Posting Point
The Orthopaedic and Pain Practice is a specialized clinic located in Singapore that prides itself on its commitment to the most modern treatment of a myriad of musculoskeletal conditions.
The clinic has a history of offering cutting-edge solutions in the field of orthopaedics and pain management. The team is made up of surgeons who specialize in a variety of fields including robotics, knee replacement surgery, and minimally invasive surgery.
Overview of the Clinic’s Specialization in Musculoskeletal Conditions
The Orthopaedic and Pain Practice with the aim of providing the highest standard of care for musculoskeletal conditions. The Orthopaedic and Pain Practice specializes in treating musculoskeletal conditions, including muscle, ligament, tendon, bone, and joint conditions, as well as peripheral nerve-related conditions.
At the clinic, various pain syndromes (acute/chronic), injuries, and chronic neuro-musculoskeletal disorders can be managed effectively. Part of the service is to diagnose and manage multi-level pain conditions, primarily using physically targeted methods while keeping oral medications to a minimum.
Providing a comprehensive and personalized treatment plan is our priority, and we listen and work closely with patients to determine their goals and requirements. In order to confirm the accuracy of the condition/diagnosis, the practice uses a variety of advanced imaging and diagnostic methods in addition to typical imaging.
It is crucial to stay updated regarding the newest treatments based on scientific research and to be willing to incorporate that into practice. We are involved in researching various areas of musculoskeletal pain treatment and employing evidence-based treatments available today.
Additionally, we are involved in a number of studies to evaluate the efficacy of emerging treatments in this area. The Orthopaedic and Pain Practice is a one-stop center dedicated to treating musculoskeletal and spinal problems.
Patients suffer from a variety of symptoms, including various rheumatological symptoms, those from occupational or sports injuries/conditions, pain in the joints, soft tissue disorders, and paralysis. Our comprehensive team of spine surgeons and a rheumatologist takes a multidisciplinary approach to evaluating and treating patients.
In addition to treating patients with medical problems, patients will also be evaluated for any neurological issues, and treatment will be directed towards those areas as well.
Treatment of Lower Back Pain at The Orthopaedic and Pain Practice
The treatment of lower back pain forms a significant part of the specialization in the clinical service. Lower back pain is the third most common complaint in the outpatient clinic, with incidence rates varying from 12% to as high as 35% in the population.
Effective treatment of lower back pain has been the subject of many outcome studies, in which several interventions provide evidence for meaningful pain and disability relief – a goal of every patient with a painful condition. The clinic uses a multimodal and holistic approach to care.
Non-surgical treatment with different passive and active physical therapy modalities is paired with injections and other treatment modalities that correct the underlying condition – be it mechanical, nerve, or other pathology.
Surgical treatment intervention (if necessary) does require a comprehensive understanding of the issue and supports the process of improving function-based pain. Surgical treatment focuses on decompressing the nerve, maintaining the structures, and preserving the anatomy in order to achieve the spine’s normal function.
Personalizing treatment requires the use of advanced studies in biologics, regenerative medicine, imaging modalities, dynamic analysis, functional studies of body units, mechanical evaluation, and other physiological models to make the correct intervention.
A tailored treatment program can be safe and effective, as cited by testimonials from those who have benefited. Technological innovation has recently advanced clinical development.
These treatments have proven to work so well that many patients want to discuss regenerative therapies and are increasingly seeking minimally invasive surgical procedures as a result of successful non-operative treatments.
Causes and Symptoms of Lower Back Pain
Lower back pain can be caused by a number of factors, such as muscle strain or a herniated disc. It may also result from more complex medical conditions, including degenerative disc disease, spinal stenosis, scoliosis, spondylolisthesis, infections of the spine, and tumors.
Patients may experience symptoms differently, but common signs include stiffness, muscle pain, leg numbness, and shooting pains. In addition to pain, people with lower back pain may feel discomfort while sitting or standing for prolonged periods. Age and lifestyle are important risk factors.
Acute pain usually arises from activity, trauma, or injury and can last a few days. Chronic pain results from degenerative changes in the spine, and many patients become affected from as early as their middle age. Women are more prone to chronic pain, and working adults experience work-related injuries at higher rates than others.
Diagnosis is made by a clinical history concerning the pain, physical examination, and investigations, such as X-rays, magnetic resonance imaging, and computed tomography scans. The incidence of herniated intervertebral discs rises with age.
Moreover, people who are currently smokers, went through adolescence, and have occupations involving lifting heavy weights are more likely to be affected by this condition. Trauma to the lower spine may result in pain and an inability to maintain an upright posture.
Many people with lower back pain have negative attitudes, express guilt openly, complain about their ailments, and escape their unresolved internal conflicts over the years. This emphasizes the need for a thorough assessment to uncover the root cause of the pain. Pain sometimes arises from internal psychological disturbances.
Managing Lower Back Pain After Prolonged Standing
Prolonged standing, especially on hard surfaces, is known to cause low back pain. Lower back pain is the most prevalent musculoskeletal complaint. A significant percentage of administrative professionals and industrial workers experience lower back pain after prolonged standing.
Correcting posture with various exercises over time and avoiding repeated outings aids. These are exercises that could improve research, so they could be used as self-help before recommending them to patients. Posture changes during standing, seated, and round movements or even while lying are regarded as a preventive approach to tackle low back pain.
In practice, during the initial clinical assessment and treatment, we can combine such exercises, which are simple, courteous, and least offensive to the patient. People should periodically alter their bearing with their heels and feet and make circular or sideways movements to avoid back pain during an extended length of time.
Ergonomic assessment and subsequent modification are often used in the workforce. Sitting or standing standards for long hours were created by an ergonomic specialist after working in the organization. Comprehensive individual care starts with the formation of a biomechanical assessment and subsequent tailored exercise prescription.
Interventions can also include the incorporation of exercises and stretches into conference and seminar breaks. At the close of the clinic, another five brief physical exertions and stretches were presented.
Participants in this research tended to apply what they learned in other areas of their lives. One manager described that she had begun to take more activity breaks than usual and noticed the change they made. We share this information with ministers of wellness.
The Evolution of Knee Surgery
Knee surgery, like any other surgical field, has evolved significantly over the centuries to become the procedure it is today. In the past, open surgeries were the gold standard, but they have since evolved to less invasive options. Traditional open surgeries could take hours to perform, and patients usually had to undergo blood transfusions.
On top of that, early open surgeries came with the dreaded risk of infection and possibly lifelong disability. Surgeons not only had to remove the worn knee joint but also navigate around important blood vessels and nerves below and around the knee.
In the 1980s, arthroscopy was introduced, allowing the surgeon to look inside the knee by simply making a small incision in the skin. Not content with just looking inside the knee, arthroscopy instruments were developed to perform surgeries in a similar fashion via the same small incisions.
With the aid of video technology, this was particularly important when performing surgeries within tight confines like the interior of the human body as the patient lay supine. In more recent times, robotic-assisted surgery with preoperative planning has arrived in a bid to further improve patient satisfaction and outcomes.
The recovery times of the patients have certainly improved, and the surgeries have become less painful. Knee surgeries became more precise with every advancement in research as time went by.
Personalized surgeries were first introduced using patient-specific blocks as a guide for the bone cuts, but now, truly personalized surgeries are achievable with individualized surgical tracking based on the patient’s unique anatomy.
The innovations and upgrades in the techniques have not only been advanced by the capabilities of the surgeons but also by clinical trials and years of arduous research to achieve outcomes that matter to our patients.
Using historical outcomes as a baseline, infection rates after knee surgeries were reported to range from 1% to 4%, with 1% of hips and knees needing revisions each year. After the belief in arthroscopy and minimally invasive surgeries, the interest in total knee replacement started declining.
In a retrospective study, it was seen that 53% of knee replacements done between 1971 and 1979 needed revision within 3 years. Lastly, carbon-fiber reinforced polythene was introduced in 1977, thus transforming the polythene from short-life to materials with almost 15-30 year survivorship nowadays after knee replacement.
Innovations in Knee Surgery Techniques
There are many recent advancements that have changed the way knee surgery is performed. With increasing and better imaging techniques, we are able to preoperatively plan the exact alignment required for each individual patient, leading to better longevity of the artificial knee.
There has also been broad acceptance in the use of less invasive techniques, resulting in faster recovery after knee surgery. Both of these have resulted in more patient satisfaction.
There are better and faster protocols in knee rehabilitation. The latest innovation in rehabilitation after knee replacement is immediate weight bearing and full activities immediately after surgery. Robotic knee surgery has revolutionized many aspects of knee replacement surgery.
There is enhanced imaging that generates a 3D model of the knee preoperatively for knee replacement. This computer model of the knee creates the blueprint for the robotic system. The surgical plan created at this time aids knee alignment and sizing. During surgery, the surgeon utilizes robotic assistance to execute the plan.
Robotic assistance enables greater precision and accuracy during knee surgery, thereby reducing complications and leading to better functional outcomes. Surgeons have embraced these new evolving technologies that have revolutionized conventional knee replacement surgery and the treatment of knee arthritis.
Positive outcomes with almost a 100% success rate have been achieved with patient satisfaction evidence. Further research and development is in progress to expand knee surgery using new and advanced technologies with a focus on better patient outcomes.
Using robotic systems aids surgeons in performing the surgery with better precision and reduces the complications of the conventional method. These are the steering improvements that aid surgeons in performing these technological advancements, which in turn improve clinical outcomes.
The clinic also conducts interviews and writes up patient testimonials to demonstrate the effect that knee surgery can have by using these robotic-guided surgeries.
