http://www.orthoclinic.com.sg/osteoarthritis.html

Osteoarthritis

Osteoarthritis (OA) is the most common joint disorder. It is a condition of the joint that worsens with time. Osteoarthritis involves the entire joint including the nearby muscles, underlying bone, ligaments, joint lining (synovium), and the joint cover (capsule).

Causes of Osteoarthritis

People with diabetes may be prone to osteoarthritis. In osteoarthritis, there is wearing down of the cartilage, a substance that helps to cushion the ends of bones in your joint. This deterioration of the smooth surface of the cartilage may be due to a combination of factors such as being overweight, joint trauma or injury, muscle weakness, family history and age.

Over time, there will be complete loss of the cartilage causing both ends of the bones to rub with each other. This result in bone damage and, eventually, deformity.

Symptoms of Osteoarthritis

Symptoms may include joint pain, tenderness, stiffness, locking, and sometimes an effusion. Pain and stiffness in the joints are the most common symptoms. The pain is often worse after exercise and when placing weight or pressure on the joint. During the day, the pain may get worse with activity and feel better when you are resting. After a while, the pain may be present when you're resting. It may even wake you up at night.

Treatment of Osteoarthritis

The overall goal of treatment is early elimination of risk factors, early diagnosis and surveillance of the disease, and appropriate treatment of pain. Lifestyle modification (such as weight loss and exercise) and analgesics are the mainstay of treatment. Physical therapy has been shown to significantly improve function, decrease pain, and delay need for surgical intervention in advanced cases.

Find out how your Osteoarthritis Problem can be more effectively treated.
For enquiries Call:(+65) 6471 2743 

Orthopedics > Surgeons and Clinics > Singapore > Prem K Pillay MBBS - NeuroSpine and Pain Center Singapore

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Prem K Pillay MBBS - NeuroSpine and Pain Center Singapore

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Location: http://www.spine-health.com/doctor/PremPillay/

Description: Dr Prem Pillay is the Medical Director of a multidisciplinary spine and pain center in Singapore which offers the full range of services: Minimally invasive and Non-invasive spine and pain therapies including physiotherapy, medications, nerve blocks, plasma nucleoplasty,vertebroplasty, kyphoplasty, Endoscopic Microdisectomy, Disc replacement, Dynamic spine implants, Microsurgery for Spine stenosis, Aquaphysio, aquatraction, Spine Radiosurgery

Type: Reference Material
Author/Contact: Spine Grrl
Institution: NeuroSpine and Pain Center Singapore
Primary Subject/Category:

• - Surgeons and Clinics: Singapore

Language: English

Submitted by: SpineGrrl
Hits: 718
Added: Tue Dec 11 2007

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Orchard Clinic Osteopathic & Chiropractic in Singapore

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Location: http://www.orchardclinic.com

Description: Located conveniently in the heart of Orchard in the Takashimaya S.C., Orchard Clinic offers a complete range of complementary and innovative healthcare services including osteopathic medicine and orthotic therapy. Our philosophy is to utilise cutting edge technologies in treatment and diagnostics with osteopathic and biomechanical analysis. Put simply, we endeavour to seek out advancements in the field of spinal and musculoskeletal treatment to provide our patients with quality care.

Type: Reference Material
Author/Contact: Alan Wong
Institution: Not available
Primary Subject/Category:

• - Surgeons and Clinics: Singapore

Language: English

Submitted by: ocsingapore
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Added: Thu Nov 24 2005
Last Modified: Sun Dec 31 2006

Singapore Orchard Osteopathic, Chiropractic and Podiatry Clinic

ABOUT ORCHARD CLINIC

Orchard Clinic Osteopathic, Chiropractic and Podiatry was established in Singapore in 2005. Prior to Singapore, we had operated the busiest and most successful musculoskeletal clinic in Melbourne Australia treating pain and injury. Our objective is to assist our patients in identifying and neutralizing the cause of their health concern. Our goal is to help patients be in control of their own health. Orchard Clinic is committed to a wholistic and caring approach to health.

OUR TEAM OF AUSTRALIAN OSTEOPATHS, CHIROPRACTORS & PODIATRISTS

Ms. Jessica Tennant    PODIATRIST Jessica is a very popular practitioner formerly of one of Singapore's public hospitals. Jessica completed her training at the Auckland University of Technology with a BSc in Podiatry. Her specialist areas are in biomechanics and sports injuries. She also has a particular interest in children and their developmental problems. Jessica has worked in a wide variety of settings throughout New Zealand and Singapore. Her passion for sports and biomechanics has lead her to play and coach netball and she has treated some of New Zealands top netball, rugby, running and rowing sports people. Read patient testimonials about Jessica's treatments

Dr Kevin Lau    CHIROPRACTOR / CLINICAL NUTRITIONIST Dr Kevin Lau is a 2004 graduate of the RMIT University in Melbourne, Australia, where he received doctor of Chiropractic. He also completed a Masters Degree in Clinical Nutrition in Clayton College USA, where he completed a research thesis on "Nutritional effects on Spinal Development and Scoliosis". Dr. Lau is devoted to developing, practicing, and educating others about the principles of natural medicine. Dr. Lau combines a university education and a weath of experience in the field of natural and preventative medicine to provide a unique approach to health care which encompasses body, mind, and spirit. Educating patients from all walks of life, some of his patients were as young as 7 while others were as old as 91. In October 18, 2006, he was awarded the "Practitioner of the Year Award" by the Straits Time, Singapore. To date, Dr. Lau has successfully treated over 200 patients with scoliosis and other chronic conditions. He is author of the book "Health in your hands" and has appeared on the Channel News Asia program, Primetime Morning Live.

Dr Kellie Broughton    OSTEOPATH Dr. Kellie Broughton brings a wealth of knowledge and innovation along with her caring touch only a female osteopath can bring. Having completed a Bachelor of Clinical Science at Australia’s sought after Victoria University; she has also completed a Masters of Osteopathy. Equipped with a broad range of understanding in her field, Dr. Broughton is especially interested in paediatric osteopathy; completing her thesis on the subject. Dr. Broughton’s special interests also include pregnancy and development. With her extensive experience, Dr. Broughton has been entrusted to manage numerous sporting events in Melbourne, responsible for the treatment of sports-related injuries. Dr Broughton encompasses an enthusiastic and professional approach with all of her clients.

Ian Moran    OSTEOPATH    (Available in Jakarta) Ian has a BSc Honours(Osteopathic Medicine) and has extensive experience in sports care. A member of the Osteopathic Sports Care Association, he is also registered with the Professional Golfer's Association as a PGA Golf Health Registered Osteopath. He has spent time with many professional sporting teams such as English Rugby League Champions, Leeds Rhinos amongst other professional clubs. He has vast experience in treating sports injuries and conditioning & preparing sports profressionals for optimal performance. Ian is an expert in treating various conditions including: headaches, scoliosis, neck pain, shoulder tension, mid and low back pain, sciatica and also visceral problems. He has special interest in pregnancy, sports injuries and conditioning and has experience working with children and infants. He is a registered health care provider with PPP and AXA health.

Antimicrobial Technology

Because of the presence of microbes such as bacteria and fungi in all walks of human life, there is a constant interaction between microbes and humans.  Microbes are important to the production of many human foods, such as beer, wine, cheese and yoghurt; the development of medical treatments, such as antibiotics and vaccines; and the processing of our industrial waste, for example in wastewater treatment facilities.  Conversely, microbes can also be fierce antagonists responsible for disease, allergies, malodor, staining and food spoilage.  Humankind has therefore throughout history gradually built up potent antimicrobial technology to combat microbes.  Such technology includes basic, but very effective, measures: refrigeration of food (to avoid microbial growth during storage), cooking of food (to kill potential food poisoning organisms), hand washing (to avoid transmitting disease-causing bacteria from one person to another), ventilation and heating (to reduce humidity and other conditions favorable to microbial growth), and so on.  However, such measures are not always sufficient to keep microbes away.  You can adhere to good cleaning practices and still experience mold growth on the ceiling, and you can follow good hygiene practices and nurture your immune system and still pick up an infection.

LIFE antimicrobial technology has been developed to serve as a second line of defense against microbes.  Not as a replacement for good domestic and industrial hygiene and cleaning practices, but as an added level of protection.  LIFE's antimicrobial technology is built around incorporating antibacterial, antifungal and antialgal ingredients into solid materials such as plastics, coatings, ceramics, paper and textiles, to make products made from such materials stop the growth of and kill microbes for the lifetime of the products.  Using such materials, manufacturers are making carpets that will not smell moldy, refrigerator bins that resist the presence of bacteria, drinking water tanks that actively fight formation of biofilm, and grout that will not let fungus spoil the look of a new bathroom floor.

LIFE antimicrobial technology incorporates active ingredients into the material during the manufacturing stage.  Consequently, the active ingredients are always embedded into the product and continuously kill or inhibit the growth of microorganisms that come in contact with the surface of the material.  Even if there is external wear and tear on the product, LIFE antimicrobial technology is designed to resist abrasion, washing and exposure to UV radiation and various chemicals.  The antimicrobial effect is long lasting and will typically last for the lifetime of the finished product.

The active ingredients used in LIFE antimicrobial technology are registered with the US Environmental Protection Agency, the EU's Biocidal Products Directive and other key regulatory authorities around the world.  For applications with expected food and drinking water contact, LIFE offers additives in compliance with regulations set forth by the US Food and Drug Administration and the European Food Safety Agency.

Giant Cell Tumor of Bone

Giant cell tumor of bone (GCT) is a rare, aggressive non-cancerous (benign) tumor. It generally occurs in adults between the ages of 20 and 40 years. Giant cell tumor of bone is very rarely seen in children or in adults older than 65 years of age. Giant cell tumors occur in approximately one person per million per year.

Description

Giant cell tumors are named for the way they look under the microscope. Many "giant cells" are seen. They are formed by fusion of several individual cells into a single, larger complex. Many bone tumors and other conditions (including normal bone) contain giant cells. Giant cell tumor of bone is given its characteristic appearance by the constant finding of a large number of these cells existing in a typical background.

Most bone tumors occur in the flared portion near the ends of long bone (metaphysis), but giant cell tumor of bone occurs almost exclusively in the end portion of long bones next to the joints (epiphysis). Giant cell tumors of bone most frequently occur around the knee joint in the lower end of the thighbone (femur) or the upper end of the shinbone (tibia). Other common locations include the wrist (lower end of the lower arm bone), the hip (upper end of the thighbone), the shoulder (upper end of the upper arm bone), and lower back (connection of the spine and pelvis).

In rare cases, this tumor may spread to the lungs.

Cause

Giant cell tumors of bone occur spontaneously. They are not known to be associated with trauma, environmental factors, or diet. They are not inherited. In rare cases, they may be associated with hyperparathyroidism.

Symptoms

The first symptom most patients notice is pain in the area of the tumor. There may be pain with movement of a nearby joint. Pain generally increases with activity and decreases with rest. Pain is usually mild at first, but it progressively increases.

Occasionally, the bone weakened by the tumor may break and cause sudden onset of severe pain. Sometimes patients will notice a mass or swollen area that may not be painful.

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House Plans: Above and Beyond

House Plan Details

This handsome New American home can't help but catch your fancy, especially if you have an active family whose activities tend to spill outdoors. A wraparound front porch and three rear porches, one of them screened, offer lots of space for entertaining friends or just sitting and reading in the sunshine. Inside, a magnificent kitchen with an island counter and loads of counter and shelf space will immediately dazzle you. It opens to a large, informal dining area and a hearth-warmed keeping room with French doors to the rear. A study has French-door access to the front porch. The master bedroom in enhanced by alavish bath and private access to a small rear porch. Three upstairs bedrooms have their own baths; two enjoy walk-in closets.

With the purchase of CAD, you will also receive at no additional cost, over 30 high quality professional pictures, the artist rendering, and a virtual tour of the original show home.

House Plan Features

Fireplace Formal Dining Room Porch - Front Formal Living Room Family Room Laundry Room - First Floor Porch - Rear Kitchen - Breakfast Nook Den/Study Kitchen - Island Corner Lot/Side-Load Garage Doors - French Master / Main Suite - First Floor Kitchen - Snack Bar Columns - Outside Open Floor Plan Built-in - Cabinets Patio/Terrace/Veranda Columns - Inside Windows - Arched Windows - Bay/Box/Bow

Windows - Expansive Rear View Kitchen - Walk-in Pantry Deck - First Level Master / Main Suite - Private Patio/Deck Access Impressive Entrance Doors - Sliding Built-in - Desks Expandable Guest Suite-incl Bath Game/Recreation Room Built-in - Art Niches Wet Bar Library Porch - Side Porch - Screened Universal Design Secret Room/Safe Loft Porch - Front Porch - Rear Porch - Screened

Modular Femoral Oncology Implants

This enables surgeons to quickly and cost effectively operate on the most challenging skeletal anatomy.

• Minimal bone sacrifice
• Precision tapered junctions for integrity and durability
• Range of trochanteric reattachments for the proximal and total femur
• Clinically proven SMILES knee system used in Distal femur and total femur
• HA coated collars for enhanced fixation
• Easy to use, minimal instrumentation

• METS Proximal Femur System
• METS Distal Femur System
• METS Total Femur System

Specialist Lower Limb Implant Solutions

Designed specifically to treat mid shaft resections in the femur or tibia, we can apply a variety of fixation methods, HA collars and surface treatments of either silver or titanium nitride.

Our enthusiasm to save healthy natural joints if at all possible has extended into the lower limb. Saving the natural knee joint gives the patient greater joint longevity than would be otherwise available with an implant. Patients gain further benefit from natural motion and a far greater range of movement, proprioception and natural sensation.

Stanmore Implants has evolved several successful designs to save both the femoral head and the articulating surfaces of the knee joint. The surgical techniques required to place joint sparing prostheses demand extreme accuracy on the part of the surgeon to obtain a sound union between the bone remnant and the implant.

Tibial Oncology Implants

Custom tibial implants are the clear choice for cases where modular systems are unable to fulfil the surgeon’s operative requirements due to anatomic or tumour complexity.

If required, the SMILES fixed or rotating hinged knee is combined with proximal tibial implants, which provide a good range of treatment options with a sound clinical history.

Extendible tibial implants for skeletally immature patients are designed on a patient specific basis and are available with minimal or non invasive lengthening mechanisms.

Since 1992 Stanmore Implants has routinely coated all proximal tibial implants with titanium nitride (TiN) to reduce implant wear which can occur when underlying fibrous tissue is in close mechanical contact with an untreated titanium surface.

For tumours arising in the distal tibia we regularly design case specific implants to which we will apply an HA collar and either titanium nitride or a silver enhanced surface.

METS Modular Distal Femur Implant System

• A SMILES Knee
• A range of shafts in 15mm increments to suit differing lengths of resections
• A range of hydroxyapatite coated and uncoated collars of different diameters to match the size of the femoral bone cross-section
• A range of cemented stems to provide secure fixation in the intramedullary canal

Individual components of the femoral shaft are connected using inter-locking taper junctions allowing quick and easy assembly.

• Rotating hinge metal cased tibia with short and long stems suitable for extra-articular resection or difficult revisions
• Rotating polyethylene hinge tibia suitable for routine cases
• A fixed hinge tibia with short and long stems suitable for knees with marked instability or gross deformity

For very special cases, the METS modular system can be used in conjunction with custom made components to provide a rapid case specific solution.

The minimum resection required for the METS distal femur is 76mm and the maximum is 263mm.

• Evolved from the experience of more than 1,500 custom made distal femoral replacements
• Minimal sacrifice of bones
• HA coated collar for enhanced fixation
• Optional combination with custom made components
• Precision-made tapered junctions ensuring integrity and durability

• Metastatic disease
• Primary bone tumours
• Failed joint replacements
• Failed massive replacements

To discuss your cases with our sales team please contact us by calling +44 (0)20 8238 6500 or using our online form.