Arthroplasty Surgery in Singapore

Arthroplasty surgery is one of the most effective and affordable surgeries in Singapore. Hip and knee replacement, or arthroplasty, surgery waitlists continue to grow. With wear and tear over time, the cartilage in our joints breakdown. It can become painful and may limit your movement and mobility.

The most common arthroplasty surgeries in Singapore replace the hip or knee joint. Our hips and knees undergo a lot of stress throughout our lives. These joints absorb substantial force and weight when we walk, jump, and move. Thus, the cartilage is more likely to breakdown and cause pain during weight-bearing activities.

Arthroplasty surgery can lead to restored function of these joints and an improved overall quality of life. The new joint can last up to 15-20 years. Trends continue to lean toward most individuals having at least one arthroplasty procedure in their lifetime.

Our team takes care of you during the pre-surgery, surgery, and post-surgery stages. At the Singapore Sports and Orthopaedic Clinic, our experienced team can help you get back to living your life, free of pain.

What Are the Benefits of an Arthroplasty?

As science and technology continue to improve, joint replacement surgery continually gets better and the benefits continue to grow. Benefits of undergoing a arthroplasty surgery in Singapore include:

  • Less pain
  • Increased mobility
  • Decreased risk of depression
  • An increased quality of life

The overall outcome of these procedures are high, with almost all experiencing decreased pain levels and improved functioning.

However, as with any surgery, the procedure does not come without its risks. Risks include:

  • Infection
  • Heart attack
  • Stroke
  • Blood clots
  • Loosening of replacement parts

These risks are often higher in those that suffer from pre-existing conditions beforehand.

Why Undergo an Arthroplasty?

Degenerative diseases, such as osteoarthritis, are the most common reasons for undergoing an arthroplasty surgery.

Osteoarthritis is the most common form of arthritis. Over time, wear and tear causes the protective cartilage in between bones to breakdown. This creates painful bone-on-bone grinding. Other reasons for undergoing an arthroplasty procedure include injury or damage to the joint, necrosis, or rheumatoid arthritis.

While physiotherapy and chiropractic care methods may help ease the pain via strengthening of the surrounding muscles, pain may still persist. When the pain begins to interfere with one’s quality of life and daily activities, an arthroplasty procedure is often recommended.

So, What Exactly Does a Arthroplasty Procedure Involve?

In short, the affected joint is either replaced or partially reconstructed. Since the 2 most common procedures involve the hip or knee, the following outlines hip and knee arthroplasty surgeries in a step-by-step process.

Hip Replacement Surgery:

  1. A general anesthesia is administered. This will allow you to sleep during the surgery and allow your muscles to relax making the operation easier for the surgical team to perform. You will also feel no pain during the procedure.
  2.  An incision is made on the side of the hip.
  3. The ball portion of the femur bone is removed and replaced with an artificial part.
  4. Damaged portions of hip bone, such as cartilage, are removed.
  5. The replaced ball portion of the femur bone is then inserted into the hip.
  6. Tissue, such as muscle, is reattached, and the incision is, then, closed.

Knee Replacement Surgery:

  1. A general anesthesia is administered. This will allow you to sleep during the surgery and allow your muscles to relax making the operation easier for the surgical team to perform. You will also feel no pain during the procedure.
  2. An incision is made vertically in the front of the kneecap.
  3. The kneecap is moved out of the way to make room to perform the surgery directly on the joint.
  4. Damage to the femur bone is removed. It is, then, resurfaced to fit the artificial piece.
  5. An artificial piece is attached to the end of the femur bone.
  6. The top of the shin bone is treated in a similar fashion. Damaged portions are removed and the top of the shin bone is fitted with an artificial piece.
  7. A plastic piece is snapped into the top of the shin bone’s new part to help the knee bend properly.
  8. The patella is adjusted. A plastic piece may also be added to the patella to allow it to fit properly in the new knee joint.
  9. The joint is moved to ensure each piece is functioning properly. Then, the incision is closed.

Pre-Surgery Care

Before surgery, the appropriate examinations and tests are carried out to ensure as little risk as possible. Your surgeon will fully explain the procedure and answer any questions you may have. Your surgeon will also ask that you do not consume any food for a set time before the procedure.

If you are on a waitlist for surgery or have months in advance to plan, it is recommended to begin strengthening around the area before undergoing the procedure. Strengthening these muscles beforehand will help with the recovery process. Discuss your options with your surgeon or your chiropractor and physiotherapist.

Post-Surgery Care

Following an arthroplasty surgery in Singapore, your surgical team may require that you move the joint right away. For hip replacement surgery, you may be required to walk right after surgery. This will ensure proper healing and mobility of the new joint. Your doctor will also prescribe pain medication to help you deal with the initial stages of recovery.

Your doctor will further provide instructions on how to take proper care of the incision while it heals. It is also important to take extra care not to fall after surgery as this could cause damage to the newly replaced joint. Use handrails and supports when necessary.

Often, a rehab program through a registered physiotherapist or chiropractor is recommended during the post-surgery stage.

Orthopaedic Care Post-Arthroplasty

Before joint replacement surgery, exercise may help decrease and manage your pain levels. Following an arthroplasty surgery in Singapore, exercise in the rehabilitation process can help:

  • Decrease swelling
  • Improve range of motion and mobility
  • Improve gait and help retrain gait mechanics

Your physician will work with you to help you gain back your confidence and get you back to your regular activities. Initially, heat or ice application may be used to help reduce the swelling and pain. They will prescribe and help you perform stretches and strengthening exercises to help promote movement of the joint and provide support to the new joint.

Having a qualified healthcare professional guide you through the rehabilitation process can help determine the success of your arthroplasty surgery. It also ensure you complete your exercises correctly which is essential to proper function of the new joint.

For the knee joint, post-surgery exercises focus on strengthening the quad and achieving full range of flexion. For the hip joint, post-surgery exercises will focus on the gluteal muscles, the major muscles of the leg, and core strengthening. Your healthcare provider will also instruct you on proper gait techniques throughout the recovery stage.

At the Singapore Sports and Orthopaedic Clinic, our team of doctors and surgeons can guide you through the entire process. From start to finish, our experts provide the best treatment and care addressing your specific needs and goals.

Call and book your consultation today. Get back to your regular activities and get back to enjoying your life.

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.

Gout Treatment (Medication) in Singapore

Surprisingly, gout 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 Causes Gout?

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.

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.

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.

What is Triple Arthrodesis?

Walking with pain is a very frustrating and difficult thing to have to live with. Whether the pain is from arthritis or from other deformity’s in the foot, it can be hard to find a solution to assist you in walking with little or no pain at all. One of the ways that doctors can assist you in getting rid of the pain is with triple arthrodesis. This procedure helps to stabilize the foot and decrease or completely rid your foot of pain as you’re walking. Take a look at what this procedure is and what you can expect from it if you need this surgery.

What is triple arthrodesis?

This procedure is one where three joints in the foot are fused together to offer pain reduction and more stability to the foot itself. It helps to align the foot better than before the procedure in hopes of the pain being reduced to nothing. This procedure has been used for several years in the medical industry and is proven to help those who are having problems walking.

This procedure is good for those dealing with severe arthritis, deformity of the foot, or those who are dealing with severe flatfoot or high arches. However, this is not recommended for those who are not fully grown as they can have deformities form later in life even after the procedure has been done. This is also only after other nonsurgical methods have been tried and have failed in relieving pain.

What to expect

The procedure involved two incisions, one on each side of the foot. The three joints in the foot are prepared and then fused together using hardware to keep them in place. After the hardware is in place and confirmed via x-ray, the surgeon will close everything up and apply large bandages to protect the incisions. They may also decide to numb the nerves in your ankle or knee to help reduce the amount of after procedure pain you will experience.

After the procedure

Once the triple arthrodesis is complete you’ll have a time of recovery. This will involve keeping your foot elevated and weight off of the foot when you’re walking. In most cases, triple arthrodesis procedures are effective and help to reduce the pain or get rid of it completely after the surgery.

You do need to realize that after the procedure your range of motion in your foot will be limited. You’ll still retain up and down motion but side-to-side motion will be limited after it is complete. Most people do not have a problem with this because their pain has been done away with and they can deal with a range of motion deficit.

What is Naviculocuneiform Joint Fusion?

As you age and grow older, there is a tendency for arthritis to settle in to your joints of your body. This can make it difficult to do everyday tasks such as walking, lifting items or using your hands. While there are various treatment options for this problem, some of the areas that arthritis attacks need a little more attention. If you are having problems in the joints of your foot, naviculocuneiform joint fusion may be what you’re needing.

What is Naviculocuneiform Arthrodesis or Joint Fusion?

Basically, this is where the naviculocuneiform joint of your foot has had arthritis settle in and caused the bones of the joint to start rubbing together. The joint itself consists of four different bones and it is in the middle of the foot. When this sets in, it makes it hard to bear weight on the foot, walk like you normally would, and can also cause a problem called drop foot if it has gotten severe. This problem is typically caused by having a trauma to that region of your foot.

What the joint fusion will do is help to relieve the pain that you’re dealing with in that area of the foot. The procedure itself will fuse your joints together with pins and screws to hold the joint in place as it should be. This will help to alleviate the pain and problems that you’re currently having due to the joint cartilage wearing away.

What to Expect

This procedure is an outpatient procedure and you’re generally back home by the end of the day. You’ll be administered general anesthesia and possibly a nerve block in your foot and ankle to help with pain control after the procedure. A small incision is made on the inside of your foot where the doctor can access the joint area. The pins and hardware are then put in place and you’ll be ready to go shortly after you wake up.

You’ll receive a cushioned splint to wear for the following days after surgery. Typically, you’ll spend around two weeks with your foot elevated to help reduce the swelling that can occur after the procedure. When you go back for your two-week checkup, the doctor typically removes stiches or staples and you’re placed in a boot where you’ll remain non-weight bearing for around four to six more weeks.

After your six to eight-week checkup, you’ll come out of the cast and slowly return to normal use of the foot. You may have x-rays performed as well to make sure your foot is healing properly. Range of motion should not be affected after surgery and with a little time you’ll be back to normal.

Flexor to Extensor Tendon Transfer (Girdlestone-Taylor)

Dealing with pain during walking or standing is a difficult way to go through life. When you’re dealing with a hammertoe deformity that you’ve developed, it can be difficult to do a lot of different daily tasks. Things such as finding shoes that fit comfortably, standing on your feet or walking can seem impossible. There are several ways you can try to correct this problem and considering a flexor to extension transfer is just one. Discover below what the Girdelstone Taylor procedure is and how it can help those who have the hammertoe deformity.

What is a hammertoe?

Basically, a hammertoe deformity is one in which the toe itself is bent in a shape that appears like a hammer. It can also cause the toes to cross over each other. This makes it very difficult to find proper shoes and also can cause corns to develop over time.

How is it treated?

Before surgery is considered there are a few things that should be tried to see if it will correct the deformity. Those include such items as splinting or toe sleeves and finding shoes that will assist in keeping the toes in the proper place. While these may help some, they may not be the solution and the Girdlestone Taylor Procedure should be considered.

What is flexor to extensor transfer?

This procedure is done as an outpatient procedure in the office of your physician. An incision is made on the bottom of the toe that is affected. There are two tendons that help the toe to bend and flex. One of the tendons is basically rerouted from the bottom of the toe to the top of the toe to help straighten it out. At times, there may also be a pin inserted during surgery to help keep the toe in place.

After Surgery

Typically, you’ll be able to go home the same day as the procedure unless there are other extenuating circumstances that you need to spend the night. You can generally walk while using a sandal but if you’ve had both feet done at the same time, you can expect to have some difficulty bearing weight on your feet. You’ll visit the doctor again in a few weeks to have the stitches removed and see how your foot is healing. Within four to six weeks after surgery you can return to your normal footwear. After the procedure, it should be easier to find shoes that are comfortable than it was before.

As with every surgery there are risks that will be discussed with your physician. If you’re dealing with a hammertoe deformity, talk with your doctor about the flexor to extensor procedure today to see if you’re a suitable fit.

Bunionette Deformity Correction

If you’ve been dealing with pain in your foot due to a bunionette, you’re probably wondering what can be done to reduce or get rid of the pain. Perhaps your pain has gotten worse or you’re just starting to deal with pain as the bunion is growing. When you’re looking into bunionette deformity correction, you may think that there’s no hope. However, in some cases the bunionette surgery can work wonderfully and reduce/completely get rid of your pain and issues you’re having. Here are some things to think about when looking into correction and surgery processes.

What is a bunionette?

Basically, this is a bone growth on the outside of your foot near your pinky, or 5th, toe. While you may not even notice a bump or growth there to start with, over time as the bunionette continues to grow, it can become quite painful. It’s also called a Tailor’s bunion in some circles.

Some people can do well with the bunionette deformity correction without surgery. Things such as getting shoes that are roomier on their feet, padding that area to protect it from rubbing on the shoes, and even custom inserts to help protect the area are tried. While this may help some, it doesn’t always work and the next step would be a surgical procedure.

What should you know about the surgery?

First, those who may benefit from surgery are the patients who have not gained any relief from the other methods already tried. Surgery is not the first line of defense for this ailment but it can relieve pain in those who do not receive relief in any other form.

This is an outpatient procedure so unless there are other complications to deal with, you’re going to be in and out in the same day. The surgeon you work with will go into detail on their plans, but generally the bunionette surgery entails the tissue on your outside of the foot and sometimes an incision is made into the bone itself. There are several different methods to help rid the foot of the bony growth and straighten out the curve that may have developed. Once your surgeon has looked over you records, they will go over the best options.

People who have a cut on their foot, lost circulation in the foot area, or that have an infection in the foot will not be good candidates for the procedure. Your doctor will advise the best route of dealing with the bunionette deformity correction to help relieve your pain and get you walking again.

If you have the surgery you can expect recovery to vary depending on your specific case. Most people are in a boot or splint to help the foot stay in place for anywhere from three weeks up to twelve. Be sure to follow all of your doctor’s orders afterwards so that you can make sure it heals properly and you can get back to business as usual.

All About Ankle Ligament Surgery

Pain in your ankles can arise from a variety of different things. Perhaps you’re dealing with an injury from playing your favorite sport or maybe due to a fall that you took. Maybe you’re dealing with arthritis in the joints or you’ve had a more significant injury due to a car accident. Whatever the case may be, when it comes to the ligaments in your ankles, sometimes you can get away with lots of rest and a few other topical methods. Other times you may need ankle ligament surgery to correct the issue at hand. Here are a few things to know about this type of procedure and the different options that you have.

Ankle Ligament Surgery

This procedure is what your physician will do to help repair a torn ligament due to an injury to the ankle area. This is used to help treat your ankle when you’ve had a serious sprain or if you’ve had instability in the ankle due to an injury. This is typically a procedure done within a day so you’ll be back home before you know it. You’ll leave in a cast that comes up to your knee and given some directions for follow up and how to handle the ankle itself.

Lateral Ankle Ligament Reconstruction

Also known as the Brostrom procedure, this is where the physician will repair one or more of your ligaments in the ankle. It is because you’ve had multiple sprains in your ankle, your ankle has become weak over time due to injury, or there may be a defect in the ankle area that this can help to correct.

If you’ve dealt with problems such as hindfoot Varus, midfoot cavus, or a disease such as Ehlers-Danlos where your ligaments are very loose, this is the surgery that can help you to get some stability back in your ankles. There are some risks involved but you should consult with your physician on your personal risks.

The procedure will involve you being put under general anesthesia or just some local anesthesia depending on the severity of the surgery. The surgeon makes a small incision and uses instruments to carry out the procedure if the surgery is a minimally invasive one. In some situations, the doctor will need to make a longer incision for severe cases.

The doctor will then go in and either shorten your ligaments, remove them, and attach your ankle differently to help give it stability, or do other constructive means to help give the ankle the strength it needs. Lateral ankle ligament reconstruction and ankle ligament surgery can assist you in getting back on your feet. Once you’ve gone through the period of about six weeks after surgery, you can start to bear weight on your ankle and getting back to life.

Achilles Tendinitis: Causes, Symptoms, & Treatments

Have you noticed when you’re walking or exercising that you have pain on the back of your lower leg down near the heel of your foot? If so you could be dealing with Achilles tendinitis. This condition is common for those who overuse the foot or after years of walking/running or exercising. This is a degenerative condition that can come on with age or if you’ve injured your leg. Take a look at what causes Achilles tendinitis and what the symptoms and treatment options you have available.

Causes

There are two types of this tendinitis, noninsertional and insertional. In the first type, it is common in those of the younger generation that are more active and it affects the middle of the tendon. This is where the fibers in the middle of the tendon have begun to breakdown after being torn.

Insertional Achilles Tendinitis affects the lower portion of the tendon itself and can happen to anyone at any age. Once the tendons have started to break or have been damaged, they can begin to calcify and become hard. This can also lead to bone spurs in the area as well.

The basic cause of this issue is repetitive stress to the area itself. This can happen because someone decides to push their body farther than they were ready to go. If you have very tight calf muscles and then begin an aggressive program of exercise, you can end up with this type of injury as well.

Symptoms

The symptoms of Achilles Tendinitis include things such as:

  • Severe pain in the area the day after you’ve done your exercise program
  • Presence of bone spurs
  • Experiencing pain along the tendon when you’re exercising or using the ankle area a lot
  • If you notice a thickening of the area
  • Swelling that does not go away

Treatment Options

Once you know that this type of tendinitis is what is causing your pain, there are several things you can try. Anti-inflammatory medications can help to reduce the swelling, as well as icing the area to relieve the pain and puffiness. Be sure to get plenty of rest and get off your ankle for an extended period of time to allow the tendon to heal and relax.

Reduce the amount of stress put on your tendon by doing calf stretches each day. Physical therapy and learning how to strengthen the area as well can help you to relieve the pain. Injections and shoe lifts can also help to reduce the pain in the area.

Finally, there are surgical options that should be sought as a last resort to your tendonitis. Discuss these options with your doctor to find out what is right for your situation.

What is Ankle Arthrodesis (Ankle Fusion)?

Dealing with pain is never a good thing but sometimes that pain can make it hard to do everyday chores. Something as simple as walking to the mailbox or even your kitchen can become quite difficult to do. This could be because of your ankle and an injury or arthritis that has taken over the ankle joint. When that happens you can consider a procedure called ankle arthrodesis, or ankle fusion, to help get the movement back that you’re used to.

What is ankle arthrodesis?

This procedure, commonly known as ankle fusion, is only completed when your ankle joint has been completely worn down. This could be due to a variety of things including a severe ankle fracture or degenerative arthritis in the joint itself. After you’ve injured the ankle, several years down the road, it can wear out the joint and it can become quite difficult to move it as you have. This procedure basically removes the joint and allows your tibia to grow together with your footbone. That will remove the joint completely and allow your pain to subside.

What should you expect with this procedure?

Before the surgery, you and your doctor will decide if this procedure is right for you. The ankle fusion is a great choice for those who are younger and are very active as it will not wear out like an ankle joint replacement could. Once you’ve been cleared for surgery your doctor will discuss with you whether an open procedure or arthroscopic procedure is best in your situation. They will also warn you of any risks and answer any questions you may have.

What about after surgery?

You will leave the hospital in a cast and in two weeks that one will be changed to a shorter cast. You cannot put weight on your ankle itself until you’re sure that the bones are fusing properly as they should be. When you have this ankle fusion procedure, it could take up to 12-weeks afterwards for that to be certain. For the best reduction of pain after ankle arthrodesis, it is advised that you keep your ankle elevated about your heart and propped up on pillows to reduce the swelling and throbbing.

Be prepared that you will have rehabilitation to go through and running “normally” will not be possible in the future. However, with the inserts available for your shoes and with rehab, you can begin to walk with a normal gait as you did before.

If you’re dealing with a large amount of pain due to arthritis or injury, an ankle fusion may be your ticket to relief. Consult with your physician to be sure you know the ins and outs of this procedure and to help decide if it’s the route to go for you.