Troubled Disc

By Dr. Tan Boon Cheong

MBBS (MU), MS Ortho (MU)


Long hours of sitting in front of computer on your desk. Lack of exercise due to busy schedule. Then one fine day, you decided to bend forward to pick up something from the floor or you decided to lift some heavy stuff. As you get up from the position, you suddenly feel an intense pain on your lower back which sometimes radiated down to one or both your lower limbs. This is one of the many scenerios for someone who may experience troubled disc .

Not all this back pain is due to prolapsed intervertebral disc (slip disc). Most of the time, this pain is due to a sudden cramp of the lower back muscles. But if the pain is radiating in nature then the likelihood of slip disc will be higher. Sometimes, this pain may be associated with a numbness on parts of the lower limb. In worse cases, this pain may be accompanied by weakness of the lower limbs, urinary and bowel incontinence.

A consultation with an orthopaedic or spine surgeon is necessary. A good history and clinical examination is good enough to decide if this is a possible disc prolapse. A simple plain X-ray may not be enough to confirm the diagnosis of prolapsed disc. Thus a MRI of the lumbar spine will give a better picture to confirm the diagnosis, the level involve ( usually L4/L5 or L5/S1), the severity of the prolapsed disc and nerve compression.

Not all prolapsed disc need to go under the knife, unless there is neurological deficit as mentioned above. Most of the time, conservative treatment with medication, ice compression, proper resting and physiotherapy or chirotherapy will do the job. Good back care is a must as part of the treatment and also prevention of recurrence. Surgical intervention such as epiduralysis and nerve root injection for pain management or open surgery namely discectomy ( to remove the herniated disc) will be needed if conservative management fail.

Masterworks of MoMA 展现极品佳作

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Glenn D. Lowry, Director, MoMA, The Hon. Premier Daniel Andrews & Tony Ellwood, Director, NGV at the Museum of Modern Art (MoMA).

The National Gallery of Victoria (NGV) will be presenting a major exhibition of modern and contemporary masterworks from New York’s iconic Museum of Modern Art (MoMA). The international exclusive exhibition is slated to open in June 2018 at NGV International in Melbourne.

The exhibition will feature 150 works including never-before-seen masterpieces in Australia and is the largest instalment of the Melbourne Winter Masterpieces series. It will explore the development of major art movements and represent more than 130 years of radical artistic innovation. Masterworks from MoMA will be on display from June 8, 2018 to October 7, 2018.

Vincent van Gogh (Dutch, 1853–1890) Portrait of Joseph Roulin, early 1889 Oil on canvas 25 3/8 x 21 3/4” (64.4 x 55.2 cm) The Museum of Modern Art, New
Marcel Duchamp (American, born France. 1887–1968) Bicycle Wheel, 1951 (third version, after lost original of 1913) Metal wheel mounted on painted wood stool 51 x 25 x 16 1/2” (129.5 x 63.5 x 41.9 cm)
Umberto Boccioni (Italian, 1882–1916) Unique Forms of Continuity in Space, 1913 (cast 1931) Bronze 43 7/8 x 34 7/8 x 15 3/4” (111.2 x 88.5 x 40 cm)
Henri de Toulouse-Lautrec (French, 1864–1901) La Goulue at the Moulin Rouge, 1891-92 Oil on board 31 1/4 x 23 1/4” (79.4 x 59.0 cm)
Paul Gauguin (French, 1848–1903) The Moon and the Earth, 1893 Oil on burlap 45 x 24 1/2” (114.3 x 62.2 cm)
Delaunay, Robert
Robert Delaunay (French, 1885–1941) Simultaneous Contrasts: Sun and Moon, 1913 (dated on painting 1912) Oil on canvas 53” (134.5 cm) in diameter



The Spirit of Ecstasy 狂热车魂

Ian Grant

Global Client Sales Manager

RR Corporate Shoot_21 copy.jpgThe language of luxury, none as powerful as the Rolls-Royce, is well-spoken in Melbourne, Victoria, since the unveiling of their lifestyle-themed showroom along Swan Street, Richmond. Specially flown in for the launch is global client sales manager Ian Grant, who cuts a dashing figure amongst the Ghost, Phantom and Wraith.

“The chic Bespoke Lounge in the showroom features a full bar and café, to match the sophistication of the city.”

Grant made his foray into the automotive industry in 2001 in the UK, as a force to be reckoned with, in the financial services and leasing sector. Family ties brought this dapper individual to Singapore in 2014 where he joined Rolls-Royce Motor Cars, taking on the challenge of corporate fleet sales on a global scale.

Perhaps he is better known for securing the famous deal with luxury hotel entrepreneur Stephen Hung who ordered 30 highly bespoke Rolls-Royce Phantoms for The 13 Hotel in Macau. Exclusively handcrafted, the stunning motor cars were conceived and designed in close collaboration with Hung. It was the largest single commission in Rolls-Royce history.

Making his own history in Melbourne, Grant is extremely happy to work with Zagame Automotive Group PL, the sole dealership for Rolls-Royce Motor Cars in Victoria, Australia. “Zagame is an established automotive company which strives for perfection and that is a natural fit for Rolls-Royce. There is an impressive migration of high net worth individuals to Melbourne, the style icon of Victoria.”

Explaining the Rolls-Royce modus operandi, Grant says, “We don’t chase volume and numbers but we are enjoying a steady growth.”

This corporate business man who deals with hugely wealthy clients from highly diverse backgrounds has a simple philosophy.

“Treat others the way you want to be treated. Stay true to yourself. Be who you are.”

Father of two children, Grant spends most of his leisure time with his lovely Singaporean Swedish wife, five-year-old daughter and three-year-old son. With a passion for Formula One, rugby and car restoration, his hobbies also include long-distance running, rock music and motorsport.

His preferred car?

“It’s going to sound rather cliché but I’m absolutely a Ghost fan through and through, from the heritage of the Silver Ghost all the way to the Alpine Trials, to the current Black Badge models. The Ghost is in my heart.”

在劳斯莱斯位于墨尔本维多利亚州 Richmond 区 Swan Street 的品质生活主题展厅揭幕后,令人赞叹再没有比这品牌更强大的奢华代名词。而全球客户销售经理 Ian Grant,这名穿梭在古斯特(Ghost)、幻影(Phantom)和魅影(Wraith)之间潇洒自如的风头人物也在推介活动引起瞩目。


Ian Grant 在 2001 年于英国踏足汽车行业,作为一股不可忽视的力量,投入金融服务和租赁领域。直至2014年,因为家庭原因将这位绅士带到新加坡,当时他加入了劳斯莱斯汽车公司,并且承担了企业团队在全球范围内的销售挑战。

其中他令人津津乐道的超凡业绩是与豪华酒店大亨洪永时(Stephen Hung)达成一项大单交易,后者是为自身在澳门的13家酒店订购了30辆高度定制的劳斯莱斯幻影。而这款让人惊叹不已的豪华轿车完全是与洪永时紧密合作设计与独家手工制造。这也是劳斯莱斯史上最大型的单项委托。

作为知名品牌在澳大利亚墨尔本的长远规划,IanGrant非常乐意与 Zagame Automotive Group PL 合作,该公司是维多利亚州劳斯莱斯汽车的独家经销商。他说,Zagame是一家成熟经营的汽车公司,并且力求完美,是劳斯莱斯的不二选择。另外,令人印象深刻的是移居墨尔本的富裕人士,同时也是维多利亚的风格象征。”






“听起来很老套,但我绝对是一个彻头彻尾的古斯特(Ghost)系列爱好者,从在阿尔卑斯山挑战赛中最古典的银色Ghost,到最新款的Black Badge。Ghost在我心中无可取代。”

by Billie Ooi-Ng Lean Gaik