What Can You Do To Help Your Back and/or Neck?

In our fast-paced society, we often look for “quick fix” solutions to quickly remove the pain. We need to understand that in many instances, back or neck pain become obvious as a result of years of “neglect” of the spine. Patients with back or neck pain can become sedentary, or become out of shape, gaining weight that places more strain on the low back. Our goal at the Centre for Spine and Scoliosis Surgery (CSS) is to make your back or neck stronger, more flexible, and thus reducing the chance of further injury. Many of these can be achieved by educating you on the structure and function of the spine, and the lifestyle modifications that may accompany.

While a spinal injection or surgery can help relieve symptoms, not maintaining spinal muscle strength and flexibility, or use of good body mechanics can increase your likelihood of future problems. You have to remember that as you get older,

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Some jobs require standing for many hours at a stretch. People rarely distribute their weight equally onto both legs while standing. They tend to shift their weight from one side to another, throwing the spine out of

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If you have difficulty standing without shifting weight, try standing with one leg on a footrest, periodically switching feet. It is also important to do back stretches now and

then in order to reduce stiffness of the back.

Lifting is a common activity in our daily life. When lifting, maneuver the object close to your body, and use the strength in your legs to get the object off the ground, rather than your low back. Whenever possible, your back should not bend forward when lifting something, however light it may appear.
Contributing Specialist:

Dr Hee Hwan Tak
MBBS, FRCS (Ed), FRCS (Glas), FAMS (Ortho)
Medical Director and Senior Consultant, Pinnacle Spine & Scoliosis Centre
Mobile: 65-98283132
Tel: 65-67370680
Fax: 65-67370522
Emergency: 65-97718964
Website: http://www.p-ortho.com
3 Mount Elizabeth, Mount Elizabeth Medical Centre, #04-07, Singapore 228510
Adjunct Associate Professor, Nanyang Technological University, Singapore
Panel of Medical Experts, The Subordinate Courts of Singapore

Associate Editorial Board Member, The Spine Journal (USA)


Diabetic foot ulcers


A major complication of diabetes are foot ulcers. Majority will heal as long as the blood supply to the foot is good and infection is treated appropriately. However, there are ulcers that persist for many months without healing.


In the traditional methods of management, they are often only treated with frequent dressing changes. Any ulcer that does not reduce in size by half within 1 month is not likely to heal with further dressing changes. Such a delay in healing can put the patient at risk of getting his or her ulcer infected. This can result in amputations.


If the ulcer is not infected, why does it not heal? The most frequent reason is that the blood supply is poor. Always ask your doctor to examine

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foot. One severe consequence of this is called the Charcot foot. Diabetes can also cause tendons and muscle to “tighten” causing high pressure areas in your foot that in turn cause the skin to ulcerate.



The above shows a Charcot foot with sagging of the foot and bone destruction in the middle of the foot. Ulcers can form in the bottom of the foot. The bottom xrays show the same foot after reconstruction. The alignment is now restored.

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This topic is courtesy of:

Dr. Chong Keen Wai

The Ortho Klinic

Gleneagles Medical Centre

Suite 08-01

6 Napier Road

Singapore ( 2588499 )

Clinic Tel: +65 64738826

Email: [email protected]

Website: www.orthoklinic.com.sg

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Bunions are very common. They cause pain over the big toe. Many severe ones also affect the second and third toes leading to pain in the front of the foot.

Although footwear changes solves the problem for many people. Some still require surgical correction.

There are hundreds of operations described for the correction of bunions. Many date back to the 1950’s and 1960’s. Do check with your surgeon when the surgery was dated. These often require long periods of casting of the foot or usage of crutches and often with pins sticking out of the foot for weeks.

The modern approach to bunion surgery is “WALK IMMEDIATELY” and “NO CRUTCHES”.

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This is made possible by a new procedure called the Scarf osteotomy. With this, even severe bunions can be corrected without sacrificing the important joint of the big toe.

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This topic is courtesy of:

Dr. Chong Keen Wai

The Ortho Klinic

Gleneagles Medical Centre

Suite 08-01

6 Napier Road

Singapore ( 2588499 )

Clinic Tel: +65 64738826

Email: [email protected]

Website: www.orthoklinic.com.sg

Chronic Ankle Pain – What could be the problem?


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A proper evaluation of ankle pain requires listening to the patient’s symptoms and then performing an examination of all the joints, tendons and ligaments. Sometimes, Xrays or MRI scan may be necessary to assist in confirming a diagnosis.


Treatment of ankle pain has advanced significantly. Many conditions

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Ankle arthroscopy showing a “meniscoid lesion”. This is a fibrous “scar” that appears after an ankle injury that can get trapped in the joint, causing pain. Arthroscopic removal results in excellent pain relief.

Tendon scope (tenoscopic surgery) on the ankle. My published personal results

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This topic is courtesy of:

Dr. Chong Keen Wai

The Ortho Klinic

Gleneagles Medical Centre

Suite 08-01

6 Napier Road

Singapore ( 2588499 )

Clinic Tel: +65 64738826

Email: [email protected]

Website: www.orthoklinic.com.sg