Dr Parminder J Singh is a specialist knee orthopaedic surgeon who provides knee pain treatment. The surgical treatment includes knee arthroscopy (including anterior cruciate ligament reconstruction, patella and quadriceps tendon repair), knee pain front, minimally invasive and rapid recovery joint replacement surgery using some of the latest techniques including robotic knee surgery techniques. Dr Singh, knee specialist, also provides some injections treatment (Duralane) for patients with early knee arthritis to help with pain management.
Dr Singh is currently performing his surgery at St Vincent’s Private East Melbourne, Epworth Richmond Private Hospital, Epworth Eastern Private Hospital and Waverley Private Hospital.
Osteoarthritis (OA) is considered as one of the main causes of functional disability in humans. The patient with OA is suffering not only from the persistent pain, stiffness and limited mobility, moreover, it also directly affects their quality of life.
Recommendations for OA management, includes non-pharmacological such as patient education and awareness, physical exercise and rehabilitation aids.
The pharmacological modalities vary from prescription of non-selective NSAIDs (Nonsteroidal anti-inflammatory drugs) and selective COX-2 inhibitors agents and in some cases even opioid type medication. NSAIDs are the most prescribed medicine for OA. Despite NSAIDs established effectiveness in relieving the pain with OA its long term use is associated with potential harmful adverse effects.
The other potential non-operative therapeutic methods are chondroitin sulfate, glucosamine, and intra-articular injections of visco-supplements, corticosteroids, or blood-derived products. Over the last decades, there is an ongoing trend to use Intra-articular injections of either corticosteroids, analgesics/anti-inflammatory drugs, polymerized collagen, anti-cytokine drugs, or hyaluronic acid as alternative modalities to maximize the topical effect and minimize the systemic adverse effects. Each injection has been shown to lower the pain in patients in some form, though hyaluronic acid treatments using Duralane® seem to be amongst the safest and effective.