Mount Elizabeth Novena Specialist Centre
Parkway East Medical Centre
1 Farrer Park Station Road, Connexion

Tag: Achilles tendonitis treatment Singapore

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As an athlete, whether you’re training for a marathon, playing football, or competing in track and field, the thrill of pushing your body to its limits is often accompanied by the risk of injury. You might find yourself in the heat of competition, feeling unstoppable, when suddenly, a sharp pain radiates through your heel with every step. This common yet frustrating condition can be diagnosed as Achilles tendonitis, an injury caused by repetitive stress on the Achilles tendon.  But before you allow this setback to threaten your overall performance, here are some treatment methods that can be tailored to your unique needs.  1. Fast-Track Recovery Protocols For athletes, time is of the essence when recovering from injuries like Achilles tendonitis. Fast-track recovery protocols are designed to expedite healing while ensuring the tendon is adequately rehabilitated. These unique treatment plans often include intensive therapies such as ultrasound therapy, electrical stimulation, and manual therapy techniques aimed at reducing inflammation and pain. Targeted exercises play a critical role in recovery, focusing on strengthening the calf muscles and improving flexibility in the Achilles tendon. These may involve eccentric loading exercises, which have been shown to promote healing and enhance tendon strength. Close monitoring by an orthopaedic doctor is vital during this phase, allowing for adjustments to the treatment plan based on your progress and response to therapies. This approach ensures a comprehensive recovery, minimising downtime and getting you back to your sport as quickly and safely as possible. 2. Performance Rehabilitation Once you’ve recovered from Achilles tendonitis, you need performance rehabilitation. The goal of this Achilles tendonitis treatment is to restore your performance levels while ensuring the injury does not recur. Rehabilitation strategies often include sport-specific training tailored to your unique requirements.  This process follows a gradual return-to-play protocol, beginning with low-impact activities that do not strain the tendon. As strength and function improve, you can progress to more intensive drills, simulating your sport's demands. This method not only enhances recovery but also helps you regain confidence in your performance. 3. Preventive Measures for Athletes As prevention is always better than cure, here are several proactive measures that can be taken to avoid developing this condition.  Proper Conditioning: Follow structured training programmes that gradually increase intensity and volume, allowing your body to adapt without overexertion. Biomechanical Assessments: Provide valuable insights into your movement patterns, helping identify potential weaknesses or imbalances that may predispose you to injuries. Based on these assessments, targeted conditioning and corrective exercises can be implemented to address any identified issues. Footwear Choices: Select shoes that offer appropriate support, cushioning, and fit for your specific sport. Regularly replacing worn-out shoes can further reduce the risk of injury, as old footwear may not provide the necessary support for the Achilles tendon. 4. Psychological Support for Athletes The impact of this injury extends beyond physical challenges; it can also affect your mental well-being. The uncertainty surrounding recovery, coupled with the fear of re-injury, can lead to anxiety and frustration. Psychological support can help in building mental resilience and developing effective coping strategies. This may involve working with sports psychologists who can guide you in maintaining a positive mindset during recovery.  Support from coaches, teammates, and family can also foster a positive environment that encourages open communication about fears and concerns, ultimately aiding in a smoother recovery process.  Achilles tendonitis can be a significant hurdle, but with the right treatment and support, recovery is not only possible but can also lead to enhanced performance and resilience. So, if you’re struggling with this common condition or seeking to optimise your recovery journey, don’t hesitate to reach out to the Specialist Orthopaedic Centre. Our professional ankle specialist is dedicated to providing personalised care tailored to your needs.  Contact us today to schedule a consultation and take the first step toward reclaiming your athletic performance!
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Imagine going for a morning run, feeling energised and motivated, but halfway through, a sharp pain shoots up the back of your ankle. You try to shake it off, but the discomfort lingers, making each step more painful than the last. What you’re likely experiencing is Achilles tendonitis, a condition caused by inflammation of the Achilles tendon — the largest tendon in your body, connecting your calf muscles to your heel bone. One of the main factors that can influence both the onset and management of Achilles tendonitis is the type of footwear you use. Here’s why.  1. Achilles Tendonitis: The Role of Footwear When it comes to Achilles Tendonitis treatment, the right shoes can offer critical support to the tendon, alleviate discomfort, and help prevent further damage. Therefore, when shopping for suitable shoes, pay close attention to the following features: Arch Support: Shoes with good arch support help maintain the natural alignment of the foot, which can alleviate stress on the Achilles tendon. This is particularly important for individuals with flat feet or high arches, as the right footwear helps minimise strain on the tendon and prevent discomfort. Cushioning: Proper cushioning absorbs impact forces during walking or running, reducing the shock that travels up the foot and into the Achilles tendon. Footwear with responsive cushioning, especially in the heel and midsole can help mitigate pain and discomfort associated with tendonitis. Heel Height: Shoes with a slightly elevated heel (around 10-12mm) aid in reducing the stretch on the Achilles tendon, preventing excessive tension. However, excessively high heels or flat shoes should be avoided, as they can exacerbate the condition by placing additional pressure on the tendon. 2. Footwear Considerations for Athletes Athletes are particularly susceptible to Achilles tendonitis due to the repetitive stress placed on their tendons during training and competition. To lessen the risk of developing or aggravating this condition, athletes should invest in specialised athletic footwear designed to support the unique demands of their sport. Running Shoes: For runners, shoes that provide a balance of support, cushioning, and stability are crucial. Look for running shoes with a slight heel lift and firm arch support to reduce tension on the Achilles tendon. The cushioning should be responsive enough to absorb the repetitive impact forces of running, particularly in the heel area. Cross-training Shoes: Athletes engaging in high-impact sports or varied activities should opt for cross-training shoes. These shoes typically offer reinforced arch support, flexible soles for multi-directional movement, and cushioned midsoles to minimise tendon stress. Basketball or Soccer Shoes: For sports that involve sudden accelerations, decelerations, and frequent jumping, shoes with ample cushioning, ankle support, and heel stability are essential. A good athletic shoe should reduce excessive foot movement within the shoe, preventing overexertion on this particular tendon.   3. Custom Orthotics and Shoe Modifications For individuals who are already suffering from this condition, custom orthotics and shoe modifications can offer a more tailored solution to support recovery.  Custom Orthotics: Orthotics are specially designed insoles or inserts that address specific foot mechanics, offering improved alignment and shock absorption tailored to individual needs. These custom inserts are particularly beneficial for those with biomechanical abnormalities such as overpronation (excessive inward rolling of the foot) or supination (outward rolling). They provide targeted arch support and cushioning that can realign the foot, reducing tension on the Achilles tendon.  Heel Lifts and Wedges: Another effective modification involves adding heel lifts or wedges to footwear. By slightly elevating the heel, heel lifts reduce the amount of stretching the Achilles tendon must endure, alleviating pain. This modification is especially helpful during the acute phase of Achilles tendonitis when minimising tendon strain is needed for healing. Shoe Modifications: Modifications to footwear, such as replacing insoles or adding custom padding, can also help distribute pressure more evenly across the foot. Specialised shoes with rocker soles, which encourage a smoother heel-to-toe transition, can reduce the load on the Achilles tendon when walking or running. The impact of footwear on this common condition cannot be overstated. Whether you're an athlete or someone dealing with tendonitis due to everyday activities, selecting the right footwear can prevent further injury and ease discomfort.  So if you’re experiencing symptoms of this injury or looking for expert advice on the best footwear options for your needs, don’t hesitate to reach out to the Specialist Orthopaedic Centre. Our in-house orthopaedic doctor is here to provide personalised assessments and treatment plans that prioritise your comfort and mobility. Contact our orthopaedic clinic today to schedule your consultation and take the first step towards a pain-free lifestyle!
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The Achilles tendon is a crucial player in our daily movement but often bears the brunt of our activities, causing it to become susceptible to chronic issues. If you find yourself grappling with persistent Achilles tendon problems, you are not alone.  Keep reading to explore chronic Achilles tendon conditions you should be aware of and how an orthopaedic doctor in Singapore can help. Learn more: Achilles Tendon Injuries: Risk Factors & Treatments Understanding the Achilles Tendon Composed of fibrous tissue, it connects important muscles in the calf to the heel bone, allowing for the transmission of force and enabling the foot to push off the ground during activities like walking or running. The elastic properties of the Achilles tendon store and release energy, enhancing the efficiency of these movements. Beyond propulsion, it also plays a vital role in maintaining balance and stability, especially during weight-bearing activities. However, the repetitive stress of certain activities can lead to a range of problems, making it more difficult to complete everyday activities.  Chronic Achilles Tendon Problems 1. Paratenonitis Paratenonitis refers to the inflammation of the paratenon, a thin sheath of tissue enveloping the Achilles tendon. Some contributing factors to the condition include repetitive stress on the Achilles tendon from running and jumping, ill-fitting or inappropriate footwear that increases friction and irritation around the tendon, and anatomical factors such as flat feet or high arches.  Recognising the symptoms of paratenonitis is important for early intervention. Some clear indications are inflammation, tenderness and localised pain around the Achilles tendon, especially during movement. 2. Insertional Tendonitis Insertional tendonitis occurs at the insertion point of the Achilles tendon, where it attaches to the heel bone. Engaging in activities that place excessive stress on the Achilles tendon, such as running or activities involving frequent jumping, can contribute to the condition. Furthermore, anatomical factors like flat feet or high arches can alter the biomechanics of the foot, potentially leading to increased stress on the Achilles insertion point. Look out for heel pain during physical activities, discomfort and stiffness in the morning or after periods of inactivity, and swelling. It is advisable to visit an orthopaedic doctor for treatment early should you notice these symptoms.  3. Non-Insertional Tendonitis Non-insertional tendonitis affects the middle portion of the Achilles tendon, away from its attachment to the heel bone. This condition often arises from overuse, repetitive stress, or age-related degeneration, making it a prevalent concern for individuals engaged in regular physical activities. Learn more: 5 Useful Tips To Avoid Orthopaedic Injuries As We Age Take note of discomfort in the middle of the Achilles tendon that is often exacerbated by movement, inflammation, and reduced flexibility. Consulting with an orthopaedic doctor is crucial for a thorough assessment and a tailored treatment plan. 4. Achilles Tendon Rupture The Achilles tendon is renowned for its strength but under certain circumstances, it can succumb to the forces it endures, resulting in a rupture. This injury often manifests as a sudden and sharp pain, sometimes mistaken for severe tendonitis. Athletes participating in sports that involve explosive movements are particularly susceptible, while natural wear and tear as an individual ages can increase the risk as well. It is important to identify the signs of a rupture as it is essential for swift medical attention. A sharp pain often described as a "pop" or "snap" at the back of the ankle, immediate swelling and bruising, and difficulty walking or standing on toes are common signs.  Nurturing Achilles Health Maintaining a healthy Achilles tendon can help to reduce the risk of problems mentioned above and it involves a combination of mindful practices: 1. Proper Warm-up and Stretching Adequate warm-up and stretching before physical activities can prevent tendon injuries. 2. Strengthening Exercises Targeted exercises to strengthen the calf muscles can provide added support to the Achilles tendon. 3. Choosing Proper Footwear Choosing appropriate footwear reduces friction and irritation, contributing to overall Achilles health. Safeguard Your Steps and Cherish Your Stride By incorporating preventive measures and seeking timely intervention when needed, we can ensure that our Achilles tendons continue to support us through life's activities. Dr Kannan Kaliyaperumal at the Specialist Orthopaedic Centre provides a range of services including Achilles tendonitis treatment in Singapore.  Get in touch with us to find out more.
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As you go about your daily life, bone spurs sometimes form, occurring near your joints in response to injury or persistent joint and ligament stress. These growths can gradually worsen, causing discomfort and restricting your mobility. Keep reading to find out what bone spurs are, their symptoms, locations, diagnosis, and treatment options to a clearer idea before seeing an orthopaedic surgeon in Singapore.
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