• 22
  • Nov
Plantar Warts
ps General,Lower Limb Comments Off on Plantar Warts

What is a plantar wart?

Plantar Warts
Plantar Warts

A plantar wart is a flat, rough, hard lump on the bottom of your foot. Plantar warts are most common in children and young adults, but anyone can get them. You may have a plantar wart for a few months or years.

What causes plantar warts?

Plantar warts are caused by a germ called human papillomavirus or HPV. HPV can enter the skin through cuts or scratches on the plantar area (bottom) of the foot. The virus infects the skin and causes some of the skin cells to grow too fast. This thick overgrowth of skin cells makes a plantar wart. Picking or scratching the wart may cause the virus to spread.

What are the signs and symptoms of plantar warts?

  • A plantar wart may be gray, brown, or the same color as your skin. It usually has blood vessels on it that look like tiny dark dots. You may have one plantar wart or a cluster of them. Your plantar wart may start small, but can grow larger.
  • A plantar wart often appears flat on the bottom of your foot. A plantar wart can grow deep into the skin and may cause pain when walking or standing. It may feel like a small rock in your shoe when you stand on it.

How are plantar warts treated?

Since many warts disappear in time, you may wait for your wart to go away. You may try using over-the-counter (OTC) wart medicine bought at a drug or grocery store. Your OTC wart medicine may come as a liquid, gel, or medicine pad. Always read label instructions carefully before using OTC wart medicine. Some people keep their wart covered with duct tape or adhesive tape to try to make it go away. If your wart is painful or does not go away, you may need to receive treatments from our doctor.

The most effective way is surgically remove warts. Before surgery, our doctor will give you skin numbing medicine. During surgery, our doctor may cut away the wart tissue with a scalpel (surgery knife). Then your caregiver may burn the wart and its blood vessels with an electric needle. Electricity goes into the needle to heat it, but does not go into your body.

Call (+65) 66532604 (24 Hours) Now to remove plantar warts today.

  • 22
  • Nov
Tennis Elbow or Medial Epicondylitis
ps Upper Limb Comments Off on Tennis Elbow or Medial Epicondylitis

What is Tennis Elbow or Medial Epicondylitis?

Tennis Elbow
Tear in the Tendon Causing Tennis Elbow

Tennis elbow is characterized by soreness or pain on the outside of the upper arm near the elbow. There may be a partial tear of the tendon fibers which joins the muscle to bone near their point of origin on the outside of the elbow.

How is Tennis Elbow or Medial Epicondylitis Diagnosed?

The diagnosis is made based on signs and symptoms given that x-rays usually appears normal. There will often be pain or tenderness when the tendon is gently pressed near where it attaches to the upper arm bone, over the outside of the elbow.

What are the Causes?

This injury is due to repeated motions of the wrist or forearm. The injury is typically associated with tennis playing, hence the name “tennis elbow.” However, any activity that involves repetitive twisting of the wrist for example, using a screwdriver can lead to this condition.

What are the Treatments?

Treatments include heat therapy, local injection of cortisone and numbing medication, physical therapy and shockwave therapy to break up scar tissue which promotes healing and increases blood flow to the afflicted area.
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  • 22
  • Nov
Anterior Cruciate Ligament (ACL) Reconstruction
ps Lower Limb Comments Off on Anterior Cruciate Ligament (ACL) Reconstruction

Anterior Cruciate Ligament (ACL) Reconstruction Programme

We have designed this Anterior Cruciate Ligament Reconstruction Programme for sportsmen or any individual who needs to get back to sports or daily activities in a safe, fast and effective method.

The anterior cruciate ligament is one of the four primary ligaments around the knee joint. It is the major stabilising ligament of the knee. The ACL can be injured by trauma or sports. If the ligament is completely torn, it will not heal. At the time of injury, the following may occur:

  • a “POP” from the injured knee
  • rapid development of a swollen knee
  • inability to continue playing the game
Anterior Cruciate Ligament (ACL) Tear

The primary aim of the ACL programme is to achieve a stable knee so as to prevent further injuries to the meniscus and cartilage of the joint and the secondary aim is to enable patients to return to their favourite sports activities. This is a unique and comprehensive treatment programme specifically tailored for patients with an ACL injury.

ACL Reconstruction Surgery

During this surgery, the remnants of your torn ACL need to be removed, and a similar ligament from somewhere else around your knee is inserted in the place of the original ACL.

The grafts used are the medial hamstring tendons, the central third of your patellar tendon and occasionally, an “allograft” from a cadaver. You may speak to our surgeon regarding the advantages and disadvantages of these grafts.

How this programme will help you

The team will help you understand your injury and treatment options by providing relevant information and instructional aids. Your progress in this programme will be closely monitored by the attending Specialist Orthopaedic Surgeon and Sports Physiotherapist who will be with you until the end of your treatment.

You will have access to the latest technology and gym equipment to help you recover.

You will be trained on how to prevent future knee ligament injuries.

Who it is for

For people with ACL injuries to achieve a stable knee and prevent further injuries to the meniscus and cartilage of the joint and who want to return to their active lifestyle.

For Appointment

Call:+65 66532604

Email: ps@orthopaedicsurgeon.com.sg

WhatsApp or SMS:+65 96584362

  • 22
  • Nov
Running Technique
ps General Comments Off on Running Technique

A good running technique teaches you the best way to run in order to minimise the risk of injury and improve running efficiency.

Every runner has his or her own unique style, and there are no rigid rules that you must follow. But there are guidelines you can follow that will improve your running style.

A good running technique helps with the following.

  • Economical running. Having a good running technique can make running more energy-efficient by minimising unnecessary movement. You want all your energy to produce straight ahead movement, not a side-to-side motion.
  • Minimising the chance of injury. When you run, your forward foot hits the ground with a force greater than your body weight. Using the correct running technique and appropriate footwear can help to reduce the landing force and therefore the stress on your bones and muscles, minimising the chance of injury.

Running Technique
Running Technique

Correct running technique

The most important concept is to “run tall” – keep a good upright posture when running – and stay relaxed. Consider the following points when assessing your running technique.

  •  Head
    • Hold your chin up, with your eyes focused forward to a point on the ground about 20 to 30 metres away. Imagine a string tied to the top of your head pulling your body upwards.
  • Shoulders
    • Your shoulders should be square and level. Don’t round your shoulders or swing them forwards or backwards.
  • Arms
    • Keep your elbows bent at approximately 90 degrees (right angles), keeping your forearms roughly parallel to the ground. Your arms should swing freely in a general forwards/backwards motion not a circle or a straight line.
  • Hands
    • Hold your hands in a relaxed fist with the thumb resting on the forefinger.
  • Torso
    • Your torso should be straight, with your chest up and plenty of room for proper breathing. Don’t lean forwards, backwards or slouch, as these postures can interfere with your running mechanics and possibly cause a lower back injury.
  • Hips
    • Keep your hips facing forward with no sideways movement and hold them level horizontally.
  • Legs
    • Your leg action should be relaxed and feel natural.
  • Feet
    • Feet should point straight ahead and land directly under your hips.
  • 21
  • Nov
Trigger Finger and Thumb
ps Upper Limb Comments Off on Trigger Finger and Thumb

What is Trigger Finger and Thumb?

Trigger finger is a common disorder of the hand which causes painful snapping or locking of the fingers or thumb.

Trigger Finger Video

What are the causes of trigger finger?

Trigger Finger
Trigger Finger

The exact cause of trigger finger or thumb is not readily evident. In many cases, the condition may be the result of repetitive strain of the area due to work or hobby activities. Tasks that require monotonous grasping or prolonged use of tools for example scissors, screwdrivers, etc. which press firmly on the tendon sheath at the base of the finger or thumb may irritate the tendons and result in thickening of the tendons themselves or the tendon sheath. Trigger finger may also be associated with conditions such as rheumatoid arthritis, gout or metabolic disorders such as diabetes that produce changes in the connective tissues and synovium.

What are the treatments for trigger finger?

Conservative non-surgical treatment involves avoiding or modifying the activities that have caused the inflammation. Oral anti-inflammatory medications are used to reduce the inflammation or discomfort. Steroid injection may be administered directly into the tendon sheath to reduce the soft tissue swelling. In the event when it does not respond to conservative treatment, surgery may be recommended. Surgery is performed where a horizontal incision is made in the palm at the base of the affected finger or thumb. The surgeon will release the first annular band, relieving the constriction of the tendon as it passes through the sheath.
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