Shin Splints

Get professional Opinion and Treatment about your Shin Splint today. Effective and fast relief treatment by Experienced Knee Sports Surgeon. Call us +65 97731458 to schedule for an appointment.

Shin splints are injuries to the front of the outer leg. While the exact injury is not known, shin splints seem to result from inflammation due to injury of the tendon (posterior peroneal tendon) and adjacent tissues in the front of the outer leg.

Shin splints are a member of a group of injuries called “overuse injuries.” Shin splints occur most commonly in runners or aggressive walkers.

What are Shin splints symptoms?
Shin splints cause pain in the front of the outer leg below the knee. The pain of shin splints is characteristically located on the outer edge of the mid region of the leg next to the shinbone (tibia). An area of discomfort measuring 4-6 inches (10-15 cm) in length is frequently present. Pain is often noted at the early portion of the workout, then lessens, only to reappear near the end of the training session. Shin splint discomfort is often described as dull at first. However, with continuing trauma, the pain can become so extreme as to cause the athlete to stop workouts altogether.

What causes Shin Splints?
A primary culprit causing shin splints is a sudden increase in distance or intensity of a workout schedule. This increase in muscle work can be associated with inflammation of the lower leg muscles, those muscles used in lifting the foot (the motion during which the foot pivots toward the tibia). Such a situation can be aggravated by a tendency to pronate the foot (roll it excessively inward onto the arch).

Similarly, a tight Achilles tendon or weak ankle muscles are also often implicated in the development of shin splints.

How are Shin Splints diagnosed?
The diagnosis of shin splints is usually made during examination. It depends upon a careful review of the patient’s history and a focused physical exam (on the examination of the shins and legs where local tenderness is noted).

Specialized (and costly) tests (for example, bone scans) are generally only necessary if the diagnosis is unclear. Radiology tests, such as X-rays, bone scan, or MRI scan, can be helpful in this setting to detect stress fracture of the tibia bone.

What is the treatment of shin splints?
Previously, two different treatment management strategies were used: total rest or a “run through it” approach. The total rest was often an unacceptable option to the athlete. The run through it approach was even worse. It often led to worsening of the injury and of the symptoms.

Currently, a multifaceted approach of “relative rest” is successfully utilized to restore the athlete to a pain-free level of competition.

Get professional Opinion and Treatment about your Shin Splint today. Effective and fast relief treatment by Experienced Knee Sports Surgeon. Call us +65 97731458 to schedule for an appointment.

Sciatica

Patient Education Spine ConditionsLower Back Pain
The term sciatica describes the symptoms of leg pain and possibly tingling, numbness or weakness that originates in the low back and travels through the buttock and down the large sciatic nerve in the back of the leg.

The vast majority of people who experience sciatica get better with time (usually a few weeks or months) and find pain relief with non-surgical sciatica treatment. For others, however, sciatic nerve pain can be severe and debilitating.

Sciatica is often characterized by the following symptoms:

  • Pain on one side of the buttock or in one leg that is worse when sitting
  • Burning or tingling down the leg
  • Weakness, numbness or difficulty moving the leg or foot
  • A constant pain on one side of the rear
  • A sharp pain that may make it difficult to stand up or to walk

What are the causes of Sciatica Symptoms?

The main cause of sciatica is generally a result of a disc herniation directly pressing on the nerve. However any cause of irritation or inflammation of this nerve can reproduce the symptoms of sciatica. These causes include irritation of the nerve from adjacent bone, tumors, muscle, internal bleeding, infections, injury, and many others.

Sciatica Symptoms

For some people, the pain from sciatica can be severe and debilitating. For others, the pain might be infrequent and irritating, but has the potential to get worse.

While sciatica can be very painful, it is rare that permanent sciatic nerve damage (tissue damage) will result. Most sciatica symptoms result from inflammation and will get better within two weeks to a few months. Also, because the spinal cord is not present in the lower (lumbar) spine, a herniated disc in this area of the anatomy does not present a danger of paralysis.

While relatively rare, two sciatica-related symptoms that warrant prompt medical attention and possibly emergency surgery, include: progressive weakness in the leg, and either bladder or bowel incontinence or dysfunction. Patients with either of these symptoms may have cauda equina syndromeand should seek immediate medical attention.

What are the treatment options available?

Sciatica nerve pain is caused by a combination of pressure and inflammation on the nerve root, and treatment is centered on relieving both of these factors.Typical sciatica treatment include:

  • Non-surgical sciatica treatments, which may include one or a combination of medical treatments and alternative (non-medical) treatments, and almost always includes some form of back exercises and stretching. The goals of non-surgical sciatica treatment, such as sciatica exercises, should include both relief of sciatica pain and prevention of future sciatica pain.
  • Sciatica surgery, such as microdiscectomy or lumbar laminectomyand discectomy, to remove the portion of the disc that is irritating the nerve root. This surgery is designed to help relieve both the pressure and inflammation and may be warranted if the sciatic nerve pain is severe and has not been relieved with appropriate manual or medical treatments.

Herniated Disc / Slipped Disc

Patient Education Spine ConditionsLower Back Pain

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

What is Herniated Disc / Slipped Disc?

Your spinal column is made of up 26 bones (vertebrae) that are cushioned by disks. The discs protect the bones by absorbing the shocks from daily activities like walking, lifting, and twisting.

Each disc has two parts a soft, gelatinous inner portion and a tough outer ring. Injury or weakness can cause the inner portion of the disc to protrude through the outer ring. This is known as a slipped or herniated disc. This causes pain and discomfort. If the slipped disc compresses one of your spinal nerves, you may also experience numbness and pain along the affected nerve. In severe instances, you may require surgery to remove or repair the slipped disc.

Slip Disc

What are the symptoms of Herniated Disc / Slipped Disc?

You can have a slipped disc in any part of your spine, from your neck to your lower back. The lower back is the most common area for slipped discs. Your spinal column is an intricate network of nerves and blood vessels. A slipped disc can place extra pressure on the nerves and muscles around it.

Symptoms of a slipped disc include:

  • pain and numbness, most commonly on one side of the body
  • pain that extends to your arms or legs
  • pain that worsens at night
  • pain that worsens after standing or sitting
  • pain when walking short distances
  • unexplained muscle weakness
  • tingling, aching, or burning sensations in the affected area

The types of pain can vary from person to person. Please consult a Spine Specialist if your pain results in numbness or tingling that affects your ability to control your muscles.

What causes Herniated Disc / Slipped Disc?
A slipped disc occurs when the outer ring becomes weak or torn and allows the inner portion to slip out. This can happen with age. Certain motions may also cause a slipped disk. A disc can slip out of place while you are twisting or turning to lift an object. Lifting a very large, heavy object can place great strain on the lower back, resulting in a slipped disc. If you have a very physically demanding job that requires a lot of lifting, you may be at increased risk for slipped discs.
Overweight individuals are also at increased risk for a slipped disc because their discs must support the additional weight. Weak muscles and a sedentary lifestyle may also contribute to development of a slipped disc.
People who are 35 to 45 years old are more likely to have a slipped disc. This is because your discs begin to lose some of their protective water content as you age. As a result, they can slip more easily out of place. They are more common in men than women.

What are the effect of the Herniated Disc / Slipped Disc?

An untreated, severe slipped disc can lead to permanent nerve damage. In very rare cases, a slipped disc can cut off nerve impulses to the cauda equina nerves in your lower back and legs. If this occurs, you may lose bowel or bladder control.

Another long-term complication is known as saddle anesthesia. In these cases, the slipped disc compresses nerves and that causes you to lose sensation in your inner thighs, the back of your legs, and around your rectum.

While a slipped disc’s symptoms may improve, they also can worsen. If you cannot perform the activities you once could, it is time to see a spine specialist.

How are Herniated Disc / Slipped Disc diagnosed?

Our spine specialist will first perform a physical exam. He will be looking for the source of your pain and discomfort. This will involve checking your nerve function and muscle strength, and whether you feel pain when moving or touching the affected area. Our spine specialist also will ask you about your medical history and your symptoms. He will be interested in when you first felt symptoms and what activities cause your pain to worsen.

Imaging tests can help the Doctor view the bones and muscles of your spine and identify any damaged areas. Examples of imaging scans include:

  • X-rays
  • CT scans
  • MRI scans

Our spine specialist can combine all these pieces of information to determine what is causing your pain, weakness, or discomfort.

How are Herniated Disc / Slipped Disc treated?

Treatments for a slipped disc range from conservative to surgical. The treatment typically depends on the level of discomfort you are experiencing and how far the disc has slipped out of place.

Most patients can relieve slipped disc pain using an exercise program that stretches and strengthens the back and surrounding muscles. A physical therapist may recommend exercises that can strengthen your back while reducing your pain.

Taking some anti-inflammatory medicines and avoiding heavy lifting and painful positions can also help.

While it may be tempting to refrain from all physical activity while you are experiencing the pain/discomfort of a slipped disc, this can lead to muscle and joint stiffness. Instead, try to remain as active as possible through stretching or low-impact activities such as walking.

If your slipped disc pain does not respond to over-the-counter treatments, our spine specialist may prescribe stronger medications. These include:

  • muscle relaxers to relieve muscle spasms
  • narcotics to relieve pain
  • nerve pain medications like gabapentin or duloxetine

Our spine specialist may recommend surgery if your symptoms do not subside in six weeks or if your slipped disc is affecting your muscle function. Our surgeon may simply remove the damaged or protruding portion of the disc without removing the entire disc. This is called a microdiscectomy.

In more severe cases, our surgeon may replace the disc with an artificial one or remove the disc and fuse your vertebrae together. This procedure, called a laminectomy, adds stability to your spinal column.

Is it possible to prevent a Herniated Disc / Slipped Disc?

It may not be possible to prevent a slipped disc, but you can take steps to reduce your risk of developing a slipped disc. Those steps include:

  • Use safe lifting techniques: Bend and lift from your knees, not your waist.
  • Maintain a healthy weight.
  • Do not remain seated for long periods; get up and stretch periodically.
  • Do exercises to strengthen the muscles in your back, legs, and abdomen.

What is the prognosis for someone with a Herniated Disc / Slipped Disc?

Most people with a slipped disc will respond well to conservative treatment. Within six weeks their pain and discomfort will gradually lessen.

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