Gout Treatment (Medication) in Singapore

Surprisingly, gout (podagra) affects about 1 in 40 individuals. It is a form of arthritis that causes stiffness, tenderness, and pain in the joints. It can make movement difficult and very painful. Luckily, gout treatment can help you manage your symptoms. Orthopaedic care offers a holistic approach to treating gout.

At the Singapore Sports and Orthopaedic Clinic, our qualified experts can help find the best solution and gout treatment in Singapore, for you and your lifestyle.

What is Gout?

Gout (podagra) is a disease that results from an overload of uric acid in the body. This overload of uric acid leads to the formation of tiny crystals of urate that deposit in tissues of the body, especially the joints.

Gout - Anatomy of Feet

When crystals form in the joints, it causes recurring attacks of joint inflammation (arthritis). Gout is considered a chronic and progressive disease. Chronic gout can also lead to deposits of hard lumps of uric acid in the tissues, particularly in and around the joints and may cause joint destruction, decreased kidney function, and kidney stones (nephrolithiasis).

What Causes Gout?

  • Intake of alcholic beverages
  • Hereditary
  • Increase in level of uric acid
  • Starvation and dehydration
  • Trauma

Thousands of years ago, gout was considered the ‘disease of kings.’ Why? Certain foods with a high purine content, such as shellfish and red meat, and alcohol trigger gout attacks. During this era, these foods and alcohol were limited to royalty and the extremely wealthy. Thus, middle and lower class civilians rarely experienced the disease.

Today, the prevalence and incidences of gout have steadily increased. Our diets have changed. And with technology, we can detect and diagnose gout much easier than ever before.

Gout is caused by a buildup of uric acid in the body. Usually, the kidneys filter and then excrete uric acid through the urine. In certain circumstances, the body may produce uric acid at a higher rate than it can expel it. When uric acid levels in the blood become too high, the body deposits monosodium urate crystals in the joints. These crystals irritate our joints, and cause the symptoms commonly associated with gout including:

  • Tenderness
  • Pain
  • Stiffness
  • Redness
  • Inflammation

The body may be unable to keep up with uric acid levels for a number of reasons. Our body breaks purine down into uric acid. Purine is found in alcohol beverages, various meats, and seafood. When we consume foods high in purine, our bodies may lack the ability to keep up with the production of uric acid. This results in hyperuricemia, or high uric acid levels, in the blood.

In other cases, kidney impairment may cause higher uric acid levels. If the kidneys are unable to excrete uric acid, it builds in the blood. Impaired kidney function may occur due to diabetes, cancer, high blood pressure, thyroid disorders, or kidney failure.

Genetics and certain medications are also thought to play a role in the development of gout. For example, diuretic medication used to treat high blood pressure can lead to gout. Diuretics increase your fluid output. Yet, the fluid left in the body may become highly concentrated with uric acid. Doctors advise drinking plenty of fluids when taking diuretics and avoiding foods high in purine to reduce the risk of gout.

How is Gout Diagnosed?

Prior to gout treatment in Singapore, a proper diagnosis must be made by a physician. Your doctor may take into account a number of factors. They may assess and ask questions relating to the following:

  • Are you overweight?
  • Do you consume a diet high in purine foods?
  • Do you regularly consume alcoholic beverages in high amounts?
  • Are you on certain medications, such as diuretics?

A joint fluid test and blood test will confirm a gout diagnosis.

In a joint fluid test, fluid is taken from the inflamed and painful joint via a needle. If crystals are present in the fluid, a gout diagnosis is made. Your doctor may further order an x-ray to ensure the pain is not caused by other problems.

Exploring the Relationship Between Gout & Joint Pain

Gout can cause sudden intense painful attacks at the joints, causing swelling and redness of the joint tissues. It usually attacks the joint of the big toe but this does not rule out the attacks on other joints. Gout usually affects men with 9 out of 10 patients being men. Once gout starts to attack other joints, it leads to inflammatory arthritis. Let’s look at the relationship between Gout and Joint pain here.

Gout happens due to an excessive accumulation of uric acid. Uric acid is formed when the body breaks down an aromatic organic compound called purines. Purines are found in foods such as livers, beans, mackerel and beer. Overconsumption of such foods will lead to a high level of purines, resulting in too much uric acid. The body’s natural mechanism of dealing with uric acid is by passing them out through urination but when this urination process is less efficient, hyperuricemia occurs, leading to gout.

Gout happens through 3 basic stages:

Asymptomatic Hyperuricemia

This is the onset of gout. In this first stage, the patient starts to have an excessive accumulation of uric acid in the body but no other symptoms or problems are present. It is also in this stage that the problem can easily be reversed by significantly reducing the amount of purine-rich foods.

Acute Gouty Arthritis

When no actions were performed to limit the consumption of purine-rich foods, the uric acid levels will increased and lead to the formation of uric crystals in the spaces between the joint. Due to the crystals and high acidity, sudden onset of intense pain will occur and this can lead to swelling in the joints. Attacks will be infrequent and can be spaced weeks or even months apart from each, but as time passes, the attacks will become more and more common.

Chronic Tophaceous Gout

This stage is the most serious and will only happen after 10 years. A patient will only reach this stage when he makes no attempt to seek treatment and gout has caused a permanent damage to the joints and kidneys.

There is an exponential relationship between gout and joint pain, leading to sudden onsets of pain attack and swelling. However, reaching from one stage to the other takes time and during the periods, it can be treated by medication and reduction in consumption of purine-rich foods. Gout will cause a lot of trauma and severely affect patients.

How is Gout Treated?

In some cases, gout is very dehabiliting. It can happen suddenly and be very painful. The most common spot for gout to occur is in the big toe. Although, it may spread to the ankles, feet, and knees.

Fortunately, gout is a very treatable condition. And we offer a variety of ways to treat the disease. When a gout attack occurs, it will often resolve on its own in about a week. Thus, many health professions focus on relieving the symptoms and preventing future incidents.

Medications are the most common go-to. NSAIDs, nonsteroidal anti-inflammatory drugs, may alleviate swelling and pain. Your doctor may also prescribe stronger pain medication if over-the-counter drugs aren’t helping. Medications that help lower uric acid levels may also be considered. These type of medications help to prevent attacks by reducing the production of uric acid.

However, long-term use of most of these drugs is not recommended. Surprisingly, NSAIDs can have fairly dangerous side effects. With chronic use, heart problems may arise. Prescription NSAIDs are particularly problematic for this. You may experience gastro-intestinal issues. These medications may cause bleeding and ulcers when used for long-periods or at high dosages. Such medication may also lead to further impaired kidney function, which not only doesn’t help the problem but can amplify gout occurrences and symptoms. When using any medication, make sure to follow the direction on the label and read the warnings prior to consumption.

Your healthcare provider may also consider the medication you are currently taking and make modifications where it is necessary.

If your diet is the main problem, your healthcare provider may discuss other dietary options that do not increase your risk of gout. They will advise you to avoid foods high in purine and to drink plenty of water throughout your day.

In short..

The treatment of an acute attack of gouty arthritis involves measures and medications that reduce inflammation. Preventing future acute gout attacks is equally as important as treating the acute arthritis. Prevention of acute gout involves maintaining adequate fluid intake, weight reduction, dietary changes, reduction in alcohol consumption, and medications to lower the uric acid level in the blood.

Maintaining adequate fluid intake helps prevent acute gout attacks. Adequate fluid intake also decreases the risk of kidney stone formation in patients with gout. Alcohol is known to have diuretic effects that can contribute to dehydration and precipitate acute gout attacks. Alcohol can also affect uric acid metabolism to cause hyperuricemia. Therefore, alcohol has two major effects that worsen gout by slowing down the excretion of uric acid from the kidneys as well as by causing dehydration, both of which contribute to the precipitation of uric acid crystals in the joints.

Orthopaedic Care & Gout Treatment in Singapore

At the Singapore Sports and Orthopaedic Clinic, our experts can diagnose, treat, and prevent joint, neuro, and muscular disorders, such as gout. They can provide exercise and nutritional advice to help treat gout.

Your doctor will address your nutritional and lifestyle choices, in combination with manual manipulation of the joints to eliminate your pain, improve mobility, reduce the incidences of gout attacks, and help increase your overall quality of life.

Your healthcare provider may recommend the following foods to replace high-purine content foods in your diet:

  • Low fat dairy products
  • Vegetables
  • Legumes
  • Whole grains
  • Nuts
  • Water

Surgery is a rare option for treating gout. However, in cases where there is a lack of draining, the area has become infected, or movement is severely impacted, surgery may provide the best option.

Your healthcare provider may also recommend specific exercises to reduce joint pain and increase support to the commonly affected areas. Weaknesses in the body may lead to pain and conditions such as gout. Strengthening around these areas can lessen the pain symptoms associated with the condition. Weight management is also important to limit the stress placed on the joints that are prone to gout attacks. Your treatment will likely involve an exercise program tailored to your specific needs, including strengthening exercises and possible weight loss strategies.

Get the advice you need and the proper care and treatment for your condition. Frequent and painful gout attacks do not have to be your normal.

At the Singapore Sports and Orthopaedic Clinic, our qualified doctors will find the appropriate gout treatment in Singapore for you. Our team of doctors are experienced in treating orthopaedic problems, sport injuries, and degenerative changes. Start your life free of pain. Get back to the activities you know and love. Call and book your appointment, today.

Sprained Ankle Treatments in Singapore (How to Recover Fast)

Sprained ankles are one of the most common sports-related injuries obtained by people. Although a sprained ankle may not be a major injury, it could be quite a hindrance to daily activities and of course, sports or other physical activities would not be possible without further injuring the ankle.

Depending on the severity of the sprain, there are plenty of sprained ankle treatments in Singapore that can provide recovery from 6 weeks to up to 4 months. However, with adequate rest, proper treatment and rehabilitation, the healing process could be sped up significantly.

Sprained ankles typically occur when the ankle is turned at an unnatural angle and the ligaments connecting the bone and ankle tears.

Symptoms

Typically, an ankle sprain can be identified by the pain, swelling, stiffness and instability. A minor sprain involves a stretched ligament with slight tearing. The pain would not be too intense and it would still be possible to walk with a limp.

If the ligament is completely torn, the ankle joint would lose its function and stability. Intense pain would be felt initially but it would wear off after a while till no pain is felt and swelling would be extensive.

You can identify a sprained ankle by bruising around the affected area, a swollen or painful lump near the ankle, and a general instability of the area.

Treatment

Depending on the severity of the sprain, a doctor may recommend several treatment programmes to suit your needs. Most of the time, sprains will go away with adequate rest without further pressure on the feet, but extreme cases may call for surgical solutions like arthroscopy.

R.I.C.E:

As with many other kinds of leg and joint injuries, the R.I.C.E (Rest, Ice, Compression, Elevation) method is the first form of treatment to contain the injury and reduce pain and swelling.

  • Rest: Avoid weight bearing as much as possible to allow the ankle to heal and prevent further aggravation of the injury.
  • Ice: Using an ice pack or ice wrap, apply it on the injured area for 10-15 minutes several times a day. This would reduce the pain and swelling.
  • Compression: After icing, use bandage to wrap around the injured area snugly. Make sure that it is not too tight that it cuts off blood circulation.
  • Elevation: Raise your leg above the heart level to further reduce the swelling.

These four steps should be repeated at least three times a day or until the pain and swelling subside.

During this time, you should also restrict movement and involvement in physical activities. If you have difficulty walking, consider a crutch or an ankle brace to assist you in your daily routine.

Medication:

Generally, no medication is required for a sprained ankle, but painkillers are sometime given out if necessary.

Nonsteroidal anti-inflammatory drugs (NSAID) can help to reduce the inflammation and reduce pain and swelling.

Other than that, over-the-counter painkillers are also prescribed to handle the pain. These can include ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others) or acetaminophen (Tylenol, others).

Rehabilitation

Keeping your ankle immobilized for too long can result in stiffness. Always wriggle your toes or move your ankle lightly whenever possible to keep it flexible. Once the injury has stabilized and is recovering, you can start rehabilitation exercises to restore its motion, strength and balance.

Light Exercises:

You can start off with sitting on a chair and moving your ankle up and down, followed by rolling your foot inward and outward. If these movements are bearable, proceed to stand with legs at hip width apart and lift up one foot at ankle level. Change to the other foot and repeat the reps.

Toe Raises:

Slowly lift your feet off the ground on a tiptoe and hold the position before lowering it back down. Use a support if necessary.

Calf Stretch:

With a wall for support, lean forward with one leg bent and reach out for the wall with both hands at head level. The other leg should be kept straight and feeling the stretch along the calf. Do the same with the other leg.

Prevention

If you often suffer from sprains, you can lower the chances of such occurrences by wearing proper shoes or going through physiotherapy and stretching exercises to improve your balance and footwork.

Other preventive measures can include ankle braces or sports tape which can hold and reinforce your ankle to prevent it from landing at susceptible angles.

One of the most common causes of ankle sprains is weak ankle muscles. You can train your ankles to be stronger with a simple exercise. Wrap a towel around your foot to create some resistance and roll it inward as a simple movement. Do not attempt to do this if your ankle already hurts!

Dealing with Back Pain (Treatment in Singapore)

60-90% of the population will experience back pain in Singapore.  Chances are you or someone you know has suffered from back pain at some point in their life. It can catch you by surprise and drastically limit your mobility and function. 1 in 2 employees took 4-7 days off work for their back pain in the past year. It decreases productivity and one’s quality of life.

However, back pain doesn’t have to be the norm. At the Singapore Sports and Orthopaedic Clinic, our experts can help you bounce back from back pain and prevent future incidents.

What Causes Back Pain?

The back is a complicated structure, consisting of neural networks, the spine, and muscles.

However, everything in the body is connected. Back pain may be caused by a tight muscle, structural abnormalities, neurological issues such as nerve compression, and more.

The spine consists of small bones called vertebrae. In between each bone is a disc. These discs prevent bone-on-bone contact, as well as act as shock-absorbers. Within the spine is the spinal cord. The spinal cord contains the nerves that connect the central nervous system to the rest of the body, allowing your brain to communicate to your muscles and joints to perform certain movements.

Further, muscles connect to various points of the spine and pelvis. The condition of these muscles, such as strength and flexibility, can impact your posture and alignment. If these muscles aren’t functioning properly, back pain may occur.

There are a variety of causes of back pain. Some of the most common causes include a slipped disc, osteoarthritis, poor posture, and tight muscles.

A Slipped Disc

A slipped disc, or herniated disc, is the displacement of the shock absorbing disc in between the spinal vertebrae. It may occur due to twisting or moving incorrectly or due to wear and tear over time. Consequently, it may place pressure on nearby nerves.

‘Sciatica’ is the common term used in conjunction with a slipped disc condition. The disc may place pressure on the sciatic nerve, causing numbness, pain, tingling, and weakness to occur down the legs.

Osteoarthritis

Osteoarthritis is the wearing down of the protective cartilage between bones. In the spine, it is often due to the wearing down of the protective discs. With age, these discs naturally become dehydrated. Some refer to this as ‘degenerative disc disease.’

It frequently occurs in the neck or low back, and may cause varying degrees of pain and functional limitations.

Poor Posture

Your body is made to move a certain way. Further, your joints, muscles, and tissues are optimized for proper posture. Unfortunately, a lot of people lack proper posture.

Today, many people lead fairly sedentary lives. We sit at desks all day, jeopardizing our posture and causing certain muscles to shorten. Flexibility and strength decrease.

When we place our body in unnatural positions, dysfunctions occur. For example, if you are leaning forward all day with your head protruding toward your computer screen, you are placing stress on your neck and shoulder muscles, bones, and tissues.

Bad posture can also lead to added stress on the lower back. The body isn’t made to sit in such positions for prolonged periods. And as much as it tries to adapt, back pain is often inevitable without proper intervention or education.

Tight Muscles

Sitting for long periods may also contribute to tight muscles. The hamstrings, hip flexors, and piriformis muscles may become tense or shortened. Due to their attachment points and locations, these muscles can pull on the pelvis and spine causing pain.

Frequently called ‘Piriformis Syndrome,’ the piriformis muscle may spasm and compress the sciatic nerve creating radiating pain down the legs.

However, sports doctor can educate you and help you overcome these conditions. With proper treatment and care, you can decrease and eliminate your back pain issues.

How is Back Pain Treated in Singapore?

Back pain is treated in a number of ways. It frequently depends on the cause.

Pain relievers, such as over-the-counter NSAIDs, may help decrease initial pain and inflammation. However, it isn’t recommended to use these medications in the long-term. Negative side-effects, including gastrointestinal issues, may occur with chronic use.

Exercise, supervised and provided by a trained professional, can help decrease your risk of back pain and eliminate future injuries. Frequently, back pain in Singapore is caused by inactivity and muscle weakness.

The most common form of rehab exercise for back pain involves the strengthening of the neglected transverse abdominals, or TA. The TA muscles are the deep and lower core muscles. They help support and stabilize the spine and pelvis, acting as a girdle. When this muscle is weak, we try to compensate in other ways. However, this often results in injury and pain, specifically in the low back.

A back pain exercise program will focus on strengthening these abdominal muscles, as well as stretching out shortened or tight muscles. Doing so helps reduce pain and dysfunction of the spine. A basic TA exercise to get you started involves:

  • Lying face up, with your knees bent and your feet planted on the ground.
  • Imagine a tightrope pulling your hip bones together or stopping the flow of urine. You can feel with your fingers in between your hip bones to determine if you are tightening your TA muscle or not. Your stomach should not bulge upward, just tighten.
  • Your low back should remain on the ground or bed. Make sure to keep breathing throughout the exercise. A lot of people tend to hold their breath. However, this is incorrect.
  • Try holding the contraction for 5 seconds to start. Build up to 10 second holds. Perform the exercise 10-12 times and at least 2-3 times per day.

 

Common problematic muscles that may also lead to back pain, include the hamstrings, hip flexors, and piriformis. The hamstrings or hip flexors may become tight, which may pull on the pelvis. In turn, this creates alignment issues. Your lower back may become under stress in this unnatural position. Thus, pain may occur. To correct these issues, your sports doctor will prescribe exercises to stretch out and elongate these muscles. They may also use manual techniques to promote healing and to release muscular tension.

The piriformis, as aforementioned, can spasm and compress the sciatic nerve, causing back pain and radiating pain down the legs. Myofascial release techniques and stretches can help release this small muscle, reducing and preventing future incidences.

In combination with exercise, a manual therapist or sport doctor can perform joint manipulations, traction, myofascial release, and other techniques to help alleviate your pain levels. Each treatment protocol is suited to your particular needs.

In severe cases and where other treatment options fail to work, surgery may be used as a last resort. At the Singapore Sports and Orthopaedic Clinic, our sports doctor are qualified to perform such surgeries. They can prepare you before surgery and help guide recovery post-surgery.

Types of Back Surgery

There are many types of back surgery. Again, it depends on the cause of your back pain as to what kind of surgery you have. Also, surgery is only considered when other interventions have failed to work. The 3 most common surgeries include:

Discectomy: This surgery may be performed when an individual has a slipped disc. The doctors removes the damaged part of the disc.

Laminectomy: Spinal stenosis is the narrowing of the spinal column, which can cause neural issues to arise. In this type of surgery, the lamina portion of the spine is removed to relieve pressure on the spinal cord.

Spinal Fusion: 2 or more vertebrae are fused together in this type of surgery. It limits movement between the 2 vertebrae, reducing pain brought on by the motion of these 2 bones. This is often done in cases where the spine has been damaged or a deformity has occurred.

Your sports doctor will thoroughly explain the surgery prior to. Again, these surgeries are only performed when all other interventions and treatments have been unsuccessful. Frequently, surgery will improve one’s pain levels. However, in some cases, it may not fully fix the problem. Exercises and other treatment protocols can help manage the remaining pain post-surgery.

Orthopaedic Care & Treatment of Back Pain in Singapore

At the Singapore Sports and Orthopaedic Clinic, our injury experts can help you thwart back pain in Singapore and get you back to your regular activities.

Your sport doctor will conduct a thorough assessment. From their assessment, they will come up with an appropriate treatment plan, including exercise, manual techniques, and education. Call or visit our clinic today! Regain back control of your life and rid yourself of back pain for good.

What to Expect with a Laminectomy in Singapore

A laminectomy procedure on the lower back is one of the most common procedures to treat spinal stenosis, a narrowing of space around the spinal cord. In a laminectomy, surgeons remove the lamina, a bony structure that protects the spinal cord, to relieve pressure causing neural issues and pain. Following a laminectomy surgery, orthopaedic care can aid in the recovery process and help you get back to feeling your best.

Reasons for Undergoing a Laminectomy

Essentially, a laminectomy is performed when other options to alleviate the problem fail to work – it is often a last resort.

The spine is a complex structure. It is made up of 33 vertebrae or bones. These bones of the spine protect the spinal cord. The spinal cord is home to an intricate network of neural bundles stemming from the brain. The brain and spinal cord are the structures that comprise the central nervous system. The central nervous system drives every movement, breath, and thought we make. It is the center of our being. Damage to the spinal cord can cause varying degrees of problems, including paralysis and regulatory functioning issues.

The lamina is the back arch of the vertebrae bone. It protects the spinal cord from outside impact or harm. When abnormalities or bony overgrowths develop on the spine, neural functioning may become significantly impaired and pain may occur. Spinal stenosis, a narrowing of the spinal canal, may create pressure on the nerves that run through the spine. Bony overgrowths due to age or arthritis may also compress these fragile neural networks.

Consequently, pain, numbness, and weakness may occur. In severe cases, the individual may struggle to walk and may lose control of their bladder and bowel movements. When the symptoms become severe enough that they impact day-to-day function and when other treatment options fail to work, a laminectomy is performed. In other words, the lamina portion of the vertebrae is removed.

What Does a Laminectomy Involve?

A laminectomy surgery in Singapore involves the use of general anesthesia. However, before surgery the appropriate tests and examinations are performed to ensure as little risk as possible. Your doctor will also ask you to avoid food and drinks for a set time before surgery. Your doctor will also ask that you avoid NSAID, nonsteroidal anti-inflammatory drugs, the week before your surgery.

Depending on the part of the spine that the laminectomy is performed on, it often lasts 1-2 hours. The medical team measures your heart rate, blood pressure, and oxygen levels throughout the procedure.

An incision is made at the affected vertebrae. The aggravating part of the lamina is removed, relieving pressure off of the spinal cord. Depending on the severity and type of condition you have, the surgery may also involve spinal fusion or the removal of a slipped disc. Your surgeon will discuss the plan with you beforehand.

Following a laminectomy surgery, the surgery team will take you to a recovery room. Some will be required to stay in the hospital of a few days, while others may undergo a same-day discharge. It entirely depends on the severity of your situation and how invasive the surgery was.

What Are the Risks of a Laminectomy Surgery in Singapore?

As with any surgery, there are varying risks involved. These risks include:

  • Infection
  • Damage to the spinal cord
  • Spinal fluid leak
  • No change in back pain
  • Stroke
  • Heart Attack
  • Blood loss
  • Blood clots
  • Respiratory issues

Frequently, individuals experience relief after surgery. However, surgery may not fully eliminate the cause and it will only remove the decompression in the part of the spine operated on. For example, arthritis or spinal stenosis may still progress after surgery.

The Immediate Recovery Process

The surgeon will likely require you to walk and perform movements right after the surgery. These tests will ensure no damage was done to the spinal cord. They may also prescribe pain relief medication during the initial recovery stage.

Take the advice of your surgeon, and slowly and gradually increase your activity levels. Follow-up appointments will help guide you through the recovery phases. Recovery is often 2-6 weeks. Again, it may depend on your condition and the exact type of surgery performed. For example, if a bone fusion was also performed your doctor may recommend a back brace as part of the recovery process, and your recovery may be slightly longer.

You will have to work to keep the incision clean and dry, particularly the first few days after surgery. If swelling or tenderness occurs at the incision site, seek out medical attention immediately. An infection could potentially develop. Your surgeon will outline how to avoid infection following the surgery.

General advice following a laminectomy surgery in Singapore includes:

  • Avoid sitting for long durations.
  • Avoid driving for 2-4 weeks right after surgery. Discuss your options and prognosis with your surgeon.
  • Avoid heavy lifting.
  • Do not bend or twist the torso. This could potentially open the incision and cause other problems.
  • Do not smoke. Smoking may interfere with your body’s ability to heal properly and quickly.
  • Avoid travelling. Car rides or plane rides may increase your risk of developing a blood clot.

Long-term Recovery

Back surgery sounds scary. It is absolutely normal to experience worries or concerns regarding your surgery and recovery. Ask questions beforehand and after the procedure. Our team of surgeons and doctors would be more than happy to address any concerns you may have.

At the 6 week mark, regular activities can often gradually be resumed. Neural pain may subside in about 4-6 weeks. And pain and swelling will decrease over time and eventually, with use.

Following a laminectomy, chiropractic care and physiotherapy may be recommended to help guide the rehabilitation process. Chiropractic treatment can also coincide with physiotherapy treatment, and vice versa.

However, initial healing must take place before you seek out chiropractic or physiotherapy care. The body is fragile after surgery and a certain amount of rest and time must take place before any spinal manipulation is performed. Often, physiotherapy and chiropractic care can begin about 2 weeks post-surgery.

Research has also supported post-surgery chiropractic and physiotherapy treatment. In the case of a laminectomy, patients reported improved function, mobility, and decreased pain with treatment. No adverse or detrimental effects were reported.

What Can I Expect Post-Surgery?

Most experience reduced back pain symptoms. A Laminectomy surgery improves pain in about 70% of patients.

If you follow proper guidelines and instructions, your quality of life may significantly improve post-surgery. A positive attitude and proper care following your surgery can go a long way and can drastically impact your results. However, you may not notice the results straight away. It may take up to 6 weeks to notice any notable difference.

Chiropractic care and physiotherapy can also help restore mobility and reduce incidences of pain during the later stages of your recovery. Your healthcare provider can recommend exercises throughout the recovery process to help you get back to your regular activities and improve your outcome.

Make sure to always follow the direct advice and instructions from your doctor.

For more information regarding laminectomy procedures and post-surgery care, contact us at +65 9734 3087. If you wish to have your back pain assessed, book an appointment. At the Singapore Sports and Orthopaedic Clinic, our orthopaedic specialists are ready to help you get back to the activities you know and love. Call us today. Start your journey toward a better life.

What is Total Ankle Arthroplasty (Total Ankle Replacement)?

Suffering from pain when you’re trying to move can lead to less movement on your part. When you’re trying to stay in shape, get in shape, or just keep mobile, pain can put a stop to all of those. Ankle pain can cause you to not want to leave your home or being reduce to having to have assistance when walking. Pain from arthritis can most times be tolerated but when it progresses it can leave you dealing with more pain than you can handle.

How can you deal with this type of pain? How can you keep living life as you want to live it pain free and on your terms? There is a procedure called a total ankle arthroplasty that can offer some light at the end of your tunnel. Discover what this total ankle replacement is and who it might help.

What is a Total Ankle Replacement?

Total Ankle Arthroplasty, or commonly known as TAA, is a total replacement of the ankle joint area. This is used when there is significant arthritis in the joint due to age or sometimes a previous injury such as breaking the ankle. When you’re suffering from arthritis in the ankle, it can lead to deformation of the joint area, pain, and loss of cartilage.

The procedure is performed by an orthopedic surgeon and the entire goal of this process is to allow you to walk and move your ankle with no pain and better movement. The surgeon will inform you on when it is best to have the procedure for your specific case. Not all cases are alike and some may benefit from this total ankle replacement while others may need to put the surgery off.

There are some cases where TAA is not recommended such as those who have had infections in the joint area, neuropathy in the lower limbs, or in cases where dead bone is attached to the ankle area. These would not be good viable cases for the TAA as an option.

What Happens After Surgery?

After you have the total ankle replacement surgery, you’ll have a time where you do not need to put weight on the ankle. This will allow the ankle to completely heal and the joint to set in place as it should. You should use crutches to assist you in walking and keeping off the foot as much as you can. You’ll probably be placed in a type of cast or boot to help keep it stable and in place.

Talk with your orthopedic surgeon to find out if you’re the perfect candidate for total ankle arthroplasty today and get back to living life on your terms.

What is Knee Arthroscopy? – Procedure & Benefits

If you suffer from knee pain or have had an injury to the knee, your doctor may suggest knee arthroscopy to see what is going on. This procedure is an evaluation of the knee without making a large incision. It will permit your doctor to see exactly what is going on in your knee and what is causing your pain without a huge invasive procedure being done. Your doctor may suggest this less invasive procedure if you have torn a meniscus, have inflamed tissue that needs removed, have an infection in the knee, or if you have kneecap issues that can be repaired.

How Does It Work?

Very tiny incisions are made into the knee where your surgeon can insert the arthroscope to see what is injured or going on in the knee. This camera will portray pictures on the monitor your doctor is watching to let them see exactly what may be causing your knee ailments at the time.

During the procedure, your doctor may repair problems they find through other tiny incisions in the knee. There are special tools they can use that do not require the larger incisions of most surgeries that are performed. Your knee can be repaired while you’re in the procedure during the knee arthroscopy and it can help you heal faster.

Benefits

There are many benefits to having a knee arthroscopy done instead of major surgery. One of the major benefits is this is less invasive than most other knee surgeries out there. There are only tiny incisions made so the scarring is also reduced.  This also keeps the infection risk down as the incisions are smaller, and you do not have a huge wound to recover from.

Using knee arthroscopy also helps to reduce the recovery time that is needed after knee surgery. If your knee has been completely opened or replaced, your recovery time will be much longer than with this procedure. You can typically return to normal activities within six weeks of this procedure and only be restricted from driving for about one to three weeks depending on the severity.

You will still experience some pain as you have had a surgical procedure done. Your doctor may prescribe something for pain and also for inflammation to keep the swelling down. You’ll also be taught how to care for your wound before you leave the hospital and how to dress it as well.

All in all, this procedure is a much better route to take, if possible, when you are experiencing injuries or knee problems.

Should I Have Bunion Surgery? – Pros and Cons

When it comes to everyday life your feet play a huge role. They take you from one place to the next, help you get where you need to go, and enjoy life playing sports, hanging out with friends and family, and just in general taking care of you. What happens you’re dealing with the pain of bunions or even embarrassment of the problem? Suffering with bunions on your feet can be painful and make it hard to enjoy everyday life activities that you so want to take part in.

There’s a variety of bunion treatment options and bunion surgery is one of them. Some people opt to have the surgery so they can wear their favorite shoes or sandals again, and to get rid of the pain. Others tend to wait until it’s the only option left before choosing bunion surgery as their treatment option. Here is a look at the benefits and disadvantages of having the surgery on your feet.

Pros

One of the main benefits to having bunion surgery is the relief of pain. Bunions can cause quite a bit of pain in your feet and make it impossible to enjoy your favorite activities such as walking or jogging. By having the corrective procedure, your pain can be a thing of the past. It also means you can become more active as the pain may have stopped you from exercising or moving.

Another benefit to the surgery option is that you will be more comfortable with the look of your foot. As bunions can become quite large, some people feel ashamed to wear sandals or shoes that shoe their feet. By having the surgery, you can start to enjoy your shoes again.

One other benefit to this type of bunion treatment is that you can get the best results with surgery. When you work with a surgeon who specializes in this treatment, you can get the most efficient treatment of your bunions.

Cons

While there are many benefits to this bunion treatment, you should also consider the downsides. There can be reoccurrences of the bunion a year or so down the road. It may come back in the future. You will experience some pain after the surgery still as it takes time to heal the foot completely. It can limit the shoes you wear during the healing process and even after it depending on the type of shoe you are trying to wear.

Of course, as in any surgery, you can have trouble in walking afterwards as your body tries to heal. There’s also a slight chance that the correction will not work or be successful.

Be sure to weigh all the pros and cons with your medical practitioner to make sure that bunion surgery is your best option.

Jumper’s Knee (Patellar Tendonitis): Symptoms & Treatments

Whether you like to run for sport or just for fun, there is an injury that accounts for just less than 5% of all running injuries. Patellar Tendonitis, or jumper’s knee, is an injury to the patellar tendon that connects you knee to your tibia bone. This area takes on a huge load in any type of running or jumping movements and it can become injured quite quickly. This typically happens in men more than women but both are susceptible to this type of injury.

Symptoms

There are a few different stages of jumper’s knee and depending on what stage you’re in will determine the symptoms you are showing. The first stage of patellar tendonitis is classified as pain after a certain exercise or movement. There is no true stopping of movement in this stage, just pain in the knee once the activity is finished.

Those who are in stage two of the injury will deal with pain both after and during the activity they are participating in. In stage three, however, the pain is all the time and the activities that can be participated in are limited. The final stage of this injure is a tendon rupture and that requires the use of surgery to repair the knee injury.

Treatment Options

For those who are dealing with stage one of jumper’s knee, simple ice therapy typically does the trick. Make sure to use ice packs or even ice massage after the activity to help reduce inflammation and pain. Those in stage two will typically have physical therapy due to the pain interrupting normal everyday life. They may lose sleep because of the pain and by working with a physical therapist they can reduce the pain and get back to normalcy.

Those who have reached a stage three injury should also work with the treatments above while adding in significant rest. This can be a period of three to six weeks depending on the injury and how physical therapy is working. You can also take prescription medication in any of these stages to help relieve pain if your doctor has prescribed it.

Strengthening exercises and being careful about alternating your exercise regimen can help to prevent these patellar tendonitis injuries. They can cause severe pain in any level of the injury and it is imperative not to push your body too far. Be sure to talk with your doctor if you’re experiencing continuous pain during or after activity to rule out jumper’s knee.

 

Scapula (Shoulder Blade) Fractures: Treatment & Management

It is very uncommon to suffer from scapula fractures but it does happen. This can be due to a major trauma or other events but usually results in shoulder pain and treatment being needed. They typically occur in less than 1% of the population but do still happen from time to time. The most common age group that suffers from shoulder blade fractures are young men between the ages of 25 and 45. This is basically because of the types of activities and events that age group participates in.

Causes

A shoulder blade fracture can be caused by different traumatic events. An automobile accident is one such event that can cause your shoulder pain and to fracture the scapula. Another common cause of this injury is a fall that pertains to direct impact on the shoulder. This could be an example of falling off a ladder and onto your shoulder, or falling from a height that ends in landing on your shoulder itself. This could also result in direct injuries from a baseball bat or even an impact from a hammer.

Symptoms

Symptoms of a scapula fracture can include one holding their arm close to the body to reduce the pain, swelling and inflammation, and the inability to use the arm. If moving the arm increases the pain, this may mean that you have a shoulder fracture.

Treatment Options

Most of the time shoulder blade fractures do not require surgery for treatment. In some severe cases, surgery will be required but this is not the norm. Typically ice and anti-inflammatory medications are used to help reduce swelling and the shoulder pain that is associated with this injury. Your shoulder may also be immobilized in a sling for up to four weeks or more depending on the severity of the injury. This keeps you from moving the shoulder and potentially reinjuring it before it is properly healed. Physical therapy may also be needed to help in rebuilding the mobility after the injury has taken place.

While most times shoulder blade fractures are easily treated, they need to be seen by a medical doctor before letting them go. This is because most often a shoulder fracture has been caused by a very traumatic injury. This could also be a sign that other injuries have taken place in the body that you may not be aware of. Always have a medical examination after a fall or injury such as a car accident to rule out any life-threatening injury.

Biceps Tendinitis: Cause, Symptom & Treatment

When it comes to lifting, moving, writing, and doing everyday chores, your biceps go through a lot of movement. If you’re doing too much you can begin to notice biceps pain start to creep in and you may think it’s just overuse of your muscles. However, it is important to know that your biceps can be injured through lifting heavier than normal objects, overusing the muscle or other ways. One of the injuries you can develop is called biceps tendinitis. Discover below what biceps tendinitis treatment is available and how you can tell if that is what you have going on.

Causes

The main cause of tendinitis is due to overuse of the bicep muscle. This could be because you’re a baseball player, you lift heavy objects on a daily basis or you love to swim. You can have this show up in your bicep, elbow or shoulder. It is generally caused by the repetitive motions being done over and over by your arm. So if you have a job that is a repetitive movement, or if your favorite sport does the same, you can have a cause of tendonitis start to show up.

Symptoms

You may have biceps pain start in one or both of your arms depending on which arm is affected. Pain is generally located in the shoulder or elbow and not in both places at the same time. You may notice a sharp pain if you have a tear in the tendon or even bruising and swelling. You may also notice pain during movement that has caused the problem in the first place. If you have torn the tendon, then you may require surgery to fix the problem.

Treatment Options

There are a few different options for biceps tendinitis treatment. You can start with ice packs on the affected area. This can help to reduce any inflammation in the joint or bicep area that is causing the pain. You can also take an over the counter anti-inflammatory to help make sure it reduces inflammation and the pain. Resting the arm that is hurting is also highly advised. Try to take some time off of the activity that caused the pain so that your arm can rest and heal.

Biceps pain can be quite difficult to deal with, especially when it starts to affect your daily life. Be sure to take preventative measures if you have a repetitive job or task done each day. Change up your routine and get plenty of rest to make sure you don’t injure your arm further.