitors and chairs are either not adjustable, or cannot be adjusted fully. Occasionally, monitors are placed in an awkward fashion, necessitating that one work with their neck at an angle. This problem is especially compounded if there is an underlying neck condition. Generally, any problem in the neck destabilizes the neck, and the body compensates by dynamically activating neck muscles. This places the muscles under strain. Over time, the muscles may become fatigued and become unable to compensate. This results in a situation known as decompensation, where the patient starts to experience neck pain, and may also start to have other symptoms. Where does neck pain come from? There are 3 major components of neck pain, and your neck pain is usually a combination of these 3 sources: Muscular pain from overworked neck muscles is characterized as an aching, cramping type of pain at the back of the neck, and may also be experienced at the shoulders and upper back (due to overworked trapezius muscle). Discal pain comes from the intervertebral disc, a cartilaginous structure between 2 bones of the spinal column. A tear in the outer fibres (annulus fibrosus) of the disc results in sharp pain, and puts a patient at risk of a disk protrusion. Facet joint pain is caused by pain arising from joints in the spine, which are known as facet joints. These sometimes can wear out, and can cause neck pain. neck pain can either be caused by injury or non-injurious reasons. Neck injuries include those sustained during falls, motor vehicular accidents, and blows to the head Symptoms related to neck pain Shooting pain down the arms is caused by pinched nerves in the neck region. This is often described by patients as shooting pain or as an electric current coursing down their arms. It can often be triggered by the patient placing their neck in a specific position. This sort of nerve pain is termed radicular pain. Arm or hand numbness and weakness is caused by pinching of the nerves as mentioned previously. Besides causing pain, the nerves also bring sensation from the arms and hands to the brain (numbness) and allows you to move your arms and hands (weakness). Therefore, any pinching of the nerves in the spine can also cause numbness and weakness. Tingling/burning/insect crawling sensations can result from pinching of the nerves within the spinal canal. This condition is known as paraesthesia. When the cervical spinal canal is severely narrowed (degeneration), there can be a lot of pressure exerted on the spinal cord. This can result in spinal cord softening (myelo-malacia), and may also predispose to injury when falls are sustained (central cord syndrome). This sort of spinal cord softening results in loss of coordination in the hands, and may lead to the inability to pick up or manipulate small objects. In the asian context, this is commonly manifested as inability to manipulate and use chopsticks or sewing needles/buttons. In even more severe cases, the patient may experience unsteadiness when walking which can predispose to falls and injury. This condition including the effect on the upper and lower limbs is known as myelopathy. How will my neck pain be worked up? Here at our center, we will first conduct a medical interview where we will explore the symptoms and causes of your neck pain. This is followed by a focused examination on the neck and associated areas to detect any signs of neck problems. This is usually followed by either cervical spine X-rays and/or an MRI scan of the cervical spine to further delineate the underlying cause of your neck pain. Based on the available information, we will then present to you our diagnosis of the condition and discuss treatment methods. A list of conditions that cause neck pain can be found here. Treatment of neck pain Treatment of neck pain is usually undertaken by the treatment of the underlying condition. We provide a full suite of options for surgical and non-surgical treatment of neck pain, and work with a curated team of professionals to manage your neck condition. Treatments may include: Medications for neck, shoulder and arm pain Lifestyle modification and workplace ergonomic advice to help you cope and manage work related neck pain Neck muscle physiotherapy to strengthen your neck and improve function while relieving pain Pain procedures to treat the underlying causes of neck pain Surgery to release pinched nerves and stabilize the worn out cervical spine References: Lidplussdesign. (n. d. ). Stiff neck remedies, Neck pain treatment singapore: Specialist pain. Retrieved January 27, 2022, from https://specialistpain. com/interactive-body-map/neck-back-spine-n eck-pain/ Related Articles by Dr Yong Ren Top Sleeping Positions for Neck Pain ReliefTreatments for Neck Pain: Understanding the Causes and Management OptionsNeck Pain Solutions: Your Complete GuideStrategies for Neck Pain TreatmentStrategies for Chronic Neck and Shoulder Pain Relief: Transforming Discomfort into Vitality --- - Published: 2021-07-28 - Modified: 2025-01-03 - URL: https://www.theorthopaedicandpainpractice.com/service/lower-back-buttock-pain/ - Service Category: Core Feature - Tags: back pain, herniated disc hip pain treatment, lower back and hip pain on one side, lower back hip pain, lower back pain butt, lower back pain right side above hip Back pain is one of the most common afflictions of modern society. 60-90% of adults will experience back pain at some point in time in their lives. Introduction Back pain is one of the most common afflictions of modern society. 60-90% of adults will experience back pain at some point in time in their lives. The risk of back pain is highest amongst males, and in those who perform manual labour. In the world we currently live in, where working from home has become a reality for some of us, the lack of walking, combined with prolonged sitting in front of computers has led to a different pandemic of sorts, one of back pain. When working from home, one frequently does not engage in much exercise. Coupled with easy access to a pantry, this leads to weight gain and net muscle loss. This muscle loss means that we are more likely to suffer from insidious damage to the back. Prolonged sitting also increases forces going through the lowest part of the spine, making injury much more likely. How does back pain occur? In broad terms, back pain can either be related to injury or not. Back pain caused by injury means that the back pain is caused by an accident such as a motor vehicular accident, or a fall. When one thinks of back pain, this is likely the situation we think of first. It is far more common, however, that back pain arises without an actual accident. We term this sort of back pain as atraumatic. The simple act of overreaching from an object, bending over to pick up something, or even sneezing can cause back pain. In some patients, back pain may be the result of infection or tumours growing in the spine. This is especially true if there is unexplained weight loss, or fever. What are the sources of back pain? There are 3 major components of back pain, and your back pain is usually of a combination of these 3 sources: Muscular back pain is due to overwork of the numerous muscles of the lower back. Strains and tears of these muscles cause an aching, cramping type of back pain. Discal pain comes from the intervertebral disc, a cartilaginous structure between 2 bones of the spinal column. A tear in the outer fibres (annulus fibrosus) of the disc results in sharp pain, and puts a patient at risk of a disk protrusion. Muscular back pain is due to overwork of the numerous muscles of the lower back in singapore Facet joint pain is caused by pain arising from joints in the spine, which are known as facet joints in singapore Facet joint pain is caused by pain arising from joints in the spine, which are known as facet joints. These sometimes can wear out, and can cause both back pain and pain in the buttock region. Symptoms related to back pain Buttock pain is usually related to back pain, because it is frequently referred to as pain from worn out facet joints in the spine. Referred pain means that pain occurs in a part of the body that is not actually injured due to shared nerves with another body part. Buttock pain is not always caused by back pain, it can sometimes arise due to muscle strains of the buttock muscles. Shooting pain down the leg is most commonly caused by narrowing of the nerve passages in the spine. This can be the result of disc damage or osteoarthritis of the facet joints (wearing out of the joint). The narrowing causes pinching of the nerves in the spinal column and results in pain. This pain is frequently described as electric pain, or lightning pain down the back of the leg, beyond the calves and to the foot. It is known as sciatica or radicular pain. Leg or foot numbness and weakness is caused by pinching of the nerves as mentioned previously. Besides causing pain, the nerves also bring sensation from the legs to the brain (numbness) and allow you to move your legs, feet and toes (weakness). Therefore, any pinching of the nerves in the spine can also cause numbness and weakness. The pinching of the nerves can sometimes be so severe that patients may experience severe numbness in the foot (walking on cotton) or severe weakness in the lower leg muscles resulting in the foot dropping (foot-drop). Leg cramps can also sometimes happen in patients with back pain, especially if the condition causing back pain also results in severe narrowing of the spinal canal (space the nerves from the spinal cord travels in). This results in crampy leg pain, which usually occurs after a fixed distance of walking, and which is relieved by sitting down. Tingling/burning/insect crawling sensations can result from pinching of the nerves within the spinal canal. This condition is known as paraesthesia. Loss of bowel and bladder control can also occur in very severe cases of disc injury, where the disc protrudes out (disc prolapse) and presses on the nerves controlling bladder and bowel control. This is a rare condition which is known as cauda equina How will my back pain be worked up? Here at our centre, we will first conduct a medical interview where we will explore the symptoms and causes of your back pain. This is followed by a focused examination on the back and associated areas to detect any signs of back disorder. This is usually followed by either back X-rays and or an MRI scan of the back to further delineate the underlying cause of your back pain. Based on the available information, we will then present to you our diagnosis of the condition and discuss treatment methods. A list of conditions that cause back pain can be found here. Treatment of back pain Treatment of back pain is usually undertaken by the treatment of the underlying condition. We provide a full suite of options for surgical and non-surgical treatment of back pain, and work with a curated team of professionals to manage your back condition. Treatments may include: Medications for back, buttock and leg pain Lifestyle modification advice to help you cope with back pain Back and core muscle physiotherapy to strengthen your back and improve function while relieving pain Pain procedures to treat the underlying causes of back pain Surgery to release pinched nerves and stabilise worn out spines References: Anatomy of the spine. (2021, March 24). Retrieved January 27, 2022, from https://www. teachpe. com/anatomy-physiology/anatomy-of-the-spine Herniated disk. (2019, September 26). Retrieved January 27, 2022, from https://www. mayoclinic. org/diseases-conditions/herniated-disk/symptoms-causes/syc-20354095 Related Articles by Dr Yong Ren Understanding Back Pain: Causes, Symptoms, and Treatment OptionsDon't Delay: Advice on Managing PainWhen to Worry About Back Pain: Understanding the Signs and Symptoms"Comprehensive Guide to Lower Back and Buttock Pain Management --- - Published: 2021-07-28 - Modified: 2024-12-02 - URL: https://www.theorthopaedicandpainpractice.com/service/low-bone-density/ - Service Category: Core Feature - Tags: low bone density, low bone density natural treatment, Osteoarthritis treatment Singapore, treatment for poor bone density Our bones are made up of a hard living material that builds up strength during our youth, reaching its peak in our 4th decade of life (30s). Introduction Our bones are made up of a hard living material that builds up strength during our youth, reaching its peak in our 4th decade of life (30s). One of the important components of bone is calcium, and this balance of storing calcium and removing calcium in bones is tightly regulated in a human body. As we grow older, our bones progressively start to get weaker, losing strength. This is due to both a loss in the amount and quality of bone. Bone has a very intricate structure, with a solid outer layer known as the cortex, and a net-like inner portion known as trabeculae. The loss in bone is most apparent in the trabeculae. As bone density decreases, the ‘holes’ in the net-like trabeculae get larger. This loss is permanent, and there is currently no way to replace lost trabeculae. In general, ladies lose bone at a greater rate than men. This difference is more apparent after menopause. This loss of bone density can be measured, and once it reaches a critical stage, it is known as osteoporosis. Stages of osteoporosis in singapore What are the problems with low bone density? Low bone density predisposes a person to fractures. The lower the bone density the higher this risk is. Depending on the affected body part, this can have further repercussions on a patient’s life and livelihood. Commonly affected areas are the wrists, the hips and the spine. In the wrists, low bone density can predispose to distal radius fractures, which are fractures affecting the wrist bones. These commonly occur due to falls in the elderly. Once broken, the wrists are usually deformed, and wrist and hand function is usually affected adversely. This may make it hard for the patient to feed and clothe themselves. The hips are another commonly affected area, with hip fractures in the elderly seen as an epidemic across the world. Hip fractures usually render a patient immobile and bedbound. This immobility can lead to pressure sores, infections of the urinary tract and lungs, and blood clot formation in the legs and lungs. In un-operated hip fracture patients, the 1 year mortality has been reported to be as high as 25%. In the spine, low bone density often results in compression fractures, where the spinal bones get compressed and flattened. Not only does this cause severe pain, over time, patients find themselves hunching more. In severe cases, the patient can no longer stand upright. While these areas are commonly affected, every bone in the body is weakened by osteoporosis, fractures can therefore affect many other areas in the body. It is therefore crucial that patients with low bone density be assessed and treated before a fracture happens. Why do I have low bone density? In most patients, the reason for low bone density is not known. That is not to say that it happens without any reason. Rather, there are many possible risk factors, with no factor thought to be more important than others. Possible risk factors include: Female gender Cigarette smoking and alcohol consumption Poor nutrition Low vitamin D levels Hormonal problems including menopause Age above 55 Immobility Vitamin D deficiency in particular is being recognized as one of the more important factors in low bone density. Vitamin D is a naturally occurring substance that is formed in our bodies on exposure to sunlight. It is important in the absorption of calcium from food, and its retention in our bodies as bones. How can we diagnose low bone density? Usually, patients with low bone density present after a fracture. This is usually a low energy fracture, in which the injury seems like it would not cause a severe injury. This can range from breaking a toe while accidentally kicking an object, to any of the previously mentioned fractures. Once your doctor suspects that you have low bone density, he/she will refer you for a special scan known as a dual energy x-ray absorptiometry or DEXA scan, which will allow the assessment of bone density in the body. This is usually performed on the spine and the hip, two commonly affected areas. He/she may also order some blood tests to check the calcium and vitamin D levels in the body. Based on this information, the doctor will be able to diagnose low bone density, and offer you treatment for your problem. What are the available treatments for osteoporosis? Currently, there is no way to completely reverse osteoporosis. We can slow down the rate of bone loss, and even reverse the loss in bone density, but medical science is currently unable to recreate the net-like trabeculae, which is important for the strength of bones. Despite these challenges, there are some good options available: Surgery for treatment of osteoporotic fractures Medications to treat low vitamin D and calcium levels Medications to slow down the rate of bone loss Hormone replacement therapies for menopausal women In addition to these methods, patients currently being treated for osteoporosis are recommended to undergo yearly or twice yearly screening of their bone density, in order to monitor progress of the disease and correct any nutritional imbalances that exist. References: Help to minimize bone loss and osteoporosis with diet and activity. (2022, January 02). Retrieved January 27, 2022, from https://lorimichielfitness. com/age-gracefully/osteoporosis-bo ne-loss/ Related Articles by Dr Yong Ren Osteoporosis:Orthopaedic and Pain Management StrategiesA Singaporean’s Guide to Low Bone Density TreatmentWhat It Means to Have Low Bone DensityTreatments for Joint Pain: Causes and SolutionsOvercoming Joint Pain: Treatment Options from Specialists --- - Published: 2021-07-28 - Modified: 2025-01-03 - URL: https://www.theorthopaedicandpainpractice.com/service/foot-ankle-pain/ - Service Category: Core Feature - Tags: ankle pain, burning pain in ankle, burning pain on top of foot, diabetic foot pain treatment, Foot and Ankle Pain, foot ankle pain, foot bone pain treatment, foot pain, foot pain treatment, sprain ankle, surgery to remove bone spur on back of heel, top of foot pain treatment Pain around the foot and ankle is a common problem in modern shoe-wearing society. Introduction Pain around the foot and ankle is a common problem in modern shoe-wearing society. Our feet are constantly in contact with the ground, and bear our entire body weight as we rush around performing our daily tasks. Any pain or dysfunction to this region can cause a lot of problems with both livelihood and leisure. The foot is made up of many bones arranged in arches that terminate at the toes. It is designed in such a way to allow it to adapt to the ground, and yet bear our weight. Because of its complex structure with so many moving parts, problems with a single part can cause problems with the entire foot. The foot is attached to the body via the ankle, which is a joint formed by 3 bones, the shin and calf bones (tibia and fibula) and the talus (part of the foot). It is supported by 3 groups of ligaments, the upper group (high ankle ligaments), the outer group (lateral ligament complex) and the inner ligament (deltoid ligament). Tendons and muscles pass around the ankle, helping to move and support the foot and ankle. Of note is the large tendon attached to the heel, colloquially known as the Achilles tendon. The foot is attached to the body via the ankle, which is a joint formed by 3 bones, the shin and calf bones (tibia and fibula) and the talus (part of the foot) Injuries around the foot and ankle are common sporting injuries, and are often also caused by accidental falls in singapore What causes pain in the foot and ankle? The causes are numerous, but broadly, they can be grouped into pain caused by injury, and those caused by non-injurious sources. Injuries around the foot and ankle are common sporting injuries, and are often also caused by accidental falls. Such injuries can result in ligament injuries or fractures around the foot and ankle region. Examples of injuries are: Sprained ankles (ligament injuries) from ‘rolling’ your ankle, during sport or due to walking on uneven terrain. This sometimes also results in cartilage injuries in the ankle joint Fractured ankles can also happen with a similar mechanism as sprained ankles Toe fractures, which can result from kicking objects, whether during sport or accidentally Fractures of the midfoot region (metatarsal and midfoot bones) can occur from falls or crushing injuries Fractures of the base of the 5th metatarsal (outer part of mid foot) can also occur with twisting injuries to the foot Fractures of the calcaneus (heel bone) and talus (bone that lies above the heel bone) tend to be high energy injuries sustained from falls from height Non-injury causes of foot and ankle pain can include: Hallux valgus and bunions (where the big toe bends outwards), where pain is felt over the inner part of the big toe and under the second toe Tendon overuse, especially of the tendons on the inner (tibialis anterior/posterior) and outer tendons (peroneal tendons) Worn out ankle joints (osteoarthritis of ankle) Worn out foot joints (midfoot osteoarthritis) Inflammation of the heel tendon (Achilles tendinopathy) Inflammation of the tissue at the bottom of the heel (plantar fasciitis), which can cause painful first steps after rest and after prolonged walking What other symptoms may be associated with foot pain? Besides pain, foot and ankle problems may also be associated with the following symptoms: Swelling over the affected areas Stiffness of the ankle and of the toes/foot Deformity, examples of which include flatfeet, hallux valgus (toe turning out) and bent toes (claw toes and hammer toes) Unstable ankles, which might feel loose, and may predispose to recurrent sprains How is foot pain diagnosed? Your doctor will conduct a medical interview, during which he/she will ask about your symptoms and your unique requirements. Based on the information gained, he/she will perform a focused examination on the foot and ankle. He/she may also request that you take a short walk in order to observe your gait. Based on this clinical evaluation, your doctor may recommend some plain X-ray views of the foot and ankle. An MRI scan might be offered if the information gained from the X-rays is not sufficient for a diagnosis. What treatments are there for foot and ankle pain? There are a variety of treatments available for foot and ankle complaints. These treatments will be tailored according to your specific condition and needs. This may include: Medications to treat and relieve pain Monitored physiotherapy regimes catered to your condition Injections to relieve pain arising from worn out tendons Keyhole surgery for treatment of joint disorders Surgery for fixation of broken bones Surgery to repair or reconstruct injured ligaments and tendons Surgery to treat arthritis References: Foot and ankle. (2020, November 23). Retrieved January 27, 2022, from https://sportsmedalabama. com/contents/patient-education/foot-and-ankle/ Michael. (2020, October 27). Foot anatomy - (find out how what is in that amazing foot of yours). Retrieved January 27, 2022, from https://www. modpodpodiatry. com. au/foot-anatomy/ Related Articles by Dr Yong Ren Eliminate Foot and Ankle Pain with These Simple Home TreatmentsUnderstanding Heel Spurs: Causes, Symptoms, and TreatmentsWhat is an Ankle Sprain and what to do? --- - Published: 2021-07-28 - Modified: 2024-12-02 - URL: https://www.theorthopaedicandpainpractice.com/service/elbow-pain/ - Service Category: Core Feature - Tags: burning pain in upper right arm between elbow and shoulder, elbow pain causes and treatment, treatment for tennis elbow pain Elbow pain can cause a lot of problems with daily life, as the elbow is an important part of the arm that is essential to arm movement and function. Introduction Elbow pain can cause a lot of problems with daily life, as the elbow is an important part of the arm that is essential to arm movement and function. The function of the elbow is to bend and straighten, to bring objects towards and away from our bodies. The elbow joint is formed by the arm bone (humerus) and the forearm bones (ulna and radius) coming together to form a joint. This joint is stabilized by ligaments that lie on the inner and outer aspects of the joint itself. Surrounding the joint are muscles and tendons that help elbow and wrist movements. Also passing around the joint are critical blood vessels and nerves which supply the forearm and wrist. At the elbow, the inner nerve of the arm (ulna) passes very close to the skin, while lying on hard bone, making the elbow a common site of injury. Causes of elbow pain Elbow pain can be caused by injuries or by non-injurious causes. As the elbow lies relatively close to the skin, it is a common site of injuries such as falls and motor vehicle accidents. Some examples of injuries around the elbow include, Fractures to the bones forming the elbow joint Dislocations of the joint, which can occur together with the fractures Ligament injuries, which can be the result of elbow dislocations Elbow pain can be caused by injuries or by non-injurious causes. As the elbow lies relatively close to the skin, it is a common site of injuries such as falls and motor vehicle accidents Non-injury causes of elbow pain tend to be from overuse, and may be the result of manual work or sport. Examples include, Overuse of the outer tendons of the elbow (tennis elbow) Overuse of the inner tendons of the elbow (golfer’s elbow) Overuse of the back tendon of the elbow (triceps tendinopathy) Worn out elbow joints (osteoarthritis of the elbow) Painful lumps related to conditions such as gout, infections and rheumatoid arthritis especially at the back of the elbow What other symptoms can be associated with elbow pain? Besides pain, you might be experiencing other symptoms related to your elbow problems. This might include, Swelling of either the entire elbow or part of the elbow Stiffness of the elbow, with patients being unable to fully bend of straighten their elbows Redness caused by inflammation of infection Weakness of the muscles moving the elbow, with patients being unable to lift objects The elbow feeling loose and giving way, such as when one attempts to push off on a table when attempting to stand Numbness at the hand can sometimes be caused by problems at the elbow How is elbow pain diagnosed? Your doctor will first conduct a medical interview during which he/she will ask about your symptoms and your unique functional requirements. The doctor will then perform a focused medical examination on the elbow and associated regions in order to come up with a provisional diagnosis. Based on the results of the clinical evaluation, the doctor will then proceed to order some radiological investigations. This will include X-rays of the elbow, which will allow him to assess for bone problems. In some cases, additional investigations such as ultrasound scans and MRI scans may be necessary. How is elbow pain treated? Depending on the underlying cause of your pain, your doctor may offer a combination of treatment, which may include, Medications to relieve your elbow pain A course of physiotherapy to improve range of motion, strength and function of the elbow Injections of steroid and local anaesthetic for tendon overuse conditions around the elbow Surgery to fix broken bones in the elbow Surgery to repair or reconstruct torn ligaments in the elbow Surgery to treat recalcitrant tendon problems in the elbow Surgery to replace the elbow (total elbow replacement) due to either severe fractures or osteoarthritis of the elbow References: Jarrett, P. (n. d. ). Elbow anatomy. Retrieved January 27, 2022, from https://murdochorthopaedic. com. au/our-surgeons/paul-jarrett/patient-information-guides/elbow-anatomy/ Related Articles by Dr Yong Ren Don't Delay: Advice on Managing PainUnderstanding Forearm Fractures: Causes, Symptoms, and Treatment OptionsWhy do my Inner Elbows hurt? Understanding Olecranon Fractures: Causes, Treatment, and RecoveryOlecranon Fractures: Causes, Symptoms, and Treatment --- --- ## Doctor - Published: 2021-07-29 - Modified: 2025-07-24 - URL: https://www.theorthopaedicandpainpractice.com/doctor/our-orthopaedic-doctor/ Our Orthopaedic Doctor Senior Orthopaedic Consultant and Medical Director Qualifications MBBS (Singapore) MMed (Orthopaedic) FRCSed (Orthopaedic) Specialty Orthopaedic (Hip & Knee) with special interest in Spine & Fracture Surgery Memberships Fellowship of the Royal College of Surgeons (Edinburgh) Member of Arbeitsgemeinschaft für Osteosynthesefragen (AO) Trauma International Member of Singapore Medical Association Introduction Dr Yong Ren graduated from the National University of Singapore’s Medical faculty and embarked on his orthopaedic career soon after. Upon completion of his training locally, he served briefly as an orthopaedic trauma surgeon in Khoo Teck Puat hospital before embarking on sub-specialty training in Switzerland at the famed Inselspital in Bern. He underwent sub-specialty training in pelvic and spinal surgery, and upon his return to Singapore served as head of the orthopaedic trauma team till 2019. He continues to serve as Visiting Consultant to Khoo Teck Puat Hospital. Well versed in a variety of orthopaedic surgeries, he also served as a member of the country council for the local branch of the Arbeitsgemeinschaft für Osteosynthesefragen (Trauma) in Singapore. He was also involved in the training of many of the young doctors in Singapore and was appointed as an Assistant Professor by the Yong Loo Lin School of Medicine. Prior to his entry into the private sector, he also served as core faculty for orthopaedic resident training by the National Healthcare Group. Dr Yong Ren brings to the table his years of experience as a teacher and trainer in orthopaedic surgery. With his expertise in minimally invasive fracture surgery, pelvic reconstructive surgery, hip and knee surgery as well as spinal surgery, he is uniquely equipped with the tools and expertise necessary to help you on your road to recovery. Dental Prevention Contact Us 09:00-10:0010:00-11:0011:00-12:0012:00-13:0013:00-14:0014:00-15:0015:00-16:0016:00-17:00 Send Message Experienced Knee Pain Doctor in Singapore for Joint Relief and Mobility Restoration Get Personalised Knee Treatment from a Trusted Orthopaedic Specialist If knee pain is limiting your ability to walk, run, or even stand comfortably, it’s time to consult a trusted knee pain doctor in Singapore. At The Orthopaedic & Pain Practice, our orthopaedic specialist provides accurate diagnosis and comprehensive care for knee conditions such as ligament injuries, meniscus tears, osteoarthritis, and more. 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