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Latest revision as of 05:08, 1 October 2012
Welcome to Providence Orthopaedics MyWikiBiz, our Orthopaedic Specialist Dr Siow Hua Ming provides medical treatment and orthopaedic surgery for bone fractures and soft tissue trauma, sports rehabilitation, musculoskeletal health and degenerative joint problems in both adults and children. This includes minimally invasive techniques for sports injuries, fractures, and general orthopaedic conditions that aims to reduce "downtime" for our patients. Our expertise includes minimally invasive arthroscopic "key-hole" surgery, Platelet Rich Plasma (PRP) injections and intra-articular injections.
About Us
Our skilled specialist Dr Siow Hua Ming uses advanced technology to diagnose and treat injuries and diseases of the bones and joints. Whether you need reconstructive surgery, total joint replacement or sports medicine services, we provide expert diagnosis, treatment and rehabilitation.
Orthopaedic injuries and illnesses are among the most common and aggravating complaints from childhood into adulthood. Sports injuries, degenerative or inflammatory arthritis, carpal tunnel syndrome, and tendonitis - all can cause patients great pain and discomfort, while greatly limiting their activities.
Here at Providence Orthopaedics, our specialist and staff work together towards a common goal to help our patients reduce pain limiting issues, maximise their activity level and put them back on the track towards recovery.
Specialties
General Orthopaedics
Most of us have had a nagging pain in our body which we can’t explain. Be it a simple sprain or a fracture, we aim to diagnose the cause of your pain accurately to provide you with the best solutions and treatment.
General orthopaedic conditions we treat include but are not limited to:
- Sprains and strains
- Tendonitis
- Bursitis
- Arthritis
- Fractures
- Trauma
- Sports Injuries
Paediatric Orthopaedics
Surgeons trained in Paediatric Orthopaedics are few and far in between in Singapore, and Dr Siow Hua Ming is glad to be able to offer this specialised service to both local and international patients.
Orthopaedic problems in children include:
- Sports injuries and fractures
- Bunions and flat feet
- Hip conditions such as developmental dysplasia of the hip, Perthes disease, and slipped capital femoral epiphysis
- Monitoring of conditions such as knock knees, bow legs, and in-toeing (pigeon-toe gait)
- Limb abnormalities and length discrepancies
- Congenital and developmental problems such as club foot, syndactyly, duplicate thumb, finger or toe; and trigger thumb
- Scoliosis(curved spine), Spondylolysis/Spondylolisthesis and back pain
- Bone and soft tissue tumors and cysts
- Nerve injuries
Sports Medicine
You could be a ballet dancer, a professional football player, or a child on the field – injuries may occur at any time. Seeking proper treatment for you or your child’s injury is very important to treat the injury, improve the speed of recovery and reduce the risk of consequential complications that may arise in the future.
Dr Siow specializes in both paediatric and adult sports medicine. We treat professional and amateur athletes of all sports and ages, and aim to treat athletes with the latest preventative and rehabilitative care. We evaluate sports injuries thoroughly as they may be multifactorial. By using non-operative treatment methods as well as surgical intervention, we work closely with the patient to decide upon the most appropriate treatment for them.
Commonly performed surgical procedures include:
- Anterior cruciate ligament (ACL) Reconstruction - single or double-bundle
- Meniscectomy (trimming of knee cartilage) and meniscal repair
- Cartilage repair and regeneration
- Rotator cuff repair
- Treatment of shoulder instability
- Knee ligament reconstruction and revision
- Arthroscopy of the upper and lower extremities (knee, shoulder, elbow, wrist, ankle and hip)
Arthroscopic Surgery
Arthroscopic “Key-hole” surgery is a minimally invasive technique which allows surgeons to diagnose a joint problem and repair the cartilage and internal tissues. Arthroscopic surgery is largely preferred by patients as compared to traditional open surgery.
As revealed by its name, “key-hole” surgery is done by creating small incisions around the joint and inserting an arthroscope into the joint space. As it is minimally invasive, this procedure is associated with rapid surgery recovery time, decreased risk of infection, less scarring, less pain and bleeding and best of all it reduces “downtime” for the patient, enabling a quick return to work, and even sports. Arthroscopic surgical procedures are often performed on an outpatient basis and the patient is usually able to return home on the same day.
Joint Replacements
The joints in our body are susceptible to injury from accidents, sports, as well as the degenerative “wear and tear” conditions associated with aging. Osteoarthritis is one of them, and it is a very common form of disability resulting in chronic joint pain and being unable to weight bear with the affected limb. This condition occur when the protective lubricant and cartilage which covers your joints has disintegrated, leaving the bones to rub against each other, causing friction and pain. Common complaints by patients include feeling or hearing a clicking or grating sound when moving the limb with the affected joint. You might be a candidate for a joint replacement is non-surgical treatments no longer help to relieve your joint pain.
Joint replacement surgery, also called arthroplasty, is a surgery that resurfaces an arthritic knee joint with an artificial metal or plastic replacement parts called the ‘prosthesis'. Replacement surgery in a damaged knee joint by placing an artificial prosthesis will alleviate pain and help with better movement of the knee.
A joint revision surgery is performed to remove a previously implanted artificial joint and replace it with a new one. Revision arthroplasty may be necessary for a number of reasons. The artificial joint may have loosened, infection may develop in the joint, one of the bones around the joint may be fractured due to a fall or trauma, or part of the implant may break or wear down.
Knee and Hip Pain Treatments
Hips and knees are essential to support the weight of our body during standing, walking and running activities, hence causing them to be especially susceptible to injury and arthritis.
Hip and knee problems are some of the most common reasons patients visit Providence Orthopaedics. Hip function is often compromised by arthritis, fracture, osteoporosis, or deformity. Knees are susceptible to ACL and other ligament tears, fractures, trauma, sprains/strains and arthritis. Whether caused by injury or degeneration, hip and knee pain dramatically affects our ability to live a full and active lifestyle.
Treatment for knee and hip pain is aimed at the underlying cause. Assessment would include a consultation with our specialist with a physical examination aimed at getting a diagnosis of the possible causes. To obtain a definitive diagnosis further investigations such as x-rays, ultrasound or MRI scan is required. Once the diagnosis is established, a definitive treatment plan would be discussed and the treatments could range from physiotherapy, injections or possibly even surgery.
Shoulder and Elbow
Do you have an “old” injury that has started causing you pain again? Initially it could be pain on usage, but progressively it can deteriorate and cause pain at rest and keep you up at night. We treat both degenerative and soft tissue problems affecting the shoulder and elbow. This includes primary and revision arthroplasty of the shoulder and elbow, minimally invasive arthroscopic keyhole techniques for treatment of soft tissue problems such as bankart lesions and rotator cuff tears.
Common orthopaedic conditions associated with the shoulder and elbow:
- Degenerative, inflammatory and post traumatic joint problems
- Soft tissue injuries including labral tears, rotator cuff tear and elbow ligamentous injuries
- Frozen shoulder
- Biceps tendon rupture
- Golfer's elbow
- Elbow (Olecranon) Bursitis
- Tennis Elbow (Lateral Epicondylitis)
- "Little leaguer's elbow” (throwing injuries in the elbow in children)
- Nonsurgical Treatment includes:
Non-steroidal anti-inflammatory medicines which helps reduce pain and swelling
- Steroid injections: cortisone is a powerful anti-inflammatory medicine that is injected directly into your shoulder joint.
- Physical therapy. Specific exercises will help restore motion. These may be under the supervision of a physical therapist or via a home program. Therapy includes stretching or range of motion exercises for the shoulder. *Sometimes heat is used to help loosen the shoulder up before the stretching exercises.. Below are examples of some of the exercises that might be recommended.
- Treatment options for shoulder, elbow and upper extremity pain during the early stages easily include non-surgical options along with physical therapy. More resistant pain symptoms may lead to further diagnostic testing by MRI. When surgery is recommended, new advances in technique which allow for surgical repairs with minimal incisions, combined with physical therapy for a rapid recovery.
Hand and Wrist Pain Platelet-Rich Treatment
Opening doors, using tools, doing yard work, lifting groceries; your hands play a major role in the course of your daily activities. As a result, the chance of hand or wrist injury is high; from bruises and sprains to breaks, strained tendons and carpal tunnel syndrome. Our hands and wrists are made up of many delicate anatomic structures, which are threatened by injuries and conditions like arthritis and nerve compressions.
Clinical history and exam
- X-rays
- Possibly other imaging tests such as an MRI or CT scan
- Possible nerve testing (EMG)
Common orthopaedic conditions associated with the hand and wrist:
- Nerve entrapment syndromes – radial/cubital/carpal tunnel syndrome
- Sports-related injuries of the hand, wrist, and thumb
- Arthritis of the hand, wrist, and thumb
- Tendonitis of hand, wrist, and finger
- Dupuytren's Contracture
- Ganglion cysts
- Trigger finger
Commonly done surgical procedures include:
- Tendon repairs from lacerations
- Cubital tunnel release (ulnar nerve at the elbow)
- Trigger finger release
- Platelet-rich plasma (PRP) treatment
Foot and Ankle Pain Treatment
Foot and ankle problems are most frequently caused by nerve damage, aging, arthritis, poor blood circulation, diabetes, and infection that can result in ulcers, sores and deformities. Feet can also be susceptible to sports injuries, fractures, sprains and other traumatic injuries.
Common orthopaedic conditions associated with the foot and ankle includes:
- Hallux Valgus (bunions)
- Osteoarthritis
- In-grown toe nails
- Morton’s neuroma (pain in the ball of the foot)
- Plantar fasciitis (heel spur syndrome)
Commonly done surgical procedures include:
- Fracture repair
- Achilles tendon repair
- Bunionectomy
- Neurectomy
Photo gallery
References
- Common Sports - Or Job-Related Bone Injuries
- Orthopaedic Clinic in Singapore Launches New Website
- What Is Paediatric Orthopaedics
- How To Relieve Wrist And Hand Pain From Too Much Computing
- Ways To Temporarily Relieve Ankle Pain
External links
- Providence Orthopaedics' Website
- About Providence Orthopaedics
- Providence Orthopaedics Services
- Providence Orthopaedics' Latest News
- Providence Orthopaedics' Contact
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