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Spinal Decompression Surgery & Slip Disc

Spinal Decompression Surgery in Singapore

Spinal Decompression Surgery in Singapore

Microdiscectomy Spine Surgery?

In a microdiscectomy or microdecompression spine surgery, a small portion of the bone over the nerve root and/or disc material from under the nerve root is removed to relieve neural impingement and provide more room for the nerve to heal.

A microdiscectomy is typically performed for a […]

Neck Pain / PID Cervical Spine


Pain located in the neck usually at the back or sides.


Neck pain is evaluated by reviewing the history of the symptoms. In reviewing, the location, intensity, duration, and radiation of the pain will be noted. Any past injury to the neck is also taken into […]

Current Controversies-Initial Radiographic Imaging

On transport to the emergency room, the initial imaging modality to evaluate the cervical spine is plain-film radiography.

Both the NCAA and the Inter-Association Task Force for Appropriate Care of the Spine-Injured Athlete have recommended that initial radiographs be obtained with the helmet and shoulder pads in place (but with the face mask removed). After […]

Current Controversies-Removal of Protective Equipment

Although most prehospital personnel now accept the recommendations of the Inter-Association Task Force for Appropriate Care of the Spine-Injured Athlete, some concern exists on the part of prehospital care providers regarding the inability to fully evaluate the helmeted head and neck before transport to the hospital.

Historically, cervical spine protocols were designed for motorcycle helmets; […]

Protocol for Positioning and Helmet Removal-Management in the Emergency Room

After safe transport, the care of the athlete is transferred to the hospital emergency room personnel. If possible, a member of the on-field medical team should accompany the athlete during transport.

This provides an accurate, knowledgeable briefing to the emergency room physicians, which may be essential during the early management of the case. Furthermore, the […]

Protocol for Positioning and Helmet Removal-Removal of Helmet and Shoulder Pads

Manual stabilization of the cervical spine is maintained by placing one hand on each side of the athlete’s helmet. The chin strap is cut, and all accessible internal padding is removed. The second care provider (team physician) then slides his or her hands along each side of the mandible and stabilizes the cervical spine. […]

Protocol for Positioning and Helmet Removal-The Prone Athlete

If an athlete is found in the prone position after an injury, cervical spine injury should be assumed. The team physician and the training staff should complete their initial evaluation (i.e., primary survey) without moving the athlete. The team physician and athletic trainer position themselves by the patient. The trainer stabilizes the cervical spine […]

Management of Protective Equipment

Collision sports, such as football and ice hockey, further complicate the risk of cervical spine injury because of the protective equipment associated with each athlete. Helmets and shoulder pads aim to protect athletes from contact, but they often provide little additional support for motion of the spine and, quite frankly, make it difficult to assess […]

Management of Cervical Spine Injuries-Scenario 3: Normal Mental Status without Cardiorespiratory Compromise

The most common clinical scenario encountered by the sports medicine physician is the athlete with normal mental status and without cardiorespiratory compromise. Catastrophic cervical spine injury, however, can still occur in this scenario often insidiously.

After the primary survey, a neurologic assessment should be performed. Catastrophic cervical trauma should be assumed in the player with […]

Management of Cervical Spine Injuries-Scenario 2: Altered Mental Status without Cardiorespiratory Compromise

Care of the cervical spine in the collision athlete with altered mental status presents a challenging problem for the sports medicine physician. After a rapid primary survey, a brief neurological assessment is performed to determine the athlete’s level of consciousness.

Important aspects of the on-field neurological examination include assessment of mental status (i.e., Glasgow Coma […]