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.

Everything You Need to Know about Ligament Tear

Common Ligament Injuries

Ligaments are fibrous tissues which connects our bones to other bones. They also help to support the joints and allow a normal range of motion for the joints. Ligaments have high tensile strength due to the high density of collagen present. Ligaments also provide proprioceptive inputs to the brain and allow the body to perform complex activities required in sports. Injuries to the ligament are common in high impact and high speed sports and a structural damage to the ligaments are known as ligament sprains. There are some ligament injuries that are much more common than others and let’s take a look at them.

Anterior Cruciate Ligament

Anterior Cruciate Ligament (ACL) injuries are common is high impact sports like football, soccer, rugby and basketball. The ACL is one of the 4 main ligaments in the knee which joins the femur to the tibia. Nearly 50% of patients who experience ACL injuries suffer it in combination with injuries to other parts of the knee such as the meniscus and medial collateral ligament. ACL injuries occur most commonly from sudden twisting motion when the foot is still firmly planted on the ground while the knee is trying to change direction, causing the ACL to rupture. An ACL reconstruction will be the most viable option after injury as ligaments cannot heal by themselves.

Medial Collateral Ligament

The medial collateral ligament (MCL) is another main ligament of the knee which provides stability to the knee. The MCL is located from the end of the femur to the top of the tibia and it prevents the knee from opening up. Due to its preventive features, it is commonly injured when there is an impact on the outside of the knee joint which causes the knee to buckle and the knee to open up. MCL injuries are also mostly in conjunction with ACL and meniscus injuries. If it is a standalone MCL injury, surgery is often not required and patients can get on with their lives pretty well with the help of a knee brace to provide stability.

Glenohumeral Joint ligament

The Glenohumeral joint ligaments are located in the shoulders at the Glenohumeral joint which provides stability to the shoulder. The Glenohumeral joint connects the upper arm bone to the humerus and the shoulder blade. Injuries to the Glenohumeral joint occurs due to a fall and the patient landing on an outstretched arm, sudden twisting of the arm to beyond the normal motion range and a sudden impact on the shoulder, causing the ligaments to tear.

Above are 3 of the common ligament injuries that are experienced by many. Although ligaments are strong fibrous tissues, they can rupture if a sudden impact or twisting motion is applied on it. Ligaments are important in ensuring stability of the specific part of the body so extreme care should be taken to protect it.

Symptoms & Treatments for Knee Ligament Tear

Our knee is supported by 4 main ligaments – anterior cruciate ligament (ACL), medial collateral ligament (MCL), lateral collateral ligament (LCL) and the posterior cruciate ligament (PCL). Each of the ligament plays a different role in ensuring the stability of the knee. However, due to various reasons, the ligaments can be torn. Rupture of the ligament can be a partial one or a full one and this will affect the treatment administered. A ligament tear will also bring about instability in the knee and the inability for it to bear weight, causing problems when walking. In this article, we will look at some of the symptoms and treatments for ligament tears.

The role of each ligament differs:

  • The role of the ACL is to stabilise the knee joint by restricting forward back backwards movement of the knee. It is designed to prevent the tibia bone from moving in front of the femur.
  • The role of the MCL is to protect the knee against any sudden and/or unwanted forces that is directed at the side of the knee. It restricts the sideway movement of the knee.
  • The LCL works in conjunction with the MCL to restrict sideway movement and it protects against sudden forces that is directed at the inside of the knee.
  • Lastly, the PCL works together with the ACL to control forward and backward movements of the knee.

An injured ligament will bring about symptoms that are similar to each other:

  • As a general rule of thumb, a partially torn ligament will not bring about a pop sound while a fully ruptured one will produce a pop sound. A fully torn one will also create instant instability and the knee will give way.
  • Swelling will occur and the injured knee may start to turn purple due to the lack of proper blood flow to the area. Swelling occurs due to a build up of blood from the injured ligament.
  • The knee will be unable to function properly and you may feel that you are unable to control it.
  • Tenderness will onset when you touch the knee.

The first step in treatment is to pay the PRICE:

  • Protect the knee from further movements
  • Resting the knee immediately following injury for at least 48 hours. If you need to move around, consider using crutches or walkers to prevent bearing weight on the injured knee.
  • Ice will bring down swelling and reduce inflammation. Always try to ice the area every hour by using a cold compress or simply by wrapping knee in a towel and applying it locally.
  • Compress the knee with a bandage to reduce swelling and prevent excessive movements.
  • Elevate the knee to above your heart level to reduce swelling. This will cause excessive blood to flow away due to gravity towards your heart.

 

Nutrition Secrets for Ligament Tear Recovery

The ligament is a fibrous tissue and its main function is to connect bones to another bone and prevent abnormal joint motions. Injuries to ligaments will take a long time to heal. However, good nutrition can help to speed up the recovery process. The vitamins and minerals in food can help to facilitate healing.

Proteolytic Enzymes

The first step of any injury is to reduce inflammation in the region and foods that contain Proteolytic enzymes are especially useful due to its anti-inflammatory properties which help to eliminate protein from the injured region. Foods that are rich in proteolytic enzymes include pineapples and ginger roots.

Zinc

Zinc is another mineral that is excellent in combating inflammation. The way our body works is fascinating. When one part of the body is injured, it will divert all the zinc in the body to the injured part to counter inflammation. As such, other parts of the body will have a zinc deficiency. In order to prevent zinc deficiency, it is important to consume foods that are rich in zinc such as oysters, wheat germ and veal liver.

Vitamin C

Vitamin C has excellent anti-inflammatory properties as well and when worked together with Proteolytic enzymes, it provides an even better result. Vitamin C is not a vitamin that they body can self synthesize. As such, patients will need to consume it in order for the body to possess it. Vitamin C is also required to produce collagen in the body and this is important in ligament healing. Foods that are rich in Vitamin C include citrus fruits, broccoli and tomatoes.

Protein

Protein is the building block of our body and it is required by the body for any healing process. Protein can easily be obtained from foods such as tofu, meat, eggs and soy products. Protein deficiency will lead to various ailments in the body.

Calories

Although the body’s metabolism is low during injury, there is still a need to consume sufficient calories on a daily basis. Calories are required in the healing process and if patients decide to cut down severely on their calorie intake, this will slow down the recovery process.

Ligament injuries will require physical therapy, surgery and proper nutrition to ensure a speedy recovery. Proper nutrition is not difficult to achieve. Although your movements will be severely limited, you can always ask a dear one to help you out in ensuring you receive sufficient nutrition daily.

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 for an appointment @ +65 9734 3087 to get a professional assessment of your condition & start your journey toward a better life!

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.

Sports Doctor (Sports Medicine) in Singapore

Sports medicine is a field that is constantly advancing and evolving. As we learn more about the body and how it works, treatment protocols and rehabilitation programs continue to improve.

At the Singapore Sports and Orthopaedic Clinic, our sports doctors strive to provide the best treatment to each and every patient. They aim to get you back to feeling your best.

But, What are Sports Doctors?

A sports doctor focuses on the diagnosis, treatment, and prevention of athletic and sport injuries or disorders.

For example, if you injure your knee running or playing soccer, a sports doctor in Singapore can help you determine the best strategies to get you back to the activities you know and love.

Interestingly, Germany is considered the founding father of sports medicine. Following the return of the Olympics in 1896, Germany aimed to reduce sporting injuries. Thus, various sports medicine research and studies began.

The ‘German Federation of Physicians for the Promotion of Exercise’ marked the first organization associated with regulated sports medicine practices.

However, Germany wasn’t exactly the first to realize a link between exercise and health. Historians have found evidence of exercise being used for well-being much earlier. In the 5th century, Gladiators and Olympiads received therapeutic exercises to help improve their performance.

In terms of current day sports medicine, subsequent events didn’t happen overnight. In fact, it wasn’t until 1992 that sports medicine was recognized as a speciality in America.

Sports doctors in Singapore emerged in the 1970s, with the first clinic opening in 1971. Sports medicine was eventually recognized as a subspecialty in Singapore in 2011.

Since then, sports medicine continues to grow. Singapore offers some of the best sports doctors in the world, with the demand continuing to rise.

Science has proven it. Individuals see it in action. Exercise and physical activity have a significant impact on your health and wellbeing. In some ways, exercise is the closest thing we’ve got to a miracle drug to cure common ailments and improve one’s quality of life.

What Qualifications or Education Does a Sports Doctor Have?

Like any doctor, a sports doctor must complete a full graduate medical school program. To do so, the individual must first complete a Bachelor Degree. Upon acceptance into medical school, they must graduate and complete an exam to become a licensed doctor.

Afterward, they must complete a fellowship, specializing in orthopaedic care or sports medicine. It is a lengthy education and training endeavor that can take up to 7 years to complete. However, if the individual is passionate about sports medicine, it can prove to be a rewarding and ever-learning and growing career.

At the Singapore Sports and Orthopaedic Clinic, our team of sports doctors specialize in orthopaedic conditions, brain and spine disorders, and nerve pain. With years of experience under their belt, you can expect the best treatment and care available in Singapore.

What Conditions Do Sports Doctors in Singapore Treat?

Sports doctors in Singapore treat a variety of conditions, including:

  • Shoulder Pain
  • Back Pain
  • Elbow Pain
  • Hand Pain
  • Hip Pain
  • Knee Pain
  • Ankle Pain
  • Arthritis
  • And fractures.

Each of the above conditions are umbrella terms for a number of other conditions and injuries. Shoulder pain could include a rotator cuff tear, a frozen shoulder, or shoulder bursitis. Elbow pain may involve golfer’s elbow or tennis elbow injuries.

Sports doctors in Singapore are also involved in surgeries relating to your condition. At the Singapore Sports and Orthopaedic Clinic, our doctors specialize in knee replacement surgeries, hip replacement surgeries, spinal laminectomy, neurosurgery, and more.

Your doctor will take you from step 1 of diagnosis through to the end of your rehabilitation treatment. Throughout the process, exercise is emphasized as a main treatment strategy and technique.

Common Conditions Treated by Sports Doctors in Singapore

As aforementioned, our sports doctors specialize in a variety of conditions. The most common conditions include the ones briefly explained below.

Osteoarthritis

Osteoarthritis occurs as we age. It is the most common type of arthritis and is often referred to as the ‘wear and tear’ arthritis. The cartilage at the end of the bones at your knee or hip joints (It can also impact other joints. However, these are the most common.) becomes worn down. In turn, painful bone-on-bone grinding occurs.

Osteoarthritis can make movement difficult. And it may significantly reduce one’s quality of life.

Frequently, exercise is used to strengthen around the affected joints, reducing pain and increasing mobility. In severe cases, the joint may need to be replaced.

At this stage, your sports doctor in Singapore will suggest surgery to replace the joint.

Exercise is used as treatment before and after your surgery. It helps strengthen the muscles and tissues around the joint, promoting your body’s healing mechanisms and recovery. Exercises also help your body regain proper gait patterns and movement.

Our sports doctors can also help with other forms of arthritis, as well as early forms of osteoarthritis. They can help you manage your pain through exercises and other pain management strategies, such as hot and cold therapy. The goal is to strengthen the affected areas, as well as improve or maintain mobility and range of motion of the affected joints.

Fractures

Fractures refer to a broken bone. It can be a complete break or a slight crack. Generally, fractures heal in 6-12 weeks.

Following the initial stages of recovery, rehabilitation in the form of exercise provided by and supervised by your sports doctor can help you return to normal functioning.

If the fracture is severe, surgery may be necessary. Luckily, sports doctors are often well-equipped to help you through this process. An open reduction internal fixation (ORIF) surgery may have to be performed to realign the bones to promote proper healing.

Following surgery, exercises and manual therapy will help guide your post-surgery rehabilitation. The focus will be around strengthening the joints and muscles around the broken bone.

Sprains

Our sports doctors can help you recover from the common ligament sprain, such as an ankle sprain. A sprain is the stretching or tearing of the ligaments – the tissue that connects bone to bone. Symptoms may include swelling, pain, bruising, and limited range of motion.

Your sports doctor will prescribe exercises, including strengthening, stretching, and range of motion movements. They may also perform joint manipulations or manual therapy to help promote healing and increase mobility.

Strains

Muscular strains happen due to a sudden stretching or tearing of the muscle tissue. Like sprains, they can be painful and may limit function and movement.

In severe cases, surgery again may be recommended. However, most strain injuries significantly improve with exercise intervention. Further, exercise prevents future injury as it helps support and strengthen the weakened and affected area. Again, sports doctors are fully trained and equipped to provide you with the best care and treatment for your strain injury.

Other Conditions

Other common conditions include back injuries and pain, anterior cruciate ligament injuries, and rotator cuff injuries. Generally, sports doctors are experienced in most musculoskeletal injuries and conditions.

How Do I Get Started?

Your journey toward a life free of pain starts with a consultation. At Singapore Sports and Orthopaedic Singapore Clinic, our sports doctors will perform a proper assessment, including recording your range of motion, strength, and pain levels, and inquiring into your past medical history. Expect for your initial consult to take about an hour.

From there, you and your doctor will determine a proper treatment plan and protocol, including exercises and manual therapy techniques. Treatment will frequently involved seeing your sports doctor at regular intervals to check-in and have any manual therapy techniques or procedures completed. If you have any concerns, we encourage our patients to ask questions at their appointment.

Call to book your appointment today! Start your recovery with the top sports doctors in Singapore and get back to living your best life.

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.

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.