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

Tag: ankle fracture Singapore

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If you've just taken a fall or suspect you might have broken your ankle, knowing the appropriate immediate steps after an ankle fracture can significantly impact your recovery. Facing an orthopaedic emergency can be overwhelming, but acting quickly can help minimise pain, reduce swelling, and prevent further damage. In this article, we’ll guide you through the essential steps to follow after a fracture, making your recovery process a little easier. Immobilise the Ankle The first step in handling an orthopaedic emergency, like an ankle fracture, is to immobilise the affected area. Gently supporting the injured ankle with a splint or brace is essential to minimise movement. This simple step helps prevent further trauma, protects the surrounding tissues, and stops the injury from worsening. Keeping the ankle stable is vital until professional help arrives, so take a moment to secure it properly. Elevate the Leg Once you’ve immobilised your ankle, elevating the leg can further aid your recovery. Raising the affected limb helps reduce swelling by promoting better blood circulation and minimising fluid build-up in the injured area. Aim to keep the ankle above the level of your heart; this position can significantly ease discomfort and encourage healing. Elevation is a straightforward yet effective step to take right after a fracture, and it can make a noticeable difference in how you feel as you begin the healing process. Remember to take it easy and listen to your body as you recover. Apply Ice Applying ice to the injured area can provide significant relief in the first 48 hours after an orthopaedic emergency. Cold therapy is effective for easing pain and controlling swelling. Use a cold pack or ice wrapped in a cloth, and apply it for 15 to 20 minutes at a time. This method not only helps reduce inflammation but also provides a soothing effect, making you feel more comfortable during this distressing time. Seek Medical Attention The most critical step is to seek medical attention as soon as possible. Consulting a healthcare professional or heading to the emergency room quickly is crucial for a thorough assessment and diagnosis. An orthopaedic doctor near you will be able to provide appropriate treatment tailored to your specific injury. Professional care ensures that you receive the necessary interventions, which is vital for optimal recovery. Experiencing an orthopaedic emergency can be stressful, but taking immediate action can significantly influence your recovery journey. Immobilising the ankle, elevating the leg, applying ice, and consulting an ankle specialist are all important steps to minimise complications and promote better healing. If you need orthopaedic services, don’t hesitate to reach out to the Singapore Orthopaedic Clinic, where our team is ready to support you on your path to recovery. If you or someone you know is facing an orthopaedic emergency, don’t wait for the situation to worsen. Contact us today for comprehensive care and guidance. Our orthopaedic surgeons are committed to providing personalised treatment plans tailored to your unique needs, ensuring you receive the support necessary for a successful recovery.
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Imagine you're in the middle of an intense football game, chasing down the ball when suddenly you twist your ankle. Or maybe you're a runner, training for a marathon, and you start to feel an aching pain in your shin that worsens with every step. Whether you're playing basketball, football, or running, sports injuries affecting the lower extremities are an all-too-common occurrence. From sprains and strains to fractures, these injuries can sideline athletes of all levels. To help you stay active and perform at your best, here’s a quick guide on effectively managing common lower extremity injuries. 1. Types of Injuries The lower extremities, which include the hips, thighs, knees, ankles, and feet, are prone to several types of injuries during athletic activities. Some of the most common lower extremity injuries include: Sprains: These occur when the ligaments that connect bones are overstretched or torn, often seen in the ankles. Ankle sprains are especially common in sports like basketball, soccer, and running due to sudden twists and turns. Strains: Strains involve the overstretching or tearing of muscles or tendons. These often occur in the hamstrings, quadriceps, and calf muscles, typically during explosive movements like sprinting or jumping. Fractures: Fractures in the lower extremities are typically caused by high-impact trauma, such as falls or collisions. Stress fractures, on the other hand, develop over time due to repetitive strain, most commonly seen in the feet and tibia (shinbone). Tendonitis: Inflammation of the tendons, such as Achilles tendonitis, can result from overuse, particularly in sports that involve running or jumping. This condition leads to pain and stiffness in the affected tendon. 2. Causes and Risk Factors Sports injuries to the lower part of the body are often caused by a combination of factors, many of which are preventable. Understanding these causes can help reduce injury risks: Overuse: Repetitive stress from overtraining without adequate rest can lead to overuse injuries like stress fractures and tendonitis. Overuse is common in endurance sports like running, cycling, and swimming. Improper Training: Poor training techniques, such as inadequate warm-ups or poor form, can increase the likelihood of injury. For instance, incorrect knee positioning during exercises can lead to ankle fractures. Biomechanical Issues: Natural biomechanical imbalances, such as flat feet or an uneven gait, can contribute to injuries in the lower extremities. These imbalances can put extra stress on muscles, tendons, and ligaments, making them more susceptible to damage. External Factors: Environmental factors such as playing on uneven surfaces or using improper footwear can also increase the risk of injuries like ankle sprains or plantar fasciitis. 3. Treatment Modalities The treatment of lower extremity injuries can range from conservative care to more invasive interventions, depending on the severity of the injury: R.I.C.E. Method: For mild injuries like sprains and strains, the R.I.C.E. method (Rest, Ice, Compression, Elevation) is often the first line of treatment to help reduce swelling, ease pain, and accelerate the healing process. Physical Therapy: Physical therapy is a crucial component of recovery, particularly for more severe injuries. A therapist will design a treatment plan based on your injuries to strengthen the muscles around the injured area, improve flexibility, and restore range of motion, reducing the likelihood of re-injuries. Medications: Anti-inflammatory medications or pain relievers can help manage discomfort and inflammation, allowing for more effective rehabilitation. Surgical Intervention: In cases where conservative treatments fail, or the injury is way more serious, such as a complete ankle ligament tear or a complex fracture, surgical intervention may be necessary.  4. Preventive Measures Preventing these sports injuries usually involves a mixture of preparation, proper technique, and body conditioning. Some effective preventive measures include: Proper Warm-Up: Engage in dynamic warm-up exercises that increase blood flow to the muscles and prepare the body for physical activity. This may include light jogging, jumping jacks, and sport-specific drills to ensure the muscles are ready for action. Strength Training: Strengthening the muscles that support the lower extremities, such as the quadriceps, hamstrings, and calves, can reduce injury risk. Targeted exercises can improve muscle balance and stability, making it less likely that an athlete will suffer from strains or sprains. Equipment and Footwear: Ensuring that appropriate footwear is worn for that particular sport and using protective gear can significantly reduce the likelihood of injury. For example, runners should choose shoes that provide adequate support and cushioning to reduce the impact on the feet and legs. Lower extremity injuries are a common challenge for athletes, but with the right knowledge and preventive measures, you can reduce the risk and stay in the game. Whether it’s a sprain, strain, or more serious condition, timely intervention and proper treatment are essential for a full recovery.  If you’re dealing with a sports-related injury or need expert advice on prevention and treatment, the team at Specialist Orthopaedic Centre is more than happy to help. Our experienced foot and ankle specialist will provide comprehensive care to get you back on your feet as quickly as possible.  Don’t let an injury hold you back—schedule a consultation with our orthopaedic clinic today!
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Just undergone ankle ligament tear surgery? You might be wondering what steps you should take next to ensure a smooth recovery. The journey back to full mobility and strength can feel daunting, but with the right rehabilitation protocols, you can navigate this process effectively. Here’s a closer look at the key components of a rehabilitation programme that will set you on the path to recovery. 1. Early Mobilisation Techniques Immediately after ankle ligament tear surgery, early mobilisation is key to a smooth recovery. While it may seem counterintuitive to move an injured joint, gentle exercises can prevent stiffness and promote healing. Your ankle specialist may recommend specific exercises to encourage controlled movement within the first few days post-surgery. For instance, you might begin with simple ankle pumps, where you flex and extend your foot to stimulate blood circulation. Range-of-motion exercises, such as toe curls and ankle circles, can also be introduced. These movements are crucial in maintaining flexibility while minimising pain and swelling. Early mobilisation lays the foundation for a quicker and more effective recovery, helping you return to your daily activities sooner. 2. Progressive Strengthening Exercises Once the initial healing phase has passed, the focus shifts to progressive strengthening exercises. Gradually introducing strength-building activities helps enhance the stability of the ankle joint while minimising the risk of another ankle fracture. The rehabilitation protocol may include resistance bands, bodyweight exercises, and eventually weights, depending on your progress. Starting with isometric exercises, where you contract your muscles without moving the joint, allows you to strengthen without stressing the ligament. As you gain strength, dynamic exercises such as calf raises and lateral band walks can be incorporated. This progressive approach ensures that your ankle gains the necessary strength and stability, setting the stage for more demanding activities. 3. Functional Movement Training Functional movement training is a critical component of rehabilitation, designed to mimic everyday activities and sports movements. This stage focuses on ensuring that your ankle regains its full range of motion and stability, allowing you to transition back into daily tasks and recreational activities smoothly. Your rehabilitation may include activities such as balance training on unstable surfaces, single-leg stands, and agility drills. These exercises not only help improve coordination but also simulate real-life scenarios, preparing your ankle for the stresses it will face in everyday life and sports. Engaging in functional movement training is not just about recovery, it’s about restoring confidence in your ankle and ensuring that you can perform at your best. 4. Monitoring and Adjusting Rehabilitation Plans Ongoing assessment is what makes any rehabilitation protocol successful. Regular evaluations allow healthcare professionals to tailor your rehabilitation plan based on your individual progress, ensuring a personalised and effective recovery journey. It’s essential to communicate any discomfort or limitations you experience during exercises, as this feedback can help adjust your protocol accordingly. Your orthopaedic doctor may conduct strength tests, range-of-motion assessments, and functional performance evaluations throughout your recovery. This proactive approach ensures that your rehabilitation remains aligned with your recovery goals, preventing setbacks and optimising your progress. Recovering from an ankle ligament tear surgery requires dedication and a well-structured rehabilitation plan. By focusing on these rehabilitation protocols, you can enhance your recovery journey and regain the strength and stability needed for daily activities and sports. Remember, each recovery process is unique, and staying on course with the treatment programme is crucial for achieving the best results. At Specialist Orthopaedic Centre, our in-house orthopaedic surgeon is dedicated to providing personalised care and comprehensive rehabilitation solutions tailored to your needs. We’ll work closely with you to develop a tailored rehabilitation plan that supports your recovery goals. Don’t wait—contact us today to schedule a consultation and take the first step towards a stronger, healthier ankle!
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Anterior cruciate ligament (ACL) injuries can be life-altering, especially if you’re someone who enjoys staying active. Thankfully, ACL tear surgery has come a long way, giving patients more effective ways to restore knee function. In this blog, we’ll dive into the latest innovations in ACL reconstruction surgery and how they’re helping improve recovery. We’ll also look at some important strategies for preventing ACL injuries in the first place. Minimally Invasive Approaches Minimally invasive ACL tear surgery techniques like arthroscopy have changed the way surgery is done. With just small incisions, it reduces tissue damage and helps patients recover faster. Surgeons use a tiny camera to see inside the knee, allowing them to repair the ligament with minimal disruption. This means quicker mobility and less post-surgery discomfort. If you’re considering surgery, an orthopaedic surgeon in Singapore can help determine if this approach is suitable for you. Graft Choices and Biomechanics Choosing the right graft is a crucial part of ACL reconstruction surgery, with options like autografts (from your own body) or allografts (from a donor). Each option has its own advantages, depending on your requirements. Recently, a new procedure called Bridge-Enhanced ACL Repair (BEAR) has been gaining attention. Approved by the FDA in 2020, it uses a protein-enhanced implant, allowing your ligament to heal naturally without a graft. As each option affects recovery differently, it’s important to consult a knee specialist in Singapore who can tailor the approach to your needs. Enhanced Rehabilitation Protocols Surgical advancements are just one part of the equation; how patients recover after surgery has also improved significantly. Enhanced rehabilitation protocols now focus on faster recovery while aiming to restore full function. Innovations in ACL reconstructions and rehabilitation, including targeted physiotherapy and functional training, have made it possible to reduce downtime and prevent future injuries. If you’re searching for an orthopaedic doctor near you, they can guide you through a rehabilitation programme that fits your lifestyle and recovery goals. Biological Augmentation and Regenerative Therapies The rise of biological augmentation techniques, like platelet-rich plasma (PRP) and stem cell therapies, has transformed surgical ACL reconstruction procedures. These treatments complement traditional surgery by enhancing the body’s natural healing abilities. PRP, for example, involves injecting concentrated platelets into the injured area, which helps speed up tissue regeneration. Stem cell treatments, while still being researched, also show promising results. These could lead to better recovery rates and improved knee function after ACL tear surgery. ACL Tear Prevention Strategies and Orthopaedic Guidance While surgery is often necessary to treat ACL tears, preventing these injuries from happening is just as crucial. Orthopaedic clinics provide a range of programmes and assessments designed to help you reduce your risk of injury. Training and Conditioning Programmes Structured training programmes focus on strengthening the muscles around the knee to improve stability and lower the risk of injury. Regular conditioning that targets lower limb stability can significantly help prevent the tears. These programmes typically include exercises designed to improve agility and build resilience, providing practical strategies for everyone, whether you’re an athlete or simply looking to stay active. Biomechanical Analysis One valuable service offered through orthopaedic specialists is biomechanical analysis. Assessing how you move allows specialists to pinpoint potential risk factors for ACL injuries. Once these risks are identified, they can recommend interventions like corrective exercises or adjustments to movement patterns, helping to reduce the likelihood of injury. Educational Initiatives for Athletes Preventing ACL injuries also means teaching athletes the importance of using proper techniques. Orthopaedic doctors often lead educational programmes that cover effective warm-up routines, body mechanics, and injury prevention strategies. By raising awareness, these initiatives help lower the risk of ACL tears, especially in high-impact sports. Rehabilitation from Minor Injuries It’s easy to overlook minor knee injuries, but addressing them promptly can prevent them from escalating into more serious conditions. Seeking early intervention through physiotherapy or, if needed, minor surgical procedures can halt the progression of the injury. For those dealing with additional issues like an ankle fracture, timely intervention can help prevent long-term complications. Innovations in ACL reconstruction surgery have transformed patient outcomes, providing less invasive options and quicker recovery times. Whether you’re considering surgery or looking into preventative strategies, these advancements highlight the value of consulting with an experienced orthopaedic team. At Specialist Orthopaedic Centre, we are committed to providing comprehensive care for ACL injuries and other orthopaedic conditions, including knee replacement surgery. Our team of orthopaedic specialists are here to guide you every step of the way.  Make an appointment today to learn how we can support your recovery journey and help you return to an active, pain-free life.
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As the years go by, our bones become fragile and susceptible to osteoporosis, a condition that affects millions worldwide.  Osteoporosis poses a serious threat, leading to debilitating fractures and a diminished quality of life. But contrary to popular belief, this bone-weakening condition is not exclusively confined to the elderly and can strike at any age. Thus, prevention is key.  Keep reading for preventative measures recommended by orthopaedic doctors. 1. Have a balanced diet A well-balanced and nutrient-rich eating plan plays a vital role in fortifying our bones and reducing the risk of fractures. These are the key nutrients to load up on:  Calcium An adequate intake of calcium throughout life helps to build strong bones and maintain bone density. Dairy products like milk, yoghurt, and cheese are excellent sources of calcium. However, if you are lactose intolerant or prefer non-dairy options, plant-based milk, tofu, and almonds can also provide significant amounts of calcium. Vitamin D Vitamin D plays a crucial role in calcium absorption and utilisation. Although our bodies can naturally produce vitamin D when exposed to sunlight, it can also be obtained from dietary sources. Fatty fish and egg yolks are good sources of vitamin D. If necessary, vitamin D supplements may be recommended by an orthopaedic doctor, especially if you get limited sun exposure or have specific medical conditions. Protein Protein is not only vital for muscle growth and repair, but also for maintaining bone health. Our bones require a steady supply of protein to support the continuous process of bone remodelling. Good sources of lean protein include poultry, fish, lean meats, and beans.  2. Exercise regularly Regular physical activity enhances overall health but also plays a crucial role in building and maintaining strong bones. These are the recommended exercises:  Weight-bearing exercises Walking, running and jumping rope are some weight-bearing exercises that require your body to work against gravity, stimulating bone cells to build new bone tissue and improve bone density.  Resistance training  Resistance training involves using external resistance such as free weights, resistance bands, or weight machines to challenge and strengthen muscles. Engaging in resistance training exercises not only improves muscle strength and tone, but also places stress on the bones to enhance overall bone health.  Balance and stability exercises Incorporating balance and stability exercises into your routine is crucial for preventing falls and fractures. Exercises such as yoga and pilates focus on improving balance, coordination, and core strength. These activities help to enhance muscle control and stability, reducing the likelihood of falls and injuries like an ankle fracture.  Learn more: 6 Common Types of Ankle Surgery an Orthopaedic Doctor Performs 3. Make lifestyle changes Making conscious decisions to modify certain habits creates an environment that fosters bone health and reduces the risk of fractures. These are some lifestyle changes to make:  Quit smoking Smoking interferes with the body's ability to absorb calcium, reduces estrogen levels (which are vital for bone health), and inhibits bone-forming cells, leading to decreased bone density and increased risk of fractures. Quitting smoking is important, as it allows your bones to thrive without the damaging effects of tobacco.  Limit alcohol consumption Alcohol interferes with the body's ability to absorb calcium and vitamin D, disrupts hormone production, and impairs the function of bone-building cells. These factors collectively contribute to decreased bone density and an increased risk of fractures. It is recommended to limit alcohol consumption to moderate levels, which means up to one drink per day for women and up to two drinks per day for men. Go for regular checkups  Regular checkups with an orthopaedic doctor in Singapore are invaluable in the prevention and management of osteoporosis. They can assess your risk factors, provide guidance on lifestyle modifications, and recommend appropriate interventions if necessary.  4. Take medications Medications play a pivotal role in preventing osteoporosis, offering specific interventions to enhance bone health. These are the pharmacological options delivered in the forms of oral medications or injectables that are available:  Bone-forming drugs Bone-forming drugs work by stimulating the activity of bone-forming cells called osteoblasts. They promote bone formation and increase bone density, and are typically recommended by orthopaedic doctors for individuals with severe osteoporosis or those at high risk of fractures.  Antiresorptive drugs These medications work by slowing down or inhibiting the activity of cells that break down bone, helping to preserve bone density and reducing the risk of fractures. Orthopaedic doctors typically prescribe them to postmenopausal women and individuals at risk of osteoporotic fractures.  Fight Osteoporosis With Knowledge and Action Specialist Orthopaedic Centre offers comprehensive care and advanced treatments that address the underlying causes of osteoporosis while prioritising patient well-being. Our resident doctor, Dr Kannan Kaliyaperumal, is dedicated to helping patients seek relief from osteoporosis so they can go back to living their lives to the fullest. Learn more: 5 Tips for Choosing the Right Orthopaedic Surgeon Do not let osteoporosis hold you back — visit an orthopaedic doctor near you today. Contact us to find out more!
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Orthopaedic trauma refers to an injury to the skeletal or muscular system involving the bones, joints or soft tissue, and is usually caused by an external force. If the external force is significant, it can lead to broken bones or torn ligaments. These are traumatic conditions that warrant further investigations and sometimes even surgical fixation or repair to regain full function again.  Of the entire body, the upper and lower limbs are most susceptible to orthopaedic trauma due to their wide range of motion and the sheer frequency one uses them to complete daily tasks or participate in sports.  In this article, we will be focusing on lower limb trauma, including the common causes and treatment methods to help you gain a deeper understanding. Read on to find out more.  Common lower limb trauma  1.Ankle fracture An ankle fracture can occur in any of the three bones – the tibia, fibula and talus. It can also be categorised as non-displaced or displaced; the former refers to bones that are broken but still in the right position or alignment while the latter refers to portions of the bone that are separated or misaligned. In more severe cases, the ankle might appear deformed or bone might protrude out of the skin.  2.Kneecap fracture A kneecap fracture, also known as a patellar fracture, impacts the small bone that sits at the front of your knee. Since its main function is to act as a shield for your knee joint, suffering trauma to the area can make it hard to bend or straighten your knee, and even walk. There are also different types of kneecap fractures – a stable fracture refers to non-displaced bones, a displaced fracture refers to bones that do not line up correctly, and a comminuted fracture refers to bone that shatters into three or more pieces. One of the earliest signs of a kneecap fracture is the loss of extension or function of the knee.  3.Hip fracture Although hip fracture rates for men and women in Singapore are on the decline, it does not mean that you are no longer at risk. It is still a fairly common orthopaedic trauma condition and can be very painful. A hip fracture can cause injury to the femoral neck, intertrochanteric area, subtrochanteric area and femoral head. You will not be able to stand, bear weight or move the upper part of your leg or knee when a hip fracture occurs. The elderly with osteoporotic bone are more prone to hip fractures from low-energy trauma like simple falls, whereas younger patients who sustain a hip fracture tend to sustain high-energy trauma from a motor vehicle accident.   4.Tibia shaft fracture The tibia, more commonly known as the shinbone, is one of the most commonly fractured bones in the body. It occurs below the knee and above the ankle, and can fall under a few types of fractures – transverse fracture refers to a break in a straight horizontal line while an oblique/spiral fracture refers to an angulated fracture. Tibia shaft fractures are potentially unstable and these are usually treated surgically. Causes of lower limb trauma One of the most common causes of lower limb trauma is sports injury as a result of a collision with other players on the field and applying more force than the body can take. For instance, sports like football that require quick foot movements may make you more prone to suffering from an ankle fracture.  However, something as simple as a fall or a bad ankle sprain can also result in lower limb trauma. People who have overused their joints may result in stress fractures appearing while older patients with osteoporosis may suffer a fracture from the weakening of their bones.  Treatment methods for lower limb trauma You will be glad to know that not all fractures require surgical intervention – non-invasive treatments can sometimes be effective too. The treatment option depends on the nature and pattern of the fracture. Non-displaced fractures and paediatric fractures are generally treated non-surgically. For example, wearing a splint or cast helps to promote healing by keeping the injured part immobilised. Non-surgical treatments like this may require a period of immobilisation followed by serial x-rays to monitor fracture healing and eventually followed by rehabilitation.  But for more serious cases such as displaced or comminuted fractures, surgery may be necessary. Your orthopaedic specialist may recommend surgical fixation of the fracture using titanium screws and plates. Surgical fixation restores the anatomy of the bone and alignment, keeping your ankle stable. Each type of orthopaedic trauma requires different treatment methods and they are dependent on your specific condition as well.  Recovering from lower limb trauma Most lower limb fractures take six weeks to heal and you may still need further physical therapy to help you regain strength and full mobility.  It is recommended to go for regular X-ray follow-ups, especially if your fracture is taking longer than usual to heal.  Speak to an orthopaedic doctor today Dr Kannan Kaliyaperumal is an experienced doctor in Singapore who subspecialises in foot and ankle surgery.  He offers both non-invasive treatments as well as orthopaedic surgery options for patients of all ages and concerns.  Get in touch with us to find out more!
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