Fibromyalgia Relief & Management in Singapore

Fibromyalgia is a long-term condition that causes widespread pain, fatigue, and tenderness in muscles, ligaments, and tendons. Many people also experience sleep issues, memory difficulties, and mood changes. While it can be challenging to manage, the right approach can help reduce discomfort and improve quality of life.

At Dr. Dinesh’s clinic, we provide professional, non-surgical orthopedic care that focuses on clear diagnosis, evidence-based advice, and tailored management strategies. Our aim is to help you understand your condition and guide you toward practical relief methods.

Why Do People Experience Fibromyalgia?

Fibromyalgia affects people differently. It does not damage muscles or joints, but it changes the way the brain and spinal cord process pain signals, making sensations more intense.

For example, a person with this condition might feel aching throughout the body after light activity, or may wake up tired despite a full night’s sleep. Some notice stiffness in the morning, while others may experience sharp flare-ups during stressful periods.

What Causes Fibromyalgia and What Are the Symptoms?

Causes of Fibromyalgia

The exact cause of fibromyalgia is still not fully understood, but research suggests it may be linked to:

• Overactive pain response in the nervous system
• Genetics – a higher risk if a family member has fibromyalgia
• Physical or emotional stress – such as recovery after an injury or illness
• Sleep disturbances – leading to increased sensitivity to pain

Fibromyalgia is not contagious and it does not cause physical damage to tissues, but it can significantly impact daily activities and overall well-being.

Common Symptoms

People with fibromyalgia may experience:

• Widespread muscle and joint pain
• Chronic fatigue
• Stiffness, especially in the morning
• Sleep problems (including insomnia or unrefreshing sleep)
• Headaches or migraines
• Trouble concentrating (“fibro fog”)
• Sensitivity to touch, light, or temperature

Symptoms often come and go, with flare-ups triggered by stress, weather changes, or physical exertion.

How Do You Relieve Fibromyalgia?

While there is no cure for fibromyalgia, many people find relief through a combination of professional care, lifestyle adjustments, and self-management strategies.

At Dr. Dinesh’s clinic, we take a structured, non-invasive approach that may include:

1. Accurate Assessment & Diagnosis – to rule out other causes and confirm the condition.
2. Pain Management Advice – guidance on safe and effective methods.
3. Lifestyle Recommendations – including exercise, stress reduction, and improved sleep habits.
4. Patient Education – helping you understand your condition to better manage symptoms.

Many patients feel reassured when they know what is happening to their body and what they can do to improve daily function.

Why Choose Dr. Dinesh for Fibromyalgia Management?

• Professional Orthopaedic Expertise – over 15 years in non-surgical musculoskeletal medicine
• Evidence-Based Approach – treatments supported by scientific research
• Patient-Centered Care – each plan is tailored to your needs and comfort
• Trusted by Many in Singapore – our patients value clear explanations and compassionate service

Early assessment can make a difference in how well you manage your symptoms. If fibromyalgia is affecting your work, exercise, or daily comfort, now is the right time to seek advice.

Take the Next Step

Living with fibromyalgia can feel overwhelming, but you are not alone. With the right guidance and strategies, many people lead active, fulfilling lives.

Schedule an appointment with Dr. Dinesh today to discuss your symptoms and explore a management plan tailored to you.

Long Term Pain Procedures – Understanding Your Options

Living with persistent long term pain procedures can be exhausting. It can affect your mobility, disrupt your work, and even impact your emotional well-being. At our clinic in Singapore, Dr. Dinesh offers an alternative approach to long term pain, through wholisitic management plan focused on helping patients manage chronic discomfort while aiming to heal through regenerative medicine. We focus on non-surgical and evidence-based approaches to support your daily function, quality of life and aim to help you achieve your goals.

Unlike short-term treatments that only provide temporary relief, long-term pain management aims to address ongoing pain in a sustainable way through a regenerative approach. By tailoring each plan to your specific needs, we help you regain confidence in your body’s abilities.

Why Do People Seek Long Term Pain Procedures?

People usually consider long term pain procedures when:

• Pain has persisted for months or years
• Daily activities are affected
• Previous short-term treatments have not provided lasting relief
• There is a need for ongoing, structured pain management

Common situations include chronic joint pain, lower back discomfort, neck stiffness, post-injury pain, and pain from degenerative conditions such as osteoarthritis.

Examples of Long-Term Pain Procedures

Long term pain procedures can vary depending on the cause, location, and severity of pain. Some of the commonly recommended options include:

1. Joint Injections – For inflammation and pain in areas like knees, shoulders, or hips.
2. Nerve Blocks – Targeted procedures to help reduce pain signals from specific nerves.
3. Epidural Steroid Injections – Often used for persistent back or neck pain caused by nerve irritation.
4. Trigger Point Injections – For muscle pain and tension knots that do not resolve with basic therapy.
5. Radiofrequency Ablation – A minimally invasive method that uses heat to reduce nerve pain signals.

These procedures are performed in a controlled, medical environment and follow strict safety protocols.

What Causes the Need for Long Term Pain Procedures?

Chronic pain can arise from many underlying causes. The most common include:

• Arthritis – Joint inflammation causing stiffness and pain.
• Degenerative Disc Disease – Age-related changes in spinal discs.
• Nerve Compression – From herniated discs or bone spurs.
• Post-Surgical Pain – When discomfort continues after an operation.
• Sports Injuries – That fail to heal completely.

Common Symptoms

Patients who may benefit from long term pain procedures often report:

• Persistent pain lasting more than 3 months
• Stiffness in joints or muscles
• Numbness, tingling, or weakness in limbs
• Pain that worsens with specific movements
• Difficulty sleeping due to discomfort

How Do You Relieve Long Term Pain?

Managing long term pain often requires a combination of treatments. Dr. Dinesh’s approach is to:

1. Accurately diagnose the cause through consultation and medical imaging.
2. Select the most suitable procedure based on your condition and goals.
3. Implement supporting treatments such as physical rehabilitation, exercise programs, and lifestyle adjustments.
4. Monitor and adjust the plan to ensure consistent improvement.

By starting early, you can prevent pain from limiting your lifestyle further. Many patients notice improvements in mobility, energy, and sleep after following a structured pain management program.

Why Choose Dr. Dinesh for Long Term Pain Procedures?

• Specialised Expertise – Over a decade of experience in non-surgical management of musculoskeletal injuries and their symptoms.
• Evidence-Based Methods – Safe, clinically approved procedures.
• Personalised Care Plans – Tailored to your unique needs.
• Patient-Centred Approach – Clear explanations, compassionate care, and follow-up support.
• Regenerative medicine – To promote healing as well as improvement in symptoms.

Our goal is to help you live with less pain and more freedom of movement.

Take the First Step Towards Relief

If pain has been part of your life for too long, it’s time to explore solutions that can last. Book a consultation with Dr. Dinesh today and learn how long-term pain procedures may fit into your recovery journey.

Appointments are available by booking online or calling our clinic.

Understanding TFCC Injuries

The Triangular Fibrocartilage Complex (TFCC) is a small yet vital structure located on the ulnar (pinky) side of your wrist. It acts as a cushion and stabilizer between the small bones of the wrist and the end of the ulna bone. When this structure gets injured, it can lead to pain, weakness, and reduced function in the wrist.

TFCC injuries are common among athletes, manual workers, and individuals who experience falls or repetitive wrist strain.

Why Do People Experience TFCC Injuries?

The wrist is a highly mobile joint, and the TFCC helps it move smoothly. However, sports involving strong wrist rotation—such as tennis, golf, and gymnastics—can put excessive strain on it. TFCC injuries also occur from sudden trauma, like falling on an outstretched hand, or from repetitive twisting movements at work or during hobbies.

Examples of TFCC injuries include:

• A tennis player feeling sharp pain during backhand strokes.
• A construction worker developing persistent wrist ache after repetitive drilling.
• A fall during cycling, causing sudden swelling and tenderness on the outer side of the wrist.

What Causes TFCC Injuries and What Are the Symptoms?

Causes of TFCC Injuries

• Acute Trauma – Direct injury from falls or accidents.
• Repetitive Strain – Overuse in sports or manual work.
• Degenerative Changes – Natural wear and tear with age.
• Sudden Wrist Rotation – Forceful twisting motions during activities.

Common Symptoms

• Pain on the ulnar (pinky) side of the wrist.
• Clicking or popping sounds when moving the wrist.
• Weak grip strength.
• Swelling or tenderness around the wrist joint.
• Reduced range of motion, especially during rotation.

How Do You Relieve TFCC Injuries?

Recovery depends on the severity of the injury. Dr. Dinesh uses a careful, non-surgical approach to help patients regain function and reduce pain.

Common relief and management methods include:

1. Rest & Immobilisation – Limiting wrist movement with a splint or brace.
2. Ice Therapy – Reducing swelling and inflammation.
3. Targeted Exercises – Restoring strength and flexibility under guided care.
4. Medication for Pain Relief – When needed and appropriate.
5. Image-Guided Injections – For certain cases where inflammation is severe.

Early diagnosis is essential. Ignoring symptoms can prolong recovery time and increase the risk of chronic instability.

Why Choose Dr. Dinesh for TFCC Injury Care?

Dr. Dinesh provides a patient-first approach with clear explanations, personalised care plans, and minimally invasive treatment options. His experience in sports-related and overuse injuries ensures you receive treatment tailored to your lifestyle and recovery goals.

Many patients appreciate his ability to explain complex medical terms in simple language, making the process less stressful and easier to follow.

When to Seek Professional Help

If wrist pain persists beyond a few days, worsens with activity, or affects your grip strength, it’s time to see a specialist. Delaying care can lead to longer recovery times and possible joint instability.

Your Next Step

If you are experiencing TFCC injury symptoms, booking an appointment early can make a big difference in your recovery. Dr. Dinesh’s clinic offers prompt assessment and personalised treatment in a supportive and professional environment.

Understanding Trigger Fingers

Trigger fingers, also known as stenosing tenosynovitis, is a condition that affects the tendons in your fingers or thumb, causing them to lock, click, or become stuck when you try to move them. This condition can make everyday tasks — like holding a cup, typing, or buttoning a shirt — uncomfortable and frustrating.

Many people usually notice stiffness in the morning or after periods of rest. As the condition progresses, the finger may lock in a bent position before suddenly straightening with a snap.

Dr. Dinesh provides comprehensive assessment and tailored treatment options designed to restore mobility and reduce discomfort, so you can return to your normal activities quickly and safely.

Why Do People Experience Trigger Fingers?

Trigger fingers occur when inflammation narrows the space within the sheath that surrounds and lines the tendon in the affected finger. When the tendon cannot glide smoothly, it causes a catching or locking sensation.

While it can affect anyone, trigger fingers are more common among:

• Individuals with repetitive gripping tasks (e.g., gardeners, musicians, office workers)
• People with certain health conditions such as diabetes or rheumatoid arthritis
• Those recovering from hand injuries
• Women in their 40s-60s who are statistically more prone to this condition

Examples of Trigger Fingers

Trigger fingers can affect any finger, but the most common examples include:

• Index finger locking when gripping a pen
• Middle finger stiffness after waking up
• Thumb locking when holding a smartphone for a long time
• Ring finger pain when using tools or carrying grocery bags

What Causes Trigger Fingers and What Are the Symptoms?

Causes of Trigger Fingers

• Repetitive finger movements or gripping
• Localized inflammation of tendon sheaths
• Direct injury or strain to the hand
• Underlying medical conditions that increase inflammation

Common Symptoms

• Stiffness, especially in the morning
• A clicking or popping sound when moving the finger
• Pain or tenderness at the base of the affected finger or thumb
• Finger locking in a bent position and suddenly releasing
• Swelling at the base of the finger

How Do You Relieve Trigger Fingers?

Early treatment often helps prevent the condition from worsening. Dr. Dinesh takes a patient-centered approach, starting with a detailed evaluation to recommend the most suitable treatment options.

Non-surgical treatments may include:

• Rest and activity modification: Avoiding repetitive gripping movements to allow tendons to heal
• Splinting: Keeping the finger in a straight position to reduce strain
• Gentle stretching exercises: To improve flexibility and movement
• Medications: Anti-inflammatory options may be recommended to reduce swelling
• Steroid injections: To reduce inflammation and improve tendon movement in persistent cases

If symptoms do not improve with conservative care, ultrasound-guided release or  surgical intervention may be considered to release the tendon sheath and restore normal motion.

Why Choose Dr. Dinesh for Trigger Fingers Treatment?

• Expert in Non-Surgical Orthopaedic Care – Specializing in evidence-based treatments
• Personalized Care Plans – Tailored to your specific condition and lifestyle needs
• Proven Results – Many patients report improved mobility and reduced pain after treatment
• Accessible Location – Conveniently located in Singapore for both local and regional patients

Don’t Ignore Early Signs

Trigger fingers often start with mild discomfort but can progress to severe stiffness if untreated. Seeking professional advice early helps you recover faster and prevent long-term issues.

Book your appointment with Dr. Dinesh today and take the first step toward regaining comfort and full hand movement.

Ganglions – Understanding, Causes, and Relief

Ganglions are common lumps or swellings that usually develop around joints or tendons, most often in the hands or wrists. While they can sometimes be painless, many people seek medical attention because of discomfort, limited movement, or cosmetic concerns. Dr. Dinesh offers clear diagnosis and safe, non-surgical options for managing ganglions, helping patients make informed choices about their care.

Why Do People Experience Ganglions?

Ganglions can appear suddenly or develop gradually over time. They often occur in active individuals, but they can also develop without any obvious cause. For example, a young office worker might notice a small lump on the wrist after weeks of heavy computer use. A sports enthusiast could develop one after repeated strain from racquet sports. Even those without repetitive activities may find ganglions forming unexpectedly.

These lumps are usually filled with a thick, jelly-like fluid, similar to the fluid that lubricates joints. Although they are generally harmless, some ganglions can press on nearby nerves, leading to discomfort or tingling sensations.

What Causes Ganglions and What Are the Symptoms?

Causes of Ganglions:

• Repetitive joint or tendon strain from daily activities or sports
• Previous injuries to the joint or tendon
• Irritation or degeneration of the joint capsule or tendon sheath
• Sometimes, no clear cause at all

Ganglions most commonly appear on:

• The back of the wrist (dorsal ganglion)
• The palm side of the wrist (volar ganglion)
• The base of the fingers
• The top of the foot or ankle

Common Symptoms:

• A visible lump or swelling near a joint or tendon
• Mild to moderate pain, especially with movement
• Tingling or numbness if the lump presses on nerves
• Joint stiffness or reduced range of motion
• Fluctuating size of the lump – it may become larger or smaller over time

How Do You Relieve Ganglions?

Relief for ganglions depends on their size, symptoms, and how they affect daily activities. Some ganglions disappear on their own without treatment, but others may persist or grow. Dr. Dinesh uses a step-by-step approach that prioritises patient comfort and safety.

Non-Surgical Options May Include:

1. Observation & Monitoring – For painless ganglions that do not restrict movement.
2. Activity Modification – Adjusting activities to reduce strain on the affected joint.
3. Splinting or Bracing – Providing support to reduce movement and allow healing.
4. Safe Fluid Aspiration – Removing the fluid inside the ganglion with a needle in a sterile clinic setting.

If the ganglion causes persistent pain, limits daily function, or returns after aspiration, Dr. Dinesh can discuss further options, ensuring patients understand the risks and benefits before proceeding.

Why Choose Dr. Dinesh for Ganglion Care?

• Trusted Orthopaedic Expertise – Over a decade of experience in sports and joint conditions.
• Patient-Centred Care – Clear explanations and personalised treatment plans.
• Non-Surgical First Approach – Emphasis on safe, effective relief without unnecessary procedures.
• Convenient Location in Singapore – Easily accessible for follow-up care and monitoring.

Don’t Ignore Wrist or Joint Lumps

While many ganglions are harmless, they can sometimes signal underlying joint or tendon issues. Early assessment ensures you understand your condition and your options. If you have noticed a lump that is causing discomfort or affecting your movement, it’s best to seek professional advice.

Book an appointment with Dr. Dinesh today to discuss your symptoms and find the safest, most effective way to manage ganglions. Early care can help you return to your normal activities with confidence.

De Quervain’s Tenosynovitis: Understanding the Condition

De Quervain’s Tenosynovitis is a condition affecting the tendons on the radial (thumb) side of your wrist. It can cause pain, swelling, and difficulty moving your thumb and wrist, especially during gripping or twisting motions.

Although the name may sound complex, the condition is relatively common among people who perform repetitive wrist and thumb movements, such as typing, lifting a baby, gardening, or playing certain sports.  Sometimes it’s called other names such as “mummy’s wrist”

Dr. Dinesh, a non-surgical orthopaedic doctor in Singapore, offers professional assessment and treatment options to help relieve pain and restore wrist function. Seeking timely attention can help you return to your daily activities more comfortably.

Why Do People Experience De Quervain’s Tenosynovitis?

Many people develop De Quervain’s Tenosynovitis due to overuse of the wrist and thumb. This overuse can irritate the sheath (lining) around the tendons, causing inflammation and discomfort.

For example:

• New parents may notice pain from frequently lifting their baby.
• Office workers may experience symptoms from prolonged typing or mouse use.
• Sports players like tennis or badminton athletes may develop the condition from repeated swinging motions.
• Craft enthusiasts such as knitters or artists can be affected due to fine, repetitive hand movements.

The key link between these examples is repetitive strain without adequate rest or support for the wrist and thumb.

What Causes De Quervain’s Tenosynovitis and What Are the Symptoms?

Causes of De Quervain’s Tenosynovitis

• Repetitive thumb and wrist movements in work, sports, or daily activities
• Injury to the wrist that causes scar tissue formation
• Inflammatory conditions such as arthritis
• Hormonal changes during pregnancy or postpartum, which may increase tendon sensitivity

Common Symptoms

If you have De Quervain’s Tenosynovitis, you may notice:

• Pain or tenderness on the thumb side of the wrist
• Swelling near the base of the thumb
• A limitation when moving the thumb
• Difficulty gripping objects or twisting the wrist
• Pain that worsens with repetitive thumb movements

Early detection is important. If symptoms persist or worsen, professional evaluation can help prevent long-term discomfort.

How Do You Relieve De Quervain’s Tenosynovitis?

Relieving this condition often involves reducing strain on the affected tendons and addressing inflammation. Depending on the severity, treatment may include:

1. Activity Modification – Avoiding or reducing repetitive movements that trigger symptoms.
2. Supportive Devices – Wearing a thumb splint or brace to rest the tendons.
3. Ice Therapy – Applying cold packs to help reduce swelling.
4. Stretching and Strengthening Exercises – Under professional guidance to restore flexibility and function.
5. Medications – Such as non-prescription anti-inflammatory tablets or creams for short-term relief.
6. Professional Non-Surgical Treatments – Dr. Dinesh may recommend targeted therapy techniques tailored to your condition for faster recovery.

With consistent care, many people experience significant improvement within weeks. However, ignoring symptoms can prolong healing and affect daily activities.

Why Choose Dr. Dinesh for De Quervain’s Tenosynovitis Care?

• Non-Surgical Expertise – Focused on helping patients recover without unnecessary procedures.
• Personalised Care Plans – Tailored to your activity level, lifestyle, and comfort.
• Comprehensive Assessment – To identify underlying causes and prevent recurrence.
• Trusted Experience – Many patients have successfully returned to pain-free daily living under his care.

When you choose Dr. Dinesh, you gain a partner in your recovery who listens, explains clearly, and supports you through each step.

Take the First Step Towards Pain-Free Movement

Wrist pain should not limit your life. If you suspect you have De Quervain’s Tenosynovitis, early assessment can help you heal faster and prevent complications.

Appointments with Dr. Dinesh are available at convenient times in Singapore. Book your consultation today and start your journey towards better wrist health.

Hand & Wrist Pain – Expert Care in Singapore

Hand & wrist pain can affect people of all ages and professions. Whether you type daily on a keyboard, lift heavy objects at work, or play sports that involve gripping, your hands and wrists play an essential role in daily life. When pain, stiffness, or weakness develops, it can significantly impact your ability to work, exercise, or even perform simple tasks like holding a cup.

At Dr. Dinesh’s clinic, we provide professional, non-surgical orthopaedic care for a wide range of hand & wrist conditions. Our focus is on accurate diagnosis, clear communication, and effective treatment to help you return to normal activities with confidence.

Why Do People Experience Hand & Wrist Pain?

Hand & wrist pain can be caused by sudden injuries, overuse, or underlying medical conditions. Office workers often experience pain from repetitive typing, while athletes may injure their wrists during sports such as tennis, badminton, or basketball. Older adults may develop stiffness from degenerative joint conditions, while young adults can suffer from sports or work-related strains.

Common examples of hand & wrist conditions include:

• Carpal tunnel syndrome
• Wrist sprains or strains
• Trigger finger
• De Quervain’s tenosynovitis
• Osteoarthritis of the hand or wrist
• Sports-related injuries

What Causes Hand & Wrist Pain?

Several factors can lead to hand & wrist discomfort:

• Overuse and repetitive strain – typing, using mobile devices, or manual work
• Sports injuries – falls, direct impact, or excessive twisting of the wrist
• Arthritis – inflammation of the joints leading to pain and stiffness
• Nerve compression – conditions like carpal tunnel syndrome
• Fractures and dislocations – from falls or accidents

What Are the Common Symptoms?

If you have a hand or wrist condition, you may notice:

• Persistent pain, aching, or throbbing
• Swelling around the wrist or fingers
• Stiffness and reduced range of motion
• Tingling, numbness, or “pins and needles” sensation
• Weak grip or difficulty holding objects

Early diagnosis is important. If pain continues for more than a few days, or if swelling and weakness worsen, seek medical advice promptly.

How Do You Relieve Hand & Wrist Pain?

Treatment depends on the cause, severity, and lifestyle needs of each patient. At Dr. Dinesh’s clinic, we take the time to understand your condition and recommend a tailored plan.

Possible treatment approaches include:

• Rest and activity modification – reducing repetitive movements
• Bracing or splinting – to support the wrist and promote healing
• Medications – for reducing inflammation and pain (as prescribed)
• Non-surgical orthopaedic procedures – to address underlying issues
• Rehabilitation exercises – to restore strength and mobility

Prompt attention can prevent a minor condition from becoming long-term.

Why Choose Dr. Dinesh for Hand & Wrist Care?

• Non-surgical focus – avoiding unnecessary operations where possible
• Evidence-based treatments – aligned with medical best practices
• Clear communication – so you understand your diagnosis and treatment plan
• Convenient location in Singapore – easily accessible for follow-up care
• Trusted by patients – with a track record of successful outcomes

Book Your Appointment Today

Don’t let hand & wrist pain affect your daily life. The sooner you seek professional advice, the sooner you can get back to doing the things you enjoy.

Call us now or book online to arrange your consultation with Dr. Dinesh.