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

Tag: Rheumatoid Arthritis

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Knee pain is one of the most common lower limb issues that people face as they grow older. It can be caused by a number of different factors that involve physical activity, trauma, or it can be the result of a breakdown of your cartilage. Common Causes of Knee Pain Knee Injuries The knee is a complex joint that requires tendons, ligaments, bones, and muscles to all work in tandem. An injury to any one of these components can cause severe knee pain and restrict your mobility. Some common injuries to the knee include ACL tears and knee fractures. ACL tears refer to partial or complete tears of the Anterior Cruciate Ligament which is a band of tissue that connects your thighbone to your shinbone. ACL tears can occur during activities that involve sudden stops or changes in direction. For complete tears, the recommended course of treatment will likely be ACL surgery in Singapore to regain full mobility and strength in the knee joint. A knee fracture is a break in the kneecap, which is a small bone that sits at the front of your knee. A direct impact to the kneecap can cause breaks in this bone which can range from relatively minor stable hairline fractures to more serious displaced or open fractures. Mechanical Problems Mechanical problems in your knee and other joints can also give rise to persistent knee pain. When a dislocation happens, it can be extremely painful and you may be able to actually see the kneecap visually out of place or at an odd angle. In many cases, the kneecap is able to pop back into place on its own. Arthritis There are two main types of arthritis that affect the knee are Osteoarthritis and Rheumatoid Arthritis. Both these conditions can cause inflammation and pain in your knee joints, although they have different underlying causes. Osteoarthritis happens gradually over time and is exacerbated by factors such as ageing, obesity, prior injury, overuse, and genetics. Rheumatoid Arthritis is an autoimmune disorder that results in swelling, bone erosion, and joint deformity. Total knee replacements in Singapore may be required if your knee joint is worn out beyond repair. Non-Invasive Treatment Options For Knee Pain RICE Protocol The RICE protocol is usually the first line of home treatment for minor knee injuries. It reduces swelling, pain, discomfort, and promotes healing Non-steroidal anti-inflammatory drugs (NSAIDs) NSAIDs are used to manage pain, inflammation, and fevers in the body. They include medication such as aspirin, ibuprofen, and diclofenac. They can help with arthritis symptoms and knee pain in general. Steroid injections Steroid injections directly to the knee joint can help relieve pain from injury or arthritis. They work rapidly but using them too often may damage cells in the knee that make cartilage. Physical Therapy Physical therapy is one of the recommended non-invasive treatment methods for knee pain. It can reduce pain, swelling, and stiffness while also restoring mobility and strength. Inactivity is likely to make knee pain worse and physical therapy can help mitigate this. Braces and Splints Braces and splints are used to keep your knee in place while healing and provide support for the joint to reduce the pressure and strain on the joint. You should consult your orthopaedic surgeon in Singapore about wearing a knee brace or splint and discuss how long you should keep it on for. Surgical Treatment Options ACL Reconstruction An ACL reconstruction involves removing the damaged or torn ACL in the knee and replacing it with a graft tendon. It’s an outpatient procedure and recovery takes a few months with physical therapy and rehabilitation. Total Knee Replacement A total knee replacement is a major surgery where damaged knee joints are cut away and replaced with artificial parts. It provides pain relief, improved mobility, and greater quality of life for patients with major knee problems which have progressed to an advanced stage. Learn More: All About The Latest Advancements In Knee Replacement Surgery Arthroscopy A knee arthroscopy is a surgical procedure that allows doctors to diagnose and treat a number of knee problems. A small camera is inserted into the knee and small incisions are made to allow your orthopaedic surgeon to enter and manipulate miniature surgical instruments. At the Specialist Orthopaedic Centre in Singapore, our mission is to improve the quality of our patient’s lives through specialised, empathetic orthopaedic care. Contact us today to find out more about our services and make an appointment with us.
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Geriatric orthopaedics is a branch of medicine that revolves around identifying and addressing certain musculoskeletal conditions of the elderly. As we age, our bones and muscles tend to degenerate and not seeking treatment early may lead to deterioration. Singapore is currently one of the most rapidly ageing societies in Asia with 15.2% of residents aged 65 years and above. In a nation where we are facing the challenges of an ageing population, geriatrics orthopaedics can be extremely beneficial. Common Geriatric Orthopaedic Conditions  Geriatric orthopaedic conditions can lead to much pain and discomfort, thus decreasing the overall quality of life. Beyond negatively impacting physical wellbeing, the inability to perform certain activities or tasks may affect mental wellbeing too. Below are some common geriatric orthopaedic conditions that can be treated at an orthopaedic clinic in Singapore. Knee Arthritis   Arthritis is the swelling or tenderness of one or more joints. Those suffering from this condition may experience pain or stiffness in their joints that limits their movement and worsens with age. There are two types of arthritis – osteoarthritis and rheumatoid arthritis. The former is more common and occurs due to normal wear and tear while the latter is an autoimmune disease where the lining of the joints are being attacked by the immune system. Osteoporosis   Osteoporosis happens when the bone loss is greater than bone formation in the elderly. This can occur due to the aging process, or medical conditions like diabetes, or a lack of dietary intake of calcium and Vitamin D. This causes the bones to be fragile and brittle. Since symptoms are hard to spot in the early stages, a stooping posture, loss of height and easily breakable bones indicate symptoms of late onset osteoporosis. Osteoporosis increases the risk of fractures, therefore it is highly advisable to visit an orthopaedic clinic for diagnosis and treatment.  Fragility Fractures As bone density decreases with age, falls become extremely detrimental to the elderly, often resulting in severe consequences like serious fractures. Fractures are a partial or complete break in the bone. The 3 commonest osteoporotic fractures in Singapore are hip fractures, distal radius fractures and vertebral compression fractures.  Treatment Options  When it comes to geriatric orthopaedic treatments, it all depends on your condition. It is best to consult an orthopaedic doctor in Singapore to get appropriate recommendations that are tailored to you. For instance, in critical cases of knee arthritis, knee gel injections or knee replacement may be necessary to treat the condition. Knee gel injections help to lubricate the joints in the knee to improve movement.  In more severe cases of knee arthritis, a knee replacement surgery is required. This reduces pain and restores mobility. Patients with severe arthritis or injuries to their knees may benefit from this procedure. Alternatively, geriatric orthopaedics also include non-invasive treatments such as medication or physiotherapy. With regards to arthritis, your orthopaedic doctor may recommend analgesic medications or counterirritants including creams and ointments to alleviate inflammation and pain in the joints. Orthopaedic physiotherapy can also aid in such conditions. Your orthopaedic doctor will develop a series of physio exercises to help treat the muscles, joints and ligaments for enhanced movement and minimise discomfort. Prevention Measures   Making lifestyle changes is one of the best ways to prevent geriatric orthopaedic conditions. This involves sufficient intake of calcium, vitamin D and regular exercise, all of which enrich the bones, keeping them strong and healthy. Calcium and vitamin D can be derived from supplements or by switching up your diet to contain more of certain foods. Vitamin D-rich foods include cod liver oil, trout and salmon while calcium-rich foods consist of dark green leafy vegetables and soy products. In addition, decreasing alcohol consumption has also been shown to reduce the risk of osteoporosis.        While we may not be able to completely prevent geriatric orthopaedic conditions, we can definitely slow down the process with an active, healthy lifestyle and getting treatment early from an orthopaedic doctor. At Specialist Orthopaedic Centre, we offer a range of geriatric orthopaedic treatments to help your body return to its peak function. Contact us today for more information.  
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