START YOUR ROAD TO RECOVERY
Knee Specialist with 20 Years Experience
Dr. Bryan Tan
Senior Consultant Orthopaedic Surgeon (Shoulder Specialist)
- MBBS (Singapore)
- MMed (Ortho)
- FRCS Ed (Orth)
- Orthopaedic Specialist for Shoulder Pain/Injuries
- Robotic Surgery & Minimally Invasive Techniques
- Faster, More Predictable Recovery With Lower Risks
What is KNEE PAIN?
Knee pain is a frequent complaint that affects people of all ages and can stem from multiple causes such as injuries, overuse, or chronic conditions like arthritis. Symptoms may range from a sharp, acute pain to a persistent dull ache and are often accompanied by swelling, stiffness, and reduced range of motion. This discomfort can hinder everyday activities including walking, climbing stairs, and participating in sports. Managing knee pain effectively usually requires a combination of rest, physical therapy, and medical treatment tailored to the specific cause, aiming to reduce symptoms and improve knee function.
WHY CHOOSE DR BRYAN
Dedicated To Your Recovery
We want to get you back on your feet and living life normally again. Whether you are out of action with a torn ACL from sports or worn down by the pain of arthritis, our job is to get you back to your best.
More Time & Care For Each Patient
In busy orthopaedic clinics, patients tend to lose that personal touch and end up feeling more like they are in a factory assembly line. Dr Bryan spends more time to get to know you better and really goes to the root of your injuries and needs.
Orthopaedic Care Rooted In Empathy
Dr Bryan understands the pain and frustration that accompanies knee pain and immobility. Sports and injuries have always played a big part in Dr Bryan’s life. He was a school swimmer, did powerlifting in his younger days, currently trains in Muay Thai and Brazilian Jiu-jitsu, and also enjoys wakeboarding and snowboarding. His strong interest in sports give him a deep understanding of knee injuries, allowing him to approach each patients’ needs with an empathetic sense of understanding that leads to better diagnosis, better treatment, and better overall care.
Surgery Only When It’s Most Needed
You can be assured that Dr Bryan will offer the most prudent treatment which will give the best chance of recovery. Despite having performed thousands of different surgeries, Dr Bryan is always mindful of the fact that surgeries done for the wrong indications will not yield the best results. If surgery is not the best solution to your problem, you can be sure that it will be strongly discouraged.
Dr. Bryan Tan
Senior Consultant Orthopaedic Surgeon
20 Years Experience
in Knee Conditions (Sports & Non Sports Related)
Qualifications
- Bachelor of Medicine, Bachelor of Surgery (MBBS) (Singapore)
- Fellow Of The Royal College Of Surgeons (Edinburgh) (Orthopaedics)
- Master of Medicine (Orthopaedic)
Extensive Experience In Diagnosing & Treating:
- ACL Tears
- Knee Fractures & Dislocations
- PCL Tears
- Tendonitis (Jumper’s Knee)
- Meniscus Injuries
- Arthiritis Of The Knee
- Knee Bursitis
Dr Bryan is a fellowship-trained orthopaedic surgeon based in Singapore. He completed 2 fellowships in Orthopaedic Sports, Shoulder and Elbow Surgery in Sydney, Australia and Nice, France. Prior to private practice, Dr Bryan was a consultant in the Division of Shoulder and Elbow Surgery in National University Hospital (NUH), Singapore. He is currently still a visiting consultant at NUH where he actively teaches medical students and young orthopaedic surgical trainees. In addition, he travels to regional countries to teach advanced arthroscopic surgical techniques.
Dr Bryan has a special interest in keyhole surgery and performs most of his surgeries using advanced, modern keyhole surgical techniques. He regularly visits fellow surgeons from other countries to ensure his skills and knowledge are up to date.
Excellent patient outcome is paramount for Dr Bryan. As such, patients can be assured that Dr Bryan will offer the most prudent treatment which will give the best chance of that. Despite having performed thousands of different surgeries, he is always mindful of the fact that surgeries done for the wrong indications will not yield the best results. If surgery is not the best solution to your problem, you can be sure that it will be strongly discouraged.
Knee Conditions We Specialise In
- ACL Tears / Injuries
- Multiligament Tear
- Meniscus Tear/Injuries
- Tendonitis (Jumper’s Knee)
- Arthritis Of The Knee
- Cartilage Injuries
- PCL Tear
- Knee Dislocation
- Knee Fractures
Symptoms of Knee Pain
Pain
This is often the first indicator of knee trouble, presenting as either a sharp, sudden pain or a persistent ache. The severity and nature of the pain can vary, sometimes worsening during activities like walking or jogging, or after long periods of sitting.
Swelling
Swelling around the knee is a common reaction to injury or chronic disease, indicating inflammation or fluid buildup. This swelling can make the knee appear puffy or larger than normal and can limit movement.
Stiffness
Often related to inflammatory conditions such as arthritis. Stiffness in the knee may be most noticeable in the morning or after sitting for extended periods. It can severely limit the ability to bend or fully straighten the knee.
Instability
If the knee feels weak, unstable, or as though it might buckle under weight, it could suggest ligament damage or weakened muscles that are unable to support the joint adequately.
Clicking or Popping
These sounds or sensations, especially if accompanied by pain, may indicate a mechanical issue in the knee, such as a torn meniscus or cartilage that has become loose.
Redness and Warmth
Redness and a warm touch are signs of inflammation or infection, which may require immediate medical attention if accompanied by significant pain or fever.
Limited Mobility
Difficulty moving the knee through its full range of motion can be a symptom of joint damage, severe swelling, or mechanical blockages within the joint structure.
Locking
An inability to bend or straighten the knee, referred to as locking, can be distressing and painful. This may occur due to a meniscus tear or floating debris within the joint that impedes movement.
Numbness or Tingling
These symptoms may occur around the knee or extend to the lower legs, indicating possible nerve compression or damage within the knee structure.
Activity-Induced Pain
Experiencing increased pain during specific activities that stress the knee, like kneeling or ascending stairs, often highlights underlying issues that may need orthopaedic evaluation.
How Is Knee Pain Diagnosed?
Medical History and Physical Examination:
The diagnostic process begins with a thorough medical history review and a physical exam. The doctor will ask about the onset, duration, and nature of the pain, any previous knee injuries, and activities that may aggravate the condition. During the physical examination, the specialist evaluates the knee for signs of swelling, pain, instability, and limitations in range of motion and flexibility. Specific maneuvers may also be performed to test the integrity of the ligaments and cartilage in the knee.
Imaging Tests:
- X-rays: These are typically the first imaging tests ordered. X-rays can show bone fractures, joint misalignment, and signs of degenerative joint disease.
- MRI Scans: MRI provides a detailed image of the knee’s soft tissues, including cartilage, ligaments, and muscles. This test is crucial for diagnosing soft tissue injuries such as meniscal tears and ligament injuries.
- CT Scans: Computed Tomography scans are sometimes used to get a better view of the bone structure of the knee, especially if complex fractures are suspected.
Laboratory Tests:
- Blood Tests: These can help to detect markers of inflammation, infection, or autoimmune disorders that might be contributing to knee pain.
- Joint Fluid Analysis: Aspirating fluid from the knee joint and analysing it can help diagnose gout, infections, or inflammatory arthritis like rheumatoid arthritis.
Diagnostic Injections:
- Corticosteroid Injections: These are not only therapeutic but can help diagnose the cause of knee pain by reducing inflammation in a specific area of the knee, providing relief that confirms the pain source.
Functional Tests
- These tests assess how knee pain affects the patient’s ability to perform certain movements that are typical in daily living. These assessments help determine the impact of knee pain on the patient’s mobility and quality of life.
Ultrasound
- This imaging technique is used for real-time visualisation of the soft tissue structures of the knee. It is particularly useful for guiding injections and for assessing dynamic soft tissue injuries in motion.
Is your knee pain affecting your quality of life, and your ability to perform everyday activities such as working, playing sports and tying your shoelaces?
Dr. Bryan will assess your symptoms in detail before recommending the right surgical option for your specific injury.
Knee Treatments & Surgeries
Meniscus Repair
This surgical procedure is used to repair torn meniscus tissue in the knee, which can be caused by trauma or degeneration. Surgery is usually recommended if the tear severely affects knee stability or mobility.
Meniscus Injuries
Meniscus tears can sometimes be managed with physical therapy and rest, especially if the tear is small and on the outer edge of the meniscus where blood supply is better. Severe cases often require surgical intervention.
ACL Reconstruction Surgery
Surgery to reconstruct a torn anterior cruciate ligament (ACL) is common following sports injuries. It involves replacing the torn ligament with a graft to restore knee stability.
Knee Dislocation
Treatment can vary from repositioning the knee (manual reduction) to surgery, depending on the severity of the dislocation and associated injuries such as damage to nerves or blood vessels.
Knee Bursitis
Inflammation of the bursae around the knee joint can often be treated with rest, ice, and anti-inflammatory medications. Severe or chronic cases may require surgical removal of the affected bursa.
Tendonitis (Jumper’s Knee)
This condition, characterised by inflammation of the tendons due to overuse, is usually treated with physical therapy, rest, and pain management. Surgery is rare and considered only if conservative treatments fail.
Knee Fractures
The treatment depends on the type of fracture; some may heal with casting and rest, while others, especially those that disrupt the alignment of the knee joint, require surgical repair.
PCL Tear
Posterior cruciate ligament injuries can often be managed with physical therapy and bracing, although severe cases or those involving other ligament injuries might need reconstructive surgery.
Who Is At Risk Of Developing Knee Pain
Anyone can develop knee pain, but certain factors increase the risk. Individuals who engage in high-impact sports or activities that put stress on the knees, such as running, basketball, or skiing, are more prone to injuries. Age is another significant factor, as the wear and tear of joints over time can lead to conditions like osteoarthritis. Additionally, people who are overweight or obese place extra strain on their knee joints, increasing the likelihood of pain. Previous knee injuries and certain medical conditions, like gout or rheumatoid arthritis, also elevate the risk.
When To See a Knee Specialist
Persistent Pain
Swelling and Inflammation
Limited Mobility
Difficulty in moving the knee or performing daily activities due to pain, stiffness, or instability warrants professional evaluation.
Injury or Trauma
Seek immediate medical attention if knee pain follows an injury, especially if there’s severe pain, swelling, or inability to bear weight.
Chronic Conditions
How To Prevent Knee Pain?
Maintain a Healthy Weight
Keeping your weight within a healthy range significantly reduces the stress on your knees, which helps prevent joint pain and potential injuries.
Strengthen Muscles
Engage in regular exercises that target the muscles supporting your knees, such as the quadriceps and hamstrings. Stronger muscles provide better support and stability for the knees, reducing the risk of injury.
Warm Up and Stretch
Always take time to warm up and stretch before any physical activities. This preparation increases muscle flexibility and joint mobility, which can help prevent knee injuries by reducing the likelihood of strains and sprains.
Use Proper Techniques
Employ correct techniques when exercising or lifting objects. Proper form minimises stress on your knee joints and helps avoid injuries.
Wear Appropriate Footwear
Choose footwear that offers good support and fits well. Proper shoes help maintain knee alignment and distribute weight evenly, lessening the impact on your knees.
Incorporate Low-Impact Exercises
Activities such as swimming, cycling, or using an elliptical machine put less strain on your knees compared to high-impact exercises like running and jumping.
Avoid Sudden Increases in Activity
Gradually increase the intensity and duration of your workouts to prevent overloading the knees. Sudden changes can lead to strains and other injuries.
Stay Hydrated
Keeping hydrated helps maintain the lubrication in your joints, which can prevent the stiffness and soreness associated with knee pain.
Follow a Balanced Diet
Eating a diet rich in calcium, vitamin D, and other nutrients supports bone health and can help prevent joint problems.
Manage Chronic Conditions
Conditions like diabetes and arthritis can contribute to knee problems. Managing these conditions effectively can help mitigate their impact on your knees.
Knee Pain Remedies
If you’re dealing with knee pain, there are several effective remedies to help manage the discomfort and improve mobility. Below are some methods commonly recommended:
- Rest and Ice Application
Reducing activity and applying ice to the knee can help control pain and swelling, particularly after an injury. - Physical Therapy and Strengthening Exercises
Working with a knee pain doctor in Singapore to develop a physical therapy plan can be beneficial. Strengthening the muscles around the knee, especially the quadriceps and hamstrings, provides better support and reduces the risk of further injury. - Weight Management
Keeping a healthy weight reduces stress on the knees, which can alleviate pain and prevent future issues. This is particularly important for individuals with knee pain in Singapore caused by conditions like osteoarthritis. - Use of Knee Braces or Supports
Braces or compression sleeves can provide additional stability to the knee and reduce discomfort. - Pain Medication
Over-the-counter pain relievers, such as ibuprofen, can help reduce inflammation and manage pain temporarily.
For more severe cases, consulting a knee specialist in Singapore can help explore advanced treatment options such as injections or surgery.
Billing & Payment
Medisave & Insurance Claims
The following are accredited For Singaporeans, Singapore Permanent Residents and Foreigners. If your insurance is not listed, you will still be able to make claims for eligible procedures! We have experience processing claims from many other various insurance providers. Please contact us if you have any queries.
Frequently Asked Questions
Does my knee pain require medical attention by a specialist orthopaedic surgeon?
If your knee pain is persistent, severe, or associated with swelling, instability, or difficulty in moving the knee, it may require medical attention from a specialist orthopaedic surgeon. Additionally, if the pain follows an injury, worsens over time, or doesn’t improve with rest and home treatments, consulting a specialist is advisable. Our orthopaedic surgeons can provide a precise diagnosis and recommend the most appropriate treatment to address the underlying cause and prevent further complications.
What Can I Expect At My First Visit With An Orthopaedic Surgeon?
At your first appointment with Dr. Bryan, he will evaluate your medical history and the pain you are experiencing.
Depending on the symptoms you have, he will likely perform some form of diagnostic imaging (e.g. X-Rays or MRI scans) to assess your condition accurately. X-rays and CT scans are useful to rule out bony problems, whilst an MRI scan is excellent at looking at soft tissue (e.g. tendons, ligaments, cartilage) problems.
After assessing your condition, Dr. Bryan will recommend a personalised treatment plan according to your specific needs. This may include surgical or non-surgical treatment options.
Can I Continue My Sporting Activities If I Am Experiencing Pain (e.g. Shoulder, Knee or Hip Pain)?
Dr. Bryan always advises patients to listen to their bodies and not push through the pain barrier, especially if your pain is a direct result of sports injuries.
If your pain does not subside with RICE (rest, ice, compression and elevation) and over-the-counter painkillers, it is highly advisable that you seek professional medical advice. Continuing with sporting activities will place additional strain on your body and worsen the condition.
What Modes Of Payments Do You Accept?
Consultation fees are charged based on length of consultation, and start from SGD$150 (within 30 minutes).
We accept the following modes of payment:
- Cash
- PAYNOW & PAYLAH
- All major Credit Cards
If you are insured and would like to use E-Filing or A Letter of Guarantee (LOG) from the major insurers in Singapore, please contact us, our friendly clinic staff will assist you and provide more information if required.
What are the red flags for knee pain?
What causes knee pain that might require a visit to a knee specialist in Singapore?
Knee pain can arise from a variety of sources including acute injuries (such as ligament tears or fractures), chronic conditions (like osteoarthritis or rheumatoid arthritis), overuse, and age-related wear and tear. Visiting a knee specialist in Singapore can help accurately diagnose the cause of your pain through comprehensive clinical evaluation and advanced imaging techniques.
How does a knee specialist in Singapore diagnose knee pain?
A knee specialist in Singapore will start with a detailed medical history and physical examination, followed by diagnostic imaging tests such as X-rays, MRI, or CT scans. These tools help identify the exact cause of knee pain, whether it’s soft tissue injuries, bone conditions, or degenerative diseases.
What treatment options are available from a knee specialist in Singapore?
Treatment options offered by a knee specialist in Singapore can range from conservative methods, such as physiotherapy and medication, to advanced surgical interventions such as arthroscopic surgery or total knee replacement, depending on the underlying cause of the knee pain and the patient’s overall health.
What should I expect during my first visit to a knee specialist in Singapore?
During your first visit, the knee specialist will conduct a thorough assessment, which includes discussing your symptoms, examining the affected knee, and possibly ordering diagnostic tests. This comprehensive approach ensures a tailored treatment plan is developed to effectively manage your knee pain.
Can knee pain be prevented with the help of a knee specialist in Singapore?
Yes, a knee specialist in Singapore can provide guidance on preventing knee pain through lifestyle modifications, targeted exercises, and regular follow-ups. This proactive approach helps mitigate risk factors associated with knee pain, such as obesity, lack of muscle strength, and improper exercise techniques.
Dr Bryan Tan