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 Orthopaedic surgeons doctor for knee

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oldman
post Sep 29 2020, 11:18 AM

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Hello TS, I think this thread is a good read

https://forum.lowyat.net/index.php?showtopic=1707146&hl=knee

But if you're just feeling pain at the knee, just go for check up with specialist first.

Personally, I went with Dr. Khoo at Columbia Asia Hospital in Puchong, by recommendation. Mine was meniscus tear, and was in hospital for 3 days. Bill was around 20k, by company insurance.

Dr. Gan at KPJ Damansara is quite famous, and the last time I tried, there was like a month waiting list for the appointment.
TSngaisteve1
post Sep 29 2020, 11:37 AM

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X-ray can see the problem?
tankerbell12345
post Sep 29 2020, 11:54 AM

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QUOTE(ngaisteve1 @ Sep 29 2020, 10:12 AM)
What about the the injection? Some of my friends who runs a lot went for  some kind of injection. Are they injecting collagen?
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take glucosamine sulfate or dhea or dhea cream.

if u want to do injection go for stem cells. dr ranjit singh gill


Loki666
post Sep 29 2020, 12:19 PM

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I had 2 ACL ops. First one at a private hospital that I shall not name. Ortho surgeon placed graft improperly and caused me a limp as range of movement was impeded by the badly placed graft. After 1 year post surgery with physio not helping went to consult Dr Saw Khay Yong at KL Sports Medicine Center. Had to remove graft, 6 months physio to regain full range and then redo the ACL op. So long story short important to pick a good surgeon.

Ps. I ended up suing the 1st ortho as at KLSMC during phyio met 2 other ppl who had their surgeries screwed up by the 1st surgeon.
notadupe999
post Sep 29 2020, 03:58 PM

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I met one who wanted to operate on my frozen shoulder without any proper scans as soon as he heard I had company insurance. Fortunately, I backed off. Stretching seems to have cured it.

Just wanted to tell you to be careful and seek second opinions. These guys can be unscrupulous, even with nice sounding titles and awards in front of the "Dr" in their names.
Kilohertz
post Sep 29 2020, 08:18 PM

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Dr. Ezlan Merican - Pantai Ampang Hosp
SUSNew Klang
post Sep 29 2020, 08:27 PM

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Knee wise, you need to know which part and type of pain.

Some knee pains are due to tightness of the other muscles at the calf, thighs and hips.


QUOTE(notadupe999 @ Sep 29 2020, 03:58 PM)
I met one who wanted to operate on my frozen shoulder without any proper scans as soon as he heard I had company insurance. Fortunately, I backed off. Stretching seems to have cured it.

Just wanted to tell you to be careful and seek second opinions. These guys can be unscrupulous, even with nice sounding titles and awards in front of the "Dr" in their names.
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I cured frozen shoulder myself although my company insurance can pay for the treatment. Reason was my colleague went for operation first but only get better by 10%.
quintesson
post Sep 29 2020, 08:30 PM

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QUOTE(ngaisteve1 @ Sep 29 2020, 09:08 AM)
need to take for how long to see the effect. i think last time i took but didn't see much difference.
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at least 3 months.
M2020
post Sep 30 2020, 02:46 AM

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Any idea if after taking Glucosamine+Chondroitin supplement could cause more pain to the knee of an old lady?
hksgmy
post Sep 30 2020, 07:15 AM

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QUOTE(mushigen @ Sep 29 2020, 09:47 AM)
A few pharmacists I spoke to now recommend collagen (can't recall which type) instead of glucosamine.
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Denatured type collagen, yes.
hksgmy
post Sep 30 2020, 07:19 AM

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QUOTE(ngaisteve1 @ Sep 29 2020, 11:37 AM)
X-ray can see the problem?
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Usually, an MRI is more telling. And keyhole arthroscopy if there’s any doubt. An X ray is limited to visualisation of bone a d cartilage as soft tissue injuries (eg ligaments, tendons, capsules and even muscles) cannot be visualised (they can be extrapolated) directly by X ray.

Ideally, you should see your primary physician (specialist GP) - preferably one which you can trust - who would then arrange for scans, and then make the referral only after the scans are interpreted.
TSngaisteve1
post Sep 30 2020, 08:11 AM

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QUOTE(hksgmy @ Sep 30 2020, 08:19 AM)
Usually, an MRI is more telling. And keyhole arthroscopy if there’s any doubt. An X ray is limited to visualisation of bone a d cartilage as soft tissue injuries (eg ligaments, tendons, capsules and even muscles) cannot be visualised (they can be extrapolated) directly by X ray.

Ideally, you should see your primary physician (specialist GP) - preferably one which you can trust - who would then arrange for scans, and then make the referral only after the scans are interpreted.
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Thanks for the info
mushigen
post Sep 30 2020, 02:03 PM

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QUOTE(hksgmy @ Sep 30 2020, 07:15 AM)
Denatured type collagen, yes.
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I was surprised by it. Collagen to me is always something that the wife takes as part of beauty regiment.
hksgmy
post Sep 30 2020, 02:07 PM

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QUOTE(mushigen @ Sep 30 2020, 02:03 PM)
I was surprised by it. Collagen to me is always something that the wife takes as part of beauty regiment.
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LOL. That’s the birds nest and sharks fin type of collagen that she’s referring to, I believe?
mushigen
post Sep 30 2020, 02:19 PM

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QUOTE(hksgmy @ Sep 30 2020, 02:07 PM)
LOL. That’s the birds nest and sharks fin type of collagen that she’s referring to, I believe?
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I only know it comes in small dark bottles and smells like orange juice.
TSngaisteve1
post Oct 1 2020, 09:58 PM

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Just bought Glucosamine Chondroitin, MSM plus Hyaluronic Acid, 360 Veggie Capsules to try - RM116.11
rjc.rj
post Jan 16 2021, 11:32 AM

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How old are you first will determine what kind of surgery you need to do, you can get your mri done at private, and bring it to a gov hospital, if your 60 above then you may need a total knee replacement,

in selayang or hkl, the cost for the implant is about 11-13k for acl recon/ meniscus repair , you can use medical card if you have or socso if you have, very minimal for doctor and hospital fee <100, maybe after covid period you can visit

For injection, you just need to pay for the cost of injection which is abt 900-1.3k

Im a medical officer frm there smile.gif

This post has been edited by rjc.rj: Jan 16 2021, 11:42 AM
TSngaisteve1
post Jan 16 2021, 08:16 PM

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QUOTE(rjc.rj @ Jan 16 2021, 12:32 PM)
How old are you first will determine what kind of surgery you need to do, you can get your mri done at private, and bring it to a gov hospital, if your 60 above then you may need a total knee replacement,

in selayang or hkl, the cost for the implant is about 11-13k for acl recon/ meniscus repair , you can use medical card if you have or socso if you have, very minimal for doctor and hospital fee <100, maybe after covid period you can visit

For injection, you just need to pay for the cost of injection which is abt 900-1.3k

Im a medical officer frm there smile.gif
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What if below 60 years old? Wow, gov hospital also need rm11-13k?
rjc.rj
post Jan 17 2021, 01:09 PM

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Then will be arthoscope to see what seems to be the problem and then fix it, but due to covid you can always do MRI first to roughly know your problem, through examinations and history can also briefly let us know about the problem your facing,

If just meniscus repair its free, if acl recon ard 10k, just for the implant and instrument.

Acl injury happens usually when you have any twisting motion or accident, you will usually feel your knee coming out especially when going up or down stairs or not stable on uneven surface

From your history, its just pain while doing sports, meaning unlikely acl injury, better see a doctor to examine to see what could be the problem, then you can save your money, seems like a meniscus problem, or just osteoarthritis,

Osteoarthritis cn benefit from the supplement your taking or injection, i think in private the injection cost minimally 5k
beyond
post Jan 17 2021, 01:17 PM

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ACL- no pain
Meniscus - Painful
Articular Damages - Painful

Diagnostic:
Xray- OA (narrowing of gap or habis gel)
MRI- Sometimes can see clearly sometimes no. But will tell if there are any osteoarticular damages

Athroscope- Best invasive technique to see all, Can repair meniscus, Can repair ACL/PCL (if parts sudah beli or standby). Can also do other stuffs.

MC - Athro only (few days can jalan d)
- ACL (1 month) or more
- Osteoarticular damages (Me in this category. Was told up to 6 months)

Personally, I had it all. ACL/Meniscus/Cracked Bone. And now.. Osteoarticular damges. But surgery delayed due to Covid and also I fear ICU recuperation. MAhai.. nanti tak dapat keluar. Coz I got Apnea.

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