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

Tag: Orthopaedic doctor Singapore

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Our choice of footwear can greatly influence our foot health and overall wellbeing. Bunions are a common foot issue that can lead to discomfort and pain, so understanding how to prevent them is essential. In this article, we’ll explore the influence of footwear on bunion prevention and how the right shoes can help manage forefoot injuries. By sharing valuable insights, we aim to empower you to make informed footwear choices that support your foot health. Proper Shoe Selection Selecting the right shoes is fundamental in supporting foot health and bunion prevention.  When looking for footwear, keep in mind features like toe box width, arch support, and cushioning. Shoes with a spacious toe box promote natural foot alignment and reduce pressure on the big toe, lowering the risk of bunion development. Moreover, footwear with proper arch support and cushioning can ease strain on your feet during daily activities, enhancing comfort and stability. If you need guidance, consult an orthopaedic doctor in Singapore who can provide personalised recommendations for your specific foot conditions. Impact of High Heels High-heeled shoes may be stylish, but they can have detrimental effects on foot health. When you wear heels, your body weight shifts forward, putting extra pressure on your toes. This not only increases the risk of developing bunions but can also make existing foot problems worse. It’s important to wear high heels in moderation and be mindful of their effects. Opting for lower-heeled options or those with a wider toe box to help reduce these risks. If you’re dealing with discomfort or pain, talking to an orthopaedic surgeon can advise you on finding better footwear options. Orthopaedic Footwear Options For those who are prone to bunions, specialised orthopaedic footwear can offer considerable relief. These shoes come with features designed specifically for bunion-prone feet, such as adjustable straps, cushioned insoles, and wider toe boxes. This type of footwear enhances comfort and helps redistribute pressure away from the affected areas, which is essential for bunion prevention. If you're looking for the right orthopaedic shoes that meet your specific needs, an orthopaedic doctor near you can provide valuable guidance and support for effective bunion treatment. Educational Resources on Footwear Understanding the importance of proper footwear is vital to preventing and managing bunions. Accessing educational resources, such as articles, workshops, and consultations with professionals, can help you make informed choices about the shoes you wear. Talking to a doctor can provide valuable insights into the latest recommendations for bunion prevention and how to select the right footwear. Additionally, being aware of the potential impacts of your shoe choices can lead to better long-term foot health. Footwear plays a crucial role in bunion prevention and managing forefoot injuries. By recognising the importance of choosing the right shoes, understanding the effects of high heels, and exploring the benefits of orthopaedic footwear, you can take proactive steps to protect your feet.  If you want more tailored advice on bunion prevention, consider contacting Singapore Orthopaedic Clinic. Our team of orthopaedic doctors can conduct thorough assessments and create tailored treatment plans to meet your unique needs, which may include bunion surgery, if necessary. We understand the impact of footwear on foot health, and we’re here to help you find the right shoes to support your well-being.  Visit our website to learn more about our services, and book your appointment now.
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Bunions can cause significant discomfort, making everyday activities a struggle and impacting your quality of life. It’s important to know that there are various care options out there, both surgical and non-surgical, which can help you manage your symptoms. This guide explores the latest advancements in bunion care, highlighting innovative non-surgical treatments alongside surgical options for those considering surgery. Understanding these choices can empower you to take control of your foot health. Underlying Structural Factors Bunions often result from a mix of genetic factors and structural issues in the foot, causing the big toe to misalign. For many, understanding these structural issues is key to tackling the root cause of bunions. By consulting with an orthopaedic doctor, you can gain valuable insights into your specific situation, which can help you discover the most effective management strategies for your needs. Below, we’ll explore some innovations in non-surgical bunion treatment that might provide relief before considering surgery. Orthotic Solutions Orthotic devices play a significant role in bunion care, offering comfort and improved foot alignment. Custom orthotics, designed specifically for your foot structure, can help ease bunion pain and offer support during daily activities. For those seeking more accessible solutions, plenty of over-the-counter options are available. Exploring the different orthotic choices allows you to find the right fit to manage discomfort and improve mobility effectively. Physical Therapy Techniques Physical therapy techniques centre on specific exercises and stretches to strengthen the foot muscles and improve joint flexibility. These targeted exercises can significantly reduce bunion discomfort and enhance overall foot function. Incorporating physical therapy into your bunion care routine not only helps relieve pain but also builds resilience against future problems. A qualified orthopaedic surgeon can assist you in choosing the most beneficial exercises for your condition. Regenerative Medicine Emerging treatments in regenerative medicine, such as platelet-rich plasma (PRP) therapy, are gaining attention for their potential to regenerate tissues around the bunion joint. This innovative approach promotes healing and reducing inflammation, offering a non-surgical option for those looking to relieve bunion pain. Lifestyle Modifications Making certain lifestyle changes can have a big impact on managing bunions. Proper footwear that accommodates the natural shape of your foot can help prevent aggravation and slow down progression. Additionally, adjusting activities to avoid putting too much stress on your feet can make a noticeable difference in managing symptoms. You can take proactive steps toward better bunion care and improve your foot health by implementing these lifestyle adjustments. How to Choose the Right Surgical Procedure for You If non-surgical options aren't enough, it's essential to understand the various surgical procedures available for those considering bunion surgery. Traditional Osteotomy Techniques Traditional osteotomy techniques involve cutting and realigning the bone to correct the bunion deformity. These procedures have been widely used and can be effective for many patients, especially those with moderate to severe bunions. Speaking with a surgeon can help you assess how well these methods might work for your specific situation. Minimally Invasive Procedures Minimally invasive surgical techniques, like chevron osteotomies and scarf procedures, offer the benefits of less scarring and faster recovery compared to traditional methods. These options are gaining popularity because they cause less disruption to surrounding tissues and promote quicker healing, making them an attractive choice for many patients. Arthrodesis (Fusion) Options For severe bunions, arthrodesis, or fusion surgeries, may be considered. These procedures involve fusing the bones in the affected joint, which can provide stability and alleviate pain. However, it is important to talk with a qualified orthopaedic doctor near you about the long-term effects of joint fusion, as it can impact your foot movement and flexibility. Implant-Based Surgeries Implant-based surgeries use joint implants or synthetic materials to treat bunions. While these techniques can provide effective solutions, you need to be aware of the potential benefits and risks associated with implants. Having thorough discussions with an orthopaedic specialist can help you make an informed decision about your treatment options. Post-Surgery Care Post-surgery care is vital for getting the best results and reducing the chances of bunion recurrence. Following postoperative instructions, such as attending follow-up appointments and participating in rehabilitation, plays a significant role in the recovery process. Those who prioritise their post-surgery care often discover that they can return to their normal activities more quickly and feel more confident doing so. Revision Surgery Considerations In some cases, revision surgery may become necessary if the initial procedures don’t deliver the desired results. It’s important to understand what factors could lead to the need for a second bunion procedure. Consulting with a surgeon can help clarify individual circumstances and outline potential next steps. Long-Term Preventive Strategies Preventing recurrent bunions requires ongoing care practices, including regular foot assessments and choosing the proper footwear. Look for shoes with a wide toe box and good arch support, as these can help accommodate your foot’s natural shape and reduce pressure on the bunion. Incorporating exercises that strengthen your foot muscles and improve flexibility is also crucial for effective bunion care. Additionally, consider making lifestyle adjustments—like avoiding high heels and limiting the time spent on your feet—to further minimise the risk of developing bunions again. By adopting these preventive strategies, you can effectively manage your bunion care and reduce the likelihood of future issues. Bunion care involves understanding the full range of treatment options available, both surgical and non-surgical. Exploring the latest innovations in bunion treatment enables you to make informed choices that suit your specific needs. If you’re experiencing discomfort from bunions or are considering surgical options, the Specialist Orthopaedic Centre is here to support you. Our team of orthopaedic professionals is committed to providing personalised care tailored to your unique situation. We offer thorough assessments and treatment plans that include the most advanced non-surgical and surgical options for bunion care. Contact us today to schedule a consultation and start your journey towards healthier, more comfortable feet.
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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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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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Plantar fasciitis is a prevalent lower limb condition that can send discomfort straight to the bottom of your heel. This is caused by an inflammation of the plantar fascia, a connective tissue band between your heel bone and toes.  Join us as we unravel four common misconceptions about plantar fasciitis, shedding light on the realities of this condition. Misconception 1: Plantar Fasciitis Only Affects Older People One of the more common myths surrounding plantar fasciitis is that it is a condition reserved for the elderly. In reality, age is just one factor, and this condition can affect individuals across different age groups. Orthopaedic doctors have seen athletes, professionals, and anyone who spends extended periods on their feet grappling with the discomfort of plantar fasciitis. This misconception often stems from the wear and tear that occurs naturally with age, but it is crucial to recognise that overuse or strain on the feet can also trigger plantar fasciitis at any age. Seeking prompt medical attention and understanding preventive measures can be beneficial for anyone.  Misconception 2: Plantar Fasciitis Is Permanent While it can be a persistent issue for some, many individuals experience significant relief with the right treatment at an orthopaedic clinic in Singapore and lifestyle adjustments. Learn more: When Do I Need To Visit An Orthopaedic Clinic In Singapore? Orthopaedic doctors offer tailored solutions for managing and alleviating plantar fasciitis symptoms. From customised orthotics to physical therapy, there are effective interventions that can make a significant difference.  Misconception 3: Plantar Fasciitis Will Recover on Its Own Some believe that time alone can heal plantar fasciitis. It is true that having sufficient rest is undoubtedly important, relying solely on the passage of time may not bring complete relief. Ignoring the symptoms and assuming they will vanish on their own can lead to prolonged discomfort and potential complications. As such, timely intervention and targeted treatments are pivotal for a speedier recovery. From gentle stretching exercises to specific footwear recommendations, an orthopaedic doctor can guide you through a comprehensive recovery plan.  Misconception 4: Plantar Fasciitis is Always Accompanied by Swelling Unlike some medical conditions where swelling is a hallmark symptom, plantar fasciitis does not universally manifest in noticeable foot swelling. A primary and more consistent indicator of the condition is pain. Individuals with plantar fasciitis often experience sharp or stabbing pain, particularly during the first steps taken in the morning or after extended periods of inactivity. It is essential to consult with an orthopaedic doctor for an accurate diagnosis and appropriate management strategies to lessen the impact of the pain on daily activities.  Happy Feet, Healthy Steps With the right approach, plantar fasciitis does not have to be a lifelong companion. Seek professional guidance, debunk the myths, and take proactive steps towards a pain-free journey on your feet. At Specialist Orthopaedic Clinic, our commitment extends to empowering you with accurate information. Dr Kannan Kaliyaperumal, our resident orthopaedic doctor, will also work with you to develop a comprehensive treatment plan which may include targeted exercises, customised orthotics, and lifestyle adjustments. Get in touch to find out more.
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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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In this article, we will delve into what you need to know about geriatric fractures, including risk factors, types of trauma, symptoms, diagnosis, and treatment options. If you or a loved one are experiencing symptoms or have concerns about geriatric fractures, consulting an orthopaedic doctor in Singapore is a prudent step toward proactive care and prevention.
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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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Bunions are deformities that form at the base of your big toe. They present as hard bony bumps that slowly develop and grow larger over time. The causes of bunions are still not fully understood although it is speculated that genetic heritability, improper footwear, or congenital defects could be contributing factors. If left untreated, bunions can lead to painful symptoms, affect your mobility, and force you to make unwanted lifestyle choices.  Learn More: What is a Bunion? Impaired Foot Function Bunions are created when the joint at the base of your big toe gets misaligned. This causes the bony bump that is the hallmark of all bunions. At smaller sizes, you might be able to ignore the protrusion. However as they grow larger, they can begin causing problems with your other toes. This can lead to frequent occurrences of corns, hammertoes, ingrown toenails, and calluses. The pain from a bunion might also alter the way you walk. You might unconsciously shift weight away from your big toe joint which can lead to added strain on the balls of your feet, a condition known as metatarsalgia. If your bunions have progressed to this stage, you may want to consider visiting an orthopaedic doctor in Singapore to explore treatment options. Bunions May Discourage Active Lifestyles Many people already lead sedentary lives which lowers their physical health and increases the risk of chronic diseases. The pain and discomfort from a bunion in your foot can exacerbate these unhealthy habits and lead to an avoidance of activities involving walking or running. Severe bunions can even impose restrictions on simple everyday tasks like walking to a nearby supermarket. Foot Arthritis People with bunions are more likely to develop foot arthritis as their big toe joint is out of alignment and more stress is placed on their cartilage. Over time, wear and tear causes cartilage to thin. Without cartilage, bones end up rubbing together, causing stiffness and inflammation. Affects Your Movement Larger more severe bunions are not only more painful, they can affect your gait and balance. The bend from bunion formation makes your big toe bend inwards towards your other toes. This altered posture impacts the way your foot hits the ground and can make you more prone to tripping and falling. For people with other mobility problems, minimally invasive bunion surgery might be a good way to reduce their future risk of injury. More Prone To Feet Infections Corns and calluses are a side effect of developing bunions. Although they are mostly harmless, on occasion they can get infected and might end up requiring medical or even surgical intervention. Since bunions lead to an increasing frequency of corn and callus formation, individuals with severe bunion issues might find that they are more susceptible to such foot infections. Unable To Wear Certain Footwear Bunions can also make it harder for your feet to slide into certain types of footwear, especially those that are tight or form-fitting. It can be difficult to find shoes that don't aggravate the condition, while also being comfortable for walking. One solution lies in specially designed orthotics which are commonly used as a method of dealing with bunions. On the surface, bunions might seem like minor inconveniences. But as time goes on, they can develop very real problems that affect your quality of life significantly. If you have a bunion, it is advisable to visit a specialist to discuss options like footwear modifications or bunion surgery in Singapore. With advances in technology,minimally invasive bunion surgeries can even be conducted as a day surgery to minimise pain and trauma. As a foot and ankle specialist in Singapore, Dr Kannan Kaliyaperumal has experience and training in helping patients with bunions. To learn more about treatment options and the services we provide, reach out to us via our contact us page today.
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Whenever we walk, run, or jump, our feet and especially our ankles bear the brunt of the stress. Over time, this strain on our ankles can eventually lead to severe injuries which may not respond to non-surgical interventions like rest, custom orthotics, braces, or physical therapy.  Learn More: What Treatments Do Ankle Specialists Offer Their Patients? The way to move forward in such cases might be to opt for ankle surgery to repair fractures, ligament tears, and joint or tendon problems. Here’s a non-exhaustive list of the common types of ankle surgeries performed by orthopaedic doctors in Singapore. 1) Arthroscopy An Arthroscopy, also referred to as a “keyhole surgery” is a procedure where a camera is inserted into your ankle to diagnose problems with joint and ligaments. During an Arthroscopy, small cuts are made at the bottom of your feet and the camera is inserted through these incisions.  Arthroscopy is an effective, minimally-invasive surgery that can both diagnose and treat ankle instability, ankle impingement, bone spurs, torn ligaments, or scar tissue. Arthroscopy is usually performed as an outpatient surgery and you should be able to go home on the same day with recovery time usually spanning a few weeks. 2) Ankle Fracture Fixation An ankle fracture in Singapore is a break to one of the three bones that make up the ankle joint. Non-severe fractures, known as nondisplaced fractures, where the bones have not moved out of place can be treated via leg casts and special boots.  However, displaced fractures, where the bone fragments are separated, might require surgery. Especially if the ankle joint has been dislocated as well. Depending on the extent of the fracture, screws and plates might be inserted during the surgery to keep the joint bones in place during recovery. 3) Ankle Replacement If you have a severe case of osteoarthritis, and your ankle cartilage has broken down completely, ankle replacement surgery might be recommended by your orthopaedic doctor to remove the damaged cartilage and replace it with artificial parts.  These artificial joints help the ankle with more natural movement patterns to reduce risk of arthritis happening in nearby joints. The entire surgical procedure for a complete ankle replacement might take several hours and you might need to be on crutches for a few weeks. 4) Ankle Tendon Repair Tendons are banded tissues that connect muscle to bone. They work together to ensure full functionality and stability of the ankle joint. Injuries to ankle tendons include acute tears, tendonitis, tendinopathy, and tendinosis. While non-surgical treatment methods are preferred, in cases where they are ineffective, surgical ankle tendon repair becomes a necessity. During an ankle tendon repair, an incision is made and damaged tissues are removed. Torn ends of tendons may also be sewn together. Recovery might take several months with physical therapy playing an important role. 5) Lateral ankle ligament reconstruction A lateral ankle ligament reconstruction is a surgery that is used to tighten and strengthen ankle ligaments. It is generally recommended by foot and ankle specialists for patients who have loose or overstretched ankle ligaments leading to chronic ankle instability.  It is usually performed as an outpatient surgery and there are several different techniques that can be called upon for the procedure, depending on the type of injury sustained. Most commonly, the patient’s ligament can be repaired with stitches. An alternative option is to use a grafted tendon to repair the ligament. 6) Achilles Tendon Treatment The achilles tendon connects the muscles in your calf to your heel bone. If you have completely ruptured your achilles tendon, surgery might be the preferred way to move forward to reduce chances of re-rupture. Surgery for achilles tendon involves making an incision at the back of your ankle and stitching the torn tendon back together. Recovery timeline for achilles tendon surgery is around 4-6 months depending on injury severity. As with all types of surgery, there’s always an element of risk involved. In many cases, the benefits to the patient are weighed against the potential complications before any decision is made about treatment protocol. Other factors like the quality of life for the patient and how it may affect their occupation or lifestyle are also considered. As a foot and ankle specialist in Singapore, Dr Kannan Kaliyaperumal is an orthopaedic surgeon with years of experience in lower limb disorders and surgical treatment. At his clinic, the Specialist Orthopaedic Centre, the aim is to provide quality medical treatment that is customised to fit a patient’s needs and means. Contact us today to learn more about the services we provide and make an appointment with our team. 
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