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Spotting these warning signs can help people seek treatment at the earliest possible opportunity. The early warning signs of Degenerative Osteoarthritis include :
More than 50% of adults over the age of 65 are affected by degenerative joint disease. This condition is associated with pain, loss of function, and reduced endurance, ultimately leading to weight gain and associated complications. The underlying cause of this condition is typically chronic repetitive motion that results in inflammation and structural joint damage.
The following are factors that will increase the risk of developing Degenerative Osteoarthritis:
Physical examination will focus on the strength of the associated muscles and joint structure as well as tenderness of the joint. Ability to walk and range of motion will be examined as well. Evaluation of self-care and depression in the face of chronic pain are also necessary.
X-rays show problems with bones, such as infection, bone tumors, or fractures. X-rays of the spine also can give your doctor information about how much degeneration has occurred in the spine, such as the amount of space in the neural foramina and between the discs. X-rays are usually the first test ordered before any of the more specialized tests.
The magnetic resonance imaging (MRI) scan uses magnetic waves to create pictures of the lumbar spine in slices. The MRI scan shows the lumbar spine bones as well as the soft tissue structures such as the discs, joints, and nerves. MRI scans are painless and don’t require needles or dye. The MRI scan has become the most common test to look at the lumbar spine after X-rays have been taken.
Your doctor may remove a sample of fluid from your knee and send it to the laboratory for testing.
Your doctor may look inside your knee using a telescope attached to a tiny camera. This can help show if there is damage to a meniscus, cartilage or ligament.
Physical therapy. Strengthening the muscles around your knee will make it more stable. Training is likely to focus on the muscles on the front of your thigh (quadriceps) and the muscles in the back of your thigh (hamstrings). Exercises to improve your balance are also important.
Orthotics and bracing. Arch supports, sometimes with wedges on the inner or outer aspect of the heel, can help to shift pressure away from the side of the knee most affected by osteoarthritis. Different types of braces may help protect and support the knee joint.
Corticosteroids. Injections of a corticosteroid drug into your knee joint may help reduce the symptoms of an arthritis flare and provide pain relief that lasts a few months. The injections aren’t effective in all cases. There is a small risk of infection.
Hyaluronic acid. This thick fluid is normally found in healthy joints, and injecting it into damaged ones may ease pain and provide lubrication. Experts aren’t quite sure how hyaluronic acid works, but it may reduce inflammation. Relief from a series of shots may last as long as six months to a year.
Arthroscopy surgery. Repair your joint damage using a fiber-optic camera and long, narrow tools inserted through just a few small incisions around your knee. Arthroscopy may be used to remove loose bodies from your knee joint, repair torn or damaged cartilage and reconstruct torn ligaments.
Partial knee replacement surgery. Replaces only the most damaged portion of your knee with parts made of metal and plastic.
Total knee replacement. In this procedure, your surgeon cuts away damaged bone and cartilage from your thighbone, shinbone and kneecap, and replaces it with an artificial joint made of metal alloys, high-grade plastics and polymers.
MBBS (HK), MRCS (EDIN), MMED (ORTHO), FRCS (ORTHO)
Special interest in Sports Medicines, Osteoarthritis, Fracture, Partial & Total Joint Replacement, Minimal Invasive Trauma Surgery, Arthroscopy, Common Orthopaedic Problems for Adult & Children
Dr. Ambrose Yung is a specialist orthopaedic consultant with experience in hip fracture surgery, partial knee replacement, complex primary total knee replacement, revision knee replacement, minimal invasive knee and shoulder sports surgery, foot and ankle pain, elbow pain / bursitis, fractures, common orthopaedic problems for Adult and Children.
MBBS (SG), FRCS (GLASG), FRCS (NEUROL), FAMS
Special interest in treating Back Pain, Neck Pain, Nerve Disorder, Headache, Brain, Tumour, Osteoporosis, Stroke, Sweaty Palm
Dr. Mathew Tung is a spinal specialist neurosurgeon who specialises in treating disorders of the brain and spine with special interest in in back pain and neck pain, nerve pain and headache. He believes that neurosurgery should always consider the non-invasive options before open surgery to attain minimum morbidity and a fast return to optimum function.
MBBS (SG), MRCS (EDIN), MMED (SX), FAMS
Special interest in Microsurgery of Hand and Wrist – for Adult and Children
Dr. Chee Khin Ghee is a Specialist Hand Surgeon specialising in hand & wrist injuries, arthritis, tumours, wrist arthroscopy, hand joint replacement and soft tissue reconstruction microsurgery. In addition to common bony, soft tissue and nerve conditions of the upper limb, Dr. Chee’s sub-specialty and interest are in Hand and Wrist arthroplasty and arthroscopy which include joint replacement and reconstruction.
MBBS (UK), FRCS (EDIN), FAM (SG), FHKCOS (ORTHO)
Special interest in Knee and Shoulder Pain, Injuries, Fracture, Common Orthopaedic Problems, Arthroscopy Surgery for Adult & Children
Dr. Kevin Yip is a senior orthopaedic surgeon and a professor who specialises in orthopaedic trauma surgery. He has published close to 100 research articles. When Dr. Kevin Yip sees you, he will take a detail history and will then examine you. He uses various methods to diagnose your condition. He will then take you through the results by showing you pictures, on screen, of your tendon, ligaments,nerve or bone and will discuss your treatment options.
Rheumatoid arthritis isn’t considered a hereditary disease, yet it does appear to run in families. This may be due to environmental causes, genetic causes, or a combination of both. If you have family members who have or have had RA, talk to your doctor, especially if you have any symptoms of persistent joint pain, swelling, and stiffness, unrelated to overuse or trauma.
Having a family history of RA increases your risk of getting the disease, and early diagnosis can make a big difference in how effective treatment will be.
Like RA, people with OA can experience painful and stiff joints that can make moving around difficult. People with OA may have joint swelling after extended activity, but OA doesn’t cause any significant inflammatory reaction that typically results in redness of the affected joints.
Unlike RA, OA isn’t an autoimmune disease. It’s related to the natural wear and tear of the joints as you age or it can develop as a result of trauma. OA is most often seen in older adults. However, it can sometimes be seen in younger adults who overuse a particular joint — such as tennis players and other athletes — or those who have experienced a severe injury.
RA is an autoimmune disease. The joint damage from RA isn’t caused by normal wear and tear but by your body attacking itself.
We treat and teach you about lifestyle changes to help you manage your pain effectively.