Ankle arthrofibrosis — scar tissue in the ankle — is common after injury, surgery, or prolonged immobilisation. It typically causes generalised ankle pain and stiffness. So what is ankle arthrofibrosis, and how do you manage it? What is ankle arthrofibrosis? Ankle arthrofibrosis is pain and reduced ankle movement caused by scar tissue. Common causes [...]
Calcification in the rotator cuff tendons commonly causes severe shoulder pain. When simple treatments fail, the barbotage procedure — also called shoulder lavage or aspiration — directly removes the calcium. Dr Masci performs ultrasound-guided barbotage at his London clinics as a one-stop visit: consultation, diagnostic ultrasound, and procedure in a single appointment. So what [...]
Abdominal wall pain is a frequent cause of unexplained "tummy" pain — and the most common cause is anterior cutaneous nerve entrapment syndrome, or ACNES. It's frequently overlooked because it's mistaken for a problem inside the abdomen. So what is ACNES, and how do we diagnose and treat it? What is ACNES? ACNES is [...]
An ankle sprain or twist leads to torn ligaments and pain and swelling in the ankle. Generally, most ankle sprains settle with physiotherapy. However, an ankle sprain sometimes fails to resolve with rehab and needs more invasive treatments. One of these treatments is a steroid injection in the ankle. So, when do you need [...]
Posterior ankle impingement causes pain at the back of the ankle when pointing the foot downwards, into plantarflexion. It's easily confused with Achilles tendon pain. So what causes posterior ankle impingement, and how do we diagnose and manage it? This is the umbrella condition. Its single commonest bony cause is an os trigonum — [...]
We use corticosteroids for many conditions — allergies, autoimmune and skin disorders, and musculoskeletal problems — given as tablets, sprays, or injections. Their side effects depend on the dose, the duration, and how they're given. One of the most common worries is simple: do cortisone shots cause weight gain, and how do we avoid [...]
Medial collateral ligament tears cause pain and swelling on the inside of the knee. Most MCL injuries settle with a period of bracing and rehab. But sometimes the healing is complicated by calcification of the MCL — known as a Pellegrini-Stieda lesion, or Pellegrini-Stieda syndrome. So what is this disease, and how do we [...]
Platelet-rich plasma therapy, also known as PRP injection, is a relatively new treatment for common musculoskeletal conditions, including arthritis and tendonitis. But many practitioners offer different PRP treatments — so which would you choose, and does a more expensive system mean a better result? This guide answers the most common questions about PRP therapy. [...]
Groin pain occurs where the lower abdominal wall and pelvis meet the leg. In men, a muscle strain is the most common acute cause, but many other conditions cause pain here, some musculoskeletal and some not. Getting the right diagnosis is what makes treatment work. So what causes groin pain in men, and how [...]
Osteoarthritis is the most common form of arthritis in the knee. It increasingly affects younger people. Treatment options include exercise, weight loss, medication, injections, and knee replacement. Arthrosamid — a non-degradable hydrogel — now offers longer-lasting pain relief than other injections for many patients. Dr Masci's Arthrosamid injection cost is £ 2,500 all-inclusive at [...]
