Orthopaedic

Caring for Musculoskeletal Conditions: Orthopaedic Services in Singapore

Minimally Invasive Treatments for Musculoskeletal Conditions

Between your bones are discs and cartilage that serve as shock absorbers, preventing your bones from grinding together and eroding. As time passes, in some people, the discs start to collapse, causing the bones to rub against one another, causing sharp pain in the back as well as in the legs. Sciatic pain is not uncommon in these patients. A minimally invasive treatment called endoscopic discectomy is applicable to certain lumbar spine injuries. It requires six hours of hospital stay, no muscle cuts, and approximately two weeks post-operation rehabilitation. Small tools and a camera are passed through an incision the circumference of a person’s thumb. A few millimeters off the tips of certain laminae are removed to allow the tools to enter. The damaged disc material is then vaporized using plasma technology. Physical rehab and yoga to correct one’s posture go a long way in preventing the main issue. Such a holistic approach is often favorable to simply removing the pain but not resolving the main cause.

As pain management professionals, we understand that walking and movement are important to you. Most musculoskeletal conditions, such as injuries to the bones and muscles, are complex and cannot be managed with mere pain medication. Fortunately, with advances in interventional radiology and pain management techniques, many of these conditions can be treated with minimally invasive procedures that are both safer than traditional surgeries and with equally good results. You now have the option of receiving your treatment without pain and healing faster to get back to work or indulge in your hobbies without long periods of hospitalization or bed rest. We provide specialized inner knee pain treatment to address the root cause and restore mobility effectively.

Surgery Options for Musculoskeletal Conditions

Osteoarthritis (OA) is one of the most common wearing down joint diseases, which can cause pain, difficulties performing daily activities, and poor quality of life. Total knee and total hip replacements are good treatment options with good long-term outcomes, but should be done in the early to middle stage of the disease to achieve better results. Younger patients may also benefit from joint replacement surgery, as this can improve their quality of life, too. To optimize the surgical outcomes of total knee and total hip replacements, robot or navigation technology may be incorporated during the operation. This approach can potentially reduce the error to within two degrees of accuracy, with the goal of achieving long implant survival, reducing patients’ pain, and increasing the functional outcomes. Other joints, such as the small joints in the hands, wrist, elbow, and shoulder can also experience OA. Patients with more advanced disease and severe symptoms may become candidates for a joint replacement. If that is the case, a joint replacement by an orthopaedic surgeon is a good treatment option.

If you have bone or joint problems, or experience pain related to them, surgery can be a solution. In general, bone conditions are treated by orthopaedic surgeons, while joint conditions are treated by orthopaedic surgeons as well as rheumatologists. Orthopaedic surgeons are trained in the surgical intervention for musculoskeletal conditions, while rheumatologists offer additional or alternative options such as disease-modifying anti-rheumatic drugs (DMARDs) and anti-inflammatory medication. There are various surgical options for musculoskeletal conditions, with factors such as the magnitude of the problem, the patient’s general health status, and expectation influencing the choice of surgery. Orthopaedic surgeons are trained to perform various types of joint replacement surgery, including total hip and total knee replacement using robot or navigation, with good long-term results. Surgery on the same day may enable the patient to be discharged and resume daily activities earlier. For joint conditions, rheumatologists prescribe medications, treat the joints, and provide the same interventional services as orthopaedic surgeons in the context of joint condition patients.

Inner Knee Pain Treatment

Rest is not everything. Activity avoidance can be counterproductive because the soft tissue can be stiff and become sticky around joints. The result may be prolonged periods of affliction. The best approach would be to start with gentler activities and gradually build up strength. A light exercise such as biking will help soothe and protect the knee. Importantly, body weight control is also crucial as a lightweight person spends less energy placing undue stress on the knee. If you need more help coping with bad knees, consider seeing a physiotherapist for upper and lower extremity workouts to exercise the leg but prevent damage to the surrounding joints. With the right rehab, it may be sufficient for the knee to feel better than before.

Treatment may depend on the extent or the reason for the injury. Often, a physiotherapy programme may help in the healing process. Early stage rehabilitation could involve decreasing the inflammation and swelling, maintaining the strength in the quadriceps (muscles of the thigh), and working on hamstring, calf, and lower extremity stability. This also includes dry needling, joint mobilization, taping, strengthening, and conditioning exercises such as improving functional activities and concurrent exercises. At the same time, physiotherapists will prevent further deterioration with a carefully controlled exercise regimen. The injured knee is supported to ensure that knee mechanics are maintained. This is important, since the lack of joint proprioception will leave the patient with an impression of instability.

Knee Pain at Night Treatment

Unmanageable knee pain at night is a common complaint among patients with knee pain. In the presence of underlying knee pathology such as osteoarthritis or a torn meniscus, positional joint pain is often the reason for being awakened from sleep. Resting in supine or in a sitting position for an extended period of time can also be a major inciting factor. The severity of night pain can vary from mild discomfort to a major dampener. General measures such as a deep heat pack or mild painkillers such as paracetamol or NSAIDs can provide temporary relief. However, the definitive treatment should be in the hands of a knee specialist, who after an initial assessment will suggest a comprehensive management plan consisting of further investigations such as an MRI scan, and a variety of conservative and/or surgical treatment options, customized to the individual needs and expectations of the patient. Our knee pain at night treatment options are designed to relieve discomfort and improve sleep quality.

Knee Replacement

The surgery is performed under general anesthesia, and depending on your own personal circumstances, it may also be performed under spinal anesthesia. Your doctor will then make an incision to expose the damaged bone surfaces. He/she will then remove the damaged bone ends and fix in place the implants, and close the incision. You will be observed in the hospital at the recovery room before being transferred back to the ward. Nursing care in the hospital generally includes temperature and pulse monitoring, wound care, and various other elements such as educational and movement exercises, pulmonary care, and more. Your doctor will determine the need for post-care, and the length of your hospital stay will depend on how well you progress. Physical therapy will be recommended specifically to you at several intervals, such as just before discharge, home care, outpatient, and exercise after completion of physiotherapy and exercise plan.

When considering whether you should undergo knee replacement surgery, you should consult an orthopedic specialist. During the consultation, your overall health and knee will be assessed for any medical conditions that could potentially affect the surgery, such as high blood pressure or diabetes. The function of your knee will also be tested. An x-ray will be taken to determine the severity of bone loss. Offering state-of-the-art knee replacement procedures, we ensure optimal outcomes for patients seeking long-term relief from severe knee issues.

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