Entries by Providence Orthopaedics

Recovering from ACL Tear Surgery

The knee is an important joint that helps connect the lower leg with the thigh. While the knee joint helps us extend, flex, and move our legs in certain positions, it is also a common site for dislocation and injury. Read on to find out more about Anterior Cruciate Ligament (ACL) tear surgery, which is one of the most common knee related surgeries, and how to prepare and recover from it

Who is Prone to Suffer from the Condition?

ACL is common among athletes and people who engage in contact sports like football. A direct blow, a twist, or a fall can easily cause it to rupture or tear. When this happens, the knee will become unstable. Severe pain and swelling may follow. If you are sure you have this condition, you must take prompt action to salvage the situation. This may mean everything from signing up for a surgical procedure to physical therapy.

What Happens During ACL Tear Surgery?

Surgery is the most effective way to address a torn ACL. During the procedure, the damaged tissues are replaced with a stronger and healthier one, which is from the region close to the knee. This procedure is carried out using a device known as the arthroscope.

Here are the steps taken during the ACL Tear Surgery:

  • Incisions are made to the knee (2 or more incision)
  • An arthroscope is carefully inserted into any of the incisions made
  • Other surgical instruments are inserted to repair the affected area

Preparing for ACL Tear Surgery

You likely may be admitted on the day of your surgery, or the day before. If you have an existing medical condition or other medical issues, you may be admitted even earlier.

Below are some things that you should do and avoid on or before the day of your surgery.

Smoking

Your doctor will ask you to stop smoking a week before your surgery. Ignore this, and a complication may occur during or after your surgery and you may recover at a much slower rate.

Food

You must not consume any sort of food or drink, not even water on the day of your surgery. The reason for this is to prevent you from vomiting during surgery.

Have enough rest

Don’t engage in any stressful or strenuous activity on the day of your surgery. Try to relax and sleep for 7-8 hours the night before your operation. Don’t hesitate to let your doctor know if you need some sort of medication to help you sleep well.

On the Day of Your Surgery

Your doctor will likely advise that you take a bath and brush your teeth on the day of your surgery. Try not to drink anything, though. If you have to take some sort of medication, perhaps to address an existing medical condition, then you should take it with sips of water.

 Your nurse or doctor will ask you to do the following before your surgery:

  • Change into a gown
  • Remove makeup, dentures, jewellery, contact lenses, and so on
  • Urinate and rest while waiting

After the Surgery

After the operation, you will be taken to a recovery area. There, your heart rate, breathing, and blood pressure will be closely monitored. Don’t hesitate to inform your doctor or nurse if you are experiencing any pain, nausea or giddiness. These are likely side-effects from the anaesthesia but being vocal about the pain will help medical staff keep track of your status and react quickly if any complications arose after the ACL tear surgery.

Rehabilitation

If no complications arise after surgery, your surgeon and physiotherapist will put together a rehabilitation plan for you. Your physiotherapist will likely instruct you to start with low-intensity exercises, like kneeling and hip bending. He or she will also teach you how to walk with a pair of crutches.

To ensure that you recover quickly, you must follow the instructions of your surgeon and physiotherapist to the later. Contact your doctor if you start experiencing serious pain or have any questions about recovery. Come for regular check-ups and practise the rehabilitation exercises at home for strengthening your knee. Be sure to eat healthy and nourishing foods, hydrate frequently and rest at home to recover well from the ACL surgery.

Read more about the ACL Tear Surgery offered here at Providence Orthopaedics.

Book an Appointment/ Send Us An
Enquiry Or Call us at +65 66842330

CAPTCHA image

This helps us prevent spam, thank you.

Calf stretches and how to do them.

The calf is in the back of the lower leg, below the knee. It consists of two muscles: the gastrocnemius and the soleus. Muscle tightness and cramps commonly occur in the gastrocnemius muscle causing soreness and pain.
Most athletes or frequent runners may develop tight calf muscles as a result of overactivity or insufficient stretching. Calf stretches can help relieve associated soreness and pain. In some cases, calf pain results from more serious underlying medical conditions such as deep vein thrombosis (DVT) and peripheral vascular diseases which will require medical attention.

Here are some stretches that can help relax tight calf muscles and relieve any associated discomfort.

  1. Calf muscle stretch with wall

With a wall
Step 1: Stand about an arm’s length in front of a wall. Place the right leg in front of the left. Reach both arms to the wall.

Step 2: Press the back (left) heel into the floor and straighten the back leg while keeping the front leg bent. Hold this position for 15–20 seconds.

Step 3: Repeat the stretch on the opposite side.

Tips
A person should feel the stretch down their calf muscle and into their heel. If this is not the case, slide the back leg further away until you feel the stretch. Avoid arching the back when performing this stretch.

  1. Heel cord stretch with bent knee

Image result for heel cord stretching exercises

This stretch requires the use of a wall/chair.
Step 1
: Stand with the right leg in front of the left leg.

Step 2: Lightly bend the back (left) knee and point the toes inward a little. Press both hands against the wall.

Step 3: Keeping both heels flat on the ground, press the hips toward the wall. Hold the position for 30 seconds.

Step 4: Repeat the stretch on the opposite side.

Tips
When performing this stretch, try to keep the hips centered over both feet and avoid leaning to one side.

 

  1. Towel Stretch

Image result for towel strecth

This stretch requires a  towel.

Step 1: Sit on the floor with both legs straight out in front.

Step 2: Loop the hand towel around the ball of one foot. Hold both ends of the towel.

Step 3: Keeping the legs straight, pull the towel toward the body, and hold the position for 30 seconds. Then, relax for 30 seconds.

Step 4: Repeat the stretch three times, then do the same on the other side.

Tips

Control the intensity of the stretch by pulling harder on the towel, if necessary.
The back should be straight for the duration of the stretch
.

 

  1. Calf raises

Image result for calf raises

This requires a tabletop or chair for support.

Step 1: Stand with equal body weight on each foot. Hold on to a tabletop or the back of a chair for balance.

Step 2: Bend the right knee and lift the right foot. The left foot should take all of the body’s weight.

Step 3: Keeping the left leg straight, raise the left heel as high as possible. Lower it, and repeat this movement 10 times.

Step 4: Switch to the opposite side.

 

5. Plantarflexion and ankle dorsiflexion

These exercises require the use of an elastic stretch band that provides comfortable resistance.

Each stretch can help strengthen the calf muscles, providing better support for the lower leg, foot, and ankle. Strengthening these muscles can also help prevent injuries.

  • Dorsiflexion stretch

Image result for dorsiflexion stretch

Step 1: Sit on the floor with legs straight out in front.

Step 2: Anchor the elastic band tightly around a stable piece of furniture, such as a heavy chair or table. Wrap the opposite end of the band around the foot.

Step 3: Pull the toes toward the body, then slowly return them to the starting position.

Step 4: Repeat the movement 10 times, then change to the opposite side.

  • Plantarflexion stretch

Image result for plantar flexion stretch

Step 1: Sit on the floor with the legs straight out in front.

Step 2: Wrap one end of the elastic band around one foot, and hold the opposite end.

Step 3: Gently point the toes forward, then slowly return to the starting position.

Step 4: Repeat this movement 10 times, then change to the opposite side.

Tips

Make sure the elastic band is providing comfortable resistance to the movements. If it is not, sit farther from the piece of furniture or pull harder on the band.

 

Summary

Stretches can help relieve tightness and pain in the calf muscles when the discomfort results from overactivity or insufficient stretching. Massages and cold or hot compresses can also help.

Some people require a conditioning and stretching program that is tailored to their needs and goals. A physiotherapist or an orthopaedic surgeon can help develop a personalised program.

 

Book an Appointment/ Send Us An
Enquiry Or Call us at +65 66842330

CAPTCHA image

This helps us prevent spam, thank you.

A Definitive Guide to Treating Tennis Elbow

Tennis elbow is a painful condition that occurs when the tendons in the elbow region are swollen. Tendons are tough tissue that helps connect the lower arm muscles to the bone. Many people have the notion that Tennis elbow is only common among people who play tennis. But that is far from the truth as the condition can affect basically anyone who engages in any form of repetitive load carrying activities. Most people in Singapore who have lateral elbow pain likely have this condition. Bear in mind that tennis elbow can happen to anyone regardless of their age, but people above the age of forty have a higher chance of getting it.

In this article, we are going to be looking at everything from the causes and symptoms of the condition to the most effective surgical and non-surgical ways to treat it.

What Causes Tennis Elbow?

As you can likely tell, tennis elbow doesn’t happen overnight. Rather, it develops gradually. People that engage in repetitive gripping activities like swinging have a higher risk of suffering from this condition. The problem with repetitive gripping activities is that they put a serious strain on the tendons. If this continues, the tendon may tear.

Below are some athletic activities that might result in tennis elbow:

  • Fencing
  • Tennis
  • Weight lifting
  • Racquet sports
  • Knitting

Below are some hobbies that may also cause it:

  • Typing
  • Carpentry
  • Painting
  • Raking
  • Shopping

Signs and Symptoms of Tennis Elbow

The main symptoms of tennis elbow are excruciating pain and tenderness in the elbow region. The pain is usually intense in the area where the bones are connected to the injured tendons. Note that the pain may radiate to the lower or upper hand.

You are likely going to experience the most pain when you do any of the following-

  • Raise your hands
  • Grip any object
  • Shake hands
  • Straighten your wrist
  • Carry a load

Even if you are experiencing any of the above symptoms, it is recommended that you consult an orthopaedic specialist for examination and diagnosis. Bear in mind that there is another condition that is somewhat similar to tennis elbow but occurs on the inside of the elbow and it is known as golfer’s elbow.

Diagnosis and Examination

Tennis elbow is usually diagnosed through physical examination.

During physical examination, your physician will ask you to move your wrist, fingers, and elbow in various ways. He or she may also apply pressure to the affected area.

Most times, your physical examination and medical history provide the information your physician needs to make a diagnosis.

Treatment for Tennis Elbow

Here are some simple ways in which you can speed up the healing process.

1. Elbow Strap

Using an elbow strap will help reduce the strain on your injured tendons.

2. Exercise

Stretching exercises can help increase the flexibility of your elbow and reduce stiffness and pain. You may have to do these exercises 3 to 5 times daily to get the most out of them.

3. Taking Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) and Medications

NSAIDs medications like aspirin, ibuprofen, and naproxen can help reduce pain and swellings. Use these drugs sparingly, as they can cause side effects like stomach ulcers and bleeding.

4. Physical Therapy

A physical therapist can teach you effective exercises that will help strengthen your muscles. They may also treat the condition with heat pads and ultrasound.

5. Injection

Your doctor may suggest a cortisone or platelet rich plasma  injection to treat the condition.

6. Radial Shockwave Therapy

This procedure involves using a machine to generate radial shockwaves so as to stimulate the tissue and provide a healing response. You may require several weekly sessions to achieve full recovery.

Home and lifestyle remedies

Below are some self-care measures your doctor may recommend if your condition isn’t too severe.

1. Ice

Place ice or a pack of ice on the affected area for 15 minutes 3 to 4 times daily.

2. Rest

Don’t engage in strenuous activities that can intensify your elbow pain. Try to get 7 to 8 hours of sleep each night.

3. Pain relievers 

If suggested by your doctor, you can take pain relievers like naproxen and Ibuprofen.

 

When is Surgery Required?
If symptoms persist after 6 to 12 months of non-surgical treatment, your doctor may recommend that you have surgery to treat the affected tissues. A 1 – 2 month period of rest is needed and physical therapy is recommended for recovery of full function of your elbow.

Book an Appointment/ Send Us An
Enquiry Or Call us at +65 66842330

CAPTCHA image

This helps us prevent spam, thank you.

5 exercises on how to strengthen your lower back.

Doing exercises to strengthen the lower back can help alleviate and prevent lower back pain. It can also strengthen the core, leg, and arm muscles.

According to researchers, exercise also increases blood flow to the lower back area, which may reduce stiffness and speed up the healing process.

Here are 5 exercises that you can do to strengthen the lower back and manage lower back pain.

1. Bridges

The gluteus maximus, which is the large muscle of the buttocks, is one of the most important muscles in the body, and keeping it strong can help support the lower back.

To perform a bridge:

  • Lie on the ground and bend the knees, placing the feet flat on the floor hip-width apart.
  • Press the feet into the floor, keeping the arms by the sides.
  • Raise the buttocks off the ground until the body forms a straight line from the shoulders to the knees.
  • Squeeze the buttocks with the shoulders remaining on the floor.
  • Lower the buttocks to the ground and rest for a few seconds.
  • Repeat 15 times and then rest for 1 minute.
  • Do 3 sets of 15 repetitions.
  1. Knee-to-chest stretches


Doing a knee-to-chest stretch can help elongate the lower back, relieving tension and pain.

To perform knee-to-chest stretches:

  • Lie on the back on the floor.
  • Bend the knees, keeping both feet flat on the floor.
  • Use both hands to pull one knee in toward the chest.
  • Hold the knee against the chest for 5 seconds, keeping the abdominals tight and pressing the spine into the floor.
  • Return to the starting position.
  • Repeat with the opposite leg.
  • Repeat with each leg 2–3 times twice a day.
  1. Pelvic Tilts

The pelvic tilt exercise can release tight back muscles and keep them flexible.

To perform this lower back flexibility exercise:

  • Lie back on the floor with knees bent and feet flat, keeping the arms by the sides.
  • Gently arch the lower back and push the stomach out.
  • Hold for 5 seconds, then relax.
  • Flatten the back and pull the bellybutton in toward the floor.
  • Hold for 5 seconds, then relax.
  • Increase the number of repetitions daily, building up to 30.
  1. Supermans

A person needs strong back extensors to maintain good posture. These muscles run along either side of the spine. Weak back extensors can reduce spinal and pelvic support, but doing an exercise called a "Superman" can help.

To perform a Superman:

  • Lie face down on the ground and stretch both arms out in front of the body, keeping the legs stretched out and flat on the ground.
  • Raise both the hands and feet, aiming to create a gap of about 6 inches between them and the floor.
  • Try to pull in the bellybutton, lifting it off the floor to engage the core muscles.
  • Keep the head straight and look at the floor to avoid neck injury.
  • Stretch the hands and feet outward as far as possible.
  • Hold the position for 2 seconds.
  • Return to the starting position.
  • Repeat 10 times.
  1. Seated lower back rotational stretches.

The seated lower back rotational stretch helps relieve pain, working the core muscles and strengthening the lower back.

To perform the seated lower back occasional stretch:

  • Sit on a stool or chair without arms, keeping the feet flat on the floor.
  • Twist at the core to the right, keeping the hips square and the spine tall.
  • Position the hands behind the head or place the left hand on the right knee to support the stretch.
  • Hold the position for 10 seconds.
  • Repeat the exercise on the left-hand side.
  • Repeat on each side 3–5 times twice a day.

Takeaway

Performing exercises to work the core muscles can prevent injury, increase stability, and improve flexibility. People with lower back pain should also pay attention to their general posture and how they carry heavy objects to identify movements that may be responsible.

Anyone experiencing lower back pain that is severe or does not go away with gentle stretches and exercise should make an appointment with a doctor.

If any of these back exercises make pain worse, it is vital to stop doing them immediately and consult a doctor.

Article from Medical News Today.

Book an Appointment/ Send Us An
Enquiry Or Call us at +65 66842330

CAPTCHA image

This helps us prevent spam, thank you.

Will a Knee Replacement Get Rid of Arthritis?

The knee joint is commonly referred to as a hinge joint and it is a complicated yet vital joint for humans as it enables us to walk. It helps in movement like straightening, bending and hence jumping, running and walking. The knee joint has a complex mechanism which once injured or disturbed can cause much suffering and hinder day to day living.

Arthritis: One of the Main Causes of Knee Pain

Knee pain can be caused due to multiple factors like old age, direct trauma or arthritis. Knee arthritis is commonly seen as a gap or space between the ends of knee bone.  Patients may suffer stiffness, severe pain or a cracking sound in the knee. Standing for long hours, walking for long distances, climbing stairs or hiking causes inflammation and intensity in pain.

Mostly people exceeding the age of 60 become the victims of knee arthritis. There are various other aspects which effect pain in knee like weight gain, working habits and health overall.

Patients suffering from knee arthritis in worst case scenarios get bed ridden which can cause depletion of bone density as well. This may result in other mental struggles such as depression. To avoid such outcomes, most rush to doctors for treatments with maximum safety, less risks and reliable results to resolve their kneecap issues. Knee arthritis can be managed by multiple treatments. Depending upon the intensity of pain and age, knee arthritis can be managed. A guide to details of the surgery and post-surgery maintenance can be found here.

Therapies to Cure the Knee Problem

Several therapies and cures are available varying from simple to complex and from cost effective to costly. Also, from time consuming to quick treatments, and from operative to non-operative procedures.

Non-operative procedures may include physical therapies, weight loss, vaccinations and injectable treatments. The effectiveness and efficiency of these non-surgical procedures depends upon the willingness of patients and acceptance of the patient’s body.

What Happens in a Knee or Kneecap Replacement Surgery?

Subsequently the operative procedures also have a wide variety. It may include knee replacement surgeries too. But the big question that arises here is that whether this surgery, which is complex and expensive, is it fruitful? Are the results satisfactory? Are there any post-surgery risks or side effects associated? Does it resolve arthritis pain? All these ifs and buts are significant. It is imperative to understand whether the kneecap replacement would work or not.

The answer to all these queries lies in a deeper understanding of the working of knee joint replacement surgery. The knee replacement surgery involves the cutting the arthritis bones and replacing with a prosthetic joint. The prosthetic joints mostly comprise of metal or plastic materials which are designed specifically for gliding smoothly against one and other.

There are total and partial knee replacements customized to patients needs and requirement. Total knee replacement (TKR) has now become a widely used, efficient, effective and reliable mode of relieving arthritis pain and hence protecting the patients from disability. It gives patients the freedom to recommence their normal life. It has become one of the most successful orthopedic procedures today. Other questions about kneecap replacement are answered here.

Probable Risks Associated with Surgery – Can You Hurt a Knee Replacement?

The risks of surgery can be because of faulty implants. Regardless of the before surgery pain, patients should consider the post-surgical risks and recovery. Some of the several side effects include loosening, mechanical fails, dislocation and instability, infections, misalignment, swelling, pain and other physical complications. But with advancements in technology and use of modern machines, these complications are rare.

Can You Damage a Knee Replacement if You Fall On it?

Unfortunately, the post-operative pain can vary from person to person and unpredictable at times. The knee replacement can come loose as well. It can happen because of many reasons like infections, wear and tear of implants or design or product default. If a person who had undergone a knee replacement surgery falls on their knee, it can in certain cases defect the implants as well.

Can a Knee Replacement Come Loose?

In few scenarios there can be excessive wear of implants which can cause falling and further result in more complicated injuries like fractures and in worst cases, dislocation of replacements and implants. Therefore, taking good care of the knee implants would lead to long lasting results with healthy lifestyles.

Before opting for knee replacement procedures patient should promptly talk with your doctor about the risks and hazards associated to refrain from any post-operative hurdles. Understanding the financial costs involved for the surgery is also important.

Read more about knee cap replacement offered here.

Book an Appointment/ Send Us An
Enquiry Or Call us at +65 66842330

CAPTCHA image

This helps us prevent spam, thank you.

Need-to-Know Questions about Kneecap Replacement Answered

The knees are an important part of one’s body and perform all the important functions such as walking, running, kicking etc. It holds the two important bones of the legs together namely, the femur and the shin and allows smooth motion between the two. The kneecap or patella is a thin bone over the joint of these two bones that protects the knee, which can fracture easily.

What Happens to Your Kneecap when it Gets Hurt?

When there is a sudden impact on the delicate patella, the bone shatters. The bones are required to stay together for them to heal. But if the injury dislocates the pieces of the bone so far away from each other that they have no contact between them, then they need to be removed with the help of surgery. In the former case however, the doctors put a cast around the knee to promote healing.

Can You Still Walk Without a Kneecap?

People can still walk without a kneecap but certain postures that require support from the patella like kneeling, aren’t possible. However, with a protective gear that too is possible. This, however, is not recommended and will cause even more damage to your knee over time. Any fracture should not be left to heal on their own, and for a joint as important as the kneecap, immediate medical care is important.

Can a Broken Kneecap Heal On its Own?

A kneecap does not heal on its own without a cast, splint or eventual surgery. If the damage to the patella is so severe that the bone has no chance of recovery, the doctors instead of implanting a prosthetic, simply allow the person to live without one because minor tasks are possible with a knee cap.

What Causes Knee Pain?

Knee pain can arise from injury or medical conditions such as arthritis or from varying reasons. If the pain is unbearable and causes routine work to be a big bother, then it is important to get help. A lot of the minor knee pain issues can be very easily resolved at home using self-care but for the other ones, surgeries are required. If there is swelling accompanied by fever, discoloration, a cracking or popping noise with motion and inability to unflatten the knee then you require immediate medical attention.

If left untreated, the knee will have an obvious deformity and misalignment of the bones in the area. The sharp edges of the bones can cut into the surrounding muscle or tissue and an infection can develop in the area, not to mention worsening of the pain.

How Should I Look After My Kneecaps?

Maintaining a healthy lifestyle of nutritional food intake and moderate exercise is important for overall health. Exercise also helps to strengthen your muscles and eating food with good calcium, iron and minerals will help your bones, Doctors always recommend their patients to first care and treat the knee with medicines or physiotherapy before finally suggesting surgery to ease their discomfort. More information about maintenance can be found here.

This also depends on the severity of the case. Surgery could be the first prescription after diagnosis too. It is always wise to seek medical attention once pain is felt, as pain is the body’s way of letting you know that something isn’t going right. Seeking medical attention early could also mean the difference between prevention and cure.

Read more about knee cap replacement offered here.

Book an Appointment/ Send Us An
Enquiry Or Call us at +65 66842330

CAPTCHA image

This helps us prevent spam, thank you.

Caring for Your Knee: How Much Does a Kneecap Cost in Singapore?

Knee injury is a common cause of knee pain which can be either front of the knee or behind knee cap. The knee joint is placed at such an important part of the legs which is vulnerable to many knee injuries and subsequently knee pain. This type of injury and the pain is mostly common in athletes and players and people having fragile bones probably due to age factor. Knee pain may become unbearable also while running, knee bending, jumping, squatting or even climbing stairs due to old age and arthritis.

There have been multiple treatments catering to knee pain across the world. The motives behind different treatments are to provide best possible services and facilities to the suffering patients.

Planning for Knee Replacement in Singapore

Knee replacement is one of such treatments. Knee replacement essentially involves the surgeons capping the ends of the bones of which form the knee joint with plastic or metal components or implant a prosthetic shaped as a joint. This is done to ensure mobility and relief in severe pain.   In Singapore most people also opt for knee replacement surgery. These surgeries are broadly divided into total knee replacement (TKR) or partial knee replacement (PKR). Visit this guide for a broad overview of what to expect and post-surgery care for kneecap replacement.

Money Matters – Costs Associated with Knee Surgery

It may well be said to be a very costly procedure when it comes to finances. The reason being is that the implants used in surgeries are typically imported from other countries.

In Singapore, the cost of knee surgery is generally range from $6,000 to $30,000. It mostly depends on the duration of the stay, the type of implant or surgery, inpatient and outpatient charges and any care or equipment used. The cost is covered around 70% in insurance through government subsidies and the price further differs with public or private hospitals.

Knee replacement surgeons are very good in providing treatment. Currently, the surgeries of these kind are done with more precision using robotics. The chances of error have further minimized, and accuracies have improved. People in the Southeast Asian region prefer to get their knee replacements done from Singapore due to the strong healthcare here, if they can afford it.

It is cost effective to get a knee replacement surgery done in Singapore’s public hospitals because the public medical sector in the country provides one of the most reliable and cost-effective services all over the world. The cost of such surgeries easily cost 10 to 20 times more in private hospitals than the public sector hospitals. Since there are certain classes of public hospitals like an A grade or B grade wards. The treatments and facilities of an A class ward of the public hospitals can easily be compared to the private hospitals but the margins in expenses are substantial. Private hospitals cost even more than these A wards at any public hospital.

Surgery Scheduled Time Difference in Singapore’s Public and Private Hospitals

However, there are certain other factors to keep in mind before opting for the knee replacement surgery. In public sector hospitals typically the waiting time can vary between 3 to 4 months due to the waitlist while it can be done in a week’s time in a private hospital. Since the public hospitals also provide training to young doctors so one may get specialists along with trainees for their surgery. In order to get all specialists team for the surgery private sector may be a suitable option. In addition, the private hospitals may well provide top class facilities like air condition which may be the added costs of treatments.

These expenses are quite low if the patients have insurance. Insurance is typically prescribed by the doctor. The knee replacement surgery costs are usually covered by health insurance. The insurance packages may vary as well. The cost effectiveness can be a factor for the patients to decide upon their surgery.

Read more about the knee replacement surgery offered here.

Book an Appointment/ Send Us An
Enquiry Or Call us at +65 66842330

CAPTCHA image

This helps us prevent spam, thank you.

A Guide to Kneecap Replacement and Activities for Post-Surgery Recovery

One in every three people in Singapore suffer from a knee related problem. The fundamental reasons why the problems arise are osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. In the latter, there is usually an injury connected to the sensitive area, known as the cartilage. Patients complain of mild to severe pain when walking or moving and are treated with a partial knee replacement (where only a part of the damaged area is removed and treated) or a total knee replacement.

Depending on the severity, doctors recommend if the patients require a partial or total knee replacement. When the incision is made, the damaged knee parts are removed, and special plastic and metal components are placed. These metal and plastic components minimize the abrasion between the two bones and thus pain is basically diminished. Costs and prices of such procedures can be found here.

How Long Does It Take to Recover from a Knee Replacement?

The surgical procedures for partial and total knee replacement differ based on the incision made, which is small for the former. Therefore, the recovery time for partial knee replacement as compared to total knee replacement is usually less and the patient is kept in the hospital for one to three days, depending on the knee recovery and if the patient has no help at home.

For a complete recovery from knee replacement, a total of three months’ time is required. The patient can usually resume work in four to six weeks’ time. After only a day, the doctors recommend their patients to try to walk with aid so that there isn’t any clotting in the damaged area. But, for one to start walking normally and without aid, it usually takes three to four weeks. If patients closely follow their doctor’s instructions and regularly take the suggested medications, recovery can be sooner and long-lasting.

What Sports Activities Can I Do After Knee Replacement?

  • Simple exercising after one resumes walking without aid and prosthetics, can further enhance the strength and healing of the knee.
  • Along with this, physical therapy should also be taken for at least four months after the surgery. Patients should avoid all sorts of high impact activities and the walk should also be gentle and steady. Adverse effects can certainly take place if the patient isn’t careful post-surgery and can even complicate matters.
  • Cycling is a high impact exercise that should not be resumed without a consent from the doctor or your physical therapist. And after this suggested time period and due recommendation, one can start slowly with lower resistance at first and then gradually add more resistance as your knee adjusts. If, however, any discomfort is felt, resistance should be lowered, and you ought to inform your doctor immediately. Cycling is a good exercise with many health benefits and is also a part of rehabilitation post-surgery.
  • Other harder exercises like gym activities and doing squats may take some time as the patients builds up their strength to perform them, but for some it may altogether be impossible because most implants only allow the knee to bend between 100 to 120 degrees. So only sports activities can be resumed that allow the knee to bend between these angles.

More questions about knee cap replacement are answered here.

The recovery time is different for everyone and depends on the amount of damage, age of the patient, and activity. A kneecap replacement surgery is a good option for those people who find that their daily lives are being hindered because of the pain in that area.

Read more about the knee replacement surgery offered here.

Book an Appointment/ Send Us An
Enquiry Or Call us at +65 66842330

CAPTCHA image

This helps us prevent spam, thank you.

Knee Injuries: How to treat and manage meniscus tear?

Having a meniscus tear is very common, especially for athletes. Menisci act as shock absorbers between the thighbone and shinbone. When this cartilage is torn in the knee, this is referred to as a meniscus tear. When having this injury, there are several things that you want to avoid in order to promote healing. Here are a few things to consider when having a torn meniscus.
1) See an Orthopaedic Specialist

It is important to see an orthopaedic surgeon who can analyse the problem and its severity. Different types of tears require different treatments, so you should see someone who gives a clear diagnosis and advice on how to properly treat it. Continuing to use the knee without due care can result in permanent damage. Without proper treatment, a piece of meniscus can actually come loose and obstruct the joint, causing the knee to slip, lock, or pop.

2) Avoid Forcing Your Knee into Extremes of Motion or Squat

A torn meniscus can prevent a knee from having its normal full range of motion. If it is torn, it should not be forced into a position that is painful or feels like it adds extra strain to the knee. This could cause further tears to occur.

3) When injury occurs, initiate RICE immediately

Do not forget to treat a meniscus tear or any other knee injury with the common RICE treatment. This comprises of rest, ice, compression, and elevation. This will increase blood flow to the area and decrease swelling, which promotes healing.
4) Knee Arthroscopic “Key-hole” Surgery

Knee arthroscopy is a very common surgical procedure to treat meniscus tear and it is also minimally invasive. During this surgery, a very small camera is inserted through a small incision in the knee, providing the orthopaedic surgeon with a clear view of the internal knee. Miniature surgical instruments are inserted through other parts of the knee to repair the tear.  It is advisable to have knee arthroscopy done if the meniscus injury is affecting your walking or daily activities.

5) Do Not Skip Rehab

A knee brace may be applied after the surgery. Crutches are important to use for about a month in order to keep weight off of the knee.

Rehabilitation exercises should be done after initial healing is complete. Regular exercise is necessary in order to restore the mobility and strength of the knee. Starting with exercises to improve the range of motion, strengthening exercises will be added into the program to fully complete healing. Rehab or physical therapy will take up to three months and it is advised to do it regularly.

Book an Appointment/ Send Us An
Enquiry Or Call us at +65 66842330

CAPTCHA image

This helps us prevent spam, thank you.

Avoiding Knee Dislocations With Exercise Works!

Knee dislocations can occur for a myriad of reasons; motor vehicle accidents or severe torsion injuries while playing sports. Due to the extreme severity of injury, immediate medical attention and proper treatment with aggressive rehabilitation is required to preserve neurovascular integrity and joint function.

Mechanism of Injury

Dislocation of the knee occurs when the tibia and fibula or patella(knee cap) moves out of position in relation to the femur. These bones are held together by stabilizing ligaments. These ligaments are responsible for supporting the knee in a specific position. Dislocations occur when there is a tear in the ligaments. If there is only a partial dislocation, it’s called a subluxation.

Overview

Patellar dislocations are caused by traumatic injury, underdeveloped leg musculature or alignment issues. Patella dislocations can cause bone, ligament and cartilage injuries. Knee dislocations can occur for various reasons such as engaging in high-risk activities such as skiing, as well as playing certain types of sports where there is the possibility of a torsion injury. Knee dislocations can result in injury to the nerves and vessels to the lower leg, as well as ligament and cartilage injuries.

Prevention

There are many types of exercises to strengthen the musculature around the patella to prevent injury from recurring. These fundamental exercises will strengthen the hamstrings, quadriceps and inner and outer thigh muscles.

1) Doing Squats

How does it help: Knee dislocation treatment like this involves exercises that strengthen the muscles and ligaments that support the knee. Squats are an optimal strengthening exercise since they work all muscles of the thigh.

How to do it: Squats involves lowering down in a squatting position until your knees and thighs create a 90-degree angle. Form is very important while performing squats as you don’t want to place too much stress on the knee joint. Weight should be centred as you push up from your heels. A good starting point would be to perform two to three sets of 15 repetitions.

2) Isometrics 

How does it help: Strengthening of the inner and outer thigh musculature is imperative to prevent recurrence of knee subluxation.

How to do it: Begin by lying on your back with an exercise ball in between your thighs. Gently squeeze your inner thighs together and hold for the count of five. To work outer thighs, again lie on your back and place a resistance band around the outside of your legs. With legs together, gently push against the resistance bands and then bring your legs back together. Begin with three sets of 10 of each exercise with a 30-second between each set.

Book an Appointment/ Send Us An
Enquiry Or Call us at +65 66842330

CAPTCHA image

This helps us prevent spam, thank you.