Knee pain is a common problem in Asia, especially in individuals above the age of 40. The most common cause of knee pain is degenerative osteoarthritis. Women are more prone to the disease. It is characterized by mild to debilitating pain. The treatment ranges from physiotherapy, medication, injection and surgery. Once the condition is diagnosed, it is important to choose the treatment according to the individual’s age, and the severity of the symptoms.

WHAT IS OSTEOARTHRITIS?

Osteoarthritis is a common problem for many people after middle age. Osteoarthritis is sometimes referred to as degenerative, or wear and tear arthritis. It is the most common forms of arthritis. The disease causes cartilage breakdown found in joints. This breakdown removes the buffer between bones and the resulting bone against bone friction causes pain and eventual loss of movement. Bone spurs may form around the joint as the body’s response.

The symptoms of osteoarthritis are mainly pain, swelling, and stiffening of the knee. Osteoarthritis develops slowly, but may present with sudden attacks of knee pain. The pain of osteoarthritis is usually worse after activity. Some patients may have pain and stiffness on standing after a prolonged sitting period. Activities such as squatting and climbing of stairs become painful. In the late stages, the pain is worse with walking. The knee becomes difficult to straighten or bend fully.

HOW DO YOU GET OSTEOARTHRITIS?

There are a wide array of factors that cause the development and progression of the disease.

RISK FACTORS INCLUDE:

•             Aging

•             Obesity

•             Joint injuries (sports, work or accidents)

•             Genetics

HOW DO PATIENTS FIND OUT IF THEY HAVE OSTEOARTHRITIS?

An individual must be diagnosed by a doctor. After a physical examination and full detailing of symptoms, the physician may also recommend X-rays to confirm presence of the disease. X-rays are very helpful in the diagnosis and may be the only special test required in the majority of cases. In some cases of early osteoarthritis, the X-rays may not show changes typical of osteoarthritis. If the diagnosis is still unclear, arthroscopy may be necessary to actually look inside the knee and see if the joint surfaces are beginning to develop changes from wear and tear. Arthroscopy is a surgical procedure where a small fibre-optic television camera is inserted into the knee joint through a very small incision, about 5mm. The surgeon can then move the camera around inside the joint while watching the pictures on a TV screen. The structures inside the joint can be examined with small surgical instruments to see if there is any damage.

TREATMENT OF  OSTEOARTHRITIS

• Weight management to relieve stress on weight-bearing joints

• Glucosamine Sulphate 1500mg per day

• Anti-inflammatory drugs and analgesics

• Injection of lubricants into the knee

• Arthroscopy to wash away the inflamed fluid, debris and loose fragments inside the joint.  Abrasive-therapy to stimulate cartilage growth

• Osteotomy to straighten the leg to reduce the stress acting on the bad part of the knee.

• Partial knee replacements (unicompartmental knee replacement – replaces only the diseased portion of the joint)

• Total knee replacement (used when severe osteoarthritis is present)

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•             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 covering around the top of the upper arm bone (humerus). The rotator cuff holds the humerus in place in the shoulder joint and enables the arm to rotate.

Rotator cuff tear is a common cause of pain and disability among adults. Most tears occur in the supraspinatus muscle, but other parts of the cuff may be involved.

WHAT IS SHOULDER IMPINGEMENT?

The most common cause of rotator cuff problems is a disorder known as impingement where the cuff impinges against the acromion, which overhangs the rotator cuff. In some people, this space is inadequate to allow the normal smooth gliding movements of the rotator cuff as it moves the arm. Every time they raise an arm, the rotator cuff is pinched between the two bones.

In other cases, impingement is caused by accident or injury. Most often, it occurs with aging. As people grow older, their shoulder muscles and tendons weaken, causing the shoulder joint to become less stable. The space between the upper arm and the acromion narrows. The rotator cuff has less room to move. The increased pressure gradually damages the rotator cuff.

Although the rotator cuff can tear suddenly as a result of a serious injury, most rotator cuff problems develop over time. Over a period of months or years, impingement causes the rotator cuff to become irritated, to tear partially, or to tear completely.

WHAT IS ROTATOR CUFF TENDINITIS?

The term tendinitis refers to chronic irritation, inflammation, or tearing of the rotator cuff that occurs as a result of impingement or overuse. Tendinitis bothers some people for a time and then seems to disappear. Their symptoms vary greatly, depending on several factors, the most important of which is how they use the affected shoulder or shoulders.

Some people with tendinitis also develop calcium deposits or abnormal bone growths called bone spurs. Both can aggravate tendons, contributing to the weakening, partial, or complete tearing of the rotator cuff.

WHAT IS SHOULDER BURSITIS?

A bursa (plural bursae) is a soft, fluid-filled sac that helps to cushion and lubricate joints. In the shoulder, there are bursae located between the rotator cuff and the shoulder blade. When a bursa becomes irritated or inflamed, it causes bursitis. Pain and swelling of the joint often accompany bursitis.

WHAT CAUSES ROTATOR CUFF PROBLEMS?

The most common cause of rotator cuff problems is shoulder impingement, in which there is a narrowing of the gap between a portion of the shoulder blade known as the acromion and the top of the upper arm bone. This causes increased friction and gradually damages the rotator cuff.

Rotator cuff tears can also happen suddenly; for example, when a person tries to lift a heavy object above the head. Repeatedly performing a strenuous task such as throwing a baseball can also damage the rotator cuff. In such cases, the excess strain on the rotator cuff causes one or more tendons to tear.

Seek professional treatment now!
For Appointment,call: (+65) 6471 2674 – 24HRS Hotline
Or you can email to enquiry@orthoclinic.com.sg

Or you can make an appointment here with us now!

Your Name (required)

Your Email (required)

Handphone

Date and Time