Fernandez Orthopedics MD

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Fernandez Orthopedics MD

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Dr. Carlo F.

Fernandez is a board-certified orthopedic surgeon specializing in the treatment of musculoskeletal diseases and injuries, offering personalized care to help patients recover and regain mobility. Offers consults for: Back Pain Osteoarthritis Avascular Necrosis Arthritis of the Knee Arthritis of the Hip Knee Injuries Ankle Injuries Trigger Finger Carpal Tunnel Syndrome Shoulder Fracture and Dislocation, Arm Fractures, Forearm Fractures, Hand Fractures Hip Fractures, Thigh Fractures, Leg Fractures, Ankle Fractures, Foot Fractures Non Healing Wound Diabetic Foot Ulcers and Wound Care Osteoporosis Medical Certificates Fit to Work Pre-employment clearance

16/10/2026

🏃 RUNNER’S KNEE: CAN STRONGER QUADRICEPS HELP? 🦵

Did you know that weak quadriceps may contribute to knee pain, especially during running, squatting, and stair climbing?

💪 How does strengthening help?

✅ Improves the knee’s ability to tolerate repetitive loading
✅ Enhances muscle control and knee stability
✅ May improve patellofemoral joint contact and load distribution
✅ Reduces pain and improves daily function

🔍 Does strengthening correct patellar tracking?

Not necessarily! Research shows that patients can experience significant pain relief even without measurable changes in patellar alignment.

💡 The key: Stronger quadriceps, combined with hip strengthening and proper activity modification, can help manage runner’s knee.

📚 Evidence-based rehabilitation is about improving function, not just correcting alignment.

08/10/2026

🏃 Runner’s knee? The problem may not be just your knee.

Your hip muscles play an important role in controlling your knee while running.

When the hip abductors and external rotators are weak or poorly controlled, the thigh may move inward during each step, allowing the knee to “cave in.” This can increase stress around the kneecap and contribute to patellofemoral pain (runner’s knee).

💪 Strengthening the gluteus medius and gluteus maximus can improve control of the thigh and knee during running.

Research shows that adding hip strengthening to knee exercises can provide earlier pain relief and improve function compared with focusing on the knee alone.

Good exercises include:
✓ Side-lying hip abduction
✓ Clamshells
✓ Banded lateral walks
✓ Single-leg bridges

Stronger hips → better knee control → less kneecap stress → less pain.

For runner’s knee, don’t just strengthen the knee—train the hip too.

📱 For orthopedic consultation and appointments:
0920 656 2727

Carlo F. Fernandez, MD
Orthopedic Surgery
Sports Medicine & Knee Arthroscopy

06/10/2026

🦵 How long does a knee replacement last?

One of the most common questions patients ask before knee replacement surgery is: “Will I need another replacement in the future?”

Long-term studies are reassuring. Research published in The Lancet found that approximately:

✅ 93% of total knee replacements are still functioning at 15 years
✅ 90% at 20 years
✅ 82% at 25 years

And with improvements in modern implants and surgical techniques, newer knee replacements may perform even better.

What about implant design? Long-term studies comparing cruciate-retaining (CR) and posterior-stabilized (PS) knee replacements show similar survivorship beyond 10 years, with neither having a clear durability advantage.

The best implant is therefore not simply the one that “lasts longest.” Implant choice should be individualized according to the patient's ligaments, deformity, bone quality, anatomy, activity level, and surgical requirements.

📱 For orthopedic consultation and appointments:
Text 0920 656 2727

Carlo F. Fernandez, MD
Orthopedic Surgery
Adult Hip & Knee Joint Reconstruction

04/10/2026

🩺 Did you know diabetes can affect your hands too?

People with diabetes have a higher risk of developing carpal tunnel syndrome, trigger finger, hand stiffness, and Dupuytren contracture.

Persistently high blood sugar can make the tissues around the tendons and nerves thicker and stiffer, while diabetes can also make nerves more vulnerable to compression.

Watch out for:
• Numbness or tingling in the fingers
• Hand pain, especially at night
• Weakness or difficulty gripping
• A finger that catches or locks
• Increasing stiffness of the fingers

Early assessment and proper treatment can help prevent symptoms from interfering with everyday activities.

📱 For orthopedic consultation and appointments:
Text 0920 656 2727

Carlo F. Fernandez, MD
Orthopedic Surgery

02/10/2026

🏃‍♀️ Runner's knee? Don't just rest it. Strengthen it.

Patellofemoral pain (that dull ache around or behind the kneecap on stairs, squats, or long runs) is one of the most common running injuries. Current guidelines agree the best treatment is exercise:

✅ Strengthen your hips AND quads (bridges, side-lying leg raises, squats, step-ups, split squats)
✅ Cut back on mileage and hills for a while, but don't stop moving completely
✅ Bump your running cadence up by about 10%. It measurably lowers the load on your kneecap.

❌ No need to chase "VMO-only" exercises. Regular quad strengthening does the job.
❌ Knee sleeves can feel nice, but they won't fix it.

Give it 6–12 weeks of consistent work. If you have swelling, locking, or no improvement, get it checked.

28/09/2026

Finger catching, locking, or tender at the base? That could be trigger finger — caused by a thickened pulley restricting tendon movement.

Higher risk with: diabetes, carpal tunnel syndrome, Dupuytren disease, female s*x, increasing age, obesity, hypothyroidism, and rheumatoid arthritis.

Early treatment = less pain, better function, healthier hands.

📅 Experiencing symptoms? Consult an orthopedic hand specialist.

Move Freely. Live Fully. 🖐️

27/09/2026

💧 Stay hydrated, help prevent gout flares. Dehydration may reduce uric acid excretion and increase flare risk. Drink water regularly, especially during hot weather, exercise, or illness—and remember, hydration supports gout prevention but does not replace proper medication.

25/09/2026

❄️ Cold or warm compress during a gout attack?

For a joint that is red, hot, swollen, and painful, a COLD compress is usually the better choice.

✅ Helps reduce pain
✅ Helps reduce swelling and inflammation
✅ Can be used together with prescribed gout medicines

Wrap the ice or cold pack in a towel and apply for about 15–20 minutes at a time. Avoid placing ice directly on the skin.

🔥 Warm compresses are generally not preferred during an acute flare because the joint is already inflamed and hot. Warmth may be more useful later, once the flare has settled, for residual stiffness or comfort.

Bottom line: During an acute gout attack, choose COLD, not warm.

23/09/2026

🦶 Which foods really increase gout risk?

Not every “high-purine” food is equally harmful.

The strongest evidence consistently points to:

🔴 Alcohol, especially b**r and spirits
🔴 Sugary and fructose-rich drinks
🔴 Frequent red meat intake
🔴 Frequent seafood and shellfish

Very high-purine foods such as organ meats and meat extracts are also best kept occasional.

But here’s the important part: 🥬 vegetables such as spinach, mushrooms, beans, lentils, cauliflower, and peas do not show the same gout risk as meat and seafood and generally do not need to be routinely avoided.

Better choices include water, low-fat dairy, eggs, and a balanced diet.

✅ Focus on limiting the foods with the strongest evidence—not unnecessarily restricting healthy vegetables.

Diet can help reduce gout risk, but proper uric acid control and medical treatment remain important when indicated.

21/09/2026

💊🦶 Why Can Febuxostat Trigger a Gout Flare at the Start?

Febuxostat lowers uric acid by blocking xanthine oxidase. As uric acid levels fall, existing urate crystal deposits begin to destabilize and dissolve. During this early phase, some crystals may become mobilized inside the joint and trigger inflammation—causing a temporary gout flare.

This is why flares are more common during the first 3–6 months of urate-lowering treatment.

✅ Continue febuxostat as prescribed
✅ Use colchicine or an NSAID for flare prophylaxis when appropriate
✅ Aim for serum uric acid

Address

Manila
1100

Telephone

+639236348305

Website

https://seriousmd.com/doc/carlo-fernandez

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