Physio Group CME Talk
Common Lower Limb Injuries and Surgeries
18 Dec 2020, Friday
This educational talk will cover the basics for understanding common lower limb injuries and surgeries for the treating physiotherapist. Especially in the period of Covid restrictions, where many people attempted to exercise at home without supervision, resulting in a surge in the number of injuries. The unconditioned lower limb can be prone to a lot of injuries ranging from ankle ligament tears, ankle fractures, Achilles injuries to knee ligament tears.
The aim of the talk is to equip physios with the knowledge to recognise and interpret common symptoms that may be related to these innocuous injuries. Emphasis on simple interventions like immediate care, appropriate recognition of injury will be covered. Aspects of early referral to a specialist surgeon for intervention will be covered, so that early presentation for symptoms will not be missed and specialised medical intervention can be timely.
Anterior knee pain (front knee pain) is very common amongst runners and cyclists. It is sometimes referred to as “runner’s knee”. It is a symptom that should not be taken lightly or neglected. Being a “weekend warrior”, it is even more important to pay attention to this symptom as the muscles, tendons and ligaments may not be as well conditioned as that of an active professional athlete.
Ankle sprains are one of the most common sports injuries. Although sometimes, ankle sprains may also occur from everyday activities like missing a step or following an awkward fall. Following the injury, the ankle tends to twist inwards excessively, injuring or straining ankle ligaments. Patients may be present symptoms like acute ankle swelling, pain on walking and limitation of ankle movement. In some cases, a proper medical examination is warranted to minimise the possibility of a more serious underlying injury.
Once a ligament or serious injury has been ruled out, patients will need to undergo physiotherapy so as to help strengthen the injured muscles. A structured physiotherapy program is useful to help ease a patient back into their sports routine.
Occasionally, if there is structural damage to the knee or ankle and when physiotherapy has failed, surgery may be necessary to help correct the severe injury. Post-operative physiotherapy protocol is as important as the surgery.
It is best to seek an expert medical opinion with a lower limb orthopedic surgeon if the knee or ankle pain persists. Once a ligament or serious injury has been ruled out, patients will need to undergo physiotherapy so as to help strengthen the injured muscles. A structured physiotherapy program is useful to help ease a patient back into their sports routine. Information on various minor clinic procedures like PRP injections will also be shared during the talk.
Dr Kannan is an experienced and recognised sub specialist for Foot & Ankle disorders and surgery in Singapore & the region. He graduated from the National University of Singapore (MBBS) and underwent Advanced Specialty Training in Orthopaedic surgery in Singapore. He obtained his postgraduate qualification from the Royal College of Surgeons in Edinburgh.
He was selected by the Ministry of Health (Singapore) to receive a HMDP scholarship to further his subspecialty fellowship training in Foot and Ankle Surgery in Switzerland and in the Netherlands where he trained in the field of lower limb reconstructive surgery with special emphasis on Foot and Ankle Reconstruction. During his fellowship training in Europe, Dr Kannan treated many patients for Foot & Ankle deformities correction, sports surgery and minimally invasive surgery (MIS) of the foot and ankle.
Prior to joining the private sector, Dr Kannan was appointed Consultant Orthopaedic Surgeon at the Department of Orthopaedic Surgery, at Tan Tock Seng Hospital (TTSH), Singapore. It was in TTSH that he helped to start the Foot & Ankle Division for Orthopaedic Department. He led the Foot and Ankle Division to spearhead and organised the First Regional Foot & Ankle Athroscopy course for ASEAN surgeons. In 2014, Dr Kannan left Tan Tock Seng to join the private sector where started and helmed the Centre for Foot and Ankle under Centre for Orthopaedic (CFO) from 2014 – Aug 2020.
He had published articles in international peer reviewed journals. His particular research interest is in cartilage regeneration and management of cartilage defects. He did the first successful case of artificial scaffold reconstruction in the ASEAN region for a talus osteochondral defect in 2013.