Osteochondritis Dissecans

Are you suffering from Osteochondritis Dissecans? Get Effective, Non Surgery Treatment  from Experienced Knee Specialist. Call us +65 97731458 to schedule for an appointment.

Osteochondritis dissecans is a joint condition in which a piece of cartilage, along with a thin layer of the bone beneath it, comes loose from the end of a bone.

Caused by reduced blood flow to the end of a bone, osteochondritis dissecans occurs most often in young men, particularly after an injury to a joint. The knee is most commonly affected, although osteochondritis dissecans can occur in other joints, including your elbow, shoulder, hip and ankle.

If the loosened piece of cartilage and bone stays put, lying close to where it detached, you may have few or no symptoms of osteochondritis dissecans, and the fracture can often heal by itself. Surgical repair may be necessary if the fragment gets jammed between the moving parts of your joint.

What are the symptoms of Osteochondritis Dissecans?
Signs and symptoms of osteochondritis dissecans may include:

  • Pain. The most common symptom of osteochondritis dissecans, pain may be triggered by physical activity — walking up stairs, climbing a hill or playing sports.
  • Joint popping or locking. Your joint may pop or get stuck in one position if a loose fragment gets caught between the bones during movement.
  • Joint weakness. You may feel that your joint is “giving way” or weakening.
  • Decreased range of motion. You may be unable to straighten your leg or arm completely.
  • Swelling and tenderness. The skin around your joint may become swollen and tender.

What are the causes of Osteochondritis Dissecans?
Osteochondritis dissecans appears to be caused by a reduction of blood flow to the end of the affected bone. This may occur from repetitive trauma of small, multiple episodes of minor unrecognized injury that damage the end of the affected bone. There may also be a genetic component involved, making some people more inclined to develop the disorder.

Are you suffering from Osteochondritis Dissecans? Get Effective, Non Surgery Treatment  from Experienced Knee Specialist. Call us +65 97731458 to schedule for an appointment.

Patella Tendonitis

Get professional Opinion and Treatment about you Knee Patella Tendonitis. Effective treatment, Non Surgery by Experienced Knee Sports Specialist. Call us +65 97731458 to schedule for an appointment.

Patellar tendinitis is a common overuse injury. It occurs when repeated stress is placed on the patellar tendon. The stress results in tiny tears in the tendon, which the body attempts to repair. However when the tears in the tendon increase faster than what the body can recover, it causes the inflammation in the tendon to worsen.

HOW IS PATELLAR / QUADRICEPS TENDINITIS DIAGNOSED?

Physical examination by applying pressure to different parts of the knee determines exactly where the pain is. Pain associated with patellar tendinitis usually concentrates on the front part of the knee, just below the kneecap. Ultrasound is also used to reveal the location of tears in the patellar tendon. However MRI can reveal more subtle changes in the patellar tendon.

WHAT ARE THE CAUSES?

Repeated jumping is the most common cause of patellar tendinitis. Sudden increases in the intensity of physical activity or increases in frequency of activity also add stress to the tendon. Additionally, being overweight or obese increases the stress on the patellar tendon which in turn increases the risk of patellar tendinitis.

WHAT ARE THE TREATMENTS?

Treatment includes resting which means to avoid running and jumping, massaging the patellar tendon which encourages tendon healing and strengthening the tendon by strengthening exercises which involve lowering weight slowly after raising it, such as a seated knee extension exercise.

Get professional Opinion and Treatment about you Knee Patella Tendonitis. Effective treatment, non surgery by Experienced Knee Sports Specialist. Call us +65 97731458 to schedule for an appointment.

Knee Osteoarthritis

Treat your Knee Osteoarthritis today. Discuss with our Knee Specialist for the Diagnosis, Treatment and Prognosis of your Knee Pain. Effective and Non-Surgery treatment. Call us +65 97731458 to schedule for an appointment.

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.

Knee osteoarthritis

 

Symptom of Osteoarthritis:

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.

Diagnose Osteoarthritis:

An individual must be diagnosed by a doctor. After a physical examination and full detailing 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.

Prevention Osteoarthritis:

You can take steps to help prevent osteoarthritis. If you already have arthritis, these same steps may keep it from getting worse.

Stay at a healthy weight or lose weight if you need to. Extra weight puts a lot of stress on the large, weight-bearing joints such as the knees, the hips, and the balls of the feet. Too much weight can also change the normal shape of the joint, which can increase your risk for arthritis.

– Be active . A lack of exercise can cause your muscles and joints to become weak. But light to moderate exercise can help keep your muscles strong, reduce joint pain and stiffness, and slow the time it takes for arthritis to get worse. For example, if your quadriceps (the muscles in the front of your thigh) is weak, you may be more likely to get arthritis of the knee. Regular exercise will improve the quality of the cartilage.

– Protect your joints. When you can, try not to do tasks that put repeated stress on your joints, such as kneeling, squatting. And try to use the largest joints or strongest muscles to do things. A single major injury to a joint or several minor injuries can damage cartilage over time. For example, young adults who have had a serious knee injury are more likely to get arthritis.

Exercise is one of the best things you can do to help prevent arthritis from getting worse. It can help keep your muscles strong and reduce joint pain and stiffness. And it can help you reach and stay at a healthy weight.

But you want to make sure that you don’t hurt your joints when you exercise. Before you get started, ask your doctor what kind of activity would be good for you.

Patient with ligament or meniscus injury need to be treated because these will predispose to osteoarthritis.

These tips can help you exercise safely:

– Pace yourself, especially if you haven’t exercised for a while. Start slowly, and don’t push yourself too hard. Then work your way up to where you can exercise for a longer time or do the exercise with more effort.

– Use medicine. If your joint pain gets worse after exercise, you may want to take an over-the-counter pain medicine before you exercise, such as acetaminophen or a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen or aspirin. After you’re done, ice the joints that hurt.

– Rest your joints if they are swollen. For example, if your knees are swollen, don’t use the stairs for a few days. Walk a shorter distance, and switch to swimming or riding an indoor bike.

Know when you have sore muscles and not joint pain. If your muscles are sore, you can safely exercise through the soreness. (You could exercise through joint pain too, but it’s not safe to do so.)

If you have joint pain that lasts for more than a day after you exercise, you need to:

– Rest the joint until your pain gets back to the level that is normal for you.

– Exercise for less time or with less effort.

– Try another exercise that doesn’t cause pain.

Treatment for Osteoarthritis:

Weight management to relieve stress on weight-bearing joints, Glucosamine Sulphate 1500mg per day, Anti-inflammatory drugs and analgesics, Platelet Rich (PRP) Plasma TherapyInjection of lubricants into the knee, Arthroscopy to wash away the inflamed fluid, debris and loose fragments inside the joint, Total knee replacement (used when severe osteoarthritis is present).

Treat your Knee Osteoarthritis today. Discuss with our Knee Specialist for the Diagnosis, Treatment and Prognosis of your Knee Pain. Effective and Non-Surgery treatment. Call us +65 97731458 to schedule for an appointment.

Knee Pain

Dr Ambrose Yung Knee, Sports and Orthopaedic Centre Knee, Sports and Orthopaedic Clinic
 

Stop your Knee Pain today. Effective treatment, Non Surgery. Discuss with our Knee Specialist for the Diagnosis, Treatment and Prognosis of your Knee Pain. Call us +65 97731458 to schedule for an appointment.

Knee pain refers to pain that occurs in and around your knee joint. Knee pain can be caused by problems with the knee joint itself, or it can be caused by conditions affecting the soft tissues, ligaments, tendons, or bursae that surround the knee.

The severity of knee pain can vary widely. Some people may feel only a slight twinge, while others may experience debilitating knee pain that interferes with their day-to-day activities. In most cases, self-care measures can help you cope with knee pain.

The knee consists of two long leg-bones held together by muscles, ligaments, and tendons. Many knee problems are a result of the aging process and continual wear and stress on the knee joint. Other knee problems result from injury or a sudden movement that stiffens the knee.

Knee Pain

 

Some common conditions of Knee Problem include:

  • OSTEOARTHRITIS – 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.
  • LIGAMENT INJURIES – Ligament injuries in the knee; such as an anterior cruciate ligament (ACL) are dreaded by professional and amateur athletes alike. They can be painful and debilitating. They can even permanently change your lifestyle.
  • MENISCAL TEAR – The meniscus is a small “c” shaped cartilage that acts as a cushion in the knee joint. They sit between the femur and the tibia bone, one on the outside and one on the inside of the knee.
  • PATELLAR TENDONITIS – Patellar tendinitis is a common overuse injury. It occurs when repeated stress is placed on the patellar tendon. The stress results in tiny tears in the tendon, which the body attempts to repair.
  • CHONDROMALACIA PATELLA – Chondromalacia patella is a common cause of kneecap pain or anterior knee pain. Often called “Runner’s Knee,” this condition often affects young, otherwise healthy athletes.
  • DISLOCATING KNEECAPS – Kneecap dislocation occurs when the triangle-shaped bone covering the knee (patella) moves or slides out of place. The problem usually occurs toward the outside of the leg.
  • BAKER’S CYST – A Baker cyst is swelling caused by fluid from the knee joint protruding to the back of the knee. The back of the knee is also referred to as the popliteal area of the knee.
  • BURSITIS – A bursa is a closed fluid-filled sac that functions as a gliding surface to reduce friction between tissues of the body.
  • PLICA SYNDROME – Often called “synovial plica syndrome,” this is a condition that is the result of a remnant of fetal tissue in the knee. The synovial plica are membranes that separate the knee into compartments during fetal development.
  • OSGOOD-SCHALLATER DISEASE – Osgood-Schlatter disease is a disorder of the lower front of the knee where the large tendon under the kneecap (patellar tendon) attaches to the bone of the leg below.
  • OSTEOCHONDRITIS DISSECANS – Osteochondritis dissecans is a joint condition in which a piece of cartilage, along with a thin layer of the bone beneath it, comes loose from the end of a bone.
  • GOUT – Gout is a rheumatoid form of arthritis that causes the inflammation, joint pain and swelling especially in the toe, knee and ankle, also reducing their mobility.
  • SHIN SPLINT – Shin splints are a member of a group of injuries called “overuse injuries.” Shin splints occur most commonly in runners or aggressive walkers.

When do you need to see Knee Specialist about your Knee Pain?
If you are unsure of the cause of your symptoms, or if you do not know the specific treatment recommendations for your condition, you should seek medical attention. Treatment of knee pain must be directed at the specific cause of your problem. Some signs that you should be seen by a doctor include:

  • Inability to walk comfortably on the affected side
  • Injury that causes deformity around the joint
  • Knee pain that occurs at night or while resting
  • Knee pain that persists beyond a few days
  • Locking (inability to bend) the knee
  • Swelling of the joint or the calf area
  • Signs of an infection, including fever, redness, warmth
  • Any other unusual symptoms

Treatments for Knee Pain
Treatment of knee pain depends entirely on the cause of the problem. Therefore, it is of utmost importance that you understand the cause of your symptoms before embarking on a treatment program. If you are unsure of your diagnosis, or the severity of your condition, you should seek medical advice before beginning any treatment plan.

Stop your Knee Pain today. Effective Treatment, Non Surgery. Discuss with our Knee Specialist for the Diagnosis, Treatment and Prognosis of your Knee Pain. Call us +65 97731458 to schedule for an appointment.