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

Tag: sports injury

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While the achilles tendon is the strongest and thickest tendon in the body, it also encounters a lot of stress on a daily basis, as well as during athletic activities that involve running, jumping, or sudden changes in direction. This makes the achilles tendon fairly susceptible to injuries in both high-performance athletes and regular people. Learn More: 3 Common Foot & Ankle Conditions You Shouldn’t Ignore Types of Achilles Tendon Injuries There are two main types of achilles tendon injuries. Tendonitis, which is due to overuse or damage of the achilles tendon or a rupture which is complete or partial break in your tendon. Tendonitis causes pain down the back of your leg and around your heel area.It can also lead to thickening and calcification of the tendon. There are two kinds of tendonitis, categorised by the location of the injury. If the fibres of the middle portion of the tendon are torn, then it is diagnosed as noninsertional achilles tendonitis. If the lower part of the tendon is injured then it is known as insertional achilles tendonitis. Both types of tendonitis can occur separately or together. If the tears in your achilles tendon fibres cause a complete or a partial tear in your tendon, you might hear a pop or experience a popping sensation along with a sudden sharp pain. A tendon rupture requires immediate medical attention. Risk Factors For Achilles Tendon Injuries Athletic Activities Athletes who engage in sports where there is repetitive strain put on their achilles tendon are at higher risk for achilles tendon injuries. A change in competitive or training schedule, playing surface, or intensity of activities can also create a sudden increase in strain to the achilles tendon resulting in a higher chance for tendon injury. Tight Or Weak Calf Muscles If you don’t warm up adequately before exercising, your calf muscles may be tight and you may end up overstretching it during your activity. Weak and untrained calf muscles can also cause similar issues. Overstretching your calf muscle can result in soft tissue damage to your achilles tendon. Bone Spurs Bone spurs can develop on almost any bone including the heel. Bone spurs on the heel can rub against the tendon, leading to long-term damage. Wearing Improper Footwear Wearing the wrong shoes during exercise or other activities can cause injury to your achilles tendon in Singapore. Shoes which don’t support your foot fully, or don’t allow your tendon to fully extend, can over time make your achilles tendon more vulnerable to overstretching and tearing. Treatments For Achilles Tendon Injuries RICE Rest, Ice, Compression, and Elevation is a good at-home treatment protocol for minor strains to the achilles tendon. It reduces swelling and decreases blood flow to the area to decrease inflammation and promote healing. Physical Therapy Physical therapy can support achilles tendonitis patients by reducing pain in the heel and restoring strength, flexibility, and mobility to the injured tendon. Orthotics Orthotics can be used in combination with other treatment methods for achilles tendon issues. They reduce the load on the achilles tendon and improve recovery timelines. Night Splinting Night splints are braces worn on the legs which stretch the achilles tendon at the back of the heel and prevent it from contracting. They have to be worn at night while you sleep to provide a constant stretch to your achilles tendon and enhance healing. They are a conservative but effective long term achilles tendonitis treatment in Singapore. Platelet Rich Plasma Injections Platelet Rich Plasma (PRP) Injections are done by taking some of the patient’s blood and spinning it to separate out the different layers. The plasma layer, which contains a high concentration of platelets is then drawn and injected into the injury site of the achilles tendon. These platelets can release growth factors which promote healing. Extracorporeal Shock Wave Therapy Extracorporeal Shock Wave Therapy is a non-invasive treatment procedure for achilles tendonitis. It involves delivering low energy sound waves to the affected area to increase blood flow and speed up healing. Surgery For more severe achilles tendon injuries, surgery may be the recommended way forward for recovery. Minimally invasive achilles tendon surgery to repair ruptured tendons decrease the risk of complications as compared to traditional surgery. It allows for very strong repair while limiting exposure of the tendon and permits a faster timeline to return to normal activities. Debridement surgery is an option for patients with achilles tendinopathy that has not responded to non-surgical treatment methods. It involves surgically removing damaged tendon tissue or bone spurs. The remaining tendon is then repaired with sutures or stitches. A gastrocnemius recession can be used to help patients with chronic achilles tendonitis by lengthening the muscles and tendons at the back of the leg. This in turn allows the foot to flex properly into a more natural position. As an experienced Orthopaedic Surgeon with experience in reconstructive foot and ankle surgery, Dr Kannan Kaliyaperumal offers a wide range of services and treatments at the Specialist Orthopaedic Centre in Singapore. Contact us today to set up an appointment with our clinic and our support team will get back to you.
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Your musculoskeletal system consists of bones, joints, ligaments, tendons, and muscles that help your body move from place to place. Orthopaedic Surgeons are specialists in the musculoskeletal system and are trained to treat acute, chronic, and degenerative disorders that can affect your mobility. The ultimate goal of an Orthopaedic Surgeon is to help patients recover from injuries and return to their normal activities. Read on to find out more about the role of an Orthopaedic Surgeon in different sports injuries. 1. Ankle Sprain Ankle sprains are among the most common lower-limb injuries encountered by Orthopaedic doctors in Singapore. Minor ankle sprains can cause pain and some swelling may also be observed. However if you encounter any of the following symptoms, it may be advisable to seek medical attention immediately. Foot deformity Extreme pain Numbness Hear a pop sound during the injury No improvement in injury after a week Treatments for minor ankle sprains usually include bed rest, elevation, compression, and ice to reduce swelling. More serious injuries can also have physiotherapy and rehabilitation to aid with recovery. If these treatment methods are not successful, then surgery to repair or reconstruct torn ligaments might be needed. Learn More: Tips For Preventing & Treating Orthopaedic Injuries In Sports 2. ACL Tear An ACL Injury is a tear to the Anterior Cruciate Ligament which connects your thigh bone to your shin bone. Symptoms of an ACL tear include a loud pop or popping sensation in your knee, severe pain, swelling, loss of range of motion, and instability or a lack of weight bearing in your knee.  Once diagnosed by a trained Orthopaedic doctor, treatment for an ACL tear begins with rehabilitative therapy. A knee brace might also be provided for better support, and you might need to walk with crutches to reduce stress on the knee. Rehabilitation can restore your knee’s full range of motion and help you return to daily activities. However if you’re an athlete or if your ACL tear is deemed to be severe, then your Orthopaedic Surgeon can recommend that you go for an ACL reconstruction surgery in Singapore. During this procedure, the damaged ligament is removed and replaced with a graft. 3. Fractures Bone fractures can happen due to trauma from a motor accident or a fall, or they can occur during contact sports. There are different types of fractures which are classified by the severity of the injury. Minor fractures can be managed by cast immobilisation where the broken bones are kept in position and allowed to heal naturally. For certain fractures, metal pins or screws are placed into the broken bones externally. The pins and screws are attached to a metal bar that helps stabilise and hold the bones in the proper place while they heal. For fractures that require internal fixation, the bone fragments are repositioned by an Orthopaedic doctor before screws or metal plates are attached to the outer surface of the bones. The fragments can also be held together by inserting rods through the centre of the bone. 4. Achilles Tendonitis Achilles Tendonitis is caused by overuse or strain of the achilles tendon at the back of your heel. It is more common as you age and athletes who participate in intense sports might also be more prone to achilles tendon injuries. Most cases of achilles tendonitis can be treated at an Orthopaedic clinic in Singapore with physical therapy or orthotic devices that help reduce the strain on your achilles tendon. However if your condition does not respond to these treatment methods, then surgical intervention can become necessary. Minimally invasive surgical options exist for achilles tendonitis where damaged and inflamed tissue is removed via small incisions. For patients with more extensive damage, surgical debridement and repair might be required. 5. Hamstring Strain Hamstring strains refer to partial or complete tears in one of the hamstring muscles. It is common in athletes, especially those who are involved in sudden sprints or jumps. Treatment  protocol usually involves rest, recovery, and physical therapy to help return to normal activities. Medications to help with pain and other symptoms may also be prescribed. For complete hamstring tears, surgery may be the only available option. Recovery time after a hamstring injury ranges from 3-6 months and a treatment plan will be laid out for you by your Orthopaedic doctor to slowly return to full fitness.  6. Plantar Fasciitis Plantar fasciitis is the inflammation of the band of tissue that runs at the bottom of your feet and connects your heel bone to your toes. Some risk factors for developing plantar fasciitis are obesity, age, foot mechanics, occupations, and activities that put pressure on your heel. Plantar fasciitis treatment primarily includes rest, physical therapy, orthotics, and walking boots. If these conservative treatment methods are unsuccessful, then surgery can be considered as a last resort. As an Orthopaedic Surgeon and a sub-specialist in lower limb disorders and surgical treatments, Dr Kannan Kaliyaperumal has treated patients presenting with a wide variety of ailments. Reach out to us today via our Contact Us Page to set up an appointment with our team or send in your questions and our support team will reply promptly.  
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