Ace Physiotherapy and Sports in Singapore
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+65 81535374 -
ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
Opening Hours
Mon to Fri: 08:00am - 8:00pm -
Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
Dynamic Stabilsation
Dynamic lumbar stabilisation is a surgical technique designed to stabilise the spine while still allowing some movement between the vertebrae. The goal of this procedure is to limit abnormal spinal motion, prevent nerve compression, and reduce pain, all while preserving natural spinal flexibility.
Unlike traditional lumbar fusion, which completely restricts movement, dynamic stabilisation maintains partial joint mobility. This approach helps prevent the long-term stress and accelerated wear on adjacent spinal segments that can occur after a fusion procedure, offering a more balanced and durable solution for managing spinal instability.
Dynamic Lumbar Stabilisation Indications
Surgery is typically considered only when conservative treatments, such as physiotherapy and lumbar injections, fail to relieve symptoms. Diagnostic imaging, including X-rays and MRI scans, helps confirm the extent of disc degeneration and spinal instability.
Indications for Dynamic Lumbar Stabilisation include:
- Excessive spinal movement or disc prolapse causing nerve compression, leading to numbness, muscle weakness, or leg pain
- Spinal instability due to congenital or acquired defects
- Degenerated or worn discs resulting in chronic pain
- Episodes of spinal “locking” or the spine “giving way” during movement
Dynamic Lumbar Stabilisation Surgical Procedure
Dynamic lumbar stabilisation surgery is performed under general anaesthesia with antibiotic coverage to reduce the risk of infection. The procedure involves the insertion of a movement-limiting device at the affected spinal level to stabilise the vertebrae while allowing controlled motion.
One commonly used system is Dynesys, which consists of screws placed in the affected vertebrae and connected with flexible materials such as cords and plastic spacers. In cases where a disc has prolapsed, a discectomy (removal of the damaged disc) may also be performed during the same operation to relieve nerve pressure and reduce pain.
Benefits of Dynamic Lumbar Stabilisation Post-Surgery
Dynamic lumbar stabilisation offers several advantages for patients following surgery, including:
- Significant relief from symptoms caused by nerve compression, such as leg pain, numbness, weakness, and tingling
- Stabilisation of excessive spinal movement
- Improved spinal alignment
- Enhanced overall function and quality of life
It is important to note that back pain not caused by nerve impingement may persist, as the surgery primarily addresses nerve-related symptoms.
Physiotherapy and Rehabilitation Post-Surgery
After dynamic lumbar stabilisation, patients are generally encouraged to begin mobilising within 24 hours if medically stable and comfortable. Physiotherapy programs are tailored to each individual and may follow a specific protocol based on the surgeon’s guidance.
Rehabilitation focuses on gradually improving movement, strength, and function using a variety of techniques adapted to your age, ability, and personal goals. The program starts gently and progresses as your recovery advances, ensuring a safe and effective return to daily activities and improved quality of life.
Physiotherapy for Post-Surgery Rehabilitation
Following dynamic lumbar stabilisation surgery, physiotherapy plays a crucial role in recovery, helping to restore function, reduce pain, and prevent further nerve damage. Key components of post-surgery physiotherapy include:
- Exercise Programme: Individualised exercises to improve muscle strength, reduce tightness, and increase core stability.
- Postural and Lifestyle Advice: Guidance on correct posture and safe movement techniques for daily activities.
- Hydrotherapy: Performing exercises in warm water to relax muscles, manage pain, and reduce stress on the spine.
- Joint Mobilisation: Gentle mobilisation or manipulation of spinal joints to reduce stiffness and muscle spasms.
- Importance: Helps prevent further nerve damage, improves functional ability, and enhances overall quality of life.
To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.
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