Getting ACL Tear Surgery in Singapore

ACL knee injury with sports

When you start having problems in turning your knee to one side while spots and feel pop like sensations, then it means you are suffering from torn ligaments and it needs to be treated. If you keep ignoring the symptoms, soon you will find it hard to have normal walk and putting weight on your knee will also become difficult. By that time, you will not be able to play your normal games.

In the first instance, doctor may ask you to go for certain important tests including X-rays to check the condition of the knee and to what extent it is damaged. If you have got an injury in your knee which is unbearable, then it is recommended to go for the surgery.

If you keep delaying it further, say for six months, then you are increasing risks of causing permanent harm to your knee and associated areas like menisci and cartilage. So, if you are sportsman and you are facing unstable knee, then it is better to go for ACL surgery. More information about ACL tears and the surgery involved can be found here: https://sgbonedoctor.com/our-services/knee/acl-injury/

The maximum advantage in this regard is for people, who are:

  • All those adults patients who are active and are involved in labour work which requires turning and pivoting
  • Any adolescents or children who have had ACL tears, advanced technology is normally used for the reduction of injury
  • Patients who are active and adults and involved in sports like basketball, soccer or rugby
  • People older than 50 years and are actively involved in sports activities, and have undergone injury to their knees.
  • People having other knee injuries apart with ACL tear. Other injuries include LCL (Lateral collateral ligament), PCL (Posterior cruciate ligament), cartilage or menisci

Advantages of getting ACL Tear Surgery

Some known advantages of getting ACL Tear surgery are:

  • Patient with ACL tear surgery is able to get back to performing routine tasks. If he/she is in sports, then he/she will be able to perform normal sports activities as well
  • In case of menisci along with ACL, repairing of menisci can also be done along with ACL Tear surgery, so the overall results are better
  • Knee become better and stable
  • Any probable and early risks of arthritis are reduced after ACL tear surgery

Disadvantages of ACL Tear Surgery

  • The rehabilitation or recovery time of ACL Tear surgery is pretty long. Person who is in sports may find it hard to wait that long and with patience.
  • The overall cost structure of the process is also higher in Singapore when compared with other nations, so if your budget is small, then you may have to look for other options or apply for subsidies where possible.
  • There are sometimes risks involved in the process as well, in case you fail to fulfill all the requirements of post-surgery.

Thus, if you plan to get ACL Tear surgery in Singapore, then you need to find the doctor who is skilled and expert in his field and is affordable as well.

The Ultimate Trigger Finger Treatment Guide

Trigger finger is a stressful health condition where the person affected experiences swelling and a severe pain on the base of finger or thumb. Usually this condition is associated with a clicking or snapping while they are moved or clenched when performing everyday activities or sports and other activities respectively. The scientific researchers have introduced successful trigger finger treatment options for controlling the causes and curing the diseases’ severity. 

Who gets affected by trigger finger?

Most common cause of trigger finger condition could be age factor and others who have any medical issues such as rheumatoid arthritis, diabetes mellitus, and gout. People who requiretrigger finger treatmentare those who use their fingers repetitively. Constant usage of the fingers will injure the interface between A1 pulley and flexor tendon, which causes inflammation, pain and swelling.

Factors that determine trigger finger treatment

In case you experience a severe painful health condition in your fingers it is inevitable to see a well qualified experienced Hand Surgeon. They will initially perform a clinical checkup and ask complete medical history of the patient, for understanding the severity of the case and grading.

  • Grade I – the patient might experience slight inflammation and pain on the affected finger while catching any objects.
  • Grade 2 – patient will be experiencing inflammation and pain in the affected finger along with triggering sensation while stretching and extending the fingers.
  • Grade 3 – in grade 3 the patient will experience acute inflammation, pain and triggering as in grade 2, but they will not be able to extent the affected finger because it gets locked. The fingers locked will not be brought to normal position only with some support of their assistance or their other hand.
  • Grade 4 – the affected fingers will be severely inflamed and locked at the inter phalange joint.

Types of treatments

Nonsurgical treatment

If you are experiencing trigger finger condition in early stages, then doctors usually prescribe anti-inflammatory drugs, splinting, modification of finger activities and steroids. Patients with grade 1 or initial stages of grade 2 of the disease are recommended to avoid activities and non-surgical and non-invasive treatments.

Invasive treatment

The grade 2 patients who are not responding to non-invasive trigger finger treatment are treated by injecting a mixture of steroid and anesthetic substance in to the inflamed flexor tendon sheath. This treatment will cure trigger finger condition. In case of recurrence of this issue injections are not repeated more than two times for a patient. Hand surgeons usually prescribe only two injections for the affected fingers. But the inflamed little finger can be treated only with one shot of injection because repeated injections can cause traumatic tendon rupture condition.

Surgical treatment

Patients categorized under grade 4 conditions are advised by hand surgeons for a surgical repair to be performed immediately for speedy cure. Surgical trigger finger treatment helps in releasing A1 pulley that has been preventing mobility of the flexor tendon. In critical cases a flexion contraction therapy is performed for complete recovery. Therefore, the flexion tendon will be able to easily glide through the sheath without any friction or pain.

If you are experiencing severe pain and inflamed trigger finger condition, it is advisable to see your orthopedic surgeon for permanent relief.

What Can Be Done to Treat Trigger Finger?

hand with trigger finger on ring finger

Proper diagnosis of the trigger finger does not need any kind of elaborate testing. Your doctor or even the health care provider will simply make the whole diagnosis based on your medical history and a physical exam. During the physical exam, your doctor will also ask you to open and close your hand, checking for some of the areas of pain, smoothness of motion and evidence of locking.

Doctor will mainly check the palm and feel it for seeing whether there is a lump present or not. And if your doctor can see that there is any kind of lump associated with the trigger finger, that lump will actually move as finger moves because the lump is an area of swelling in part of the tendon that moves the finger.

What are the Therapies needed?

Conservative non-invasive trigger finger treatments include:

Rest

Basically, for trigger finger injury one of the important and first things required is rest. If you are suffering through this, then all you need is to avoid some of the activities, which need the repetitive gripping until and unless your symptoms improve. In fact, if you cannot ignore all these activities altogether, then the padded gloves might just provide some protection.

A splint

Your doctor might have you wear the most reliable splint at night so that it can actually keep the affected finger in the extended position for up to six weeks. The splint helps rest the tendon. Splint is one of the amazing therapies to consider.

Stretching Exercises

There is nothing better than any kind of stretching exercise. So, when you are having any injury on the trigger finger apart from the splint, rest and medication, you will have to try to move your finger slowly and that will be a great help for you. You may feel the pain in the beginning but once you start doing the exercise, you will feel the comfort as well. Basically, these stretching exercises will help you in maintaining the mobility in your finger.

Surgical and Other Procedures

Steroid Injection

Apart from the general care, there are some surgical processes available, which are applicable to those who are having the severe injuries. An injection of the steroid medication near or into the tendon sheath might decrease the inflammation and permit the tendon to glide freely again. For people with diabetes, steroid injections tend to be less effective.

Percutaneous Release

This is one of the common surgeries, where your palm will be numbed by the medicine and then doctor will insert a sturdy needle into the tissue around your affected tendon. Doctor will move the needle and then finger helps in breaking apart the constriction.

What is the Downtime?

As per doctor’s concern, if the surgery gets done between 3-5 days, then this can be cured in 2 weeks along with proper medications.

Does it Hurt?

If your pain gets reduced by general care, then you will not feel any pain but if you go through a surgery, then you may feel the pain for 2-3 days after the surgery but that would be quite minimal.

Therapies for Pain Relief from Plantar Fasciitis

One of the symptoms of plantar fasciitis is a pain in your heel when you wake up in the morning. If not treated, the pain will become more intense over time. Once a doctor has confirmed you have plantar fasciitis, he will recommend several therapies. You may need more than one to help you heal faster. Some of the recommendations include non-steroidal anti-inflammatory drugs to reduce inflammation and the pain, steroid injections if the pain is severe and physical therapy.

In the following article on health.havard.edu, the writer discusses some simple therapies that will help you cope with the pain from plantar fasciitis.

The Value of Physical Therapy in Healing Plantar Fasciitis

Getting out of bed in the morning marks the beginning of a new day, but it can be an excruciating start for people with plantar fasciitis, one of the most common causes of heel pain in adults. Plantar fasciitis affects more than two million people each year in the United States, and the majority of them are women.

The main symptom is intense pain that feels like a deep bruise on the bottom of the foot, just in front of the heel. It’s usually at its worst first thing in the morning and when you get up after sitting for a long time. The pain may go away as you walk around, but it’s likely to return at the end of the day if you spend a considerable part of it on your feet. Read more here

Doctors tend to avoid using surgery to fix plantar fasciitis unless it is necessary. Most first recommend physical therapy and observe how your heel responds. Exercises that strengthen and stretch your plantar fascia, lower leg muscles, and Achilles tendon are critical in pain reduction. Your physical therapist will massage your foot, give you contrast baths, and use ultrasonography for long-term benefits. Visit Providence’s Plantar Fasciitis Treatment content for more information.

In the next article, the writer discusses some of the things you should do if you still experience pain after weeks of therapy.

Solutions for Advanced Plantar Fasciitis

Heel pain is most often caused by plantar fasciitis, a condition that is sometimes also called heel spur syndrome when a spur is present. Heel pain may also be due to other causes, such as a stress fracture, tendonitis, arthritis, nerve irritation or, rarely, a cyst.

Because there are several potential causes, it is important to have heel pain properly diagnosed. A foot and ankle surgeon is able to distinguish between all the possibilities and to determine the underlying source of your heel pain. Read more here

Unfortunately, even after weeks of intense therapy, you may still experience pain in your heels. If the treatment your doctor recommended is not working, it may be best to try other solutions. Some of the remedies that are used if the pain persists include injection therapy, the use of a removable walking cast, and a night splint. When a splint is used as you rest, the plantar fascia is stretched, and this reduces the pain when you take your first steps in the morning.

In this article by kintec.net, the writer gives a vivid background on plantar fasciitis, its cause, treatments, and factors that put you at risk.  

Internal Factors that May Cause Plantar Fasciitis

Plantar fasciitis (fash-ee-ahy-tis) is the most common cause of foot pain1. It’s usually described as sharp pain in the heel, especially when you take your first steps in the morning.

It occurs when there is a structural breakdown of your plantar fascia2, which is a thick fibrous band of tissue (fascia) on the bottom (plantar side) of our feet that connects your heel bone to your toes. This often leads to small tears in the tissue causing recurring cycles of inflammation and pain3.

When your plantar fascia become damaged and inflamed, the resulting pain can severely limit your ability to stay active on your feet. Read more here

Plantar fasciitis can be caused by both external and internal factors. The activities you are involved in, and the shoes you wear may lead to plantar fasciitis. However, several internal factors may be beyond your control. For example, your plantar fascia may have some abnormalities, such as small tears in the tissues, altered tissue composition, and an increase in the nerve endings.

The fat pad on your heels may also degenerate due to your age. Your doctor or consultant will need to determine if the pain in your heels is as a result of internal or external factors.

How to Determine if You Have Plantar Fasciitis

Do you sometimes experience stabbing pain when you take your first steps in the morning? This is one of the early signs of Plantar Fasciitis. This condition involves the inflammation of the tissue that connects the heel bone of your foot to your toes. The pain is severest when you take your first steps in the morning, when you stand for too long, or when you stand after sitting for some time. Ignoring the pain may have adverse effects, including the inability to get continue your usual activities.

In the following article on emedicinehealth.com, Catherine Burt Driver, MD discusses Plantar Fasciitis in detail, including the home remedies.

Home Remedies for Plantar Fasciitis

The fibrous tissue that surrounds muscle and separates various tissues of the body is referred to as the fascia. The bottom, or plantar, surface of the foot has a strip of this tough tissue, referred to as the plantar fascia, stretching from the heel to the front of the bottom of the foot. This bowstring-like plantar fascia stretches underneath the sole of the foot and attaches at the heel. This fascia can become inflamed by disease or injury. Inflammation of the plantar fascia is referred to as plantar fasciitis. Read more here

When you start experiencing pain at the soles of your feet, there are several things you can do before you seek medical advice. Some of the home remedies include stretching the foot, keeping the weight off the affected foot by resting it until the pain decreases, and rolling a tennis ball along the bottom of your foot. If the pain is unbearable, you can get over-the-counter pain medication.

In the next article by Anish R. Kadakia, he discusses the symptoms of Plantar Fasciitis and some of the examinations doctors carry out to confirm the condition.

Examinations Done to Confirm Plantar Fasciitis

Plantar fasciitis (fashee-EYE-tiss) is the most common cause of pain on the bottom of the heel. Approximately 2 million patients are treated for this condition every year.

Plantar fasciitis occurs when the strong band of tissue that supports the arch of your foot becomes irritated and inflamed.

The plantar fascia is a long, thin ligament that lies directly beneath the skin on the bottom of your foot. It connects the heel to the front of your foot, and supports the arch of your foot. Read more here

When you visit your doctor complaining of pain near your heel, the doctor will carry out a series of tests to confirm if you have Plantar Fasciitis. Some of the signs the doctor will be looking out for include a high arc, tenderness in the front of your heel bone, pain when you flex your foot, and limited motion when you move your ankle upwards.

In this article by Christine Case-Lo, the causes and treatments of Plantar Fasciitis are discussed in detail.

Causes of Plantar Fasciitis

Plantar fasciitis causes pain in the bottom of the heel. The plantar fascia is a thick, weblike ligament that connects your heel to the front of your foot. It supports the arch of your foot and helps you walk.

Plantar fasciitis is one of the most common orthopedic complaints. Your plantar fascia ligaments experience a lot of wear and tear in your daily life. Normally, these ligaments act as shock absorbers, supporting the arch of the foot. Too much pressure on your feet can damage or tear the ligaments; the plantar fascia becomes inflamed, and the inflammation causes heel pain and stiffness. Read more here

People who are overweight are at a higher risk of developing Plantar Fasciitis. This is because the plantar fascia ligaments are exposed to increased pressure. Pregnant women, especially those in the third trimester, tend to have bouts of plantar fasciitis.

Others who are at risk include long-distance runners, those whose occupations involve being on their feet often, and older people with active lifestyles. This condition affects women more than men. It is important to monitor the symptoms so that you can seek medical attention early.

How Does Plantar Fasciitis Occur?

For a long time, plantar fasciitis was associated with athletes, especially long-distance runners, because of the pressure exerted on their heels. Unfortunately, this is no longer the case and the injury is becoming more common. More people are being diagnosed with plantar fasciitis. This is because the tissues and muscles in the foot constantly degenerate over time and as we age. For example, if you exercise intensely, your foot may bear the biggest brunt in your attempt to stay healthy. Unfortunately, people with a sedentary lifestyle are also at risk, especially when they become obese. The weight of the body has increased over the same surface area of the foot which also increases the chance of injury.

In the following article, Stephanie Mansour looks at the first signs of plantar fasciitis and some of the exercises that help to relieve the pain.

Tips on How to Identify Plantar Fasciitis

Those who have suffered from plantar fasciitis — the inflammation of the ligament that runs along the bottom of your foot — know that the stabbing pain can be debilitating, often keeping you sidelined from your favorite activities.

“Plantar fasciitis seems to have recently reached epidemic proportions,” says Dr. Doug Tumen a board-certified podiatrist and author of “Ask the Foot Doctor”. “Because the average person takes at least 5000-7000 steps per day, and because we live in a world of concrete and hard surfaces, our feet are continually taking a significant impact and load on a daily basis.” Read more here

The first sign that may warn you of possible plantar fasciitis is a sharp pain at the bottom of your foot. If you have been on your feet for too long, resting it for some time will help reduce the pain. If the pain is due to sitting for an extended period, walking around with stretch your muscles and ease the pain. If you are not able to walk a little to manage the pain, you can massage the heel of your foot with a frozen water bottle to provide some cooling relief.

In the next article on wakehealth.edu, the writer gives tips on managing plantar fasciitis.

Managing Plantar Fasciitis

Plantar fasciitis is a very common condition that can affect people of all different activity levels, but it’s more frequently experienced by those who are physically active.

A lot of running, dancing or other high-impact activities can initiate the condition, says Christina S. Long, DPM, podiatrist at Wake Forest Baptist Health. “Repetitive pulling of the plantar fascia, the 3 bands of tissue that run from the bottom of the heel to the ball of the foot, can cause inflammation and micro tears, which most commonly lead to pain at the bottom of the heel and sometimes through the bottom arch of the foot,” she explains. Read more here

When you are diagnosed with plantar fasciitis, you need to learn how to manage it. Sometimes, physical therapy will help alleviate the pain. However, it is essential for you to seek the root cause of the condition to help you manage it better. For example, if an intense physical activity or wearing the wrong shoes is the cause, you need treatment. However, you also need to avoid activities that put extreme pressure on your feet.

In the following article, Markham Heid discusses some of the best ways to treat plantar fasciitis.

The Best Treatments for Plantar Fasciitis

Often described as a throbbing pain that strikes the meat of the heel and radiates outward, plantar fasciitis is one of the most common foot conditions in the U.S. Roughly 2 million Americans suffer from it, and it can last anywhere from a few weeks to several months at a stretch. In some cases, it can even be a chronic ailment.

The plantar fascia is a fan-shaped band of connective tissue that runs along the underside of the foot, spanning the arch and attaching at the heel and between the bones of the toes. Plantar fasciitis results when that connective tissue is somehow injured or inflamed… Read more here

When in pain, you should probably ask the doctor for the best treatment because all you want is for the pain to be eased. However, what may be the best treatment for you may not work for someone else. Doctors look at how severe the damage is when recommending treatment. For some people, surgery may be the appropriate treatment because of the extent of damage to the tissues.

It is best to pay a visit to a bone specialist or orthopaedic doctor for an accurate diagnosis of your foot or plantar fasciitis problem and go for the right healing plan.