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Spine Conditions Treated

Lower Back Pain (“Buttock” or “Hip” pain)

Back pain is a very common symptoms affecting the general population. Patients as young as teenagers to the elderly can be affected by back pain.

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Neck Pain (“Shoulder” or “Scapula” pain)

Neck pain is a very common symptoms affecting the general population. With the usage of mobile devices and deskbound screens with poor ergonomics, the incidence

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Sciatica

What is Sciatica? Sciatica refers to pain that goes down the leg in the distribution of the nerve called the sciatic nerve. The sciatic nerve

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Scoliosis

What is Scoliosis? Scoliosis refers to the sidewards bending of the spine. This bending of the spine to the side can occur during the teenage

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Slipped Disc

What is a slipped disc? Discs are cushions that act as shock absorbers between bones. A jelly-like substance sits inside the disc (nucleus pulposus) surrounded

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Sports Injuries

What type of sports injuries can occur to the spine? Sports injuries of the spine can occur in the neck or low back. Often this

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Tingling, Numbness, Weakness (radiculopathy)

What causes tingling, numbness and weakness? Tingling numbness and weakness are symptoms of nerve injury and/or dysfunction. These symptoms most commonly occur due to nerve

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Spinal Stenosis

What is a Spinal Stenosis? Spinal stenosis is a degenerative condition in which the canal of the spine through which nerves pass through becomes narrow.

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Spine Tumours

What is a Spine Tumours? Spine tumours are abnormal growths that occur in the bones of the spine or inside the spinal canal. The most

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Spine Fractures

What is a spine fracture? The spine is made up of multiple bones (called the vertebra). Fractures of these bones can occur from trauma like

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Spondylolisthesis

What is a Spondylolisthesis? Spondylolisthesis refers a slipped spinal bone (vertebra) which has gone forward as compared to the spinal bone (vertebra) just below it.

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Spondylosis

What is a Spondylosis? Spondylosis is a degenerative condition of the spine. It can affect the neck which is called cervical spondylosis, or the lower

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Types of treatment available for the spine

Accurate diagnosis of spinal problem

Successful treatment of a spine problem first and foremost depends on an accurate diagnosis. From a thorough clinical history and examination with adjunct investigations, we ensure the right diagnosis is made. Conditions of the sacroiliac joint or the hips may sometimes mimic a spine condition.

Artificial disc replacement (ADR) or arthroplasty

Slipped disc can also occur in the neck. In young patients with a slipped disc in the neck causing compression of the nerves, the offending disc can be removed and an artificial disc can be inserted to restore movement of the neck. Surgery is done through a cut in the front of the neck parallel to or along the skin crease.

Minimally invasive (keyhole) decompression surgery

Nerves in the spine may be compressed for a variety of reasons. Often the treatment for this is non-surgical comprising of medications and physiotherapy. Should the symptoms or signs not improve, spinal surgery may be required to free (decompress) the nerve or nerves.

Minimally invasive (keyhole) slipped disc surgery

A slipped disc occurs when the cushion between the bones (vertebrae) slips out of its usual confines. Often, there is no need for surgical treatment. If the disc compresses the nerves in the spine, surgery for slipped disc may sometimes be required to free the nerve (decompression).

Spinal injections

An injection done under X-ray guidance may sometimes be done for the treatment of spinal problems such as pain in the lumbar spine, neck pain or radicular pain (pain down the arm or leg originating from the spine). In certain instances, a spinal injection may sometimes give additional information so that targeted treatment of the spine can be done.

Anterior cervical discectomy and fusion (ACDF)

In older patients who have compression of the nerves or spinal cord, an artificial disc may not be suitable. Here, a cervical fusion (joining the bones together) can be done after removing the disc and/or osteophyte (bone spur) that is pressing on the nerve. Spinal surgery is done through a cut in the front of the neck.

Spinal Surgeries using Computer Navigation

For complex spinal cases especially revision or re-do surgeries, we sometimes use intra-operative computer navigation. This gives us better intra-operative imaging and 3-dimensional real time visualisation of the structures during the operation, improving surgical safety in these complex cases.

Cervical laminoplasty (creating space for the nerve in the neck)

In certain conditions, surgical decompression of the nerves may need to be done from the back of the neck. In order to preserve movement, a cervical laminoplasty (where the bone is hinged open to create space for the spinal cord) can be done. This creates a larger space for the spinal cord.

Spinal fusion/ TLIF

In instances where a decompression alone will not provide long-term desirable results, a spinal fusion can be done. The most common fusion in the lumbar spine is called a transforaminal lumbar interbody fusion (TLIF) where screws and a cage (inserted in place of the disc) are used to join 2 adjacent bones together. A common condition when a lumbar fusion is helpful is in patients is spondylolisthesis (slipped bone).

Scoliosis correction

There are different types of scoliosis which can be corrected surgically. In younger patients, scoliosis correction can be done to prevent the curves from worsening while in older patients, simultaneous decompression may also be required to free the nerves if they are significantly compressed.

Minimally invasive (keyhole) fracture fixation/cement injection

Some spinal fractures can be treated non-operatively while others require surgical intervention. Cement injection can be done for certain types of spinal fractures (Vertebroplasty or Kyphoplasty) while others may require fixation with screws. In some of these cases, screws can be inserted and the fracture fixed with small keyholes rather than a large cut.

Spinal tumour surgery

Most spinal tumours are spread from other parts of the body (secondary). When the spinal cord or nerves are compressed by these spinal tumours, surgical decompression may need to be done. In patients where the tumour originates from the spine or sacrum, they may need to be resected to clear the body of the tumour.

Dr Mohd Mashfiqul Arafin Siddiqui

MBBS (Singapore), MRCSEd, MMed (Ortho), FRCSEd (Ortho), FAMS (Ortho)

Orthopaedic & Spine Surgeon,
Visiting Consultant, Singapore General Hospital

Dr Mashfiqul Siddiqui is a senior orthopaedic and spine surgeon in private practice and a Visiting Consultant at Singapore General Hospital with more than 20 years of clinical experience.

His focus is on getting patients suffering from spine conditions such as slipped discs, neck and back pain (which sometimes go down the arm or leg with a tingling sensation or numbness), quickly back to their desired functional level. As an orthopaedic surgeon and spine specialist in Singapore, he is also well trained in treating both spinal conditions as well as other associated orthopaedic problems. Working closely with the physiotherapist, management of neck and back pain as well as early administration of slipped disc treatment can be done for quick return to daily activities and sports.

Where can I seek a consultation?

Dr Mash practices at Mash Spine & Orthopaedics clinic located at Farrer Park Medical Centre. Dr Mash is dedicated to brining quality care for a wide spectrum of orthopaedic and spinal conditions such as slipped discs, sciatica, spinal stenosis, scoliosis, hip and knee arthritis, tendon injuries of the shoulder and elbow as well as various foot and ankle conditions.

Our Spine Specialist

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Spine Conditions Treated

Types of treatment available for the spine

Accurate diagnosis of spinal problem

Artificial disc replacement (ADR) or arthroplasty

Minimally invasive (keyhole) decompression surgery

Minimally invasive (keyhole) slipped disc surgery

Spinal injections

Anterior cervical discectomy and fusion (ACDF)

Spinal Surgeries using Computer Navigation

Cervical laminoplasty (creating space for the nerve in the neck)

Spinal fusion/ TLIF

Scoliosis correction

Minimally invasive (keyhole) fracture fixation/cement injection

Spinal tumour surgery

Dr Mohd Mashfiqul Arafin Siddiqui

Where can I seek a consultation?

Our Spine Specialist

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Mash Spine & Orthopaedics clinic is committed to providing effective & personalised treatment plans.

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