Spine

Spine plays a vital role in the stability and mobility of the body. However, it is extremely vulnerable to disorders and injuries, affecting a person’s quality of life drastically. We bring together a team of certified spine experts who with their wealth of experience treat several spine conditions.

Our spinal service offers a interdisciplinary approach to treatment. This approach allows us to provide a more holistic treatment, addressing not only the physical symptoms but also the psychological and social aspects of the patient’s condition. We offer surgical and non-surgical services to help patients recover and improve their quality of life. our team will work closely with you to create a personalized treatment plan that fits your specific needs and goals.

Our orthopaedic and sports specialists help in treating a wide range of spine conditions:

  • Spinal Fractures
  • Degenerative Dis Disease and Herniated Discs
  • Facet Joints Disease
  • Spinal Stenosis

Hand & Wrist

Different bones, muscles and ligaments in the hand & wrist facilitate in complex and precise movements. When damaged by work, trauma, congenital conditions or sports injuries, the hand & wrist may not be able to perform the way they should. Stress, overuse, damage or tear to the hand & wrist joints may develop common conditions:
  • Carpal Tunnel Syndrome
  • Arthritis of Thumb
  • Osteoarthritis
  • Trigger Finger
  • Hand & Wrist Fracture
  • Dupuytren’s Contracture Release
  • Ganglion Cysts and more
In case a surgery is essential, our qualified orthopaedic surgeons make it a point to utilize innovative and latest minimally invasive hand & wrist surgical procedures for quick and hassle-free results. Our complete suite of surgical and non-surgical treatments backed by state-of-art facilities ensure even the most demanding procedures performed with optimal precision, better comfort and smaller incisions.

Knee

A problematic knee can be debilitating and may get in the way of your everyday activities. Many experience common knee complications associated with age such as osteoarthritis or due to sports injuries like a torn anterior cruciate ligament (ACL) or torn meniscus.

We have a team of highly skilled and experienced knee orthopaedics who are dedicated to providing the highest quality of care.

Avicenna Clinic is equipped with state-of-the-art technology and facilities, including advanced imaging equipment such as MRI, ultrasound and X-ray. This allows our orthopaedics to accurately diagnose and treat your knee condition.

Our orthopaedics take a patient-centred approach and will take the time to fully understand your condition, as well as listen to your concerns and expectations. They will then create a personalized treatment plan that fits your individual needs and goals, whether it is to recover from an injury, improve mobility and function, or manage chronic pain.

We also offer a wide range of treatment options, including physical therapy, medication, and surgery if necessary. This allows us to provide a comprehensive approach to care that addresses all aspects of your knee condition.

Our clinic also offers convenient appointment scheduling and flexible hours to fit your busy schedule.

We work closely with other specialists such as sports medicine specialists, pain management specialists and rehabilitation therapists to provide a multidisciplinary care for your knee.

Pain Managment

Acute or chronic pain may have life-limiting effects on the patients. Acute pain might arise from injuries, surgical procedures, or disease while chronic pain is defined as ongoing or recurrent pain that continues for months, both must be assessed by a trustworthy specialist.

Pain can affect anyone, irrespective of age or lifestyle. When left unaddressed, it will alter the quality of life by negatively impacting sleep, work, family and social life. Even the simplest task may become problematic, leading to physical and emotional distress.

We provide tailored treatment, targeting the severity and symptoms of pain, offering relief from muscle and soft tissue pain, joint pain, post-operative pain, fibromyalgia, neck and head pain, sciatica, and sports injuries.

Typical treatment solutions include physical therapies, osteopathy manipulative treatment (OMT), physiotherapy along with administering effective pain relief medications and injections.

Orthopaedic Pain Explained

Orthopaedic pain refers to pain that is related to the musculoskeletal system, which includes bones, joints, muscles, tendons, and ligaments. This type of pain can be caused by a wide range of conditions, including injuries, degenerative diseases, and congenital disorders.

Some common causes of orthopaedic pain include:

  • Arthritis: a condition characterized by inflammation and degeneration of the joints.
  • Fractures: a broken bone caused by trauma or overuse.
  • Tendinitis: inflammation of the tendons, which connect muscle to bone.
  • Bursitis: inflammation of the bursa, a fluid-filled sac that cushions the joints.
  • Ligament sprains: tears in the ligaments, which connect bone to bone.
  • Degenerative disc disease: a condition in which the discs that cushion the spine begin to deteriorate.

Symptoms of orthopaedic pain can vary depending on the cause, but may include:

  • Aching or stiffness in the affected area
  • Swelling or inflammation
  • Limited range of motion
  • Weakness or numbness in the affected area
  • Tenderness to the touch

Foot and ankle

The foot & ankle are highly complex structures of the human body that contain ligaments, multiple bones and tendons.

Avicenna Clinic offers a range of treatment options for foot and ankle conditions, including both surgical and non-surgical methods. Our goal is to provide the most appropriate and effective treatment for each individual patient, based on their specific condition and needs.

For non-surgical treatments, we may use a variety of techniques to alleviate pain and inflammation, improve range of motion, and correct any underlying gait abnormalities. Physical therapy, for example, is often used to help patients regain strength and flexibility in their feet and ankles. We may also use custom orthotics, padding and taping, or other forms of bracing to provide support and alleviate pressure on affected areas.

In some cases, non-surgical treatments may not provide the desired level of relief, and surgery may be recommended. Surgical options for foot and ankle conditions include procedures such as:

  • Achilles tendon repair for Achilles tendonitis
  • Bunionectomy for bunions
  • Ankle fusion for ankle arthritis
  • Ligament and tendon repair for sprains and other injuries
  • Arthroscopy for the removal of bone spurs, loose bodies, and other debris.

We believe that the key to successful treatment of foot and ankle conditions is a holistic approach that addresses not only the symptoms but also the underlying cause of the problem. A team of orthopaedic specialists will work closely with you to evaluate your condition, discuss the various treatment options available, and help you make an informed decision about which course of treatment is best for you.

Shoulder & elbow

Shoulder & elbow joints are crucial for rotating, bending, reaching and flexing arms. But, repetitive movements common to a few occupations and sports tend to over-stresses the joint, causing fractures, instability, tendon tears and other disorders that may impede its movement. Some of the common conditions that occur at this joint are:
  • Collarbone Fracture
  • Frozen Shoulder
  • Shoulder Arthritis
  • Bone Dislocation
  • Bursitis
  • Rotator Cuff Injury
We understand that shoulder and elbow problems can be debilitating and can significantly impact your quality of life. Our team of specialists is committed to providing quick relief of pain and discomfort, and helping you return to your normal activities as quickly and as comfortably as possible. In addition, our clinic has an easy appointment scheduling system, and our staff is happy to assist with any insurance or financial concerns you may have.

Hip

A well-functioning hip is essential for performing day-to-day activities or playing sports with ease. But, when common disorders or conditions alter their normal movement, it can trigger muscle weakness, pain or associated complications that require immediate medical attention from a qualified specialist.

At Avicenna, we understand that hip problems can greatly impact a person’s daily life and mobility. That’s why we take a comprehensive approach to diagnosing and treating these issues.

First, we begin with a thorough examination and evaluation of the patient’s symptoms. This includes taking a detailed medical history, conducting a physical examination, and ordering any necessary imaging studies such as X-rays or MRI’s.

Once we have a clear understanding of the problem, we work with our patients to develop a customized treatment plan. This may include non-surgical options such as physical therapy, medications, or injections to reduce pain and inflammation.

In cases where surgery is necessary, we specialize in minimally invasive techniques, which allows for a faster recovery and less pain post-surgery. We also use advanced technologies to ensure precision and accuracy during the procedure.

A team of orthopaedic specialists is dedicated to providing the highest level of care and working closely with our patients to achieve the best possible outcomes..

Spine Anatomy

The spine comprises fibrous tissues (intervertebral discs) and bony segments (vertebrates). Together, from the head to the pelvis, the discs and vertebrates form a spinal column that gives support and symmetry. The vertebrae are divided into five different regions, each with its own unique characteristics and functions.

The topmost region of the spine is the cervical spine, which is made up of seven vertebrae. The cervical spine is responsible for supporting the head and allowing for movement of the head and neck.

The next region is the thoracic spine, which is made up of 12 vertebrae. The thoracic spine is responsible for supporting the ribcage and allowing for movement of the chest and shoulders.

The lumbar spine is the third region and is made up of five vertebrae. The lumbar spine is responsible for supporting the majority of the body’s weight and allowing for movement of the hips and lower back.

The sacral spine is the fourth region and is made up of five fused vertebrae. The sacral spine is responsible for connecting the spine to the pelvis. The final region of the spine is the coccyx, which is made up of four fused vertebrae. The coccyx is commonly referred to as the tailbone and serves as the point of attachment for certain muscles and ligaments.

Conditions

Facet Joints Disease

Facet joints form from the superior and inferior articular processes of two adjacent vertebrae. They are synovial joints as a fibrous capsule encompasses the bone and articulating cartilage and is continuous with the periosteum. The joint also contains synovial fluid which is kept in place by an inner membrane. The function of these joints is to allow for flexion and extension of the spine while limiting rotation and preventing the vertebrae from slipping over each other. The sensory nerve of these joints is the medial branch of the dorsal spinal ramus. Facet joint disease, also known as facet syndrome, is a condition in which these joints become a source of pain. Facet joint mediated pain is a common source of disability amongst our population with significant economic impact. Chronic low back pain often results from facet joint disease, with a prevalence of 15 to 41%. Injection of steroids into the facet joints can help relieve pain for a long period of time. Other conservative approaches include anti-inflammatory drugs, and physical therapy. For long-term relief and in more severe cases, a rhizotomy (burning the anterior or posterior spinal nerve roots) may be done. Surgical interventions could be effective in relieving pain if conservative care fails.

 
Degenerative Dis Disease and Herniated Discs
Spinal discs are also called intervertebral discs. There is a spinal disc between each bone (vertebra) in your spine. This keeps the vertebrae separated and acts as a shock absorber. A spinal disc is a little like a jelly donut, with a softer center (nucleolus pulposus) encased within a tougher exterior (annulus fibrosus). Disc herniation, sometimes called a slipped disk, is displacement of the disc nucleus pulposus, parts of the annulus fibrosus and cartilage, beyond the limits of the intervertebral disc space.

Disc herniation is most often the result of a gradual, aging-related wear and tear called disc degeneration. As you age, your spinal discs lose some of their water content. That makes them less flexible and more prone to tearing or rupturing with even a minor strain or twist. Some people are more prone for disc herniation than others. Overweight causes extra stress on the discs in your lower back. Those with physically demanding jobs requiring repetitive lifting, pulling, pushing, bending sideways and twisting have a higher risk of a herniated disc and some people inherit a predisposition to developing disc herniation. Most people can’t pinpoint the exact cause of their herniated disc and you also can have a herniated disk without knowing it.

A herniated disc can irritate nearby nerves and result in pain, numbness or weakness in an arm or leg. The most common nerve pain caused by disc problems is sciatica – where the affected disc presses on your sciatic nerve, causing pain radiating into your leg. This nerve travels from your spine to your hip and buttock and down your leg. The pain can be sudden and sharp, and move down the nerve to your leg and sometimes down to your foot. Just below your waist, the spinal cord separates into a group of long nerve roots (cauda equina) that resemble a horse’s tail. Rarely, disc herniation can compress the entire cauda equina. If this happens emergency surgery may be required to avoid permanent weakness or paralysis.

Depending on your symptoms and signs you may need imaging by an MRI scan (magnetic resonance imaging) to confirm the diagnosis and decide on the best treatment. This will be essential if your symptoms suggest cauda equina compression.

The outlook of disc herniation is good for most people. Many people experience no symptoms from a herniated disk. For those who develop symptoms, the initial treatment is usually anti-inflammatory pain killer and an advice about simple back exercises to keep you as normally active and mobile. If the pain or any restrictions caused by the problem with your back last for more than 1-2 weeks the treatment options include physiotherapy and referral to a specialist for an epidural or nerve root corticosteroid injection if there is associated sciatic pain.
Spinal stenosis

Spinal stenosis is a term used to describe a narrowing of the spinal canal. The narrowing may not cause any symptoms. However, the narrowing may progress to cause squeezing (compression) of the spinal nerves . Spinal stenosis can cause back pain and/or leg pain. Most often it occurs when you walk. Weakness of the legs may make you feel unsteady. This may affect both legs or just one leg. Usually, as part of the normal ageing process, degenerative changes occur in the spine leading to spinal stenosis. Spinal stenosis can often be treated by simple measures such as medicines for pain relief, keeping as active as you can and losing weight if you are overweight. Sometimes surgery is needed if simple measures are not successful. Very occasionally, some patient’s with spinal stenosis may develop Cauda Equina Syndrome. This is a very serious complication and if you develop any of the following warning signs, you must seek emergency medical help.

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More Orthopaedic Conditions

Avicenna has specialists across a number of clinical areas, reinforced by an excellent support team, providing integrated diagnostic and treatment services

  •
    Hand & wrist

    Different bones, muscles and ligaments in the hand & wrist facilitate in complex and precise movements. When damaged by work, trauma, congenital conditions or sports injuries, the hand & wrist may not be able to perform the way they should.

  •
    Spine

    Spine plays a vital role in the stability and mobility of the body. However, it is extremely vulnerable to disorders and injuries, affecting a person's quality of life drastically. We bring together a team of certified spine experts who with their wealth of experience treat several spine conditions.

  •
    Knee

    A problematic knee can be debilitating and may get in the way of your everyday activities. Many experiences common knee complications associated with age such as osteoarthritis or due to sports injuries like a torn anterior cruciate ligament (ACL) or torn meniscus.

  • Pain management

    Acute or chronic pain may have life-limiting effects on the patients. Acute pain might arise from injuries, surgical procedures or disease while chronic pain is defined as ongoing or recurrent pain that continues for months, both must be assessed by a trustworthy specialist.

  • Foot & ankle

    The foot & ankle are highly complex structures of the human body that contain ligaments, multiple bones and tendons. Our licensed orthopaedic specialists treat various foot & ankle conditions such as bone deformity, bunions, Achilles tendon injuries, painful ligaments and arthritis.

  •
    Shoulder & elbow

    Shoulder & elbow joints are crucial for rotating, bending, reaching and flexing arms. But, repetitive movements common to a few occupations and sports tend to over-stresses the joint, causing fractures, instability, tendon tears and other disorders that may impede its movement.

  • Hip

    A well-functioning hip is essential for performing day-to-day activities or playing sports with ease. But, when common disorders or conditions alter their normal movement, it can trigger muscle weakness, pain or associated complications that require immediate medical attention from a qualified physician.