Orthopaedic problems can range from minor discomfort to severe pain that interferes with regular activities. While many musculoskeletal disorders can be treated conservatively with physiotherapy, medication, or lifestyle modifications, there are times when these choices are ineffective.
Fortunately, in Singapore, both public and private healthcare sectors offer access to trained orthopaedic specialists. However, the question is—when should you actually consider orthopaedic surgery in Singapore?
Persistent or Worsening Pain Despite Conservative Treatment
One of the most common indicators for orthopaedic surgery is pain that does not improve with non-surgical treatments. Patients often start with rest, anti-inflammatory medication, physical therapy, or corticosteroid injections. However, if these methods do not reduce the pain after several weeks or months, surgical intervention may be warranted. A bone specialist will evaluate imaging scans and your clinical progress to determine whether the pain is due to a structural issue that only surgery can correct. Examples include worn-out cartilage in advanced osteoarthritis or a herniated disc that continues to press on nerves.
Loss of Mobility or Function in a Joint
Once the joint function is significantly limited, such as being unable to fully bend the knee, lift the arm, or walk without assistance, it may be time to consider orthopaedic surgery. Limited range of motion can affect your ability to perform basic tasks, including climbing stairs or standing for long periods. A bone specialist may recommend joint replacement, arthroscopy, or reconstructive procedures in these situations, depending on the severity and cause of the limitation. Early surgical intervention often improves long-term mobility and quality of life, particularly for active individuals or older adults trying to maintain independence.
Fractures That Require More Than a Cast
While minor fractures can be managed with immobilisation, certain types of fractures, such as compound fractures, displaced breaks, or those near a joint, may require surgery. Procedures like internal fixation or external stabilisation ensure the bones are aligned properly and heal in the correct position. Orthopaedic surgery is frequently performed for fractures involving the hip, ankle, wrist, and spine, especially in high-risk groups such as the elderly or athletes. Bone specialists in Singapore use advanced techniques and implants to promote recovery and minimise complications.
Degenerative Conditions That Progress Over Time
Degenerative musculoskeletal conditions like osteoarthritis, spinal stenosis, and degenerative disc disease tend to worsen with age. These conditions can result in chronic pain, nerve compression, and structural changes that limit movement. Once conservative management no longer provides relief and the condition interferes with daily life, surgery may be the best long-term solution. Typical procedures include joint replacements, laminectomy, or spinal fusion. A bone specialist will usually recommend surgery only after imaging, symptom progression, and the failure of conservative therapy point toward surgical benefit.
Injuries That Fail to Heal Properly
Ligament tears (such as ACL or rotator cuff injuries), cartilage damage, and non-union fractures are injuries that sometimes do not heal on their own or heal in a way that impairs function. Delayed healing can lead to chronic pain and joint instability. Orthopaedic surgery is often recommended in such scenarios to restore structural integrity. The risk of further damage, arthritis, or permanent disability increases without surgical correction. Bone specialists may use minimally invasive techniques such as arthroscopy to treat these injuries with shorter recovery time.
Conclusion
Deciding whether to undergo orthopaedic surgery in Singapore involves a thorough assessment by a qualified bone specialist. Surgery is usually undertaken only when non-surgical treatments have failed or when the problem poses an urgent threat to function or long-term health. While the idea of surgery can be daunting, modern surgical techniques and post-operative care have significantly improved outcomes for patients with orthopaedic issues. Remember to consult a bone specialist early to explore your options and plan the most appropriate treatment pathway.
Contact Auspicium Orthopaedic Centre and let us help you reclaim your stride.