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AIPC is part of the National Influenza Sentinel Surveillance programme with MOH. If you have a fever of > 38 degrees with a cough, our clinic is able to test for COVID-19. For children below 12 years old with clinical diagnosis of HFMD (eg fever, oral ulcers, rash), our clinic can test for Hand Foot & Mouth Disease.
Rheumatoid arthritis is a disease of the joints, usually the smaller joints of the body. Many people believe wrongly that this is always a disabling, severe condition. In fact, it may be mild and can be well controlled using modern medicine. It is not infectious, but no one is able to say what triggers it. There is no cure for this condition, but all patients can be treated.
WHAT ARE THE SYMPTOMS OF RHEUMATOID ARTHRITIS?
Rheumatoid Arthritis symptoms will vary a great deal from person to person, as well as from day to day. However, some of the common symptoms include:
· Stiffness and tenderness of the small joints, especially of the wrist, hands and feet (the base of the fingers, thumbs or toes can be affected; less commonly it can affect the larger joints such as the knee, shoulder, ankle and neck)
· Morning stiffness
In summary, the main symptoms are pain, stiffness and swelling of the small joints.
HOW IS RHEUMATOID ARTHRITIS DIAGNOSED?
After being suspected by the doctor upon examination, rheumatoid arthritis can usually be diagnosed by tests, including x- rays of the hands and special blood tests.
HOW COMMON IS THE PROBLEM?
About 2 persons in 100 suffer to some extent from rheumatoid arthritis. It is more common in females. Most sufferers are between 40 and 60 years of age, but the disease can affect people in any age group, even in juveniles (Juvenile Rheumatoid Arthritis or JRA). However, the majority of patients have little or no long- term problems and only 1 patient in 10 is severely affected.
WHAT ARE THE RISKS OF RHEUMATOID ARTHRITIS?
In severe cases the swollen and deformed joints may become partly or completely dislocated, causing considerable discomfort and problems with walking if the knee or foot joints are affected. The tendons may become so weak that they can snap. A special problem is the neck, which can become unstable so that manipulative procedures can be dangerous and cause paralysis.
WHAT IS THE TREATMENT FOR RHEUMATOID ARTHRITIS?
It is important to keep fit. Walking and swimming are to be encouraged. Many local councils and physiotherapists offer swimming and other forms of hydrotherapy in heated pools. Home exercise routines to prevent muscle weakening can be provided by your physiotherapist or doctor.
Rest is important and depends on how you feel. It must be sensibly balanced with exercise. If an exercise causes pain, it should be altered or reduced.
Each joint affected should be put through a daily full range of motion to keep it mobile and to reduce stiffness. Protect any weakened joints or tendons by lifting gently and smoothly rather than in a jerking motion.
HEAT AND COLD
For stiff joints a hot-water bottle, warm water or a heat lamp can help. For morning stiffness an electric blanket or a warm shower can be helpful. Sometimes cold packs or water are appropriate, for example over a hot, tender joint.
There is no special diet. No specific food has caused arthritis and no specific diet will cure it. However, a nourishing and well-balanced diet including adequate fibre will promote health and a sense of well-being. Maintain a normal weight to lessen the burden on your joints.
RHEUMATOID ARTHRITIS MEDICATION
There are many effective pain-killing and anti-inflammatory drugs available to treat rheumatoid arthritis. The basic drug is likely to be aspirin in high doses, but it can cause ringing in the ears and other unpleasant effects. Your doctor may have to experiment for a time before finding the best drugs for you.
Occasionally surgery may help if a particular joint is severely inflamed by removing the inflamed lining called the synovium. In later stages it may be possible to replace a badly damaged joint with an artificial joint.
Excellent leaflets and practical help are available from the Arthritis Foundation in your city. These include information about and access to a wide range of inexpensive equipment and tools that can assist your daily living.
Back Pain and Your Brain: William S. Marras at TEDxOhioStateUniversity
Ph.D., CPE. William S. Marras holds the Honda Endowed Chair in the Department of Integrated Systems Engineering at the Ohio State University. He serves as the director of the Biodynamics Laboratory and is in the process of developing the Spine Research Institute at The Ohio State University. Dr. Marras also holds joint appointments in the Departments of Orthopaedic Surgery, Physical Medicine & Rehabilitation, as well as Biomedical Engineering.
His research is centered on musculoskeletal causal pathway investigations including occupational biomechanical epidemiologic studies, laboratory biomechanics studies, mathematical modeling, and clinical studies of the spine. His findings have been published in over 200 peer reviewed journal articles and numerous books and book chapters including a recent book entitled "The Working Back: A Systems View." Professor Marras was the past Chair of the Board on Human Systems Integration at the National Research Council (NRC). He is currently Editor-in-Chief of Human Factors, Deputy Editor of Spine, and has been elected to the National Academy of Engineering (the National Academies).
These other webpages below may also interest you, click to learn more about your health condition.
Management of Joint Pains & Gout
Healthy Diets for Optimal Health
How a Gluten-free Diet can Reduce your Joint Pains
Can a Wheat-free Diet help you to lose weight and reduce Obesity, Heart disease, Auto-immune diseases & Cancer, even Alzheimer's disease & Schizophrenia or reverse Diabetes & pre-Diabetes? Recent research has also shown promising results that a Gluten-free diet showed a reduction in the symptoms of Rheumatoid Arthritis and Osteoarthritis, Irritable Bowel Syndrome, Heartburn/GERD, ADHD, Asthma & allergies, even acne.
Watch the following videos by several doctors (Dr William Davies, Dr Sarah Hallberg, Dr Alessio Fasano, Dr David Perlmutter & Dr Rodney Ford) and decide for yourself whether you should adopt a Gluten-free diet if you are suffering from the above-listed medical conditions. Even unexplained diarrhea, headaches/migraines or chronic fatigue has been alleviated by going Gluten-free.
The case these doctors put forward based on research and empirical evidence from thousands of patients is that Wheat and Gluten contributes to this shocking host of diseases and chronic medical problems, and increasing the incidence of celiac disease and Autism.
What does Wheat & Gluten do to your body?
Foods containing wheat have an extremely high glycemic index (70+ out of a possible 100), that is the body suffers a sudden spike in blood glucose after a meal of food containing wheat. Add to that the fact that the wheat we are eating is completely dissimilar genetically to the wheat of the 1950's, after all the genetic modifications and mutations the plant has undergone.
The doctors also point out that Gluten causes prolonged periods of inflammation in the body, leading to many of the diseases most prevalent today. Ironically, foods containing wheat are actually appetite-enhancing and can cause sugar cravings.
William Davis MD - Wheat: The UNhealthy Whole Grain
The wheat of today is not the wheat of our mothers or grandmothers.
Modern wheat is the product of genetic manipulations that have
transformed its properties. Modern wheat is now a 2-foot tall,
high-yield semi-dwarf strain, different in both appearance and multiple
biochemical features from traditional wheat. Introduction of this new
strain of wheat was associated with the appearance of a long list of
health problems, along with weight gain and diabetes.
According to Dr. Davis, saying goodbye to all things wheat provides outsized and unexpected health benefits, from weight loss, to relief from acid reflux and bowel urgency, to reversal of diabetes, migraine headaches, and learning disabilities in children.
Dr. William Davis is author of the #1 New York Times bestselling book, Wheat Belly: Lose the wheat, lose the weight and find your path back to health (Rodale, 2011), now debuting internationally in over ten foreign languages. Wheat belly has helped spark a nationwide reconsideration of the conventional advice to "eat more healthy whole grains."
Formerly an interventional cardiologist, he now confines his practice to prevention and reversal of coronary disease in his practice in Milwaukee, Wisconsin. Dr. Davis is a graduate of the St. Louis University School of Medicine, followed by training in internal medicine and cardiology at the Ohio State University Hospitals, and training in interventional cardiology at the Case--Western Reserve Hospitals in Cleveland, Ohio. He is also founder of the online heart disease prevention educational program, Track your Plaque.
Reversing Type 2 diabetes starts with ignoring the guidelines - Dr Sarah Hallberg | TEDxPurdueU
Can a person be "cured" of Type 2 Diabetes? Dr. Sarah Hallberg provides
compelling evidence that it can, and the solution is simpler than you
Dr. Sarah Hallberg is the Medical Director of the Medically Supervised Weight Loss Program at IU Health Arnett, a program she created. She is board certified in both obesity medicine and internal medicine and has a Master’s Degree in Exercise Physiology. She has recently created what is only the second non-surgical weight loss rotation in the country for medical students. Her program has consistently exceeded national benchmarks for weight loss, and has been highly successful in reversing diabetes and other metabolic diseases. Dr. Hallberg is also the co-author of www.fitteru.us, a blog about health and wellness.
Alessio Fasano MD - Spectrum of Gluten-Related Disorders: People Shall Not Live by Bread Alone
The cultivation of gluten-containing grains that were the backbone of
the agricultural revolution have also brought with them the
manifestation of conditions related to negative reactions to gluten.
These include celiac disease, wheat allergy and the "new kid on the
block" of the spectrum of gluten-related disorders—gluten sensitivity.
The autoimmune disorder of celiac disease is the most widely studied
condition on the spectrum. It affects approximately 1 in 133 people, a
rate that has doubled in the U.S. every 15 years over the past 35 years.
An estimate from the Center for Celiac Research puts gluten sensitivity
at 6% of the U.S. population. With current interest in the human genome
and microbiome, research is leading scientists to examine the
relationship between the intestinal microbiome and gluten-related
disorders. Currently the gluten-free diet is the only available
treatment for gluten-related disorders.
World-renowned pediatric gastroenterologist, research scientist, and entreprenuer Alessio Fasano, M.D., founded the Center for Celiac Research in 1996. The Center offers state-of-the art research, clinical expertise and teaching for the diagnosis, treatment, and prevention of gluten-related disorders, including celiac disease, wheat allergy, and gluten sensitivity. Trained in Naples, Italy, as a pediatric gastroenterologist, Dr. Fasano was recruited to the University of Maryland School of Medicine in 1993 and founded its Division of Pediatric Gastroenterology and Nutrition. Puzzled by the absence of children exhibiting symptoms of celiac disease in the clinic, he resolved to uncover the mystery of missing American "celiacs." His perseverance in the face of skepticism about celiac disease in the U.S. eventually led to his publication of the groundbreaking study in 2003 that established the rate of the autoimmune disorder at one in 133 Americans.
In early 2013, Dr. Fasano was appointed Division Chief of Pediatric Gastroenterology and Nutrition at MassGeneral Hospital for Children. He brought the Center for Celiac Research to Boston, where he heads the Mucosal Immunology and Biology Research Center, based in Charlestown, and is Associate Chief for Basic, Clinical and Translational Research for the Department of Pediatrics at MassGeneral Hospital for Children. He is a Visiting Professor of Pediatrics at Harvard Medical School.
Dr. Mercola Interviews Dr. David Perlmutter, Author of Grain Brain
Natural health expert and Mercola.com founder Dr. Joseph Mercola interviews Dr. David Perlmutter about the implications of diet to Alzheimer's risk.
Here is a list of the Best Antioxidants and Free Radical Scavengers that you should be taking as dietary supplements daily as recommended by Dr David Perlmutter, author of 'Grain Brain':
These nutritional supplements reduce oxidative stress on your brain and body, thus protecting your health.
These other webpages below may also interest you, click to learn more about your health condition.
Travel Health Guide, Gluten Intolerance Symptoms, Learn what is Autism and the Management of Asthma
Health Assessment & Screening Packages
Our Medical Team
Dr Don Lau - Medical Director
Dr Timothy Hart - Resident Doctor
Fujiwara Takanori - Doctor of Chiropractic
The information provided in this website is for knowledge purposes only. It does not constitute medical advice.
Should you encounter any medical problem that you are unsure of, always consult your doctor or health care provider for assistance and medical advice.
Dr Don V H LAU Chairperson of AMDA Singapore
MBBS (Monash), B.Med.Sc.(Hons) (Monash), Grad.Dip.Derm.(Wales,UK)
AMDA International Peace Clinic is a part of AMDA (Association of Medical Doctors of Asia). We are part of the network of AMDA Peace Clinics & Friendship Hospitals around the world. We dedicate part of our profits to AMDA's worldwide Emergency Disaster Aid Relief missions, Social Development projects and Vaccination programmes.
AMDA, founded in 1984 has carried out more than 200 medical missions, contributing medical expertise and supplies in 65 countries over the last 36 years. AMDA holds General Consultative Status with the United Nations Economic & Social Council (UN ECOSOC) since 1995.
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9 Taman Serasi, #01-11 Botanic Gardens View, Singapore 257720
MBBS (Monash), B Med Sc (Hons) (Monash), Dip Pract Derm (Wales, UK)
Chairperson of AMDA Singapore
MD (Duke-NUS), PhD (Glasgow), M Sc (UK), DLSHTM, B Med Sc (Birmingham)
Doctor of Chiropractic Southern California University of Health Science
The Chiropractic Association Singapore, Japan Chiropractic Register, American Chiropractic Association, California Chiropractic Association
Physiotherapy-trained NBCE The National Board of Chiropractic Examiners
Medical Conditions Treatable with Chiropractic:
Dr Lee Sao Bing – Opthalmologist (in-house Specialist)
MBBS, MMed(Ophth), FRCSEd(Ophth), MD, FAMS
Dr Pang Yoke Teen – ENT (Visiting Consultant)
FRCS (ORL), FRCS(EDIN), (FRCSGLASG), FAMS, MBBS
Medical Services available :
Mar 17, 20 05:09 AM
Flu Subsidy Scheme eligible for SGs & PRs (Pay $10 for Consult & Treatment) & Merdeka /PG seniors (Pay $5) if diagnosed with Acute Respiratory Infections.
Mar 17, 20 01:43 AM
Dr Don Lau is the Medical Director of MD International Medical Centre & Chairperson in AMDA Singapore Chapter- Association of Medical Doctors of Asia.
Mar 17, 20 01:34 AM
Dr Timothy Hart, Resident Doctor in MD International Medical Centre has a PhD in Virology, with a special interest in Infectious Diseases.
AMDA International Peace Clinic dedicates part of our profits to AMDA's Worldwide Emergency Disaster Aid Relief missions, Social Development projects & Vaccination programmes.
Founder & President of AMDA - Association of Medical Doctors of Asia
AMDA Emergency Aid Relief Kumamoto Earthquake Apr 16
Email : Admin@AMDA.sg