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Treatment of Cervical Disc Hernia or Degeneration

Cervical disc hernia with spinal
cord or nerve root compression is a
common disease. It is common
younger population including those
without special risk factors. Surgical treatment has good outcomes if conservative treatment fails. The surgical risk is not high. There are newer technology to overcome the problem of the past in reducing the surgical risk and speeding recovery. First line treatment for most cervical disc problems is pain control and physical therapies. Second line treatment includes injections and radiofrequency neurotomy. If this approach fails, or if there is significant neurological deficit, surgical treatment is appropriate.

Femoro - Acetabular Impingement (FAI) FAQs

Femoro-Acetabular Impingement (FAI)
is a condition in which the two
bones which make up the hip joint
pinch against each other, or
‘impinge’, at the extremes of motion, causing damage to the joint. The hip joint is a ball and socket, if the head of the femur is not round, or sits in the wrong position in relation to the rest of the femur, or the socket is either too deep or facing in the wrong direction, problems ensue. Innovative treatments are well established for various severity of FAI, including hip arthroscopy, Birmingham Hip Resurfacing.

Interventional Pain Management

Pain is a multidimensional
experience. Chronic pain differs
from acute pain in that it lasts
for more than 3-6 months, and there
may not be obvious tissue injury leading to the pain. The pathway leading from stimulus to perception may be sensitised. There is often associated depression. Management of chronic pain therefore requires a holistic multi-disciplinary approach. In addition to pharmacological treatment, psychosocial support, physiotherapy and operative treatment, interventional techniques may benefit some patients by defining the pain generator and offers prolonged relief.

Applications of 3D Printing Technology in Lower Limb Deformity Correction Surgery

Congenital bow-legs or acquired
lower-limb deformity bring severe
impacts on one’s quality of life,
without clinical intervention, the
problem could worsen and hinder mobility significantly. The recent introduction of the application of 3D printing technology represents a major breakthrough in lower-limb deformity correction. Not only does it help in ensuring high levels of precision, it also substantially shortens hospital stay and recovery time.

Clavicle Fracture FAQs

Fractures of the collar bone
(clavicle) are common and seen in
all age groups. Most are due to a
fall onto the shoulder. Clavicle
fractures are divided into medial, mid-shaft and lateral fractures, in which mid-shaft are the most common (80%). Non-operative treatment has traditionally been the norm for treating mid-shaft, operative treatment is indicated for severely displaced, comminuted ('shattered') fractures, especially if associated with high-energy trauma. Almost all displaced lateral clavicle fractures should be operated, as they have a very high rate of non-union, and the non-unions are very difficult to treat. Medial clavicle fractures are not very common (2%).

Sacroiliac Joint Pain FAQs

Sacroiliac (SI) joint pain is a
challenging condition affecting 15%
to 25% of patients with axial low
back pain, for which there is no
standard long-term treatment. Recent studies have demonstrated that historical and physical examination findings and radiological imaging are insufficient to diagnose SI joint pain. The most commonly used method to diagnose the SI joint as a pain generator is with small volume local anaesthetic blocks. In the article, I will try to explain the diagnostic methods and available treatments in detail.

Scoliosis: a common condition which is frequently misunderstood

Scoliosis, being one of the most
prevalent back deformities
affecting growing children, with
potentially dire consequences,
stirs notable anxiety among patients and their families. There are three common types of scoliosis that affect children: idiopathic scoliosis, congenital scoliosis, and neuromuscular scoliosis. Three evidence-based treatment options include: Observation, Brace treatment, and surgery. Surgery for scoliosis has been made very safe by major advances in surgical techniques including surgical navigation and the use of intraoperative spinal cord monitoring.

Hamstring Tendon Tears FAQs

This provides information to
patients on 'high' hamstring tendon
‘tears’ or ‘bone
avulsions’, but not
‘tendinitis’ or ‘tendinopathy’. A ‘tear’ in this context usually means the tendon tears away from the bone. Sometimes the tendon pulls a piece of bone away, instead of tearing away from the bone, and this is called a ‘bone avulsion’. The ‘Hamstring Tendinopathy FAQs’ describe ‘tendinitis’, which is usually treated differently.

An “Instant Cure” for Obesity

Despite vigorous dieting and
exercise (or lack of it!), for
some, those extra kilos just
won’t go away. So is there an
instant cure for obesity? Well the simple answer is NO! Surgery is the closest thing there is to a cure, though not an instant one, for obesity. Surgical procedures for weight reduction can be broadly divided into two types. Occasionally, a combination of these procedures may be required.

Haemorrhoids: Management update and a word of caution

There are three cushions present in
the normal anal canal, which
contribute 10 15-20% anal closure
pressure and are important for both
flatus and faecal continence. Haemorrhoids occur when these vascular cushions become congested and swollen, and when the condition becomes severe, they can prolapsed out of the anal canal. There are various treatments to Haemorrhoids, in which stapled haemorroidopexy is commonly used nowadays.