Knee Specialist in Singapore

Dr Ambrose Yung, with over 20 years of experience, specialises in a range of knee-related treatments and surgeries. He specialises in complex procedures such as revision knee arthroplasty, partial knee replacement, and primary total knee replacement.

Experiencing knee pain or discomfort that affects your daily activities? Our knee specialist can provide comprehensive diagnostic evaluations and personalised treatment options to address your specific condition.

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Dr. Ambrose Yung
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Common Knee Conditions

Knee conditions vary widely in type and severity. Common knee conditions may include:

  • Osteoarthritis - A degenerative condition commonly diagnosed in older adults, where the cartilage in the knee joint gradually wears away. This leads to pain, swelling, and difficulty in movement.
  • ACL (Anterior Cruciate Ligament) Injuries - ACL injuries, often seen in sports activities, involve damage to the ligament that stabilises the knee joint. They can range from minor sprains to complete tears.
  • ACL Avulsion Fracture - A severe injury where the ACL tears off a piece of the bone from the knee joint. This condition often requires timely medical attention and may require surgery.
  • Meniscus Tears - The meniscus, a piece of cartilage that cushions and stabilises the knee, can tear from sudden twists or overuse. This condition is prevalent in athletes and can cause pain and swelling.
  • Cartilage Injury - Injuries to the knee cartilage, such as chondromalacia, can lead to pain and swelling. This condition often arises from overuse or misalignment of the knee joint.
  • Patellar Tendonitis - Also known as jumper's knee, this condition is due to inflammation of the tendon connecting the kneecap to the shinbone, common in athletes who engage in jumping sports.
  • Patellofemoral Pain Syndrome - Often seen in young athletes, this condition involves pain around the kneecap and is associated with activities that put pressure on the knee joint.
  • Knee Bursitis - Inflammation of the bursae, small fluid-filled sacs near the knee joint, often caused by repetitive motion or pressure.

Common Causes Of Knee Conditions

Common causes of knee conditions include:

  • Age-Related Wear and Tear
    Osteoarthritis, one of the most common knee conditions, often results from the natural ageing process where the knee’s cartilage gradually deteriorates.
  • Sports-Related Injuries
    Activities involving jumping, running, or rapid changes in direction can lead to ACL injuries, meniscus tears, and patellar tendonitis.
  • Overuse of the Knee
    Repetitive movements, especially in sports or certain occupations, can cause conditions like patellar tendonitis and bursitis.
  • Trauma and Accidents
    Direct impact from falls, accidents, or sports can cause fractures, ligament tears, and other acute knee injuries.
  • Improper Training or Equipment
    Using inappropriate sports equipment or poor training techniques can lead to misalignment and imbalance in the knee, causing various conditions.
  • Excess Body Weight
    Carrying extra weight increases the stress on knee joints, potentially accelerating the wear and tear that leads to osteoarthritis.
  • Genetic Predisposition
    Some individuals may have a genetic predisposition to certain knee conditions, such as osteoarthritis or patellofemoral pain syndrome.

Symptoms and Signs

The symptoms and signs of knee issues vary depending on the condition, and may include the following:

  • Pain: Varies from a dull ache to sharp, severe pain, often worsening with activities like climbing stairs, kneeling, or walking.
  • Swelling and Stiffness: Inflammation in and around the knee joint leads to swelling, often accompanied by stiffness, particularly in the morning or after periods of inactivity.
  • Reduced Mobility: Difficulty in fully straightening or bending the knee, indicating possible ligament damage or arthritis.
  • Instability or Weakness: A feeling of the knee giving way or being unable to support weight, often a sign of ligament injuries like ACL tears.
  • Popping or Crunching Noises: These sounds can occur with movements and may indicate cartilage damage or osteoarthritis.
  • Difficulty or Inability to Bear Weight on the Knee: Severe pain or discomfort when putting weight on the knee, suggesting a possible fracture or severe ligament injury.
  • Visible Deformity: Any noticeable change in the shape or alignment of the knee could be a sign of a serious condition that needs immediate medical attention.

Diagnosis

The diagnostic process typically involves the following steps:

Medical History Review

Understanding the patient’s overall health, history of knee problems, and the specific circumstances leading to the current condition.

Physical Examination

A thorough examination of the knee to assess pain, swelling, stability, range of motion, and strength. This may also include functional tests to evaluate the knee’s function during various activities or movements to pinpoint specific conditions.

Imaging Tests
  • X-rays: To detect bone fractures and degenerative joint disease.
  • MRI Scans: Offering detailed images of both hard and soft tissues, including ligaments, cartilage, and tendons.
  • CT Scans: Providing cross-sectional images, useful in diagnosing complex knee issues.
Blood or Joint Fluid Tests

Analysis of blood or fluid from the knee joint can help identify infections or diseases like gout and rheumatoid arthritis.

Non-Surgical Treatment Options

For many knee conditions, non-surgical treatment methods are effective in relieving pain and restoring function. Common non-surgical options include:

  • Medications
    Over-the-counter pain relievers such as ibuprofen or acetaminophen are commonly used. For more severe pain, prescription medications, including opioids, may be considered. Additionally, drugs like glucosamine and chondroitin sulfate might be recommended for osteoarthritis.
  • Activity Modification
    Initially, the knee specialist may recommend reducing or altering activities that exacerbate knee pain, such as switching from high-impact to low-impact exercises.
  • Corticosteroid Injections
    These can provide relief from inflammation and pain. Their use is generally limited due to their potential side effects.
  • Viscosupplementation
    This procedure involves injecting hyaluronic acid into the knee joint to provide cushioning and lubrication. It is especially beneficial for cases of osteoarthritis.
  • Supportive Devices
    Knee braces or shoe inserts can help in stabilising the knee, aligning the leg, and distributing weight more evenly across the joint.
  • Cast or Splint
    In cases of specific injuries like fractures or ligament tears, immobilising the knee with a cast or splint can facilitate healing by restricting movement.
  • Physical Therapy
    This involves structured exercise programs to strengthen the muscles supporting the knee, enhancing stability and flexibility. Physical therapy also includes techniques like heat or cold therapy, ultrasound, and electrical nerve stimulation to reduce pain and swelling.

Surgical Treatment Options

When non-surgical treatments are insufficient, surgery may be necessary to address more severe knee conditions. Common surgical options include:

Arthroscopic Surgery

A minimally invasive procedure using small incisions and a camera (arthroscope) to repair or remove damaged tissue. Commonly used for meniscus tears, ACL repairs, and removal of loose bodies in the knee.

Total Knee Replacement

Involves replacing the damaged knee joint with artificial components. Total knee replacement is typically considered for severe osteoarthritis or other debilitating joint conditions.

Partial Knee Replacement

A less invasive option compared to total knee replacement, where only a part of the knee joint is replaced. This is suitable for patients with damage limited to a specific area of the knee.

ACL Reconstruction

This surgery reconstructs a torn anterior cruciate ligament using a graft taken from another tendon in the patient’s body or from a donor.

Meniscus Repair

Surgical repair of a torn meniscus, either by stitching the torn pieces together or removing the damaged part of the meniscus.

Osteotomy

This includes the reshaping of the bones to relieve pressure on the knee joint. It is often used for younger patients with early-stage osteoarthritis.

Rehabilitation Process

The rehabilitation process for knee conditions aims to restore the strength, mobility, and function of the knee. Initially, the focus is on reducing pain and swelling. This involves rest, ice, compression, and elevation (RICE) along with the use of anti-inflammatory medications as prescribed.

As pain and swelling decrease, patients can engage in physical therapy. This includes exercises to strengthen the muscles around the knee, improve flexibility, and enhance joint stability. These are progressively intensified based on individual tolerance and recovery speed.

Regular follow-up appointments can help monitor progress and make adjustments to the rehabilitation plan as needed. The ultimate goal is to facilitate a safe and effective return to daily activities, work, and sports, focusing on sustained knee health.

Preventing Knee Complications

Preventing complications related to knee conditions involves a combination of proactive measures and lifestyle modifications.

  • Regular Exercise: Engaging in regular, low-impact exercises such as swimming, cycling, or walking helps strengthen the muscles around the knee, enhancing joint stability and flexibility.
  • Maintaining a Healthy Weight: Excess body weight puts additional strain on knee joints. Weight management through diet and exercise can reduce the risk of knee complications.
  • Wearing Supportive Footwear: Wearing shoes that provide good support and cushioning can help in maintaining proper leg alignment and balance, reducing stress on the knees.
  • Avoiding High-Impact Activities: Activities that put excessive strain on the knee, like jumping or heavy lifting, should be moderated, especially for individuals with pre-existing knee conditions.
  • Making Ergonomic Adjustments at Work: For those with sedentary jobs, ensuring ergonomic workstations can help reduce knee strain. This includes using chairs with proper support and keeping feet flat on the floor.
  • Regular Medical Check-Ups: Routine consultations with a knee specialist can help in early detection and management of potential knee problems.

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Are Your Symptoms Affecting Your Quality Of Life?

Consult our MOH-accredited orthopaedic specialist for a detailed consultation & personalised treatment plan today.

Dr. Ambrose Yung

  • Specialist Orthopaedic Consultant

Dr Ambrose Yung Wai Yin is an experienced Specialist Orthopaedic Consultant with over 20 years of experience in the field of orthopaedics.

His area of interest extends includes complex operations such as revision knee arthroplasty, partial knee replacement and primary total knee replacement. His area of expertise also extends to minimally invasive shoulder, ankle and knee surgery as well as reconstruction of the upper and lower limbs.

Our Clinic Locations

Spire Hand & Upper Limb Centre 3 Mount Elizabeth, #07-10
Singapore 228510

Monday – Friday: 9.00am – 6.00 pm
Saturday: 9.00am – 1.00pm
Sunday & PH: CLOSED

Spire Orthopaedic Physiotherapy & Rehab Centre 101 Irrawaddy Road, #18-03
Singapore 329565

Monday – Friday: 9.00am – 6.00 pm
Saturday: 9.00am – 1.00pm
Sunday & PH: CLOSED

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    Frequently Asked Questions (FAQ)

    What Should I Avoid Doing If I Have Knee Pain?

    When experiencing knee pain, try to avoid activities that exacerbate the discomfort. High-impact exercises such as running, jumping, or heavy lifting should be limited. Prolonged periods of sitting or standing in the same position should also be avoided, to reduce strain on the knees.

    How Long Does It Take to Recover from Knee Pain?

    The recovery time from knee pain varies depending on the underlying cause and severity. Minor injuries may improve within a few weeks with appropriate rest and care, while more serious conditions may require a longer period, particularly if surgical intervention is involved. Consistent follow-up with a knee specialist can ensure a recovery plan that is effective and suited to individual needs.

    What Happens If Knee Conditions Go Untreated?

    Leaving knee conditions untreated can lead to worsening symptoms and potentially more serious complications. Conditions like osteoarthritis, if not managed properly, can lead to increased pain, reduced mobility, and an impact on quality of life. Early intervention by a knee specialist can prevent the condition from deteriorating and provide more effective treatment options.

    When Should I Consider Knee Surgery?

    Knee surgery is considered when non-surgical treatments have not provided sufficient relief, or when the knee condition is severely impacting the quality of life. Surgical options are typically discussed in cases of serious structural damage to the knee, such as severe osteoarthritis or complete ligament tears. Consult with a knee specialist to evaluate the need for surgery based on your specific condition.

    How Do I Know If My Knee Pain Warrants Medical Attention?

    Knee pain that persists beyond a few days, especially if it limits daily activities or is accompanied by other symptoms like severe swelling, instability, or reduced range of motion, should be evaluated by a knee specialist. Knee pain that results from an injury or is accompanied by signs of infection, such as fever or redness, should also warrant medical attention.