Knee Archives - Orthopaedic Spine Surgery Singapore

Could Long Run Lead to Osteoarthritis?

November 30, 2017 by Tony Setiobudi

By Dr Tony Setiobudi BMedSci, MBBS, MRCS, MMed (Ortho), FRCS (Ortho)

Could Long Run Lead to Osteoarthritis?

Many people believe that running is bad for the knee and hip joints. In contrast to what many people believe, running is not only good for our hearts and lungs, it is great for our muscles, bones, and brains as well. In fact, people who run regularly are less likely to develop knee osteoarthritis compared to people with sedentary lifestyle.

Here are some of the benefits of running.

People who run regularly have more ideal body weight. Over weight puts a lot of pressure to the joint and muscles thus they wear out faster.
People who run regularly have stronger muscles. Quadriceps muscles are the stabiliser of the knee joint. The knee joint is more stable and has less wear and tear when the quadriceps muscles are strong.
Exercise helps to release the body anti-inflammatory substances. Osteoarthritis is caused by inflammation in the joint. Thus, exercise can slow down osteoarthritis by reducing the inflammation in the joint.
Exercises helps to produce greater supply of joint fluid (synovial fluid). It acts like a lubricant to the joint reducing the rate of osteoarthritis.

It does not mean that people who run regularly don’t get osteoarthritis. However, they are at a lower risk of getting one.

What can you do to reduce that chance of osteoarthritis if you like running?

Have adequate warm up before exercise so that you don’t strain your muscles
Have proper shoe wear appropriate for running
Run in even surface to reduce the risk of injury

Dr Tony Setiobudi is an Orthopaedic & Spine Surgeon at Mount Elizabeth Hospital (Orchard), Singapore. He treats bone, joint, muscle and ligament problems in adults and children. He has a special interest in nerve compression and spine problems such as back & neck pain, scoliosis, kyphosis, spine tumor & infection, spinal cord injury, osteoporosis fracture, spinal stenosis and slipped disc.

Total Knee Replacement | The Best Operation for Knee Osteoarthritis

February 18, 2017 by Tony Setiobudi

By Dr Tony Setiobudi BMedSci, MBBS, MRCS, MMed (Ortho), FRCS (Ortho)

Mr Wong is a 65 year old gentleman. He is complaining of knee pain on both sides, right side worse than left. The pain is gradually getting worse. He cant walk more than 50 metres. He has difficulty climbing stairs and squatting

Mr Wong is suffering from osteoarthritis of the knee. Knee pain from osteoarthritis commonly affect elderly. It interferes with the daily activities. Mild cases of knee osteoarthritis can be treated with medication and activity modification. Severe arthritis is best treated with operation (total knee replacement).

Total knee replacement is the best operation ever invented for osteoarthritis of the knee. In osteoarthritis, the cartilage slowly becomes degenerated and thin. Normal joints do not produce pain when moving because the healthy cartilage protects the nerve endings from being rubbed. In osteoarthritis, the nerve endings become exposed. When the knee moves, the nerve endings get rubbed and become painful. Initially, the pain is minimal. Over time, the pain is getting worse and worse. It interferes with walking and stairs climbing. The walking ability becomes limited. Total knee replacement is an operation to take away the pain generators. The damaged cartilage is removed. The bone is covered with metal. The nerve endings are no longer rubbing when walking. Instead, the metal is rubbing against plastic implant. As a result, after total knee replacement the knee becomes significantly less painful.

Total knee replacement is indicated for patients who are disabled from osteoarthritis of the knee. This is one of the most commonly performed elective orthopaedic operation. The patients need to stay in the hospital for a few days after the operation. The patients are expected to walk one or two days after the surgery. Post-operatively, the patients can walk further and more comfortable.

If you need more info about total knee replacement, do not hesitate to contact us or contact your doctor.

Knee sport injury and ACL tear

February 16, 2017 by Tony Setiobudi

By Dr Tony Setiobudi BMedSci, MBBS, MRCS, MMed (Ortho), FRCS (Ortho)
“John injured the left knee while playing soccer last month. He heard a “pop” sound when he kicked, followed by severe knee pain and swelling. He was not able to continue soccer. He could not even walk properly. The pain and swelling gradually subsided but his knee gives way when walking.”

Knee injury is very common during sporting activities. Most of injury is mild and does not cause any significant disability. Sometimes, the injury can be significant like in the case above causing knee pain, swelling and instability. The knee pain and swelling usually subsides with time. If the knee gives way, there is high probability that the anterior cruciate ligament (ACL) is torn.

ACL is an important ligament that stabilises the knee. When ACL is not functioning after an injury, the knee becomes unstable. The person is not able to do pivoting movement. High level athletes cannot perform optimally without functioning ACL.

ACL reconstruction surgery is performed to replace the torn ACL. This operation is done with keyhole method. The acl reconstruction operation can be done as a day surgery procedure or the patient can stay one night in the hospital after the operation for observation. Post-operatively, the patient needs to do intensive physiotherapy to have the best result.

Could Long Run Lead to Osteoarthritis?

By Dr Tony Setiobudi BMedSci, MBBS, MRCS, MMed (Ortho), FRCS (Ortho)

Total Knee Replacement | The Best Operation for Knee Osteoarthritis

By Dr Tony Setiobudi BMedSci, MBBS, MRCS, MMed (Ortho), FRCS (Ortho)

Knee sport injury and ACL tear

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