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Sports and exercise medicine physicians have extensive education in musculoskeletal medicine, and specialize in the treatment of athletes and other physically active individuals.
Sport Medicine doctors treat injuries such as muscle, ligament, tendon and bone problems, but may also treat chronic illnesses that can affect physical performance, such as asthma and diabetes.
They also advise on managing and preventing injuries, while advising on clinical physical activity interventions, negating the burden of disease directly attributable to physical inactivity.
If you have tried physiotherapy and the ankle remains persistently painful and swollen, it means that it was not a "simple ankle sprain". We need to do a thorough investigation to find out what structure has been injured. An MRI would be recommended as it could visualize the soft tissue better. It could be hairline fracture, a ligament tear or an osteochondral injury (a small part of the bone/ cartilage has been chipped off). Once we have established the diagnosis, then we can start the appropriate treatment.
While more research is needed to find the recommended dosage of turmeric, randomised control trials (RCT) have used a similar dosage to one another. This meta-analysis found that 8 RCTs used around 1g/day when given without painkillers and 500mg/day when given alongside painkillers. The highest dosage given was around 2g/day for joint pain. See your doctor to get an approximate dosage for your joint pain. There are other turmeric extracts that contain Labdane type Diterpene, such as in Japanese White Turmeric.
Dr Fong is an experienced Spine-specialised Orthopaedic Consultant in Singapore practising Minimally Invasive Spine Surgery. His training was in Calgary Spine Centre, Canada and his former practice was in Tan Tock Seng Hospital where he set up his "keyhole" spine surgery practice and has successfully performed lumbar disc surgery as ambulatory day surgery in Singapore with patients going home within a day.
This enterprise won the Ministry of Health Quality Improvement Poster Competition Merit Award on 11 Oct 2007. He now progressed to perform Less Invasive Spine Procedures without the need of general anaesthesia -percutaneous discectomy for disc herniation, an interspinous distraction for spinal stenosis and vertebroplasty for compression fractures.
Dr Fong uses comprehensive quality management for all his patients, utilising both conservative non-surgical as well as less invasive surgical techniques to treat his or her back or neck pain.
Dr Dinesh Sirisena graduated from Bart’s and The London Medical School in 2004 and completed specialist training with the London Deanery to become a Consultant in Sports and Exercise Medicine in 2014. Hs is now a Consultant in Sports Medicine at Khoo Teck Puat Hospital. He has specialist interests in shoulder, back and hip conditions, concussion management, medical education and ultrasound guided intervention to minimise surgical intervention.