Dr Kevin Lee is attending the 2017 EFORT(European Federation of Orthopaedics and Traumatology) Congress in Vienna, Austria. This is part of the group’s effort to always keep their doctors updated with the latest developments in the field of orthopaedics and sports injuries.
Ski season is upon us and traditionally, the months of December to March are busy periods for our orthopaedic surgeons as we see many cases of skiing-related injuries in our clinic. The knee is commonly injured due to the twisting nature of the sport and usually, the medial collateral (MCL) or anterior cruciate (ACL) are torn.
Here are some tips on how to avoid knee injuries. http://www.telegraph.co.uk/travel/snowandski/748928/Top-tips-for-avoiding-skiing-injuries.html
Dr Andy Wee chaired and spoke at the Shoulder & Elbow Dinner Symposium held on 25th October by Singapore Orthopaedic Association. The symposium discussed on the treatment strategies for complex conditions, and was attended by many orthopaedic doctors in Singapore. Internationally-recognised shoulder surgeon Dr David Schneider, from the United States, was the invited speaker.
Dr Kevin Lee answered Lianhe Zaobao reader’s questions in July on her joint stiffness and edema condition.
In the morning, she would wake up to stiff and swollen fingers that would go off after half an hour. After having laid or seated down for long hours, the sole of her feet feels needle sharp pain whenever she gets up to walk. The pain goess off after a while but comes back again after walking for too long. She also has edema problems, with swollen eyelids in the morning and swollen legs after a day’s activity.
She would like to try health supplements and possibly a diet change to manage those conditions and prevent them from getting worse. She was interested to know: What health supplements are suitable for her? Are there any health concerns when taking supplements? What should she look out for in her diet and lifestyle?
Dr Lee said that there are two possible reasons for her morning stiffness: osteoporosis and rheumatoid arthritis. About 70% of patients who have rheumatoid arthritis often complain about joint stiffness in the morning, especially the fingers. Rheumatoid arthritis can be diagnosed fron a blood test.
As for the need sharp pain at her sole, it can be attributed to plantar fasciitis. Plantar fasciitis is a condition of inflammation of the ligament from the toe to heel bone. The pain comes from the inflamed ligament when pressure is put on the soles. Some stretching exercises and anti-inflammatory medication would help alleviate the condition.
The joint stiffness in her fingers and the plantar fasciitis condition suggest that she likely has rheumatoid arthritis. Also, the edema condition is usually associated with problems with the heart, liver and kidney. As such, she should consult a doctor as soon as possible.
She should choose to take herbal health supplements like Jointplex Pro, which contains natural herbs like ginger, tumeric, boswellia and winter cherry to help alleviate swelling and inflammation. However, any such supplements should be taken with a doctor’s advice and medical examination to ensure its suitability. An active lifestyle is also important to maintain good joint health. Exercises like brisk walking, swimming and cycling are recommended.
A 44-year-old reader has been experiencing pain and aches in her right knee while walking. She enjoys slow jogging but ocassionally feels the aches in the right leg. She asked Dr Lee what was the problem and is she able to continue on her slow jogs.
Dr Lee believes that her symptoms stem from the knee’s patella. The patella is the outermost part of the knee joint and is covered by a layer of cartilage. The cartilage acts as a lubricant within the knee joint and wears off overtime. This results in the pain that she is experiencing.
Dr Lee recommends her to consult an orthopaedic doctor to ascertain the severity of the wear and obtain appropriate treatment. She should stop jogging to prevent further impact to her knee. However, she can still exercise through less strenous activities like swimming and brisk walking.
Another 27-year-old reader has been experiencing back pain especially when he get up from bed in the morning. He also experiences pain when lying supine, but the pain is alleviated when lying sideways. He has done an X-ray without any indication of spinal problems. He was diagnosed with inflammation of the back by a doctor and he would like to know what are the treatment options for it.
Dr Lee pointed out that his back pain issue should be carefully diagnosed by an orthopaedic doctor before ascertaining any form of treatment. Although usually it may just be a back strain, a slipped disc problem or the inflammatory disease Ankylosing Spondylitis cannot be rule out as the cause.