Ultrasound-guided injections are now an essential part of modern musculoskeletal (MSK) practice. For doctors, physiotherapists, and advanced practitioners who already have basic ultrasound skills, the next step is to move on to more complex procedures. That's where our advanced ultrasound injection course comes in. In partnership with SonoSkills, Dr Masci teaches the Advanced MSK [...]
Trigger finger is a common condition in which a finger gets stuck in a bent position and then suddenly straightens with a snap. It results from inflammation or thickening of the flexor tendon sheath at the A1 pulley. Usual treatments include splints, hand therapy, and steroid injections, with surgery reserved for stubborn cases. More [...]
Carpal tunnel syndrome is a common nerve compression condition caused by the entrapment of the median nerve as it passes through the carpal tunnel at the wrist. Symptoms include numbness, tingling, or weakness in the hand, particularly affecting the thumb, index finger, and middle finger. While mild cases may respond to physiotherapy, more severe [...]
IT band friction syndrome (ITBFS) is one of the most common causes of pain on the outside of the knee, particularly in runners. We usually manage it with physiotherapy and anti-inflammatory treatment, including a cortisone injection. But in chronic cases that resist these, some doctors use Botulinum toxin (Botox) injections, mainly where hip-muscle tightness [...]
Tendonitis is a common condition that affects the upper and lower body. While most cases of tendonitis will improve with conservative measures, such as modified activity and strengthening exercises, some cases are resistant to these treatments and may require surgery. The Tenex procedure UK is a minimally invasive approach that can potentially replace surgery. [...]
The sternoclavicular (SC) joint, where the clavicle meets the sternum, plays a vital role in shoulder movement and upper body stability. Arthritis of this joint can cause significant swelling, discomfort and functional limitations. This article explores the symptoms, causes, assessment, and treatment options for sternoclavicular joint arthritis. Sternoclavicular Joint Arthritis Patients with SC joint [...]
Scaphotrapeziotrapezoidal (STT) joint arthritis affects the tiny joint at the base of the wrist, just below the thumb. It's less common than other wrist conditions, but it can significantly affect hand and wrist function, particularly gripping and pinching. This article explains the presentation, investigation, and treatment options for STT joint arthritis. What is the [...]
Chronic tendonitis can significantly impact daily life and athletic performance. When simple treatments such as modified activity strengthening exercises and shockwave therapy fail, procedures like percutaneous tenotomy offer a minimally invasive alternative to surgery. So what is percutaneous needle tenotomy, and how can it improve tendon recovery? What is percutaneous tenotomy? Percutaneous needle tenotomy [...]
Pain below the kneecap has many causes — patellofemoral pain, knee arthritis, and tendonitis among them. A less common cause is saphenous nerve entrapment close to the knee, which can cause significant discomfort and reduced mobility. So what causes saphenous nerve pain, and how is it treated? What is the saphenous nerve? The [...]
Ankle sprains are common injuries, often occurring during sports or everyday activities. They're usually associated with ligament damage — but nerve injuries can also occur, leading to burning pain after an ankle sprain if left untreated. Understanding the symptoms of nerve damage after an ankle sprain, the nerves most commonly affected, and the treatment [...]
