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.
Biological Knee Replacement (BKR) FAQs
Biological Knee Replacement (BKR)
involves repairing a badly damaged
knee with natural tissues instead
of replacing the entire knee with a
metal and plastic Total Knee Replacement (TKR). In theory the BKR should not ‘wear out’, because it really consists of returning the knee to its uninjured state and giving it a second chance. Essentially repairing, reconstructing or replacing each structure that is broken in the knee. Exactly what is needed will vary between individuals. At best, it could give one a near-normal knee, and allow one to play sport.
Minimally Invasive Surgery in the Foot & Ankle
There are numerous surgical
treatment methods to foot & ankle
illnesses, but many of them are
replaced by minimally invasive
surgery (MIS), for example, Percutaneous Distal Chevron Osteotomy to treat hallux valgus, Percutaneous Cheilectomy for hallux rigidus, distal metatarsal minimally invasive osteortomy for metatarsalgia, and endoscopic plantar fascia release to treat plantar fasciitis. There are many advantages of MIS over other methods, including minimal injury to adjacent tissue, reduction of post-operative complications & morbidity, enhancement of rehabilitation progress, cosmetically more acceptable scars. Arthroscopic and endoscopic applications have also become a standard procedure during diagnosis to give a far superior view, and treat some tendon conditions.
Is it really frozen shoulder?
Shoulder pain is commonly labelled
as 'frozen shoulder'. Frozen
shoulder affects about two percent
of the general population. It
commonly affects people between the ages of 40 and 60 years, with no clear predisposition based on sex and arm dominance. Frozen shoulder is a poorly understood condition characterised by inflammation within the shoulder joint with progressive tightening and thickening joint capsule, giving rise to pain and reduced range of motion. The cardinal sign of frozen shoulder is loss of external rotation. The natural history of frozen shoulder typically goes through three phases: 'freezing' phase, 'frozen' phase, and 'thawing' phase.
Lumbar Disc Replacement FAQs
The ‘intervertebral discs’ are
the shock absorbers between the
bones of the spine. Unfortunately,
they often degenerate – tearing,
bursting, or just wearing out. They can cause back or neck pain.
The low back is known as the ‘lumbar’ region.
The usual treatment is rest and painkillers, followed by core muscle (Pilates) exercises. If pain is a problem despite this treatment, one option is to have an operation.
Fusion operation is the conventional approach. In a fusion, some or all of the disc is removed and replaced with bone, which joins to the bones above and below the disc together.
It is the gold standard for comparing all other operations, including the new operation of lumbar disc replacement.
OGD is the examination of the
oesophagus, stomach and duodenum
a gastroscope, which has its own
camera lens and light source. It
is most often used to evaluate symptoms of indigestion such as upper abdominal pain, nausea, vomiting or swallowing difficulty. It can also be used to look for the cause of bleeding from the upper gastrointestinal tract. OGD also allows your doctor to obtain biopsies from the lining of the upper gastrointestinal tract for laboratory testing. OGD can even be used to remove polyps (usually benign growths) or treat bleeding.
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.
ACL is a tough band of collagen
inside your knee joining your thigh
bone to your shin bone and is vital
to controls the complex gliding and
bending movement of the knee which allow people to do everything from walking slowly to ballet and gymnastics. ACL can be torn if you twist your knee too far or change direction too quickly. Unfortunately, a substantial proportion of acute ACL ruptures is missed. Double-Bundle ACL Reconstruction is employed which has superior rotational stability.
Meniscal Regeneration By Meniscal Scaffold Implant Actifit Polyurethane Scaffold
Irreparable major meniscal tears
pose a very difficult problem in
the young and active patients who
sustain these kinds of injuries.
Arthroscopic partial meniscectomy, the most commonly used treatment option for meniscus tear creates substantial number of patients suffering the effect of a lost meniscus cartilage which is knee pain and possible degenerative joint disease in long term. It is extremely important to preserve the meniscus as much as possible to avoid degenerative knee joint progression. This article will introduce the new minimally invasive surgery in Hong Kong to regenerate the meniscus with a degradable scaffold.
Gastrointestinal (GI) Surgery Specialist Service
Gastrointestinal (GI) surgery is
one of the major subspecialties of
surgery. It includes every part of
the gut from the oesophagus (food
pipe) that carries food from the mouth to the other end from which digested residue leaves the body. Common surgical procedures associated with GI Diseases include endoscopy, Cholecystectomy, Hernia operation, Haemorrhoid operation, Anti-reflux surgery, Major surgery for cancer, and Obesity surgery.