Down to earth, in plain terms as it happens and how it could be ... in sports medicine!noreply@blogger.com (Dr Aston Ngai Seng Huey)Sat, 28 Feb 2026 22:13:06 +0800Blogger http://www.blogger.com177125https://sportsnmedicine.blogspot.com/en-usnoDown to earth, in plain terms as it happens and how it could be ... in sports medicine!noreply@blogger.comhttps://sportsnmedicine.blogspot.com/2025/07/post-acl-reconstruction-with-oa-12.htmlnoreply@blogger.com (Dr Aston Ngai Seng Huey)Thu, 3 Jul 2025 21:48:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-7195607483895017443 It's often not possible to prevent osteoarthritis from developing in the operated knee after more than a decade of the Anterior cruciate ligament reconstruction. This active gentleman who regularly trains and keeps his lower limb muscles in shape and runs on the pitch often came by asking what he could do as his knee did not feel much difference despite doing a recent Hyaluronic acid 0https://sportsnmedicine.blogspot.com/2025/06/foot-bone-contusion.htmlFootFootballRehabilitationShockwave therapynoreply@blogger.com (Dr Aston Ngai Seng Huey)Wed, 11 Jun 2025 21:03:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-1478265815361627387 Getting a collision of the foot isn't a great thing to have. This chap limped in to see me with a slight swelling on his left foot. He thought it was fine as he was able to jog 6km in his sports shoes. However, he was concerned that he wasn't able to play football. His initial X-rays ruled out a fracture and the ultrasound scan ruled out tendon involvement. (One may resort to do an MRI if 0https://sportsnmedicine.blogspot.com/2025/06/acromioclavicular-joint-arthrosis.htmlRehabilitationShockwave therapyShouldernoreply@blogger.com (Dr Aston Ngai Seng Huey)Wed, 4 Jun 2025 13:19:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-3521664779918212735 Had a young player come by with Right shoulder pain and restriction of overhead movement recently. His main complaint was he couldn't scratch his back unlike previously. Apparently he slept wrongly and woke up with the pain the next day. He had a Diclofenac sodium injection (Non-steroidal Anti-Inflammatory Drug) from a local doctor and felt better. However, there was some residual pain 0https://sportsnmedicine.blogspot.com/2025/05/what-we-do-not-know-about-our-players.htmlConferenceFootballRehabilitationShockwave therapynoreply@blogger.com (Dr Aston Ngai Seng Huey)Mon, 26 May 2025 12:30:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-7810238590998059851 As I was preparing for my talk for the AFC Medical Conference, I had the opportunity to get the help of a fellow researcher and statistician from Aspetar to evaluate the data of my shockwave work in footballers. We realised that some footballers do suffer from nagging injuries which lingered on after months. Some of them continue to play but some may seek regular recovery work or 0https://sportsnmedicine.blogspot.com/2025/05/starting-heart-screening-as-early-as-12.htmlCompetition/GamesDefibrillatorEmergencyFootballResuscitationSudden Cardiac Deathnoreply@blogger.com (Dr Aston Ngai Seng Huey)Wed, 21 May 2025 23:54:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-1066320558822115697 FIFA recommends youth football players to be screened for risks of developing "Sudden Cardiac Death" from as early as 12 years old. This is vital if the player has a history of heart symptoms like chest pain, palpitation, collapse or unexplained fainting, breathlessness and / or family history of  sudden cardiac death, collapse or unexplained seizure or fainting, or inherited heart 0https://sportsnmedicine.blogspot.com/2025/05/shoulder-myofascial-pain-syndrome.htmlmyofascial painRehabilitationShockwave therapyShouldernoreply@blogger.com (Dr Aston Ngai Seng Huey)Wed, 21 May 2025 17:54:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-4869392722802251633Ever though that computer bag is just too heavy? You might just be right. Had a chap walk in to relieve his misery which had been troubling him for a few days. We looked at his posture and he had a lower affected painful shoulder with an elevated other shoulder. The movements of both shoulders were not well coordinated. He felt some pain doing shoulder shrugs and retraction. He had pain0https://sportsnmedicine.blogspot.com/2025/05/plantar-fasciitis-in-2025.htmlFootFootwear/Bracing/OrthosesRehabilitationShockwave therapynoreply@blogger.com (Dr Aston Ngai Seng Huey)Sun, 18 May 2025 03:08:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-2427880679821992676Patients (even athletes) often come with heel pain (see photo), getting out of bed just as they start walking or after getting up from prolonged sitting. Walking barefoot makes things worse and going into a pair of comfortable shoes 👟 with a heel cushion or heel lift helps. I've had this on several occasions myself, but got better after doing frequent calf raises. Sports medicine physicians0https://sportsnmedicine.blogspot.com/2025/05/big-welcome-back-to-all-readers-of-old.htmlNewsRehabilitationSoccerTeam Physiciannoreply@blogger.com (Dr Aston Ngai Seng Huey)Sat, 17 May 2025 12:31:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-2547651727319252983 A big welcome back to all readers of 'old-school' blogging! I've reclaimed this blog after more than a decade and decided to provide some lasting input on sports and musculoskeletal injuries.  From my 13 year journey to the west (Doha, Qatar), I've decided to return home. You will see more about professional football, runners, swimmers, cyclists, musculoskeletal pain syndrome, and0https://sportsnmedicine.blogspot.com/2011/07/biceps-partial-tear.htmlBodybuildingWeightliftingnoreply@blogger.com (Dr Aston Ngai Seng Huey)Tue, 5 Jul 2011 11:51:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-180121264445738661A bodybuilder felt a snap in his biceps muscle while doing his upper body workout in the gym. He immediately felt a sharp pain and weakness in the arm adjacent to the elbow. He discontinued his training session for the day. A day after the incident, he could not extend his elbow fully and had pain at the myotendinous junction of the biceps muscle. The was a noticeable defect in the muscle 0https://sportsnmedicine.blogspot.com/2010/12/2011-prohibited-list-mobile-world-anti.htmlDoping Controlnoreply@blogger.com (Dr Aston Ngai Seng Huey)Mon, 27 Dec 2010 14:44:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-80490533171835772422011 Prohibited List (mobile) - World Anti-Doping Agency has been available since 1st September 2010. Both athletes and coaches should be aware of the various subtances prohibited by sports which could still be inadvertently used by some ignorant medical personnel, personal trainers and nutritionists. One should also be aware of Therapeutic Use Exemption and Monitoring Programme. ADAMS continue 0https://sportsnmedicine.blogspot.com/2010/12/slipping-rib-syndrome-12th-rib-syndrome.htmlbasketballchestnoreply@blogger.com (Dr Aston Ngai Seng Huey)Sun, 26 Dec 2010 20:44:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-7105591374403229904 This basketballer suffered from loin pain at the tip of the Right 12th rib and along the 11th intercostal space after feeling at 'pull' during competition. The pain persisted despite taking oral NSAIDS but reduced slightly with ice application. Similar injuries have been seen previously in martial arts, dancers, boxers and swimmers. We ruled out fracture by clinical examination and X-rays and 0https://sportsnmedicine.blogspot.com/2010/12/plantar-fascia-rupture.htmlBadmintonFootnoreply@blogger.com (Dr Aston Ngai Seng Huey)Mon, 20 Dec 2010 16:54:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-2884501239684159916This gentleman suddenly felt a snap followed by sharp pain in the hindfoot (medial tubercle of calcaneus) while playing badminton. He could only place his weight on his forefoot and had to use a pair of crutches to walk. He was diagnosed with a partially ruptured plantar aponeurosis and told to use a pair of running shoes with a silicone gel pad. However, he was not allowed to bear weight due 0https://sportsnmedicine.blogspot.com/2010/08/singapore-2010-youth-olympic-games.htmlNewsnoreply@blogger.com (Dr Aston Ngai Seng Huey)Mon, 16 Aug 2010 08:52:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-3444664187217899649The Singapore 2010 Youth Olympic Games will be held on the 14 August 2010 - 26 August 2010 in 17 competition venues in Singapore. Participants: 3,600 young athletes between 14 - 18 years of age, 5,000 young athletes and officials. The organisational aspect: 205 National Olympic Committees, 1,200 media representatives, 20,000 local and international volunteers and 370,000 spectators. Highlights: 0https://sportsnmedicine.blogspot.com/2010/08/national-basketball-league-2010.htmlbasketballnoreply@blogger.com (Dr Aston Ngai Seng Huey)Fri, 13 Aug 2010 16:37:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-8502551621503605944Here are some photos of basketball injuries taken by the press (Lim Chee Sen) during the National Basketball league 2010. Most of the tournament was covered by St John's Ambulance or Red Crescent volunteers with ambulances on standby for emergencies. Another player twisted his ankle after accidentally tripping over another player's foot. He was back to play the semifinals after vigorous 0https://sportsnmedicine.blogspot.com/2010/06/muay-thai-thumb-sprain.htmlBoxingFinger/HandMartial Artsnoreply@blogger.com (Dr Aston Ngai Seng Huey)Sun, 20 Jun 2010 21:50:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-1815228539223361173An elite Muay Thai fighter came with a swollen and painful thumb after hurting his thumb when he accidentally hit the side the head of his opponent during a professional bout. Treated it aggressively with RICE therapy, electrotherapy and rehabilitation exercises and he returned to fight again in 2 weeks duration. He had a protective taping for the fight and managed well.0https://sportsnmedicine.blogspot.com/2010/05/jelajah-malaysia-2010.htmlCompetition/GamesCyclingnoreply@blogger.com (Dr Aston Ngai Seng Huey)Mon, 24 May 2010 23:10:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-391750168436680695Some photos from the national road race competition from the 27th April 2010 to the 1st May 2010 from Kuala Selangor to Kuala Perlis. Thanks to a relatively good weather, skillful riding, good recovery preparations and well coordinated road safety by marshalls, commissaires and police, we had a safe journey during the competition. There were no serious injuries.0https://sportsnmedicine.blogspot.com/2010/04/rt-5th-finger-sprain.htmlFinger/HandRugbynoreply@blogger.com (Dr Aston Ngai Seng Huey)Sat, 10 Apr 2010 22:33:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-3549425490924227483A junior rubgy player came after competition with a painful Rt 5th finger. He had pain at the side of the Metacarpo-phalangeal joint after feeling a sharp pain and loss of power after 'losing grip' of an opponent's shirt. He suffered from torn collateral ligament and would benefit from buddy taping or splinting over the next 4 to 6 weeks.1https://sportsnmedicine.blogspot.com/2010/04/extensor-digitorum-tenosynovitis.htmlMusicianTendon injuryWristnoreply@blogger.com (Dr Aston Ngai Seng Huey)Tue, 6 Apr 2010 13:41:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-7007046891048035280A guitarist came with complaints of left wrist pain and swelling a few days ago. She had been training vigourously and held the 'chords' with the fingers (left hand) and subsequently did her biceps and triceps curls using dumbbells. Soon after the episode she started having pain and noticed 'fullness' in the back (dorsum) of her wrist.She was advised to do RICE treatment and apply the 0https://sportsnmedicine.blogspot.com/2009/12/hydrotherapy-after-competition.htmlHydrotherapynoreply@blogger.com (Dr Aston Ngai Seng Huey)Sun, 13 Dec 2009 14:55:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-4740613468382630125A few photos from the team workout in a swimming pool after competition. It included slow jogging (forwards and sideways), hig knee jogging, striding, jump and rotate drills. This is often a useful training session for recovery and relaxation. Variations of this exercise may be useful for rehabilitation of lower limb injuries.0https://sportsnmedicine.blogspot.com/2009/12/salomon-x-trail-run-2009.htmlFirst-AidRunningnoreply@blogger.com (Dr Aston Ngai Seng Huey)Sun, 13 Dec 2009 13:25:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-2531248804824358173Here are some photos from the Salomon X-trail Run 2009 event which drew a crowd of 900 entries from all walks of life. Congratulations to the event organisers. There was supply of water for rehydration and orange cuts too. The Gardenia van was also there to provide tasty buns for immediate carbohydrate intake for recovery. The photos show the RICE treatment that comes in really useful for 0https://sportsnmedicine.blogspot.com/2009/11/acl-rupture-joint-aspiration.htmlKneeMartial Artsnoreply@blogger.com (Dr Aston Ngai Seng Huey)Sat, 21 Nov 2009 08:06:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-2028214730552513145Photos taken from a karatedo athlete who twisted his knee during competition. Note that the aspirate always consist of blood. He also complains of his knee 'giving-way' and locking.0https://sportsnmedicine.blogspot.com/2009/11/finger-dislocation.htmlbasketballFinger/Handnoreply@blogger.com (Dr Aston Ngai Seng Huey)Sat, 21 Nov 2009 07:57:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-9173817690123510447This is the photo of a basketball player who dislocated left 5th finger. The finger was immediately rediced easily by the coach. He subsequently used RICE treatment which reduced the symptoms. He taped the finger to prevent a recurrence but refused further examination.2https://sportsnmedicine.blogspot.com/2009/10/2nd-malaysian-international-basketball.htmlbasketballnoreply@blogger.com (Dr Aston Ngai Seng Huey)Tue, 6 Oct 2009 15:31:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-784492830864808131The 2nd Malaysian International Basketball Championships would be held at MABA from the 7-11 October 2009. This competition involves men (Korea, Hongkong, Philipines, Chinese Taipei, Malaysia, China) and women (Chinese Taipei, Singapore, Malaysia, China) teams from 7 Asian nations. More details may be obtained from the MABA website or the official MIBC website.1https://sportsnmedicine.blogspot.com/2009/08/1st-malaysia-international-ice-hockey.htmlCompetition/GamesIce-Hockeynoreply@blogger.com (Dr Aston Ngai Seng Huey)Fri, 28 Aug 2009 09:01:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-2276211260678123781There's an exciting adrenaline pumping Ice-Hockey International event coming up this weekend. Paramedics and doctors volunteers are wanted during the whole tournament. Date: Sept 2-5 (Wednesday to Saturday)Time: Sept 2 :8pm to midnight Sept 3 & 4 :8am to midnight Sept 5 :8am to 7pmVenue: Sunway Pyramid Ice RinkEstimated number of players: 180-200Players' ages: 5-50Organizer: 0https://sportsnmedicine.blogspot.com/2009/05/subcutaneous-hematoma-in-distal-part-of.htmlFirst-AidLegnoreply@blogger.com (Dr Aston Ngai Seng Huey)Sat, 30 May 2009 13:58:00 +0800tag:blogger.com,1999:blog-5118555345429466713.post-2838404362740164334A 10 months old toddler was brought by his mother yesterday with a painful lump in the distal part of her left leg. She apparently fell 4 days earlier but his mother noticed the swelling only after 2 days when she was attending to her. She was still able to hobble from one end of the table to the other end while hanging on to the sides. She only grimaced slightly when we examined the swelling. We1