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

Tag: orthopaedic specialist Singapore

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Flatfeet in children is a common condition as their bones and joints are still immensely flexible at a young age and their tendons take time to form an arch. While parents tend to worry about the abnormally low or absent arches in their children's feet, it is usually not a cause for concern since most will eventually outgrow the problem. As children grow and walk more, the soft tissues along the bottom of the feet tighten and shape the arch.  If your child’s flatfeet are not causing any pain or discomfort, treatment is oftentimes not required. But if flatfeet persist even after your child has entered adolescence, they may experience other symptoms like calf, feet or back pain which can affect their quality of life.  When that happens, it is advisable to bring your child to an orthopaedic specialist for an accurate diagnosis and treatment. Read on to find out more.  Signs and symptoms of flatfeet in children Children above 5 years old who have yet to outgrow their flatfeet may experience pain and stiffness after strenuous activities, trip and fall easily, have unbalanced shoulders, and walk with an unusual gait. Additionally, they may also feel pain when wearing shoes and have difficulty moving their feet from side to side and up to down.  Thus, it is important to bring your child to a doctor if he or she is suffering from any of the symptoms mentioned above. Early intervention is the key to preventing complications, such as scoliosis and bunions from forming.  Complications when flatfeet are left untreated Although there has been no evidence to show that flatfeet lead to the development of scoliosis (curved spine), these conditions can coexist especially when the shoulders become imbalanced, affecting the legs, pelvis and vertebrae.  An abnormally low arch may also cause bunions to develop as the improper structure of the feet results in poor alignment of the toes.  Furthermore, damage to the important tendon in the inner feet can cause adult acquired flatfeet to develop, leading to permanent deformity and the inability to stand on tiptoes.  In some cases, children with flatfeet may have an underlying medical condition such as a tarsal coalition (an abnormal connection between two or more bones in the back of the foot) or unstable navicular (unfused bones since birth) that will require further evaluation. Diagnosing flatfeet in children At the orthopaedic specialist’s clinic, the doctor will examine your child’s feet for calluses and heel cords for any tightness. These will help the doctor determine whether your child is suffering from flatfeet.  Further diagnostic tests may be required too, such as weight-bearing feet or long-leg standing x-ray to assess the alignment of the feet and diagnose abnormalities causing pain. These x-ray images will make for a more accurate diagnosis and determine the severity of your child’s flatfeet to suggest the appropriate treatments.  Treatment options for flatfeet in children Conservative treatments are usually recommended and necessary only if your child is experiencing discomfort.  The orthopaedic specialist may suggest wearing shoe inserts that can be either soft, firm or hard-moulded to relieve pain and fatigue on your child’s feet. This treatment method works 90% of the time and most patients experience an improvement in symptoms after wearing shoe inserts.  Your child may also be asked to practise stretching exercises that will help to relieve pain in the feet, ankles and legs. Stretches are also recommended if your child has a shortened Achilles tendon. Changing footwear is also an option, as supportive shoes are more comfortable than footwear with minimal support. While this will not correct flatfeet, it can provide day-to-day relief and prevent further damage. When conservative treatments prove to be ineffective, the doctor may suggest a minimally invasive surgery called Extraosseous Tarsal Tunnel Stabilisation (EOTTS). It involves placing a titanium stent through a 1.5cm small incision into the natural space between the ankle and heel bones to realign and stabilise the feet, and support the arch until the growth is completed. Most patients are able to return to normal activity without the need for special shoes or insoles after the surgery. Speak to an orthopaedic specialist today Although most flatfeet cases in children are not serious, it is still advisable to get them assessed by an orthopaedic doctor as timely intervention is key to preventing worse symptoms or damage. If your child is suffering from flatfeet and the symptoms mentioned, do not hesitate to bring him or her to an orthopaedic specialist as soon as possible.  Dr Kannan Kaliyaperumal is experienced in treating a range of orthopaedic conditions, including flatfeet in children, to help patients get back to doing what they love.  Get in touch with us today!
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Acute orthopaedic injuries sustained while playing sports are very common. Although some are unavoidable as they can happen as a result of sudden accidents, there are still some things you can do to minimise such occurrences. In this article, we will be sharing more about the tips for preventing and treating orthopaedic injuries in sports. Read on to find out more. Preventing orthopaedic injuries in sports Always warm up and stretch Warming up and completing simple stretches before you exercise or participate in sports can help to prevent an orthopaedic injury. This indispensable step prepares your body for more strenuous activity by increasing your flexibility, promoting blood and oxygen circulation, reducing muscle tension, and giving you a wider range of motion. Wear the right gear It is important to wear the right gear before participating in any kind of sports, especially in contact sports like basketball and football where the chances of colliding with another player and sustaining an injury are higher. For instance, ankle guards or braces are some examples of gear recommended by foot and ankle specialists to reduce the blow in the event of an accident. Take breaks when needed It is advisable to take breaks whenever it is needed to prevent pushing your body past its limits which will only do more harm than good. Having adequate rest in between exercises or games will allow your muscles time to regain strength and your body to recover from fatigue. Performing activities and sports when your body feels ready may be helpful in avoiding orthopaedic injuries. Do not play through the pain Never ignore dull aches and continue playing sports through the pain just because they do not seem like a big deal. In fact, you would most probably have sustained a minor injury which can exacerbate if you continue straining it. It is recommended that you utilise the RICE method – Rest the injured limb, Ice the affected area, Compress with an elastic wrap or bandage, and Elevate the injured limb to prevent swelling. Remember to seek treatment at an orthopaedic clinic in Singapore early to prevent your condition from worsening. Treating orthopaedic injuries in sports Know the common orthopaedic injuries in sports Understanding the common orthopaedic injuries that can occur while playing sports will be useful in helping you to ascertain the next steps to take. Some common acute orthopaedic injuries include a sprained ankle, ACL tear, rotator cuff tear, meniscus tear, tennis elbow and stress fracture. The non-surgical and surgical treatment methods for these injuries differ, hence, it is always recommended to seek professional medical advice by visiting an orthopaedic clinic. Non-surgical treatments range from physiotherapy to injections while surgical treatments can involve keyhole procedures. Look out for signs and symptoms One of the tell-tale signs that you have sustained an orthopaedic injury is feeling pain in the affected area. Other symptoms include swelling, tenderness, bruising, numbness, bone deformity and a limited range of motion. In more severe cases, patients may not be able to bear weight on the affected limb too, especially if a dislocation or fracture has occurred. Seek prompt treatment Instead of heading to the ER and waiting hours before someone attends to you, consider visiting a specialist orthopaedic clinic instead. Same-day appointments are usually permitted for urgent cases so that patients do not have to wait longer than needed to seek treatment. This also means getting an accurate diagnosis for your condition and receiving prompt treatment, regardless of whether it is non-surgical or surgical. Simple investigations that the orthopaedic specialist will perform include x-rays or an MRI scan which can be arranged on the same day. Keep in mind that early treatment goes a long way in helping you to regain your quality of life. Understand the treatments available Some non-surgical treatment methods may help to relieve symptoms if your injury is mild. They include taking nonsteroidal anti-inflammatory medications and doing physical therapy exercises to strengthen your muscles and help you regain a full range of motion. Alternatively, an easy way to relieve symptoms in the comfort of your own home is the RICE method – rest, ice, compress and elevate. If your symptoms do not improve, it is recommended to seek treatment at an orthopaedic clinic. The orthopaedic surgeon may suggest surgery if conservative treatments prove to be ineffective. The type of surgery depends on the injury sustained and the severity of your condition too. It is advisable to seek prompt medical attention the moment you suspect you are suffering from an orthopaedic injury. This is crucial in helping to relieve symptoms and for you to bounce back to form, especially if you are an athlete, as soon as possible. Get in touch with us today!
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