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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 […]

Clinical Evaluation-Physical Findings

Distinguishing anterior shoulder pain caused by biceps tendon disorders as opposed to subacromial impingement can be difficult, as these two entities usually co-exist. Although there are some exam maneuvers, which attempt to isolate the biceps tendon, there is still a fair amount of overlap and the definitive diagnosis of isolated biceps tendon pathology is extremely […]

Biceps Tendon Rupture

Although acute ruptures of the LHB do occur, they are more commonly the end result of chronic biceps tendinitis. Acute ruptures can occur with a violent force placed on the LHB such as with a fall on an outstretched hand. Another traumatic event, which can cause significant damage to the LHB, is rapid deceleration of […]

Diagnostic Imaging

Because rotator cuff pathology can represent as a wide spectrum of disease, there is some utility to compartmentalizing the most common entities in an effort to develop algorithms which guide treatment. The management of impingement with or without associated cuff tearing, partial thickness-tears and full-thickness rotator cuff injuries will be the primary topics of this […]


Glenohumeral arthrosis has been a well-described complication of various surgical procedures to correct shoulder instability. Over-tightening of the anterior structures, can result in stiffness, and drive the humeral head posteriorly, creating shear on the cartilage and early arthrosis.

Some patients paradoxically may have instability and stiffness. They feel unstable because of excessive laxity in […]

Physical Exam

A thorough physical examination should include careful evaluation of the cervical spine to rule out a neurologic problem such as a herniated cervical disc that can mimic shoulder pathology. This is especially true if a patient presents with bilateral symptoms.

If subacromial impingement is suspected, specific tests should be used and documented. The Neer and […]

Combined dorsiflexion-eversion


This is a specific test to demonstrate anterior periostitis of the fibula.


The knee is slightly flexed and the ankle in neutral position. The examiner is distal to the foot. His ipsilateral hand supports the heel and the contralateral hand is placed against the plantar and lateral side of the foot. […]

Distal Ulnar Neuritis (Guyon’s Canal Syndrome)

The ulnar nerve can be subjected to pressure where it crosses the wrist on the inner aspect of the hand. The pressure is caused by friction or impingement of the local tissues against the nerve causing mechanical irritation, as can happen during cycling. The symptoms of ulnar neuritis are pain and numbness in the little […]

Posterior Elbow Injuries

Posterior tennis elbow

Posterior tennis elbow, also known as posterior olecranon impingement or hyperextension elbow injury, is associated with aggressive elbow extension during the follow-through phase. The olecranon can impinge on the posterior aspect of the humerus and cause problems, such as triceps tendinosis. Osteophytes can form on the olecranon by forced hyperextension of the […]

Injuries affecting the Upper Arm

Overuse injury of the long tendon of the biceps

Overuse injury of the long tendon of the biceps is usually secondary to another shoulder injury such as impingement or instability. The biceps injury is usually of a degenerative nature. Midsubstance degenerative changes in a tendon are referred to as tendinosis. This biceps tendon glides over […]