Back Pain, Prolapsed Intervertebral Disc

Sliped Disc

What is Prolapsed Intervertebral Disc?

Prolapsed intervertebral disc is the sudden or slowly progressing movement of one intervertebral disc backwards into the spinal channel. Therefore the pressure on the nerve roots can cause pain, weakness of movement, numbness or heightened sensation in the nerve root area.

How is Prolapsed Intervertebral Disc diagnosed?

In order to diagnose a prolapsed intervertebral disc a thorough physical examination is conducted. It can help to exclude a disturbance of the blood supply or circulation of the legs and enables the doctor to draw conclusions as to the location, grade of the prolapse and the extent of the neurological involvement. An x-ray helps in diagnosis as it enables the doctor to look at the bone structure of the vertebral column. An MRI is the most definitive scan as it can show how many levels are involved, the size of each prolapsed disc, and the extent of the nerve root impingement.

What are the Causes?

One of the causes is the weakening or a tearing of the tissue ring due to over straining of the vertebral column. This usually is caused by wear and tear. Other risk factors for prolapsed intervertebral discs are obesity and pregnancy.

What are the Treatment?

Conservative treatments include bed-rest, medication, injections and physiotherapy to strengthen the back muscles. Sometimes surgery is required when the disc prolapse causes significant neurological impairment such as signs of paralysis.

Do you need a consultation? Our Orthopaedic Specialist Dr Kevin Yip has over 20 years of experience. Be assured that you are receiving the most professional treatment.
Call or SMS to 9137 7787 to make an appointment. You can also request for a call back by using our Contact Form.

 

 

 

Back Pain, Tail Bone Pain (Coccydynia)

tailbone

What is Coccydynia?

Coccydynia is the inflammation of the tip of the tailbone and the pain is often worse on sitting.

How is Coccydynia Pain Diagnosed?

Coccydynia is commonly diagnosed based solely on the symptoms and the examination findings of local tenderness over the tailbone.

What are the Causes?

Coccydynia is often caused by an injury, but it may occur spontaneously. There are many causes of tailbone pain which can mimic coccydynia, including sciatica, infection, pilonidal cysts, and a fractured coccyx bone.

What are the Treatment?

Treatments include using a well-padded seat when sitting and avoid long periods of sitting when possible. Some patients with persistent coccydynia are treated with local cortisone injection.

Do you need a consultation? Our Orthopaedic Specialist Dr Kevin Yip has over 20 years of experience. Be assured that you are receiving the most professional treatment.
Call or SMS to 9137 7787 to make an appointment. You can also request for a call back by using our Contact Form.

 

 

 

Back Pain, Scoliosis

scoliosis

What is Scoliosis?

Scoliosis is a medical condition in which a person’s spine is curved from side to side, shaped like an “s” or “c”, and the spine may also be rotated.

How is Scoliosis Diagnosed?

A rib “hump” or a prominent shoulder blade caused by rotation of the ribcage in thoracic scoliosis can be detected on physical examination. It is more prominent when the patient is bent forward. A special X-ray film called a scoliosis film will confirm the diagnosis.

What are the Causes?

There is no definite cause but most are due to developmental problems.

How to Prevent Scoliosis?

Regular exercise and a good diet. Scoliosis is more likely to occur to low body weight patients.[/learn_more]

What are the Treatment ?

Treatments include monitoring with regular medical check up to look for worsening of the curvature, bracing to help moderate cases and surgery may be necessary for the severe cases.

Do you need a consultation? Our Orthopaedic Specialist Dr Kevin Yip has over 20 years of experience. Be assured that you are receiving the most professional treatment.
Call or SMS to 9137 7787 to make an appointment. You can also request for a call back by using our Contact Form.

 

 

 

Back Pain, Sciatica

sciatica

What is Sciatica?

Sciatica is pain resulting from irritation of the sciatic nerve. The pain of sciatica is naturally felt from the low back to behind the thigh and radiating down to below the knee.

What are the Causes?

The main cause of sciatica is generally a result of a disc herniation directly pressing on the nerve. However any cause of irritation or inflammation of this nerve can reproduce the symptoms of sciatica. These causes include irritation of the nerve from adjacent bone, tumors, muscle, internal bleeding, infections, injury, and many others.

What are the Treatments?

Traditionally bed rest has been used for the treatment of sciatica. Other treatments for sciatica include addressing the underlying cause, medications to relieve pain and inflammation and relax muscles, and physical therapy. Surgical procedures are sometimes required for persistent sciatica that is caused by nerve compression at the lower spine.

Do you need a consultation? Our Orthopaedic Specialist Dr Kevin Yip has over 20 years of experience. Be assured that you are receiving the most professional treatment.
Call or SMS to 9137 7787 to make an appointment. You can also request for a call back by using our Contact Form.