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Orthopaedic and Pain Management Services Available in Singapore

At The Orthopaedic and Pain Practice, our doctors work as a team. Problems that are difficult to diagnose and treat traditionally can often be best managed using a multidisciplinary approach. Different surgical procedures have different impacts and outcomes, and we believe that correct patient selection and education are important. The principles of minimally invasive surgery, tissue-sparing techniques, rapid rehabilitation processes, and the best mechanisms of achieving pain relief and restoration of function are just some tools that are available in our orthopaedic and comprehensive pain management system.

The Orthopaedic and Pain Practice is developed for patients with orthopaedic or pain-related complaints. Our comprehensive orthopaedic and pain management services ensure that the best possible solutions are available to manage your condition. If your muscles, bones, or joints are causing pain or limiting your daily activities, we can help you. Alleviate neck pain through a combination of pain management techniques and ergonomic adjustments.

Overview of Services Offered

Our orthopaedic and trauma team aims to provide comprehensive care to our patients. The scope of care encompasses a variety of musculoskeletal problems including bone fracture, back pain, sciatica, sports injury, knee joint pain, shoulder joint pain, hand numbness, carpal tunnel syndrome, trigger finger, ganglion, joint dislocation, muscle and tendon injury, ligament injury, osteoarthritis, osteoporosis, gout, bunions, claw toes, diabetic foot problem, and many others. The care teams in our clinic consist of orthopaedic surgeons. Our priority is to provide the most appropriate treatment to our patients depending on the nature of the problem. Best treatment for neck pain often includes a tailored approach of medications, physical therapy, and lifestyle changes based on the underlying cause.

Expertise of Orthopaedic Surgeons

Neck nerve pain treatment may involve medications, physical therapy, and, in some cases, minimally invasive procedures to relieve pressure on the affected nerves. All our orthopaedic surgeons are accredited and well-trained in performing multiple orthopaedic surgical procedures such as arthroscopic, joint replacement, and spinal surgery. Our surgeons have experience dealing with sports-related injuries and are able to provide arthroscopic surgeries of the knee, ankle, and shoulder. They are also competent in providing joint replacement surgeries for those suffering from degenerative joint conditions. Our surgeons are well-qualified to conduct spinal surgery to alleviate any pain or discomfort resulting from spine and/or disc degeneration. Our orthopaedic surgeons are committed to providing you with the best professional advice in managing and taking care of your bone and joint problems.

Alleviating Neck Pain

Chronic neck pain patients’ conditions should not deteriorate progressively in the short term, and likewise, surgery is necessary sparingly for chronic neck pain. In general, a complete cervical spine rehabilitation plan must include both active physiotherapy exercises and a return to a normal lifestyle. This must be combined. Taking a pain reliever or steroid injection or blocks may or may not help reduce your pain in the short run, but it will certainly not prevent a recurrence of the condition. Cranial therapy and manipulation may also help in the short term, but it has insufficient or no effect on chronic conditions. General fitness also strengthens the neck muscles. However, degenerative conditions and muscle fibrosis in the long term are rarely affected.

It is important to start neck rehabilitation during the acute phase because a breakdown of the muscle fiber, and minor tears in the annulus fibrosus, collagen in the outer layers of the disc occur at this time, which will lead to scarring in these areas. If rehabilitation is delayed, the collagen laid down may end up as scar matter that binds down the nerve roots or the bone. It is important to be patient because a full recovery may take some time. Patients should be patient and remember always that rehabilitation goes a long way to prevent a recurrence or another episode of neck pain with nerve compression.

Most of the time, neck pain can be managed conservatively, and no hospital stay is required. Surgery and injection treatment are required only rarely. Hence, before considering any surgical or injection treatments, many other conservative treatment strategies should be implemented. An important first step in treatment is to determine the cause of the pain, and then to recommend therapies that will improve the condition. These are the aspects that we emphasize in our approach to managing these problems at our facility.

Neck pain is a common complaint. It is often described as pain in the neck or upper shoulder region that may extend down an arm or arms. Neck pain may result from a variety of causes, including injury, muscular problems, prolapsed intervertebral disc, or disease which may involve and be directly related to the structures in the neck, or even referred from other structures in the body. Pain is the primary symptom of neck pain, and sometimes, limitation of activities is present. Neck pain that continues for more than a few days should be examined by a doctor, who can then recommend treatment for the neck pain.

Non-Invasive Treatment Options

In bursitis, the large sacs under the skin at the various pressure points in the body become inflamed. Common sites affected by bursitis include the subacromial bursa in the shoulder, the digitotalar joint on the top of the foot, the prepatella bursa on the kneecap, and the base of the heel on the back of the foot. The cause of bursitis is similar to arthritis – repeated pressure on the bursa resulting in bursal thickening due to overactive rotation of fibroblasts in response to the inflamed bursal lining. This thickened bursa is prone to injury and secondary inflammation after increased physical activity. In the treatment of bursitis, the benefit of superficial injections for pain relief can be used repeatedly but with caution to avoid scarring. This superficial anesthetic gives immediate pain relief.

Arthritis at the superficial joints is most amenable to superficial injection of combined local anesthetics and corticosteroids under ultrasound guidance. In arthritis, the joint capsule gets inflamed resulting in effusion of the joint. Superficial joints in the body include all joints you could ‘feel’ below the skin. These include shoulders, knees, elbows, hips, wrists, fingers, toe joints, ankles, hips, knees, ankles, elbows, wrists, and the base of thumb and great toe. Debridement of these effusions through a thin needle placed in the joint under ultrasound guidance speeds up the recovery time and causes immediate pain relief.

Individualized Treatment Plans

Individuals may experience mild, moderate, or severe problems at any stage of the process, with the level of discomfort and lost function frequently associated with the duration and severity of the chilled decomposition experience. Because many orthopaedic conditions are complex and affect many different tissues, management appears to be most rational when it considers the multi-component contribution to chronic pain and damage generation common in most slowly developing orthopaedic conditions. Using this outcome, the orthopaedic practitioner is good at recognizing the various factors in play within an already developed orthopaedic condition and bone problems, and tailoring a specific plan of care to each patient. With this approach, individuals are led to take measures that not only promote tissue healing but also maximize their level of tissue healing.

Neck Nerve Pain Treatment

Cervical radiculopathy describes the symptoms caused by irritation or compression of a nerve coming out of the spinal cord in the neck. The affected nerve may be irritated by a prolapsed, bulging or herniated intervertebral disc, or by a degenerative spur of bone as it leaves the spine. The true cause of cervical radiculopathy is often debated, as the examination findings may not correlate with the X-ray or MRI findings. Surgery may be indicated in severe cases not relieved by other treatment measures. It is also the kind of pain most often caused by whiplash-like injury, causing torticollis, which is also managed as part of a neck nerve pain treatment.

Some nerves are more commonly ‘pinched’ than others, and to be able to provide a more accurate diagnosis, it is necessary to follow the path to determine where the nerve originates from. The Cervical Plexus consists of nerves from C1 – C4. One of these nerves would typically contribute in certain conditions such as headaches or local pain in the neck or shoulder, delivering sensation to the surrounding skin of the clavicle and shoulder, the junction between neck and shoulder, and the muscles in the skin over the top part of the chest, abdomen, and upper arm.

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