Dr. Chin Ng provides comprehensive care for all type of arthritis and rheumatological conditions.
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Our Services
Diagnosis and management of Diseases of Joints, Muscles and Bones
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Inflammatory arthritis such as rheumatoid arthritis.
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Degenerative arthritis such as osteoarthritis.
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Crystal related arthritis such as gouty arthritis and calcium pyrophosphate crystal deposition disease.
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Diseases of the muscles such as dermatomyositis, polymyositis and polymyalgia rheumatica.
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Spondyloarthropathies such as ankylosing spondylitis, psoriatic arthritis, reactive arthritis and enteropathic arthropathies (inflammatory bowel disease associated arthritis).
Diagnosis and management of Connective Tissue Diseases
Connective tissue disease is any disease that has the connective tissues of the body as a target of pathology. Autoimmune connective tissue disease would include:
- Systemic lupus erythematosis
- Scleroderma
- Sjogren’s syndrome
- Mixed connective disease
Joint aspiration and injection
Joint aspiration is a procedure to remove fluid from a swollen joint using a needle and syringe, either to relieve swelling or to obtain fluid for analysis to diagnose a joint problem. This is normally done under local anaesthetic. Joint injection is used to put the medications into the inflamed joint, tendon sheath and bursae to provide relief for the pain and swelling. Steroids are frequently used. For osteoarthritis patients, hyaluronic acid injection into the affected joint may relieve the symptoms.
Diagnosis and management of Vasculiti
Vasculitis is inflammation in the blood vessels. It can damage the blood vessels and keep them from carrying blood to body parts that need it. Vasculitis can affect many different parts of the body.
Large vessel Vasculitis would include:
- Giant cell arteritis
- Takayasu’s arteritis
Medium vessel Vasculitis would include:
- Polyarteritis nodosa
Small vessel Vasculitis would include:
- Microscopic polyangiitis
- Granulomatosis with polyangiitis (Wegener’s)
- Eosinophilic granulomatosis with polyangiitis (Churg-Strauss)
Variable vessel Vasculitis would include:
- Behcet’s disease.
Biologics Clinic
Dr. Chin Ng has extensive experience in managing patients on Biologic DMARDs (Disease Modifying Anti Rheumatic Drugs) with his 8 years of running the biologics clinic at the Princess Alexandra Hospital. Biologic drugs have become an important option for the treatment of inflammatory diseases such as ankylosing spondylitis, rheumatoid arthritis and psoriatic arthritis. Biologic DMARDs, also known as biologic agents or biologics, are normally use to prevent or reduce the inflammation that damages joints. Biologics target molecules on cells of the immune system, joints, and the products that are secreted in the joints, all of which can cause inflammation and joint destruction. Biologics are often reserved for people who have not completely responded to conventional DMARDs and for those who cannot tolerate DMARDs in doses large enough to control inflammation.