Orthopedics: Walk it off

Orthopedics is a branch of medicine that addresses problems that affect bones and muscles.[i]Orthopedic surgeons have used surgical and nonsurgical means to treat sports injuries, musculoskeletal trauma, congenital disorders, spine diseases, degenerative diseases, infections, and tumors.


An orthopedic surgeon is a medical doctor that is trained in the diagnosis and preoperative, operative, and postoperative treatment of diseases and injuries of the musculoskeletal system.[ii] The most common surgeries are Arthroscopy (minimally invasive cartilage surgery and reconstructions of torn ligaments), Arthroplasty (an orthopedic surgery where the articular surface of a musculoskeletal joint is replaced, remodeled, or realigned byosteotomy.)


Quick facts


  • Orthopedic conditions is the reason most people require medical attention, though not all patients with an orthopedic condition require an orthopedic specialist.
  • Orthopedic surgeons spend over a decade in training, after which there are several specializations.
  • The adult knee surgery is the most popular subspecialty within orthopedics and accounts for nearly 34 per cent of cases.



1.      Preparation[iii]


a. Check if you have the right diagnosis  There is a minute chance of a patient being diagnosed incorrectly. The initial step of every patient is to ensure that an orthopedist checks for the cause of injury and correct the diagnosis and set you on the right track.


b. Stay in total control of the treatment


You should learn about the developments and the symptoms before you undertake a treatment. Most musculoskeletal conditions can be looked after with the right conditioning and rehabilitation.


c. Keep in good health


Most health problems are linked with orthopedic conditions. Smoking reduces bone healing dramatically. Weight gain creates extra stress on the load bearing joints. It is vital that you take care of your health and ease stress on orthopedic problems.


2. Treatment

a. Achilles Tendinitis Rupture Surgery The Achilles tendon is situated behind the ankle joint and connects the calf muscles to the heel bone. The tendon can get inflammatory due to overuse or a strain. Treatments recommended include rest, non-steroidal anti-inflammatory medication and physio therapy.


b. Anterior Cruciate Ligament Repair ACL reconstruction is recommended for those that want to continue to play sports that disrupt daily activities of an individuals. This repair stabilizes your knee and prevents further damage due to an unstable joint. The surgery is performed arthroscopically and has a high success rate.


c. Patellofemoral Surgery Patellofemoral Surgery is advised depending on the seriousness of the injury to the knee. Patellofemoral pain is significantly reduced by reducing strenuous use of the knee, painkillers and Patella or tapping of the knee.


d. Tennis Elbow Surgery The overuse of the forearm, arm and hand muscles results in a Tennis Elbow. This pain can be reduced modulating your activity, anti-inflammatory medication and surgery. In case the pain is incapacitating and have lasted more than 1 year, surgery is performed. This is done through an incision or arthroscopically.


3. Post Operation Medication[iv]


After an Orthopaedic surgery, our trained staff will provide you with the right support to control your pain through the advancements in pain control techniques.


a. Opioids help in controlling moderate to severe pain straight after surgery. Most procedures to control pain are oral (PO), intramuscular (IM), or intravenous (IV) opioids. They include codeine (Tylenol #3), hydrocodone (Vicodin) and oxycodone (Percocet, Oxycontin).Anti-inflammatory medications (NSAIDs or oral steroids) are provided only to ease low back pain.[v] Opioids drugs have a history of being addictive.


b. Intravenous Patient-Controlled Analgesia are medicines administered after surgery through Patient-Controlled Analgesia (PCA) pump. With the PCA, you can release small amounts of medicine by pressing a button through an intravenous (IV) tube when you begin to feel pain. You should not take acetaminophen or aspirin in addition to pain medicine your doctor has prescribed. Medical hypnosis and acupuncture are also being practiced but a combined approach will considerably help.


PIH is Port Moresby’s largest private hospital offering more than 14 specialities under one roof, with specialists and technologically advanced equipment being utilised to bring modern healthcare to PNG. PIH houses both an orthopedic surgeon and a physiotherapist trained for sports injuries. Do call us at 79988000 for any query that you might have. You can also email us at info@pihpng.com


The information available on this blog related to images, graphics, text and other content is available for educational purposes only. Seek the advice of your doctor in respect to questions on a medical condition or treatment and do not disregard the doctor’s professional advice after reading information on this blog.