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Trigger Finger

Trigger finger is a condition that causes pain, stiffness, and a locking sensation when you bend and straighten your finger.

Symptoms associated with the trigger finger

  • Pain when straightening or bending the finger
  • A popping or locking sensation when moving the finger
  • Stiffness and locking that worsens are periods of inactivity
  • A tender lump at the base of the finger on the palm side of the hand

Doctor’s management

Anti-inflammatory injections such as cortisone can be injected into the inflamed tendons, reducing swelling and stopping pain.

Anti-inflammatory pain killers are prescribed to reduce swelling and inflammation of the injured tendon.

Nerve stabilizing medications reduce pain transmission, giving good pain relief.

By Singapore Paincare Holdings

Tennis Elbow

Tennis elbow is a painful condition that occurs when muscles and tendons in the forearm are strained due to repetitive or strenuous activities.

Activities that involve repeatedly twisting your wrist and using your forearm muscles:

  • Playing racquet sports e.g (tennis, badminton or squash)
  • Wringing of clothes and household chores
  • Manual work – Car wash and carrying pails of water

Pain and tenderness felt in the bony knob on the outside of the elbow. This knob is where the injured tendons connect to the bone.

You may experience difficulty doing everyday tasks like:

  • Holding a cup
  • Pouring water from a kettle
  • Turning a doorknob
  • Hanging laundry out to dry

Doctor’s Management

A combination of INJECTION AND MEDICATION THERAPY may be used to treat the inflamed muscles, reduce swelling, and stop the pain so that patients can engage in early rehabilitation and therapy.

By Singapore Paincare Holdings

Post Shingles Pain

Most patients with Shingles would experience the painful rash only transiently for a few days. However, 20% – 25% of patients may have to bear the burden of persistent shingles pain. This pain lasts even after the Shingles rash has disappeared. This is a nerve-type pain.

How is this pain like?

  • Episodic electric current.
  • Sharp, shooting pain in the background of constant aching or burning pain.
  • Extreme skin sensitivity to non-painful stimulus.
  • Excruciatingly distressing in the presence of numbness over that affected are of the body.
  • Does not respond to standard painkillers such as panadol or other anti-inflammatory medicine.

Doctor’s Treatment

  • Medication therapy using specific anti-neuropathic medications.
  • Injection therapy to stop the severe intense nerve pain.

By Singapore Paincare Holdings

Piriformis Syndrome

Are you troubled by these symptoms?

  • Reduced range of motion of the hip joint and pain radiated to inner groin.
  • Back pain or buttocks discomfort while sitting.
  • Tingling at the back of your legs and lower back.
  • Pain which radiates down the back of your legs, usually into the hamstrings and sometimes even the calf muscles.

What causes it?

When the piriformis muscle, which is located in the buttock region spasms, it can cause muscular pain in the buttock. It is irritated by the nearby sciatic nerve and cause pain, numbness and tingling along the back of the leg and into the foot.

Medication Therapy 

Apart from standard anti-inflammatory painkillers, specific muscle relaxants and medications are needed to desensitize the “irritated” sciatic nerve to stop pain in the calf and foot.

Injection Therapy 

Myofascial injections are targeted at painful injured areas. This provides muscle relaxation and healing of the soft tissues.

By Singapore Paincare Holdings

Myofascial Pain Injections

Myofascial pain injections are used to treat a number of pain conditions including tension headache, neck and back pain, tennis/golfers elbow, ankle pain, feel/foot pain, shoulder pain, knee pain and other joint pain.

  • Soothe muscle pain caused by trigger points, which are painful “knots” in the muscle and also target at the painful injured areas.
  • It is a targeted treatment effective in stopping muscle spasm and inflammation, reducing pain, thus enabling the patient to engage early in rehabilitation and therapy.
  • This is an alternative to painkiller injection. Very safe, the risk of complications such as bleeding and site infection are not common.

By Singapore Paincare Holdings

Generalised Body Pain

  1. I am experiencing chronic muscle ache and pain
  2. This pain and fatigue is affecting my daily activities
  3. I feel stiffness and tightness, especially the fingers
  4. I am having a lot of sleep disturbances
  5. I have increased stomach sensitivity and giddiness

Speak to your doctor today if you are experiencing the above symptoms. You may be having a pain call FIBROMYALGIA

FIBROMYALGIA 

  • A central nervous system hypersensitivity causing muscle spasms especially around the joints
  • Affects the muscles and soft tissue
  • A muscle disorder that causes significant pain all over the body
  • This pain and fatigue can interfere with a person’s ability to carry on daily activities

By Singapore Paincare Holdings

Facial Pain

Are you suffering from sudden sharp spasms, burning or shock-like facial pain that may be triggered by routine acts such as speaking, washing face, brushing teeth, eating and drinking or even just a breeze on the face?

  • You may feel as though your pain came out of nowhere
  • Some people start out thinking they have an abscessed tooth and go to a dentist
  • You may have heard of Trigeminal Neuralgia and find your pain symptoms similar to the above.

What is Trigeminal Neuralgia?

  • There is NO nerve compression
  • A nerve hypersensitivity syndrome
  • There is NO tumour
  • it is an extremely painful, chronic condition involving the trigeminal nerve
  • Pain generally occurs on one side of the face and may be brought on by touch or sound

Speak to your doctor if you have the above symptoms. Understand the condition and seek the right treatment.

By Singapore Paincare Holdings

Knee Pain

The most common cause of knee pain in our aging population is Osteoarthritis knee (OA Knee).
OA knee is an IRREVERSIBLE degeneration as a result of overuse and age-related wear and tear of the knee.

Depending on the severity of your OA Knee, you may experience the following symptoms:

  • Knee pain and swelling
  • Difficulty walking, squatting, going up and down the stairs
  • Difficulty wearing trousers and getting in and out of car

Doctor treatment

Viscosupplement joint injection act as a lubricant to enable the joints to move smoothly and reduce pain.
Depending on the severity of OA, this artificial gel injection may have a different duration of the outcome.

Anti-inflammatory medications, nerve stabilizers, and muscle relaxants.

Temporary knee brace to reduce pain and improve mobility.

By Singapore Paincare Holdings

Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a form of arthritis whereby the body’s own immune system attacks the joints, resulting in inflammation and deterioration of the joints and joints functions. It is an auto-immune disease.

What are the signs and symptoms?

  • Pain, swelling and aching in and around joints, particularly the hands, feet and knees.
  • Joint stiffness, most noticeably in the morning.
  • RA usually affects smaller joints, such as those in the hands and feet. However, larger joints such as the hips and knees can also be affected.
  • Difficulty in conducting daily tasks such as opening door knobs.
  • Persistent fatigue, feeling “Run down” and burnout.
  • Inability to sleep well at night due to painful joints.

Important Fact

  • RA is not Rheumatism. It feels like Rheumatism but it destroys bone and joints.
  • RA can affect other organs in the body, such as the eyes, lungs, heart and kidneys.
  • Because RAis a progressive disease that damages joints, it is important to start effective treatment as soon as possible.

By Singapore Paincare Holdings

“Mommy’s Wrist” 妈妈手

Medically known as De Quervain’s tenosynovitis. This is a type of tendonitis in the wrist whose nickname comes from the fact that the condition is common in caregivers of young children.

This is caused by repetitive movement causing inflammation of the sheath, that surrounds the tendons that run between the wrist and the thumb.

Symptoms

  • Pain and swelling near the base of your thumb at the back of the hand.
  • Pain occurs when pouring water from a jug, lifting laundry out to dry, pulling blanket or sheet, and turning door-knob.
  • Difficulty moving your thumb and wrist when you are doing something that involves grasping or pinching and rotating and flexing wrist.

1st Line Of Treatment

  • Immobilizing the wrist by wearing a splint or brace to rest your thumb and wrist.
  • Taking a nonsteroidal anti-inflammatory drug (NSAID).

Injection Therapy

  • Tenosynovitis inflammation responds well with a cortisone injection. It is highly effective and can give permanent results.
  • Low dose steroids directly impact inflammation and reduce swelling reducing the pressure in the tendon sheath.
  • Generally safe procedure of >99%

By Singapore Paincare Holdings

Low Back Pain

Low back pain is an extremely common condition where every person will have at least one episode in their lives.

Low back pain can range from mild to severe and last for minutes to hours. Most low back pain may resolve within a few weeks. However, up to 30% of patients would have persistent back pain due to other underlying conditions. The cause may range from a severe muscle injury, slipped disc, bone spurs to nerve compression.

Symptoms

  • Pain with lower back movement such as flexion or extension.
  • Pain worsens with carrying heavy loads and some may get relief with stretching or extending their backs.
  • Sciatica is Pain shooting down to leg and thigh and even down to the foot. This can be made worse by coughing, sneezing or straining.

Every patient’s back pain is different
Do not suffer the pain in silence!
Consult your doctor if your low back pain is causing you distress and affecting your function.

Tips for prevention of Low back pain

  • Regular exercise to keep back muscles strong and flexible.
  • Correct lifting and moving posture.
  • Maintaining a healthy body weight.
  • Short term brace for acute back pain.

There are new Non-surgical alternatives to get rid of the pain permanently.

By Singapore Paincare Holdings

Heel Pain

Do you experience some of these symptoms of heel pain?

  • The pain in your heel is WORST with the FIRST FEW STEPS after awaking.
  • A stabbing pain in the bottom of your foot near the heel.
  • The pain is worse at the start of exercise and after exercise, but not during it.

The above symptoms are consistent with a foot condition call PLANTAR FASCIITIS

It involves inflammation of a thick band of tissue in your sole that connects your heel bone to your toes

Plantar fasciitis is NOT due to bone spurs

Your doctor can administer bedside injection therapy to treat your pain condition. Together with the appropriate medications therapy, the treatment aims to reduce pain from the swelling and inflammation so that you can engage early in rehabilitation and therapy.

By Singapore Paincare Holdings

Frozen Shoulder

Frozen shoulder is a common condition in which the shoulder stiffens, reducing its mobility. It is often termed as ’50 year shoulder’ 五十肩 (Chinese translation) and affects 40 to 60 years of age.

What are the symptoms experienced?

  • Sharp aching pain associated with shoulder and hand movement.
  • Pain when trying to sleep on the affected shoulder.
  • Limited movement of the shoulder (either backwards or upwards).
  • Difficulty with activities, such as brushing hair, putting on shirts/bras.

Treatment for Frozen Shoulder is available in the clinic

DO NOT DELAY TREATMENT UNTIL SHOULDER BECOMES COMPLETELY FROZEN OR CONTRACTURED!

Myofascial injections target at the painful tendons/ muscles of the frozen shoulder. When injected into the affected areas, it relieves pain and reduces inflammation. Coupled with medications and exercise, patient can expect a good outcome of recovery.

By Singapore Paincare Holdings

Plantar Fasciitis

This is one of the most common causes of heel pain. It involves inflammation of a thick band of tissue that runs across the bottom of the foot and connects the heel bone to the toes (plantar fascia). It is due to standing or walking for long periods of time, and running long distances. Other common causes include flat feet, high and stiff feet arches, overweight, and wearing shoes that do not fit one’s feet. Those affected will typically experience a stabbing pain at the bottom of the foot near the heel. The pain is usually the worst with the first few steps after getting up in the morning. It can also be triggered by standing or walking for a  long time and on standing up after sitting for a long time and is usually worse after exercising (especially running), not during it. In order to reduce pressure on the plantar fascia, those affected should try to lose weight;  avoid wearing high heels; avoid walking on bare feet, especially on hard ground; avoid wearing worn-out shoes; and change to a low-impact exercise, such as swimming or cycling instead of walking or jogging.  Most people with plantar fasciitis recover in several months with conservative treatment, including resting, icing the painful area, and stretching the foot.  Pain relievers may ease pain and inflammation. If conservative measures are not working after several months,  the one should consider injecting a steroid medication into the tender area. This can provide temporary pain relief. Multiple shots are not recommended because they can weaken the plantar fascia and possibly cause it to rupture. Few people need surgery to detach the plantar fascia from the heel bone. It is generally an option only when the pain is severe and other treatments have failed.

 

By Dr. Lee Peng Khow
Horizon Medical Centre
Thomson Imperial Court
200 Upper Thomson Road #01-11
Singapore 574424

 

Sciatica

Sciatica refers to pain that radiates along the path of the sciatic nerve, which branches from the lower back through the buttocks and down each leg. Typically, sciatica affects only one side of the body. Sciatica most commonly occurs when a herniated disc, bone spur on the spine, or narrowing of the spine (spinal stenosis) compresses part of the nerve.

This causes inflammation, pain, and often some numbness in the affected leg. Although the pain associated with sciatica can be severe, most cases resolve with non-operative treatments in a few weeks.

People who have severe sciatica that is associated with significant leg weakness or bowel or bladder changes may need surgery. The pain typically radiates from the lower (lumbar) spine to the buttock and down the back of the thigh and calf.

It can vary widely, from a mild ache to a sharp, burning sensation or excruciating pain. It can be worse on coughing or sneezing, and prolonged sitting can aggravate symptoms.
Some people also have numbness, tingling, or muscle weakness in the affected leg or foot. Some might have pain in one part of the leg and numbness in another part. Treatment includes medications such as anti-inflammatories, muscle relaxants, narcotics, tricyclic antidepressants, and anti-seizure; physiotherapy; steroid injections, and surgery.

By Dr. Lee Peng Khow

Horizon Medical Centre
Thomson Imperial Court
200 Upper Thomson Road #01-11
Singapore 574424

 

你属‘背痛’一族吗?

你也有背痛问题吗…

你是否从年轻时就已经有背痛的问题?你的背痛已经几十年,有时还时好时坏? 你已经尝试过各种不同的医疗方法,但还是不能将你的背痛医好?

如果你的答案都是’对’,那你应该和大多数的人一样,属于“背部疼痛”一族

有调查显示,5人当中,就有4人患有背部疼痛的问题,这表示和伤风感冒一样常见的问题。

三大年龄层的背痛

背痛可以使你的日常生活受到很大的影响。它不仅导致你坐立不安,影响你的睡眠,你也有可能只步行一小段的路,就开始发痛。

新加坡疼痛护理中心主任李文鉴医生说,背痛的原因很多,常见的背痛可以用年龄层来简单的做区别:

  • 老人的背痛

主要是因为患了关节炎等退化性疾病,骨刺的增生,神经线受到压迫, 或是因骨质疏松症而导致裂缝。

  • 少年人的背痛

可以是因为肌肉问题,背书包过重或者站和坐姿不正而导致。

  • 中年人的背痛

若非因外伤造成, 则是因为平日少锻炼,以致肌肉失去 弹性。不良的坐姿和站姿也会使得肌肉酸痛。有不少的中年人会随着年龄的老化,椎 间盘的突出而造成神经线的压迫。

  • 少年人的背痛

可以是因为肌肉问题,背书包过重或者站和坐姿不正而导致。

激光可中断疼痛信号

李文鉴医生说,背痛的治疗方法不少,在大多数的情况下, 我们可以通过简单的治疗和使用非处方药来控制疼痛, 但不幸的是,某些患者的疼痛依然持续存在。”

所以,只有对症下药,找到背部发痛的原因,用对的治疗方法, 也才能脱离疼痛。比如,情况较严重的患者可能需要传统开刀手术、打骨钉和置放螺丝。

然而,李医生说,这可能造成令人担忧的后遗症,同时手术也存在危害生命的风险。所以他个人较深信先进微创治疗法。

“微创是采用激光来中断疼痛信号的传递。病人只需要局部麻醉。它是属于日间手术,病人不需要住院。

微创与一般的传统手术不一样,恢复时间也相对得快。“

他补充说,患者当然也需要服药,和配合适当的物理治疗或运动。

李文鉴医生
主任
新加坡疼痛护理中心
Health No 1 issues 

 

A Painful Step

Understanding Sciatica

What is Sciatica?

Sciatica refers to back pain caused by a problem with the sciatic nerve. It is basically a description of nerve pain experienced in a certain distribution/pattern into the leg. Sciatic nerve is a large nerve that runs from the lower back down the back of each leg, into the calf and foot/sole. Sciatica is when something injures or puts pressure on the sciatic nerve, it can cause pain in the lower back that spreads to the hip, buttocks, outer calf, dorsum of foot and plantar surface of sole as well as toes.

The pain usually affects only one leg and may get worse when you bend, lift, jump, sit, cough, or sneeze. These actions increase the intra-spinal pressure indirectly from raised abdominal strain. The leg may also feel numb, weak, or tingly at times, affecting walking gait or suddenly the leg giving way.  Once intra-spinal pressure is reduced by lying down or changing posture, the sciatica symptoms may abate.  The symptoms of sciatica tend to appear suddenly and can last for days or weeks.

The most common cause of sciatica is nerve root compression within the spine at L4/5 and L5/S1 segment from either a herniated disc or bone spur. As one ages, degeneration will render disc to weaken and cause tears within the disc cushions supporting between the vertebrae of the spine. Once the disc herniates through the tear, it presses on the surrounding roots of the sciatic nerve.  Bone spur is due to hypertrophy from inflammation of bony skeletal frame surrounding the spinal canal, causing compression and impingement of the L5 nerve root.  This result in spinal canal stenosis (narrowing).

Implication and significance of Sciatica?

Sciatica carries the implication of nerve compression.  Far too often, traditionally, patients with Sciatica have been subjected to spinal surgery unnecessarily.  Treatment of Sciatica pain does not equal to open spinal surgery.

The intensity of Sciatica pain does not necessarily equal to the same severity of nerve compression.  The correlation of the pain intensity to actual nerve impingement is about 50%.  There are different degrees of Sciatica (mild, moderate and severe) presentation as well as different functional impairment. The degree of nerve compression needs to be evaluated with radiological MRI of the lumbar spine, to determine mild (less than 30% nerve impingement); moderate (more than 50% of narrowing) and severe compression (more than 70% narrowing).  It is important to ascertain the degree of nerve compression rather than the intensity of sciatica pain.

When the severe sciatic pain is combined with weakness of leg and/or bladder and bowel incontinent, this signifies severe nerve compression until proven otherwise. Upon verification with MRI lumbar spine, in severe nerve impingement, there is a danger of nerve injury with permanent paralysis if delayed treatment.  This type of sciatica should be treated with open surgical decompression.

In mild to moderate nerve impingement, there are minimally invasive procedures using specialised needles to decompress the spine such as Nucleoplasty.  A special needle is used to laser and shrink the herniated (nucleus proplosus) part of the slipped disc.  Together with a ballooning dilatation technique using a specialised ballooning catheter (Neuroplasty), we can free the compressed nerve by removal of the scarred tissue holding the nerve down, without any nerve injury.

In mild nerve compression, simple conservative measures such as anti-inflammatory medications together with physiotherapy and exercise may be helpful in abating the sciatica symptoms.

What is pseudo-sciatica? 

Pseudo Sciatica, or “fake” sciatica, is a term that describes conditions whose pain symptoms resemble those of real sciatica. Symptoms include radiating pain down the leg and numbness on the posterior aspect of the thigh. Pseudo-sciatica is a term that is used to describe the condition that arises when the peripheral regions of the sciatic nerve is compressed or conditions giving similar presentation. The compression is usually caused by tension that has been created within the gluteal muscles, which are the very large muscles that actually form the buttock area and they assist the thighs in moving efficiently. The Piriformis muscle or Psoas muscles may responsible for the tension on sciatic nerve.

How piriformis syndrome caused pseudo-sciatica?

Piriformis syndrome pseudo-sciatica mimics that of slipped disc condition with nerve compression.  Commonly both conditions can present the same way – pain radiating from back to leg and calf, occasionally presenting with numbness in the calf and leg.  However, the etiology and management of the different conditions are so different and diverse.  One is outside the spine (piriformis muscle) while the other is within the spine (slipped disc).

Piriformis syndrome is a muscular problem compared with that of a nerve problem in spinal condition.  The piriformis muscle is a small muscle in the groin that runs from the sacrum to the outer hip bone.  The sciatic nerve runs very close to this muscle and in some people, it passes straight through the muscles’ fibres.  If the piriformis muscle becomes tight or cramps it can put pressure on the sciatic nerve which passes underneath the piriformis muscle.  Typically this pain increases when the muscle contracts, when sitting for an extended time, or direct pressure on the muscle.

Other causes of pseudo-sciatica includes late pregnancy, menopausal syndrome, sacral-iliac joint syndrome and secondary knee conditions.

People who are likely to suffer from piriformis syndrome

Piriformis spasm can also be caused by prolonged external rotation of the hip so that the piriformis muscle is shortened. If the sciatic nerve is compressed for a long time, there may be aching in the leg and pain in the lower back. Ladies who sit cross-legged, with one leg on top of the other, for long periods of time (such as during long meetings) are likely candidates for this condition.

Sudden shortening of the muscle and compression of the nerve is another common cause. For people who have not exercised for prolonged periods, sudden engagement in exercise can strain the buttock muscles. Conversely, athletes who overuse the glutes and other muscles in the hip can also cause injury and muscle spasms of the piriformis. Other factors that may cause this syndrome include poor body mechanics and posture/gait problems.

A non-traumatic group of piriformis patients would be menopausal women. When female estrogen starts to reduce, this causes overall tightness of muscles and ligaments. Without any injury, the piriformis becomes less supple, and more tense and tight naturally in menopaused women.

Treatment for piriformis syndrome

Stretching and strengthening are the best treatments for piriformis syndrome. This muscle rarely gets stretched, so a simple stretching routine can often work wonders.

Piriformis Stretch

To stretch the piriformis: lay on your back, bend your knees and cross your right leg over your left so your right ankle rests on your left knee in a figure four position. Bring your left leg towards your chest by bending at the hip. Reach through and grab your left thigh to help pull things towards your chest.

If stretching alone doesn’t help check with a pain physician who can evaluate and treat the underlying muscles.

However, over-zealous massage or pressure on that muscle can be counter-productive.  This is seen when patient received very strong sports massage or TCM tui-na to “break” the muscle spasm.  Further injury to that area will only cause the piriformis to contract and shorten further, thereby worsening the condition.

Local Injection

 

 

 

 

 

Local injection of local anaethestics and anti-inflammatory, with some low dose corticosteroid is helpful with sufferers of Piriformis syndrome.  This will provide immediate relief to the tensed piriformis muscle, allowing for physical therapy to take place and improve the muscle stretch.

The type of injectate being administered into that area is varied depending on the severity and chronicity of the piriformis injury.  It ranged from medications to patient’s own blood eg platelet rich plasma.  In some selected cases, Botox (muscle toxin causing “paralysis”) injection into the trigger point of Piriformis muscle is able to provide a more long-lasting solution to the tightened muscle spasm.

Local injection is the most effective to give immediate and sustained pain relief.  It gives very good pain relief, allowing patient to participate in rehabilitation.

By Dr. Bernard Lee

Director & Consultant Pain Specialist Singapore Paincare Center
Prime Magazine

我们不应该单凭症状来自我判断病情,一旦生病,应该立刻求医,再由医生做进一步的判断。

别怕“病患场所”

罗医生说,公众不必对这个疾病太过惊慌,虽然是一种新型病毒,但它死亡率低于2%,沙斯的死亡率接近10%,公众只需要保持个人卫生和清洁,勤洗手、注意健康的饮食,适当的晒太阳(补充维生素D)也有帮助。锻炼身体有助于加强免疫力,任何适合自己的锻炼方式都可以。对于一些已知的病患去过的场所,很多公众不敢再去,例如滨海湾花园、义安城等,罗医生解释,只要这些地方被彻底消毒过,再去参观也问题不大,病毒只会在低温潮湿的环境下生存几天而已。

2019冠状病毒疾病的主要症状包括发烧、咳嗽、喉咙痛、呼吸苦难、四肢无力、肌肉酸痛、以及少部分的呕吐和腹泻,其实这跟普通感冒和流感的症状类似,跟骨痛热症也有相似之处。本地有一个病例就被同时诊断出2019冠状病毒疾病和骨痛热。

别自我判断病情

连氏药房的罗富强医生指出,单从表面症状来看,这几个病的确不容易辨认, 但还是各有特点,例如,骨痛热症不会出现咳嗽和喉咙痛, 只是发烧和身体疼痛。流感和普通感冒也不会呼吸苦难,2019冠状病毒疾病也不常见流鼻水和鼻塞的情况。早前参与研究的19名本地2019 冠状病毒疾病确诊病例中,有大约一半类便里找到病毒。跟普通感冒不太一样,病患不太流鼻涕,但多数会发烧。罗医生说,我们不应该单凭症状来自我判断病情,一旦生病,因该立刻求医,再由医生做进一步的判断。

中国曾有报道指出用康复病人的血浆去治疗病患,取得一定疗效,罗富强医生说,血浆治疗目前还在试验阶段。根据以往治疗病毒的经验,血浆治疗法并不是非常成功,并且渉及到血液的产品,必须先排除血液相关的疾病,例如爱之病、B型和C型肝炎等。目前针对冠病19的治疗方法还是以支持性为主。

By: Dr Jeffrey Loh (罗富强)
Lian Clinic 
18 Marsiling Lane #01-269
Singapore 730018
U-weekly

 

治疗骨痛热症没有特殊药物,医生通常给患者病假,在家好好休息,让身体自然恢复,多喝水,一般都会慢慢康复。

防止伊蚊滋生是一种社会责任,

家庭医生罗富强解释,治疗骨痛热症没有特殊药物,他通常给与患者一到两周的病假,嘱咐在家好好休息,让身体自然恢复,记得补充水分,因为发烧容易导致身体脱水,对于身体健康的普通人群,一般都会慢慢恢复。而对于年长者或者免疫力低下的人群,则可能出现其他更多的病发症,需要及时求医并密切观察。

罗医生说,骨痛热症分为4种血清型,如果感染了第一种血清型,身体会对第一种血清型产生抗体,但还是有继续感染其他3种的风险,而且,再次感染其他的血清型时症状往往较之前更严重,因为人体的免疫系统被激活后会产生更大的反应。 如果病人不明原因持续发烧3天,并且有严重的头痛和背痛,或者出现红疹,就应该立刻看医生,通常发烧3至5天后更加危险。

防止伊蚊滋生是一种社会责任,伊蚊能飞很远,也能传播疟疾和其他疾病。读者在家要检查积水热点,如有种植植物,应定期洗刷花盆并给盆栽松士,外出时尽量选择用防蚊剂或防蚊贴。

2019年,新加坡骨痛热症病例近2万,死亡20人。在全球爆发冠状病毒疾病、大家谈“疫” 色变的时候,也千万不要忘记防伊蚊,相比冠病19,骨痛热症其实让更多本地人中“毒”。

骨痛热症也称登革热,是登革病毒引起,经伊蚊(俗称花蚊子)叮咬传播的一种以发热、皮疹和全身疼痛为主要症状的疾病,病人还表现出疲倦、虚弱,除了根据以上症状判断,医生有时也必须进行检查化验。因为发烧、疼痛等跟普通流感很类似,但骨痛热症病患验血会发现血小板降低,这是区分两者的重要依据。

By: Dr Jeffrey Loh (罗富强)
Lian Clinic 
18 Marsiling Lane #01-269
Singapore 730018
U-weekly

维生素C,D和锌等保健品并不是能杀死新型光状病毒,但是可以提高人体免疫力,帮助减轻症状,缩短病程, 加快恢复。

一勤二尽三避免

目前本地尚未出现社区传播,但生病的人应该戴口罩,是为了避免咳嗽或打喷嚏时飞沫传播病毒。李医生提醒,免疫力低的人或者患有慢性疾病的人群应该提高警惕,时刻保持个人卫生,注意身体状况,勤用肥皂洗手,避免揉眼睛和鼻子, 手也避免碰触嘴巴,避免到人多的地方,尽量不接触生病的人,如果自己生病,尽快看医生。

针对现在很多人疯狂抢购维生素C,李医生解释,维生素C、D 和锌等保健品并不能杀死新型冠状病毒,但是可以提高人体免疫力,帮助减轻症状,缩短病程,加快恢复。如果配合健康饮食、良好的个人习惯、充足的休息,身体的抵抗力会更好。每个人从自我的良好习惯做起,严格要求自己,不用过分忧虑,焦虑和压力也会降低免疫力。

冠状病毒是一个大型病毒家族,包括引起普通感冒的病毒以及严重急性呼吸综合征的病毒,此次的病毒是一种新型冠状病毒,感染的症状包括发烧、咳嗽、呼吸困难,喉咙痛等,病毒传播性比SARS 和中东呼吸综合征等更快,但致死率约2-3%,比2003年SARS的10%来得更低,且目前为止,死亡病例多是本身就有慢性疾病的免疫力低下群体。

家庭医生李炳球提到,新冠病毒通过飞沫和接触传播,潜伏期达14天之久,新冠肺炎目前没有治愈方法,意味着仍无法确切治愈患者,疑似病例会送到医院进行确认和隔离,在治疗确诊病例时,根据个人的临床症状给与支持性治疗(sup- portive treatments)。科研人员虽在努力研发遏制和对抗病毒的方法,以及通过疫苗预防病毒等,但这些研发工作仍需要时间,须确保对患者有效且安全。

By Dr. Lee Peng Khow
U-weekly magazine

Horizon Medical Centre
Thomson Imperial Court
200 Upper Thomson Road #01-11
Singapore 574424