Specialists

Featured on Channel NewsAsia

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 […]

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 […]

Osteochondritis Dissecans

Osteochondritis dissecans (OCD) is a localized separation of a segment of bone and cartilage from the surrounding, normal bone and cartilage. If the bony part of the fragment becomes necrotic (dead),there will be no healing and there will be a complete separation of the fragment from the surrounding tissue. In 75% of cases the lesion […]

Rotator Cuff Rupture

SYMPTOMS

There is usually exercise-related pain and weakness of the shoulder on abduction and in overhead activities. The player may relate that ‘something snapped’ in the shoulder. In many partial ruptures, the initial symptom is secondary impingement or muscle atrophy and weakness.

AETIOLOGY

The onset can be dramatic, with complete loss of abduction […]

Multi-Directional Instabiliy

SYMPTOMS

There is sudden or gradual onset of localised pain in the shoulder, usually during overhead activity. Typically, pain occurs in specific positions or during different movements. Sometimes there is a sense of weakness or instability.

AETIOLOGY

Multi-directional laxity is a hereditary condition caused by a loose shoulder joint capsule. In many sports, […]

External Impingement

SYMPTOMS

There is gradual onset of pain in the shoulder on overhead activity involving internal rotation and abduction. Typically, the pain is worst in one specific position or during a certain movement but often the shoulder gradually stiffens up, restricting abduction and rotation. It is painful to sleep on that side and movement becomes […]

Arthroscopy

Basics Description Arthroscopy should be performed after a complete history and physical examination and after appropriate imaging studies have been obtained. Most procedures can be performed on an outpatient basis. Knee: Indications: Meniscal repair or debridement Meniscal cyst Treatment of osteochondral lesions ACL or PCL tear debridement or reconstruction Synovial biopsy or synovectomy Determination […]

Common Shoulder Disorders

• Rotator Cuff Tear and Tendinitis

• Shoulder Dislocation

• Adhesive capsulitis/ Frozen Shoulder

• Bursitis

Treatment

• Physiotherapy

• Shock wave therapy

• Anti-inflammatory Injection

• Arthroscopy

• Arthroscopic repair and acromioplasty

WHAT IS A ROTATOR CUFF TEAR?

The rotator cuff is the network of muscles and tendons that forms a […]

A Patient’s Guide to Impingement Syndrome

Introduction

The shoulder is a very complex piece of machinery. Its elegant design gives the shoulder joint great range of motion, but not much stability. As long as all the parts are in good working order, the shoulder can move freely and painlessly.

Many people refer to any pain in the shoulder as bursitis. The […]