Orthosports Foot and Ankle
#10-41 Mount Elizabeth Novena Specialist Centre
38 Irrawaddy Road Singapore 329563
For appointments call: 67348168

CALL: +65 96186540 (24 hours & Emergency)
EMAIL: email@footandankledoctor.com.sg

Foot and Ankle Disorders

Treatment For Bunions And Forefoot Deformities In Singapore

Bunions or hallux valgus are an extremely common condition. Typically, the big toe will deviate towards the lesser toes and a prominence over the inner side of the big toe develops. As the deformity progresses, the forefoot (front part of the foot) gets broader. This broadening combined with the protruding bunion makes shoewear painful and causes pain and redness over the bunion. Over time, as the big toe starts to encroach into the territory of the 2nd and 3rd toes, these toes can start developing hammer toe and claw toe deformities. This can result in pain over the top of the 2nd and 3rd toe, or in some cases overload and a painful callosity over the sole underneath the 2nd or 3rd toes. See media…

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Lesser toe deformities (hammer toes, claw and mallet toes)

Deformities of the lesser toes are frequently the secondary result of a bunion or deviated big toe. However in some feet, lesser toe deformities can occur on their own or after trauma. Deformities can be varied and can result in the lesser toes riding up or across (crossover toe) towards the big toe or the adjacent toe. Symptoms can include pain over the top of the toe and difficultly getting the foot into a shoe. It is also common to develop a callosity or thickening of the skin over the sole of the foot that can be painful to walk on. This can sometimes be described as ‘walking on a stone’. Lesser toe deformities such as hammer or crossover toes can be managed with toe…

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A Singapore Clinic Treating Flatfoot in Children

Our practice has extensive experience recognising and providing treatment for this extremely common condition. Before the age of seven, many children’s feet are still growing, and may have a flatfoot as the arch is still developing. This means it can be a normal part of development requiring no intervention to correct. However, when a child has a severe flatfoot or one due to a congenital deformity such as a tarsal coalition, they may require treatment even at a young age. In cases where there is a loss of flexibility, or the flatfoot is particularly severe, parents are encouraged to bring their child for an appointment with our specialists. This would allow us to assess if intervention is beneficial or if there are any underlying congenital…

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Flatfeet in adults

A flatfoot in an adult can be the result of a flatfoot that the adult has had since he/she was a child or a new flatfoot deformity that has developed in adulthood. In the former case, the person would have had a flatfoot since a child and only developed symptoms recently. In young adults, this can be as a result of an injury or recent increase in activity. Frequently, young adults with flatfeet have an accessory navicular bone that becomes irritated or symptomatic because of a recent injury or increase in activity. This may in some situations, require removal of the accessory bone for pain relief. In middle age, as a result of degeneration of the posterior tibial tendon, many people develop a flatfoot that…

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High arched (cavus) feet

This is the opposite of flatfoot. When standing, the inner arch of the foot is high and above the ground. When the arch is very pronounced or there has been increased stress on the foot, symptoms can result. People with high arched feet can be prone to develop pain over the underside of the big toe (sesamoids), the heel, and the peroneal tendons or over the outer metatarsals. Having an abnormally high arch can increase pressure over these areas of the foot and can also be associated with decreased flexibility of the foot joints. In some situations, the high arched foot can be due to an underlying neurological cause (spinal nerve conditions, Charcot Marie Tooth disease, peripheral nerve disorders, stroke etc). In these cases, muscle…

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Foot and Ankle fractures and trauma

Injuries and fractures that involve the ankle and foot can happen to anyone. Foot and ankle injuries during sport occur frequently. However, twisting your foot or ankle can occur during many activities of daily life such as tripping over a curb or someone else’s foot. Generally, a simple sprain can recover in a few days with RICE (Rest, Ice, Compression, Elevation) treatment. When the pain or swelling persists, there can be various injuries that have occurred. Many of these may require timely appropriate treatment to ensure a good recovery. Read our media article on Dr Tan’s study on the various types on injuries after an ankle sprain detected on MRI. Possible injuries include: Foot and metatarsal fractures Fifth metatarsal (Jones fractures) Tendon injuries (Peroneal tendons,…

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Peroneal tendon injuries

The peroneal tendons can be a cause for pain on the outer side of the ankle. These tendons can develop tears, tendinitis or instability that results in a dislocation or clicking of the ankle on activity. Treatment would involve an ankle support and physiotherapy in mild cases. For persistent symptoms, a repair of the tear or reconstruction of the instability can be useful. In some cases of tendinitis or tears, minimally invasive tendoscopic therapy can also be used.

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Ankle Sprains (Minor Ligament Tears) And Instability

An ankle sprain is a very common injury in any sport or in daily life. Most of the time, a sprain would involve a minor injury to the lateral ligaments. This would involve the anterior talofibular ligament (ATFL) and/or the calcaneofibular ligaments (CFL). Treatment for minor and major ankle injuries In minor sprains, return to activity can be quick and recovery uncomplicated. RICE treatment (Rest, Ice, Compression and Elevation) can be useful to reduce swelling and pain during recovery. More serious injuries can involve either a partial or full lateral ligament tear. In these situations, recovery may be prolonged and complications can develop. It is useful to consult a foot and ankle or orthopaedic/sports doctor as well as a physiotherapist during rehabilitation and recovery. Read…

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Chronic ankle pain (Ankle impingement, talus osteochondral/cartilage lesions)

As knowledge in foot and ankle conditions progresses, physicians have realized that many people do not return to normal function after an ankle injury. This has been termed chronic ankle dysfunction. There can be many possible causes, which can include: Improper rehabilitation The development of ankle impingement from ligament injury Instability or a ‘loose’ ankle Talus osteochondral (cartilage lesions) Other occult injuries Effective treatment for many of these underlying causes of chronic ankle dysfunction is available. Addressing these conditions can also frequently be done through keyhole or arthroscopic procedures that allow a quick recovery. Arthroscopy for ankle impingement Ankle impingement refers to a clinical syndrome when there is persistent pain in the front (anterior ankle impingement) or back (posterior ankle impingement or Os Trigonum syndrome)…

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Managing and Treating Achilles Tendon Tears

Depending on the location, severity and length of time since the injury, treatment options will vary. Surgery for acute tears Acute tears of the Achilles tendon can be managed with a cast or cast boot together with rehabilitation. However, a repair can possibly restore function more quickly, give more power in the healed tendon and also likely have less chances of a rerupture or retear. Previously, the main concern with a repair would be wound complications as a relatively long wound would be required for repair. Dr Tan has been using a minimally invasive technique for repairs for many years now and this has so far given a reliable repair without wound complications. With small wounds for the repair, this also allows faster rehabilitation without…

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Treatment of Achilles Tendinitis from A Reputable Singapore Clinic

Both athletes and non-athletes can benefit from specialist attention to aches and pains around this region. Achilles disorders and tendinitis (tendinopathy) frequently causes pain over the back of the heel. The pain can be at the bottom of the Achilles tendon as it inserts onto the heel bone (insertional type) or over the tendon itself (non-insertional). Swelling and tenderness in and around the Achilles will accompany the pain. For insertional tendinopathy, a common occurrence will be a bony hard type of swelling over the heel’s rear at the Achilles insertion (Haglund deformity or Achilles heel spur). What is involved in tendinitis treatment? The treatment approach would be to modify activity to reduce stress on the tendon. Physiotherapy and also a heel lift can be useful…

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Heel Pain (Heel Spurs) And Plantar Fasciitis Treatment In Singapore

Don’t struggle any more with moving around or accomplishing basic tasks. Heel pain or plantar fasciitis is one of the commonest conditions seen at the foot and ankle clinic. Please read our media article on ‘healing heels’. Most of the time, this can initially be managed with stretches, cushioning of the foot and activity modification. The majority of patients are expected to get better with time. In some patients, symptoms persist or return and further treatment may be necessary. Options for persistent heel pain There can be a variety of treatment approaches when symptoms are not improving, which can include injections, ultrasound treatment, open surgery to release the fascia to name a few. In the last few years, Dr Tan has been using an endoscopic…

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Ankle arthritis

Ankle arthritis may have many underlying causes. This can occur due to a prior fracture, inflammatory arthritis, repeated ankle sprains and instability, gout, foot deformities etc. Early ankle arthritis associated with bone spurs and pain can also be managed with an ankle arthroscopy and resection of the spurs and treatment of cartilage defects to restore function and relieve pain in the ankle. In the intermediate stages of arthritis, osteotomy or correction of deformity to relive pressure on the ankle cartilage can also be a good option. In the later stages of arthritis the options would be either a fusion (arthrodesis) of the ankle or an ankle replacement. This can be a decision that takes into account the age and activity level needed, the specific demands…

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Arthritis in the foot

Arthritis in the foot joints can occur at the hindfoot (subtalar, talonavicular, calcaneocuboid, Chopart joints) or at the midfoot (tarsometatarsal joint). The arthritis can be primary (develops on its own without an obvious cause) or secondary. Secondary causes are more frequent and can be due to prior trauma/fracture, rheumatoid arthritis, posterior tibial tendon dysfunction (PTTD), gout, inflammatory arthritis to name a few. When arthritis sets in, it results in a painful stiff foot and walking can be difficult, particularly on uneven surfaces or for prolonged periods of time. Different braces and orthotics can be used to alleviate symptoms though when arthritis is advanced it would be useful to discuss your reconstructive options with a foot and ankle orthopaedic surgeon.

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Ganglion Treatment at Our Singapore Clinic

The foot is a region of the body that is prone to develop different lumps and growths. Commonly, these grows can be a ganglion though all sorts of soft-tissue or bony growths can occur. These can cause pain or difficulty fitting the foot into a shoe due to the growth rubbing on the shoe or sandal. Surgery for the removal of a ganglion When this occurs, a removal of the lump can be useful not only to confirm the nature of the lump but also to relieve symptoms. The first step before any surgery is undertaken is an in-depth examination of the growth. Roughly 30 to 50 per cent of ganglion cysts may disappear without medical intervention, however it is crucial that any growth be…

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The ankle and foot in cerebral palsy

Ankle and foot deformities and gait abnormalities are common in cerebral palsy. Often, foot rebalancing and tendon transfers can restore a better gait pattern and help correct painful foot deformities. This has to be individualized to each patient and his/her foot.

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Drop foot from neurological conditions, stroke

Spinal conditions, stroke and neuropathies can cause a foot drop. This can be quite debilitating as it interferes with gait and results in the person easily tripping over objects. Frequently, corrective rebalancing, tendon transfer or in some patients bony corrections can aid in improving the gait pattern. Correction of the foot drop can be a very good alternative to chronic use of an orthosis or brace.

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Diabetic Foot Problems

Diabetes is an epidemic worldwide and Singapore has not been spared. With more and more people having diabetes, wounds, ulcers and infections in the lower limb and foot are increasingly common. Management in these cases would usually involve a careful examination of the foot for any correctable causes for the wound, management of any infection and good overall control of the diabetes and any associated complications. More and more, people do not accept an amputation as a solution, and reconstruction and rebalancing of the foot can be helpful to salvage or save the foot from an amputation in selected cases. Corrective surgery can also be a good option to aid in ulcer and wound healing particularly in chronic non-healing wounds.

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Charcot Foot

This can be a complex clinical condition. Typically, diabetes would be an underlying cause that has resulted in either atypical fractures or deformities in the ankle or foot. The lower limb is most frequently affected. In Charcot foot, specialized expertise in assessment and treatment of the foot and ankle are needed to prevent the development of complications and amputation. In selected cases, a reconstruction of the foot and ankle can allow salvage of the foot and avoid an amputation or correct deformity.

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Condition Types

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