Ultrasound-guided injections have become an essential part of modern musculoskeletal (MSK) practice. For doctors, physiotherapists, and advanced practitioners who already have a foundation in basic ultrasound skills, the next step is to expand into more complex procedures. That is where our advanced ultrasound injection course comes in. In collaboration with SonoSkills, I now teach [...]
Trigger finger is a common condition in which a finger becomes stuck in a bent position and then suddenly straightens with a snapping motion. It results from inflammation or thickening of the flexor tendon sheath at the A1 pulley. Usual treatments include splints, physiotherapy, and steroid injections, with surgery reserved for intractable cases. Recently, [...]
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. Generally, we manage this condition with physical therapy and anti-inflammatory treatments, including a cortisone injection. However, in chronic cases resistant to these treatments, some doctors are using Botulinum toxin (Botox) injections, [...]
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 base of the thumb. While less common than other wrist conditions, it can significantly affect hand and wrist function, particularly gripping and pinching. This article explores the presentation, investigation, and treatment options for STT joint arthritis. What [...]
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 can be caused by many things, such as patellofemoral pain, knee arthritis, and tendonitis. A less common cause of knee pain is saphenous entrapment close to the knee, which can cause significant knee discomfort and reduced mobility. What causes saphenous nerve pain, and how can it be treated? What is [...]
Ankle sprains are common injuries, often occurring during sports or everyday activities. While they are typically associated with ligament damage, nerve injuries can also occur, leading to burning pain after ankle sprains if left untreated. Understanding the symptoms of nerve damage after ankle sprains, the nerves most commonly affected, and the treatment options available [...]
