You may need to consider surgical intervention for your back problem that is caused by a tumour or infection.

Removal of Spinal Tumours

Spinal tumours are growths found on the bones and ligaments at the spine, the spinal cord or on the nerve roots. The tumours can be benign (noncancerous) or  malignant (cancerous). During the surgery, the surgeon will remove the tumour or any bone that has damaged.

If some parts of the spine is affected by the disease and needs to be removed, the surgeon can use metal implants, bone grafts or bone cement to make your spine stable.

There are certain types of tumours which you can ignore. However, it is important to speak to a doctor to ascertain that the risks involved is minimum. Get advice from a surgeon who is an expert in treating spinal tumours.

Debridement of the Spine

This surgery is usually recommended for patient who has infection or injury to the spine. Debridement of the spine involves removing parts of the bone or other soft tissues that are infected.

The surgeon will remove the infected and damaged dead bone. The area is then cleaned with sterile solution that contains antibiotics. If the spine is severely affected and requires to remove a lot of the bones or entire vertebrae, he or she may use the spinal fusion (arthrodesis) method to stabilise the spine.

Call +65 6471 2674 for an appointment to see our orthopaedic surgeon to discuss the spine surgery today.

Managing Skin Sores

Skin sores are characterised by the appearance of blisters, bumps or ulcers on the skin around the body.

Some common causes of skin sores include:

  • Underlying health conditions (e.g. eczema, diabetic leg ulcers, skin cancer)
  • Pressure damage (e.g. skin sores)
  • Infection (e.g. cold sores, chicken pox)
  • Burn (e.g. scald, sunburn, frostbite, chemical burn, etc)
  • Injury (e.g. abrasion, cut)
  • Other situations (e.g. insect bites or stings, food allergies, medication side effects or allergies)

Managing Skin Sores:

Skin sores are skin damage as a result of prolonged pressure on the skin coupled with friction.

Due to the pressure, blood flow to the area is reduced, causing tissue damage and sores formation.

Skin sores are more common at areas where the bones are close to the skin (e.g. ankle, back, elbow, hips or buttocks). Bed or wheel-chair bound patients are at a higher risk of developing skin sores.

Skin sores are classified into 4 stages:

Stage 1

Intact skin with discolouration, the skin is firm, soft and with slight pain.

Stage 2

A superficial open wound that resembles a ruptured fluid-filled blister.

Stage 3

A deep wound with a crater-like appearance which may expose some fatty tissues or yellowish dead tissues.

Stage 4

Extensive loss of tissues which may expose the muscles or bones, with dark dead tissues at the bottom.

TIPS:

Stage 1 and 2 skin sores could be managed at home while the higher stages require medical attention as there is an increased risk of infection.

Preventing Diabetic Ulcers

  • Blood sugar levels should be well controlled in a diabetic patient.
  • Proper fitting footwear with adequate supper is important to minimise injury.
  • Minor foot injuries or foot infections (e.g. fungal) should be well-managed.
  • To maintain a clean and healthy foot, clean the foot gently with mild soap and water, pat dry and apply moisturisers.
  • Diabetic patients should have their feet checked regularly by an orthopaedic surgeon.

Self-management for skin sores and diabetic ulcers

A good wound dressing (e.g. foam dressings) for skin sores or diabetic leg ulcers should minimise pain and trauma during dressing change while keeping a moist wound environment. All these factors help to create an ideal environment with minimal wound disturbance for optimal wound healing.

You should see a doctor:

  • If the sore does not seemed to be healing.
  • If there is unbearable pain or the area becomes swollen with foul odour discharge.
  • If you are down with fever.
  • If you experience other new unexplainable symptoms (e.g. nausea)

Let our orthopaedic surgeon advise you on the treatment for Skin Sores. Call +65 64712674 (24 hours) for an appointment.

Surgical Nail Removal Overview

You may want to consider surgical nail removal for severe or recurrent fungal nail infections. The whole nail or only a portion of the nail can be removed surgically.

Surgical nail removal can be done at the clinic. The orthopaedic surgeon will give an injection in the finger or toe for local anaesthesia. He will then start by loosen the skin around the nail and then tries to separate the nail from the skin by using a tool under the nail. If a portion of the nail is infected, only the affected nail is removed.

Our orthopaedic surgeon can remove the root of the nail to prevent the nail from growing back if you have recurrent nail infection that does not seems to go away with conservative treatment.

Your finger or toe will be covered with gauze and tape once the surgery is done.

What to Expect After the Surgical Nail Removal

For the first few weeks after the surgery, keep the wound dry and clean. The wound should heal very well after a few weeks.

Is it Necessary to Have My Nail Surgically Removed?

Surgical nail removal is performed when a large portion of the nail is infected and damaged or the nail is causing you extreme pain. Majority of the cases only requires to remove a portion of the affected nail.

How Well Does Surgical Nail Removal Works?

After the infected nail has been removed, the infection can be further treated by taking oral anti-fungal medicine.

What are the Risks Involved in Surgical Nail Removal?

The risk is very small. It could be:

  • Pain.
  • Infection.
  • Nail grows abnormally.

What to Think About for Surgical Nail Removal?

If you have been having recurrent nail infection, you can choose to have the nail removed together with its root. Once the root of the nail is removed, there is no chance for the infected nail to grow back again.

Call +65 64712674 for an appointment to see our orthopaedic surgeon to treat your infected nail today.

Ingrown Toe Nail

What is Ingrown Toe Nail?

Ingrown Toe Nail
Ingrown Toe Nail

An ingrown toe nail is a painful condition of the toe. It occurs when a sharp corner of the toenail digs into the skin at the end or side of the toe. Pain and inflammation at the spot where the nail curls into the skin occurs first. The inflamed area then starts to grow extra tissue or drain yellowish fluid.

What are the Causes?

Ingrown toe nail can be caused by tight-fitting shoes or high heels causing the toes to be compressed together and pressurize the nail to grow abnormally. Improper trimming of toenails can also cause the corners of the nail to dig into the skin. Disorders such as fungal infections of the nail can also cause a thickened or widened toenail to develop.

How to Prevent Ingrown Toe Nail?

The best method of prevention is careful clipping of the toenails. Toenails should be clipped straight across and taking care to keep the end longer than the skin edge. This prevents the corners from digging into the skin. They should not be rounded or cut too short. Wearing well-fitting shoes helps as well.

What are the Treatments?

Post Ingrown Toe Nail
Post Ingrown Toe Nail

Mild ingrown toenails may be treated with conservative measures like warm daily soaks, topical antibiotics, and gently pushing back the piece of overgrown skin away from the nail. More advanced ingrown toenails may require treatment with oral antibiotics. Resistant or recurrent cases of ingrown toenails may require a minor in-office procedure. Surgical procedures aim to remove the embedded nail from the toe tissue.