Here are some topics, discussions and debates in the world of Sports Medicine.
Sports and Exercise Medicine professionals see a variety of injuries and disorders. What we learn from treating athletes also helps us to treat and improve the quality of life for many active individuals.
Adhesive Capsulitis Hip: How to Diagnose
Frozen hip is an uncommon but important cause of persistent hip pain and stiffness. Medically, it is known as adhesive capsulitis of the hip and is [...]
Spinal Compression Fracture: How to Treat?
A spinal compression fracture occurs when one of the vertebrae — the small bones that make up the spine — collapses or breaks. This type of compression [...]
Arteriovenous Malformation Leg: What Should You Do?
An arteriovenous malformation (AVM) leg is an uncommon but important cause of pain and swelling in the lower limb. These growths sometimes present to musculoskeletal practitioners. This [...]
Bisphosphonates and Fractures: What You Need to Know
Bisphosphonates are widely prescribed medications used to strengthen bone and prevent fractures in conditions such as osteoporosis. They have been shown to significantly reduce the risk of [...]
Anterior Interosseous Nerve Syndrome: A Rare Cause of Forearm Pain
Anterior interosseous nerve syndrome, often referred to as AIN palsy, is a rare but important cause of weakness in the forearm and hand. It usually affects [...]
Diabetes and Arthritis: is there a link?
People living with diabetes often experience more than just issues with blood sugar control — many also develop joint pain or stiffness. The connection between diabetes [...]
Nerve Injury with Shoulder Dislocation: Find Out What to Do
A shoulder dislocation is one of the most common traumatic injuries seen in sports. The shoulder joint (glenohumeral joint) is designed for movement and flexibility, but [...]
Haemochromatosis and Joint Pain: What You Need to Know
Haemochromatosis arthritis is a common but often under-recognised complication of haemochromatosis, a genetic condition where the body absorbs and stores too much iron. The body deposits [...]
Musculocutaneous Nerve Damage: How to Spot It
Musculocutaneous nerve damage is an uncommon but important cause of weakness and sensory changes in the arm. In sporting contexts, it is most often related to [...]
Radial Nerve Entrapment: What Should You Know
Radial nerve entrapment is a condition where the radial nerve becomes compressed or irritated along its course through the upper arm, elbow, or forearm. The radial [...]
Ulnar Nerve Entrapment Wrist: What Should You Do?
Several conditions can cause hand pain, weakness, or numbness, but one crucial diagnosis to consider is Guyon's canal syndrome. This condition occurs when the ulnar nerve [...]
Accessory Nerve Damage: What Can We Do about it?
Neck and shoulder injuries are common in sports, but not all pain and weakness are due to muscle or joint problems. One rare cause is spinal [...]
ilioinguinal neuralgia in Athletes: A Cause of Groin Pain
Groin pain is a common issue among athletes, particularly in sports that involve twisting, sprinting, or kicking. While muscle strains and hip joint injuries are common, [...]
Genitofemoral Neuralgia in Athletes: How to Manage
Groin pain is common in athletes, but it is not always caused by muscle strain or hip injury. One crucial but often overlooked cause is genitofemoral [...]
Pudendal Neuralgia: How to Diagnose
Chronic pelvic pain can be challenging to diagnose and manage, especially in athletes who perform sports involving prolonged sitting, cycling, or repetitive hip movements. One crucial [...]
Tibial Nerve Entrapment: Burning pain in the Ankle and Foot
Pain and tingling in the foot are common in athletes and active people. While plantar fasciitis and stress fractures are well-known causes, another important condition is [...]
Femoral Nerve Entrapment: Managing Pain Symptoms
Groin, thigh, and knee pain are common complaints in athletes. Muscle strains, hip joint injuries, or overuse of the hip joint are the most common causes. [...]
Deep Peroneal Nerve Entrapment: A Cause of Mid-foot Pain
While heel pain and posterior tarsal tunnel syndrome are well recognised, anterior tarsal tunnel syndrome is a less common but important cause of chronic foot pain [...]
Obturator Nerve Pain: A Rare Cause of Groin Pain in Athletes
Groin pain is a common issue among athletes, particularly in sports that involve sprinting, sudden changes of direction, or kicking. While muscle strains are the most [...]
Medial Plantar Nerve Entrapment: Cause of Medial Arch Pain
Foot pain in runners is often attributed to other conditions, such as plantar fasciitis, stress fractures, or tendon problems. However, another important but less well-known cause [...]
Long thoracic nerve palsy: A Cause of a Winged Scapula
Shoulder pain and weakness are common in athletes, but not all causes are due to rotator cuff or labral injuries. One less frequent but essential condition [...]
Suprascapular Nerve Compression: How to Diagnose and Manage
Shoulder pain is one of the most common problems among athletes, particularly those involved in overhead activities. While rotator cuff tendon and labral tears are well [...]
Lacertus Fibrosis: How do We Manage this Forearm Nerve Entrapment?
Lacertus syndrome is an under-recognised cause of forearm pain and weakness in athletes and active individuals. It results from compression of the median nerve at the [...]
Proximal Humeral Epiphysitis: A Cause of Shoulder Pain in Young Athletes
Shoulder pain in young athletes can be worrying for parents and coaches. One condition that is increasingly recognised is little league shoulder, a growth plate injury [...]
Rhabdomyolysis: How to Manage
Rhabdomyolysis is a serious but often under-recognised condition that can occur in athletes following extreme exercise, heat stress, or muscle injury. Understanding the symptoms, risks, and [...]
Lateral Collateral Ligament injury: What to Do
A lateral collateral ligament injury of the knee is less common than injuries to the medial ligament. But when it occurs, it can be equally serious [...]
Gymnast Wrist: How to Manage
Wrist pain is a common complaint in young gymnasts due to high-impact forces involved in the sport. One specific overuse injury seen in this group is [...]
Dorsal Wrist Impingement
Pain in the back of the wrist is a common issue affecting both athletes and office workers. One potential but often under-recognised cause is dorsal wrist impingement [...]
Advanced Ultrasound Injection Course with Sportdoctorlondon
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 [...]
Cluneal Nerve Entrapment: A Hidden Cause of Buttock Pain
Buttock pain is a common complaint. While we attribute many cases to tendonitis, sciatica, or sacroiliac joint degeneration, one under-recognised cause is cluneal nerve entrapment. In [...]
Calf Pain from Running: Possible Causes
Many runners find themselves asking, "Why do my calves hurt when I run?" Calf pain during or after running can be frustrating, and it's not always [...]
Rosuvastatin Tendonitis: How to Manage
Statins are widely prescribed cholesterol-lowering medications with clear heart benefits, but they can occasionally cause side effects, including musculoskeletal pain. One area gaining increasing attention is [...]
Statins and Sore Muscles: Find Out More
Statins are widely prescribed medications used to lower cholesterol. However, one of their best-known side effects is muscle-related symptoms, ranging from mild aches to severe weakness. [...]
Transient Hip Osteoporosis: How to Treat
Transient osteoporosis of the hip is a significant cause of acute hip pain, most frequently affecting middle-aged men and women in late pregnancy. Also known as [...]
Trigger Finger Percutaneous Release: How to Do It?
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 [...]
Stress Fracture of the Pelvis: How to Manage
A pelvic stress fracture is a relatively common cause of hip, groin, or buttock pain in active individuals, particularly in endurance runners. While stress fractures of [...]
Hydrodissection Median Nerve: When to Do It
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 [...]
Snapping biceps femoris tendon: How Do We Treat It?
Snapping biceps femoris tendon is a rare cause of outer knee discomfort, particularly in active individuals. It refers to a visible snapping sensation around the outside [...]
Biceps femoris tendinitis: How do you manage it?
Biceps femoris tendonitis (also called biceps femoris tendinitis) is an overuse injury that affects the lower portion of the biceps femoris tendon, located near the outside [...]
Lump inside sole of foot: Is it Plantar fibroma?
Feeling a lump inside the sole of foot can be concerning, especially if it causes pain while walking. One of the most common causes of such [...]
Freiberg’s Disease: How to Manage
Freiberg's disease, also known as Freiberg disease, affects the second metatarsal head in the forefoot. It is classified as osteochondrosis, a disorder in which the blood supply [...]
Superficial Peroneal Nerve Injury: How to Diagnose
Superficial peroneal nerve entrapment is a relatively uncommon cause of outer leg pain. It is often misdiagnosed or overlooked, because its symptoms can mimic more common [...]
Lump on Wrist: What Could it Be?
Noticing a lump on wrist can be concerning, particularly if it causes pain. While most wrist lumps are benign and painless, some may cause discomfort or [...]
Achilles Paratenonitis: How to Manage It
Achilles paratenonitis (also known as Achilles paratendinitis) is a common but often under-recognised cause of acute Achilles pain. Unlike Achilles tendinopathy, which involves swelling of the [...]
Heel pain After Running: What are the Possible Causes
Heel pain after running is common among recreational and competitive runners. For some, it can become a persistent problem. As a sports medicine doctor, one of [...]
Red Marrow Reconversion on MRI: What Does it Mean?
When reviewing MRI scans, one finding that can raise questions is red marrow reconversion. This term refers to a change in the appearance of bone marrow. [...]
My Thumb Hurts from a Mouse: Find Out the Possible Causes
In today's digital world, many people spend hours each day using a computer mouse. While this is often essential for work and leisure, repetitive mouse use [...]
Wartenberg’s syndrome: How to Diagnose
Wartenberg's syndrome is an uncommon but vital condition to recognise, particularly in sports medicine. It is caused by an injury to a superficial branch of the [...]
Quadriceps tendon tear: What to do
A quadriceps tendon tear is a significant injury that affects the large tendon connecting the quadriceps muscle group to the top of the kneecap. This tendon [...]
Multiple myeloma screening in Sports Medicine
We often see patients with persistent musculoskeletal pain, fatigue or recurrent injuries. In most cases, these symptoms are the result of overuse or minor trauma. However, [...]
Tendonitis in gluteus maximus: A cause of buttock pain
Gluteus maximus tendonitis is an uncommon but often overlooked cause of buttock pain, particularly in active individuals. The gluteus maximus is the largest muscle in the [...]
Rectus Femoris Tendonitis: A Cause of Anterior Hip Pain
Pain at the front of the hip is a common condition in elite athletes and active individuals. More common causes of anterior hip pain include hip [...]
Botox for knee pain: Does it work?
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 [...]
Radial head fracture: How to Manage
A radial head fracture is a common elbow injury, often resulting from a fall onto an outstretched hand or elbow. This type of fracture affects the [...]
Why Does My Cuboid Bone Hurt? Causes and Treatments
You're not alone if you're experiencing pain on the outer side of your foot near the cuboid bone. The cuboid bone plays a crucial role in [...]
Rheumatoid Panel Test: How Useful is it?
Inflammatory arthritis is a group of autoimmune conditions producing by joint inflammation, pain, and stiffness. Examples of inflammatory arthritis include rheumatoid arthritis, psoriatic arthritis, and reactive [...]
Synovial Chondromatosis: A Rare Cause of Joint Pain and Swelling
Joint pain and swelling are common in active individuals and athletes. More common causes of joint symptoms include articular cartilage damage or osteoarthritis. However, in some [...]
Anti Gravity Treadmill: How to Use It for Injuries
Recovering from an injury can be frustrating, particularly for athletes and active individuals who want to maintain fitness while allowing their bodies to heal. An innovative [...]
Sports Hernia: A cause of Persistent Groin Pain
Groin pain is common in sporty individuals and athletes. There are many causes of groin pain, ranging from osteitis pubis, tendonitis, stress fractures, inguinal hernia, and [...]
Elbow Medial Collateral Ligament Tear
The medial collateral ligament (MCL) of the elbow, also known as the ulnar collateral ligament (UCL), is essential for stabilising the inside of the elbow. An [...]
Kienbock’s disease: Beware of Avascular Necrosis of the Lunate
Kienbock's disease is a rare but serious condition affecting the wrist, characterised by bone death (avascular necrosis) of the lunate bone. The lunate is a crucial [...]
Osteoid Osteoma: The Great Mimicker
Osteoid Osteoma is a bone tumour that typically affects adolescent athletes. It is characterised by small bone growths that produce intense pain, especially at night. Although benign, [...]
OCD of the elbow: What Should You Do
OCD, or Osteochondritis dissecans elbow, is a joint condition that commonly affects adolescent athletes, particularly those involved in repetitive overhead throwing (tennis and baseball) and gymnastics. [...]
Why Does My Elbow Pop and Should I Worry?
Elbow popping or cracking is a common concern among active individuals. It can occur with or without pain and may be caused by various conditions, ranging [...]
Radial Collateral Ligament Tear: A Possible Cause of Persistent Tennis Elbow
A radial collateral ligament tear elbow is a relatively uncommon but significant injury, particularly in individuals involved in racquet sports and weightlifting. The radial collateral ligament [...]
Gluteus Muscle Sprain: How to Manage
A gluteus muscle pull, also known as a gluteal strain, is a common injury that affects active individuals. The gluteal muscles—the gluteus maximus, medius, and minimus—are [...]
Spring ligament Sprain: How to Manage It
The spring ligament, also known as the plantar calcaneonavicular ligament, is an essential structure that supports the foot's medial arch. It connects the heel bone (calcaneus) [...]
Forearm Splints: Shin Splints in the Forearm
Forearm splints are an overuse injury that causes persistent pain in individuals who engage in repetitive forearm activities. Like shin splints in the lower leg, forearm [...]
Intersection Syndrome of the Wrist: What Should You Do?
Intersection syndrome is an overuse injury that affects the lower forearm. It causes pain and inflammation due to friction between the muscles and tendons. This condition [...]
Tenex Procedure: Everything You Need to Know
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 [...]
Osteochondritis Dissecans Knee: A Sports Doctor’s Perspective
Osteochondritis dissecans (OCD) is a condition affecting the cartilage of joints, more commonly in the knee. It affects active teenagers and young adults, leading to pain [...]
Posterolateral knee pain: How to Find a Cause
Posterolateral knee pain can be a challenging issue for active individuals. The outside corner of the knee is complex and consists of multiple ligaments, tendons, and [...]
Rib Stress Fracture: A Cause of Chest Pain in Athletes
Rib stress fractures are relatively uncommon but important overuse injuries in athletes, particularly those involved in repetitive movement such as rowing or throwing sports. Understanding the [...]
Kager’s Fat Pad Edema: What Does It Mean?
Kager's fat pad, also known as the pre-Achilles fat pad, is a vital anatomical structure in the back of the ankle. Sometimes, this structure can be [...]
Elbow Stress Fracture: How to treat
While relatively uncommon, elbow stress fractures can significantly impact athletes and individuals involved in repetitive arm movements. The most common type is olecranon stress fracture. This [...]
Stress Fracture Wrist: How do we Diagnose and Treat it
A wrist stress fracture is uncommon but can have a significant impact on athletes and active individuals. These injuries occur when repetitive stress exceeds the bone's [...]
Patella Stress Fracture: A Rare Cause of Knee Pain in Athletes
Patella stress fracturesPatella stress fractures are rare but essential injuries to recognise, particularly in athletes and physically active individuals. They are often confused with other causes [...]
SC Joint Arthritis: Understanding Causes and Management
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 [...]
Bump on the side of my foot: possible causes
Finding a bump on the side of your foot can sometimes be alarming, especially if it causes discomfort or interferes with your daily activities. While most [...]
STT Arthritis: A Common Cause of Wrist Pain
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 [...]
Elbow Plica Syndrome: A Condition Often Confused with Tennis Elbow
Elbow plica syndrome is a relatively uncommon condition that can cause significant discomfort and functional limitations, particularly in individuals who engage in repetitive arm movements. This [...]
Subscapularis tendon tear: cause of front shoulder pain
The subscapularis tendon is a vital part of the rotator cuff and is responsible for shoulder movements in overhead sports such as swimming, tennis, or other [...]
EMG test: Assessing Nerve and Muscle Health
If your doctor has referred you for an EMG test, you might feel unsure about what it involves or why your doctor recommended it. This blog [...]
Inner ankle pain: Causes and How to Make a Diagnosis
Understanding Inner Ankle Pain: Causes and Diagnosis Inner ankle pain, also known as medial ankle pain, is common among active individuals and athletes. The inner ankle [...]
Inner thigh pain: Possible Causes and How to Find a Diagnosis
Inner thigh pain is a common presentation in active individuals. This region contains the inner thigh muscles, tendons, and bone structures that play a critical role [...]
Iliac Artery Endofibrosis: A Rare Cause of Lower leg Pain
Iliac artery endofibrosis is a rare but significant condition affecting endurance runners and cyclists. This vascular disorder, often associated with repetitive strain and high-intensity exercise, can [...]
PVNS (Pigmented Villonodular synovitis): What to Know
We often find repeated joint pain and swelling in common conditions such as osteoarthritis or inflammatory arthritis, such as gout. One rare cause of recurrent joint [...]
McArdle’s Disease: A Rare Cause of Muscle Pain during Exercise
Unexplained muscle pain, cramping and tiredness in active people can be due to many conditions that affect energy production, such as anaemia, diabetes or hormone abnormalities. [...]
Percutaneous Needle Tenotomy for Tendonitis
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 [...]
Saphenous Nerve Pain: How to Treat
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 [...]
Symptoms of Nerve Damage after Ankle Sprain: How to Treat
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 [...]
Nerve hydrodissection: A Minimally Invasive Option for Nerve Pain
Nerve entrapment from scar tissue, adhesions, or direct trauma causes burning pain in the area supplied by the nerve. Nerve hydrodissection injection is an innovative technique [...]
Stress Fracture in Talus: How Do We Manage it?
Stress fractures of the ankle occur in active individuals such as athletes, military recruits and sports people. Stress fractures are more common in the metatarsal, navicular [...]
Shock wave Treatment for Bone Spurs of Heel
Plantar fasciitis and heel spurs are common causes of heel pain. For many people suffering from plantar fasciitis, shockwave therapy is an effective treatment to reduce [...]
Shoulder Pain from Weights: Causes and What to Do
For many individuals, weightlifting is a crucial component of their training regimen. However, due to its wide range of motion, the shoulder joint is highly susceptible [...]
Os Acromiale: a Less Common Cause of Shoulder Pain
Os acromiale is a condition that occurs when the acromion, which is part of the shoulder blade, fails to fuse properly, leaving a gap. Usually, this [...]
LIPUS treatment for slow healing stress fractures
Stress fractures, or small cracks in the bone, are common in runners and individuals who perform repetitive high-impact activities. While rest, modified activity, and strength training [...]
Stress Fractures vs Shin Splints
When it comes to runners and athletes, two of the more common conditions causing shin pain are stress fractures and shin splints. Sometimes, it can be [...]
ACP Max: The New Generation of PRP for Arthritis and Tendonitis
Platelet-rich plasma (PRP) therapy has emerged as a promising injection treatment for arthritis and tendonitis in recent years. However, not all PRP systems are the same. [...]
Working Out While Sick: Is It Safe?
When you're unwell, deciding whether to exercise can be difficult. If you start your exercise routine too early, your illness will worsen. So, what are the [...]
Proximal Hamstring Tendon Tear: What does it mean?
Proximal hamstring tendon injuries are common, particularly among individuals in explosive sports or activities involving sudden bursts of speed. These injuries occur when one or more [...]
Ciprofloxacin and Tendon Rupture
Ciprofloxacin, a widely prescribed antibiotic, belongs to the fluoroquinolone class of drugs and is commonly used to treat bacterial infections such as urinary tract infections, respiratory [...]
Accessory Soleus Muscle: A Culprit in Ankle Pain
The soleus muscle is a large and powerful deep muscle in the calf. It plays a vital role in everyday activities such as walking and running. [...]
TRT UK: Addressing Low Testosterone Levels in Men by Dr Alex Vass
Healthy testosterone levels are essential for men’s physical, sexual, and psychological health. Low testosterone can lead to various health issues affecting a man's quality of life. [...]
Mononucleosis and Exercise: When is it Safe to Return to Sport?
Mononucleosis, often called "mono," is a viral infection causing symptoms usually for weeks or months. It's known as the "kissing disease" due to its transmission through [...]
Can you get cortisone injections after knee replacement?
Knee replacements are a standard orthopaedic procedure to treat knee arthritis. While 80% of patients with a knee replacement report good results, about 15-20% struggle with [...]
How soon after cortisone shot can I have surgery?
Joint replacement is a standard surgical procedure for arthritis. Knee replacement is the most common, followed by hip and shoulder. Usually, these replacement surgeries are performed [...]
How Low Iron Affects Your Running Performance
Low Iron is common in athletes, leading to tiredness, lethargy, and reduced performance. Awareness of low Iron and running is critical in maintaining sports activity. What [...]
Are Durolane Side Effects Really More Severe?
We use hyaluronic acid injections to reduce arthritis pain. Durolane is a type of hyaluronic acid widely used by doctors. Some reports suggest Durolane has more [...]
Greater Tuberosity Humerus Fractures: What should you do?
Falls onto the shoulder can damage various parts of the shoulder joint, rotator cuff tendons, ligaments, and bones. A more common bone break after a fall [...]
Quadriceps Tear: A Comprehensive Guide
Quadriceps muscle tears occur frequently in runners and sportspeople. They cause muscle pain and reduced function, often stopping people from enjoying sports. What is a quadriceps [...]
Dealing with Fibular Head Pain: Causes and Solutions
The proximal tibiofibular joint is a less common source of pain outside the knee. It is often overlooked as the cause of lateral knee pain as [...]
Nerve Pain in Thigh: How Do We Treat It?
Burning pain in the thigh is a common presentation in active sportspeople. Generally, burning means pain coming from the nervous system, also called neurogenic pain. What [...]
The Importance of Vitamin D for Athletes: A Comprehensive Guide
Over the last decade, there has been a surge in research into the health benefits of vitamin D. Concurrently, we're learning about the importance of vitamin [...]
Shockwave Therapy for Achilles Tendonitis: Does It Work?
The Achilles tendon is the largest tendon in the body and is most likely to be injured, a condition known as Achilles tendonitis. Exercise therapy is [...]
PRP for Tendonitis: Exploring the Optimal Formula
Tendons attach muscles to bones, allowing movement by directing high forces from the muscle to the bone. Tendon disease, also known as tendonitis, develops due to [...]
DRUJ Injury: A Common Problem in Sporting Individuals
Athletes often complain of pain on the outside (ulnar) side of the wrist. There are many causes of ulnar wrist pain, but one of the more [...]
ECU Tendonitis: The Common Wrist Injury Explained
The ECU tendon is essential in stabilising the outside or ulnar aspect of the wrist. It can be injured in active individuals or athletes, causing ECU [...]
Achilles tendonitis in runners: how to manage it
There is no doubt that running is great for your health. Generally, we see the benefits of running on building a better heart and lung size [...]
Knot of Henry Pain: A Lesser-Known Cause of Mid-Foot Pain
Mid-foot pain is a common presentation in long-distance runners. One less common cause of mid-foot pain is Knot of Henry pain, an inflammation of foot tendons [...]
Supplements for Tendonitis: Do They Really Work?
Tendonitis is a common disease affecting tendons, leading to pain with tendon activity. We know that tendons respond to exercise therapy. Sometimes, we add other treatments [...]
Minimising Risks: Cortisone Injection and Diabetes
Cortisone injections are commonly used for many joint and tendon musculoskeletal conditions. People with diabetes are more prone to side effects from cortisone injections, so they [...]
PRP Injection for Shoulder Pain: What You Need to Know
Shoulder pain is common among active individuals. Common causes of shoulder pain include rotator cuff tendinitis, frozen shoulder, and shoulder joint arthritis. Doctors have recently used [...]
PRP Injection Recovery Time: Tips for Optimal Healing
We use PRP (platelet-rich plasma) injections to treat musculoskeletal conditions such as arthritis and tendonitis. As PRP is derived from your blood, we can optimise its [...]
Knee Gel Injections: What do you do after Injections?
Hyaluronic acid injections are commonly used for knee arthritis. While different factors affect the effectiveness of these injections for knee arthritis, an essential element is post-injection [...]
Rest After a Cortisone Injection: Is it necessary
Cortisone shots offer immediate pain relief for joint and tendon pathology. How we manage patients after a cortisone shot varies depending on various factors, such as [...]
How Long Does a Cortisone Shot Last? Maximising The Effect
We use cortisone injections as pain-relieving treatments for arthritis and tendonitis. Cortisone directed to a joint or tendon reduces inflammation and improves pain and function. How [...]
Dorsal Scapular Nerve Entrapment: What You Need to Know
Upper to mid-back or shoulder blade pain is a common presentation to sports doctors or physiotherapists. Common causes include dorsal muscle strain, rib pain and cervical [...]
Ankle Arthrofibrosis: What You Need to Know
Ankle arthrofibrosis or scar tissue in the ankle is common after injury, surgery, or prolonged immobilisation. Often, patients experience general ankle pain and stiffness. What is [...]
Barbotage Shoulder Explained
Calcification in the rotator cuff tendons is a common cause of pain in the shoulder. One of the treatment options for calcific rotator cuff tendinitis is [...]
Plantar Plate Tear: Causes, Symptoms, and Treatment Options
A torn plantar plate is a common cause of toe pain in the lesser toes (2nd-5th). A plate tear often causes pain and swelling at the [...]
Managing Anterior Cutaneous Nerve Entrapment Syndrome
Abdominal wall pain is a frequent cause of unexplained tummy pain. The most common cause of abdominal wall pain is anterior cutaneous nerve entrapment syndrome, or [...]
Tennis Shoulder Pain: Causes and Treatment Options
Shoulder pain associated with tennis is common, with some studies suggesting that up to 50% of tennis players experience shoulder pain. What are the possible causes [...]
When to Consider a Cortisone Shot for a Sprained Ankle
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 [...]
Posterior Ankle Impingement: Causes, Symptoms, and Treatment
Posterior ankle impingement causes pain at the back of the ankle when pointing the foot downwards or in planterflexion. We can often confuse this condition with [...]
Pinched Nerve in Foot: Causes, Symptoms, and Management
Multiple nerves supply the front, sides and back of the foot. These nerves can be pinched by joints, muscles and tendons within the foot, causing pain, [...]
Stress Fracture of the Femur: How to diagnose
A common injury in endurance runners and military recruits is bone stress. This injury occurs when overload from excessive activity, such as running, exceeds the bone's [...]
How to Identify and Manage Sacral Stress Fractures
A sacral stress fracture commonly causes lower back or buttock pain in runners. This condition is often confused with sacroiliac joint or lumbar spine pain. How [...]
What is a Dead Leg and How to Deal with It
A dead leg, or quadriceps contusion or corked thigh, is a common injury in contact sports such as rugby, football and basketball. We also see it [...]
Duloxetine: A Promising Solution for Osteoarthritis
Duloxetine is a prescription-only drug used to treat depression. However, we also use Duloxetine for chronic pain, including musculoskeletal pain such as osteoarthritis. What is the [...]
Soleus Muscle Strain: A Common Cause of Calf Pain
A soleus muscle strain is a common but frequently unrecognised cause of calf pain in active individuals. Even though the soleus muscle covers a large area [...]
Sural Nerve Pain: A Comprehensive Guide
Sural nerve pain is debilitating pain in the lower outer calf and foot. Generally, we see sural nerve pain from trauma or entrapment of the sural [...]
Deep Gluteal Pain Syndrome: Trapping the Sciatic Nerve in the Buttock
Buttock pain is a common presentation in people who are active in running and sports. There are multiple causes of buttock pain, including referred pain from [...]
What is a Sprain of the Deltoid Ligament and How Do We Manage It?
Generally, when you sprain your ankle, you damage the ligaments on the outside of the ankle. However, in some cases, damage may occur on the inside [...]
How to Treat a Plantar Fascia Tear: Expert Advice
Plantar fasciitis is the most common cause of heel pain. Inflammation of the fibrous band, called the plantar fascia, connecting the heel to the toes leads [...]
Transition from Walking Boot to Shoe: Tips and Guidelines
We use walking boots to heal ankle and foot injuries like stress fractures. The walking boot allows your injury to heal. But equally important is the [...]
Radial tunnel syndrome: an uncommon cause of forearm pain
Tennis elbow, also known as extensor tendonitis of the elbow, is a common overuse injury in active sportspeople. However, not all pain outside the elbow and [...]
Tendon Neuroplastic Training: Maximising Exercise for Tendonitis
Tendonitis affects both upper and lower limb tendons. Examples include tennis elbow, golfer's elbow, patellar tendonitis, Achilles tendonitis and high hamstring tendonitis. Although exercise therapy has [...]
Shoulder Pain Diagnosis Chart: Finding the Cause of Your Pain
Shoulder pain arises from damage to local structures in the shoulder, such as joints, tendons and ligaments or referred from the neck or the abdomen. A [...]
Hip Pain Location Diagram: A Visual Guide to Pinpoint Hip Pain
Hip, groin and buttock pain is a common presentation in active individuals. One way of narrowing the cause of your pain is identifying the hip pain [...]
Foot Pain Chart: Identifying the Source of Your Discomfort
Effective foot pain management involves getting the proper diagnosis and starting the correct treatment early. One of the simplest ways to obtain the correct pain diagnosis [...]
Exploring the Reasons Behind Shoulder Blade Pain
The shoulder blade, also called the scapula, is a triangular-shaped bone in your mid-back. Causes of shoulder blade pain are variable but include common causes such [...]
Understanding Knee Tendon Injuries: Causes and Management
The knee is complex consisting of a hinge joint surrounded by tendons at the front, sides, and back. So is it any wonder we are prone [...]
Unveiling the Truth: Do Steroid Injections Cause Weight Gain?
We use corticosteroids for various diseases, including allergies, autoimmune disorders, skin conditions, and musculoskeletal conditions. This drug can be given as tablets, liquid, nasal spray, or [...]
Knee Aspiration: Effective Drainage for Fluid in the Knee
Fluid on the Knee, also known as a knee effusion or "water on the knee," is a painful condition resulting from the buildup of fluid in [...]
Gout in the Knee: What You Need to Know
Gout is a common disease, primarily affecting middle-aged men. Traditionally, gout presents as a painful and swollen big toe. However, gout can also affect other joints, [...]
Pellegrini Stieda Lesion: A Comprehensive Guide
Medial collateral ligament tears cause pain and swelling inside the knee. Generally, MCL injuries settle with a period of bracing and rehab. However, in some cases, [...]
PRP therapy: Most frequently asked questions
Platelet-rich plasma therapy, also known as PRP injection, is a relatively new treatment option for common musculoskeletal conditions, including arthritis and tendonitis. However, numerous practitioners offer [...]
SONK: how do we manage this insufficiency fracture?
Generally, most people with knee arthritis or meniscal tears develop pain from a flare of arthritis. However, knee pain in people with arthritis is sometimes secondary [...]
The Symptoms and Treatment of Anterior Tibialis Tendonitis
The tibialis anterior tendon is a large tendon that starts at the front of the shin and moves across the ankle and inside the medial mid-foot. [...]
Is Ankle Popping Normal? Exploring the Causes
Ankle popping or clicking is exceedingly common. Often, these symptoms can occur while walking or standing up. Sometimes, popping can occur with other symptoms, such as [...]
Understanding Footballer’s Ankle: Causes and Treatment
Footballer's ankle, also known as anterior ankle impingement, occurs because bony spurs form at the front of the ankle joint. The spurs can form at the [...]
Hip Osteonecrosis Explained: Symptoms and Diagnosis
Osteonecrosis hip, also called avascular necrosis or AVN, occurs when the blood supply is interrupted to the head of the femur (the ball of the ball [...]
All You Need to Know About Low Hamstring Pain
Pain at the back of the knee can be secondary to several pathologies. One less common cause of posterior knee pain is low hamstring tendonitis at [...]
Common Causes of Hip Pain from Running Explained
Runners can suffer from hip pain. Hip pain from running can result from muscle, tendon, joint, or bone pathology. What are the common causes of hip [...]
The Complete Guide to Groin Pain in Men
Groin pain occurs where the lower abdominal wall and the pelvis meet the leg. Although muscle strain is the most common acute cause of groin pain [...]
Arthrosamid: A Promising Treatment for Knee Arthritis
Osteoarthritis is the most common form of arthritis affecting the knee joint. It is increasingly common among younger people. Treatment options include exercise, weight loss, medication, [...]
All You Need to Know About Hook of Hamate Fracture
The hamate bone is one of eight bones in the wrist that make up the carpal bones. Like any bone in the body, the carpal bones [...]
Discoid Lateral Meniscus: How Does it Affect Your Knee?
Meniscal tears are a common cause of knee pain and swelling. The meniscus is c-shaped cartilage that sits between the knee bones and acts as a [...]
Shoulder Pain When Sleeping: Causes and Treatments
Shoulder pain at night or when sleeping can be distressing. Those with night pain know how disruptive it can be. So what are the common causes [...]
Key Facts about Pain on Outer Side of the Knee
Pain on the outer side of the knee is also known as lateral knee pain. The knee area contains many structures that cross the joint, including [...]
Diagnosing and Treating Inner Side Knee Pain
Inner knee pain, also called medial knee pain, is common in walkers, runners, and sportspeople. Symptoms can occur gradually or suddenly and may present with or [...]
Cortisone shot while pregnant: Is it safe?
Pregnancy leads to many body changes, such as weight gain, fluid retention, and hormonal imbalances. These changes can lead to everyday aches and pains in joints [...]
The Power of Durolane Injection for Arthritis Relief
We use a Durolane injection to treat a common cause of arthritis, osteoarthritis. This condition affects the hips, knees, shoulders, thumbs, and other joints. Generally, the [...]
Shoulder Clicking and Pain: Unraveling the Mystery
Shoulder clicking or popping is common but can be somewhat unsettling. The shoulder is complex, consisting of multiple muscles, joints, tendons, ligaments, and bursa. So, the [...]
Exploring the Causes of Knee Clicking and Popping
Knee clicking or popping is common and may be due to one of several causes. But, first, you must determine whether clicking or popping is painful. [...]
Dealing with Tarsal Coalition: Causes, Symptoms, and Solutions
Tarsal coalition is an abnormal connection between two bones at the back of your foot toward the ankle. This connection causes irregular forces on the bone, [...]
Quadrilateral Space Syndrome: A Rare Cause of Shoulder Pain
Pain at the back of the shoulder can be due to many causes, including rotator cuff tendonitis, shoulder arthritis, and referred pain from the neck. However, [...]
Os Peroneum Syndrome: A Rare Cause of Mid-Foot Pain
Pain in the outer part of the mid-foot is common in runners and sportspeople. However, one rare but essential cause of lateral mid-foot pain is os [...]
Seronegative Inflammatory Arthritis: Signs and Tests
An overactive or malfunctioning immune system drives inflammatory arthritis. There are many different types of inflammatory arthritis, including seropositive and seronegative arthritis. So how do you [...]
Diagnosing and Treating Bone Marrow Oedema
Bone marrow oedema is swelling or fluid build-up within the bone marrow. Often, oedema is detected by imaging, such as MRI. So, what is subchondral bone [...]
Can Osteoarthritis be Reversed? The Truth Unveiled
Arthritis comes in various forms. However, the most common type is osteoarthritis, a condition caused by wear and tear and inflammation. If you're unlucky enough to [...]
Exploring Runner’s knee: Symptoms and Solutions
Patellofemoral pain syndrome, also known as runner's knee, causes pain in the front of the knee. We think misalignment of the knee or increased pressure behind [...]
Understanding Gluteal Tendon Tear: Causes and Treatment
Pain on the outside of the hip is due to swelling of the tendons in the buttock. Often, this condition is called greater trochanteric pain syndrome. [...]
How to Recover from a Tennis Leg Injury
The tennis leg is a strain of one of the calf muscles called the medial head of the gastrocnemius. A calf muscle tear occurs when the [...]
Stener Lesion: An In-depth Look at this Thumb Injury
Our thumbs are essential to providing the pincer movement that allows precision of hand movement. The collateral ligaments stabilise the thumb metacarpal joint. The ulnar collateral [...]
Accessory Navicular Bone: How to Manage
Pain inside the ankle may be due to tibialis posterior tendonitis, mid-foot arthritis, or navicular stress fracture. However, one less common cause of pain is an [...]
Ischiofemoral Impingement: Diagnosis and Treatment
Buttock pain is complex. There are many causes of buttock pain, such as sciatica, sacroiliac joint arthritis, piriformis syndrome, and hamstring tendonitis. However, a less common [...]
Diagnosing Deep Buttock Pain: A Comprehensive Guide
Deep buttock pain, also known as deep gluteal syndrome, is common in active people. However, due to the complex anatomy of the buttocks, it can be [...]
Understanding Cervical Rib and Thoracic Outlet Syndrome
Thoracic outlet syndrome, also known as TOS, is a condition that causes symptoms in the arm due to pressure on the structures running between the collarbone [...]
Overcoming Osteitis Pubis: Tips for Recovery by Scott Newton
If you are a runner with tightness in the groin and/or tummy, you might have osteitis pubis or pubic overload. This condition is also common in [...]
Common Causes of Wrist Pain and Popping Explained
Wrist pain and popping or clicking are common complaints. Generally, wrist injuries with popping can result from overuse during activity or sport, or from trauma from [...]
What is Popliteus Tendinitis and How to Treat It?
Popliteus tendinitis, also known as popliteus tendonitis or tenosynovitis, is a rare cause of pain in the back and outside of the knee. Generally, this condition [...]
Discover the Common Causes of Upper Arm Pain
Upper arm pain is common and can come from the outside shoulder, upper arm, elbow, or neck. Causes of arm pain can be traumatic or overuse. [...]
Ultrasound Guided Cortisone Injection in London
Should you have an ultrasound-guided cortisone injection? Most doctors perform injections 'blind.' This means the doctor must know the anatomy to find the right spot. More [...]
Sudden Pain in the Shoulder Without Injury: What are the Causes?
It is often difficult to identify the exact cause of sharp shoulder pain, which may result from rotator cuff tendonitis, AC degeneration, or frozen shoulder. This [...]
Ultrasound Guided Injection: Improving Accuracy for Better Results
Injections are essential in treating joints and tendons. Common injections include cortisone, hyaluronic acid, and platelet-rich plasma. We think hitting the target is critical to getting [...]
Chest and rib pain: common causes
Chest pain is always thought to be related to heart disease. Although a heart attack should always be excluded, a common cause of chest pain is [...]
Don’t Ignore Snapping Elbow Syndrome: Causes and Treatment
Snapping elbow syndrome, also called triceps snapping syndrome, is a rare cause of elbow pain. As such, it is often misdiagnosed and treated incorrectly. Also, not [...]
Sudden knee pain: is it arthritis?
Knee pain is a common condition that can have many causes. Knee pain can sometimes occur after an injury or fall. In other cases, sudden knee [...]
TFL pain: how do we diagnose it?
Hip pain is a common injury in active runners. Pain outside the hip is thought to be due to trochanteric bursitis or gluteus medius tendinopathy. However, [...]
Exploring the Causes of Snapping Hip Syndrome
Snapping hip syndrome is a condition that causes a snap or pop sound in the hip area with everyday hip movements. Sometimes, the snap can be [...]
Managing Hip Pain in Teenagers: The Case of Hip Apophysitis
Hip pain in sporty teens can be challenging. Active teens are at risk of hip pain due to many causes. The most common reason is hip [...]
Managing Achilles Tendon Pain After Running
Achilles tendon pain after running is a common complaint among active individuals. Tendons are composed of strong, tightly packed collagen fibres that transmit forces from muscles [...]
Diagnosing Bipartite Patella: What You Need to Know
Pain at the front of the knee can be due to patellofemoral pain, patellar tendonitis, fat pad impingement, or plica syndrome. One less common cause is [...]
Surgery for Achilles Tendon Rupture: Is it Needed?
The Achilles tendon is the largest in the body, attaching the heel bone to the calf muscles. As large forces are applied to the tendon, it [...]
Do you have a fibula stress fracture?
Stress fractures of fibula are common in runners and can present with pain and swelling just above the ankle. How can you tell you have a [...]
Ultrasound Suprascapular Nerve Block: When to Use it
A suprascapular nerve block is one of several injections to treat chronic shoulder pain. Doing this injeciton with ultrasound makes it easy. So how do we [...]
Morel-Lavallee Lesion: How Do We Manage it?
Morel Lavallee lesion is a common swelling resulting from trauma. Common sites include the outside hip and thigh. How do we manage a morel-lavallee lesion, and [...]
The Runner’s Curse: Dealing with High Hamstring Tendinopathy
Chronic high hamstring tendinopathy is often called the runner's curse—and for good reason. This overuse injury is common in runners and sports, including football, rugby, hockey, [...]
Tendonitis of Triceps: the weightlifter’s elbow
A weightlifter's elbow is often thought to be due to inflammation of the biceps tendon that attaches to the front of the elbow. The triceps tendon [...]
Shoulder SLAP Tear of the Shoulder: What Does It Mean?
A SLAP lesion of the shoulder is a specific type of shoulder labral tear. Generally, problematic SLAP tears occur in young people involved in throwing sports [...]
Understanding PCL Tear: Causes, Symptoms, and Treatment
Most people have heard of an ACL injury suffered commonly by amateur and elite athletes of all ages. However, a posterior cruciate ligament (PCL) injury accounts [...]
What You Need to Know about Paralabral Cyst Shoulder
A paralabral cyst, or ganglion cyst, is a fluid collection arising from the shoulder's ball-and-socket joint. Generally, these cysts don't cause symptoms unless they push on [...]
How to Manage a Medical Collateral Ligament Injury
An MCL injury occurs when a force strikes the outside of the knee. The MCL tries to resist the force, causing stretching and tearing of the [...]
The Importance of Recognizing Midfoot Sprain and Lisfranc injury
The midfoot consists of bones and joints attaching the front of the ankle to the forefoot. Injuries to this area of the foot also called a [...]
Myositis Ossificans: A Rare Complication of Muscle Injury
Myositis ossificans is an uncommon complication after a muscle tear or acute trauma. Generally, bone forms in the muscle after a muscle injury, causing pain and [...]
Brachial Neuritis: How Do We Diagnose and Manage it?
Parsonage-Turner syndrome, also called brachial neuritis or neuralgia, is a neurological disorder causing severe pain followed by lasting damage to the nerves and muscles. Generally, this [...]
Dealing with Osgood-Schlatter in Adults: Effective Solutions
Osgood-Schlatter disease causes a painful bony lump below the knee. It usually occurs in sporty children and adolescents. Generally, pain and swelling settle after puberty. However, [...]
Diastasis Recti in Men: How to Identify and Address the Condition
Diastasis recti is a condition describing the abnormal separation of the rectus muscles of the abdominal wall. It is common in women who have given birth. [...]
Understanding and Managing Groin Nerve Pain
When people experience pain in the lower abdomen where the leg meets the pelvis, we often call it groin pain. Pain in the groin can also [...]
Living with chronic pain: FAQs
Pain is a common complaint reported to health practitioners. It is estimated that over 10 million people in the UK are dealing with chronic pain. Often, [...]
Discover the Best Hallux Rigidus Treatment
Hallux rigidus is also known as big toe arthritis. It affects adults, usually between the ages of 30-50, and is typically the result of a previous [...]
When and How to Perform a Subtalar Joint Injection
The subtalar joint is often forgotten when people present with ankle pain. However, it is often the site of breaks, sprains, and early arthritis, which causes [...]
Understanding Nerve Pain in the Calf
A pinched nerve in the calf can cause pain in the lower leg or foot, especially when imaging is normal. How do we diagnose a pinched [...]
What is Pseudogout? Causes, Symptoms, and Treatment
Pseudogout, also called CPPD disease, occurs when calcium crystals form in joints. This formation of crystals causes joint pain and swelling, often misdiagnosed as gout or [...]
Meralgia Paraesthetica Explained
Meralgia paraesthetica is a condition that causes burning pain in the outer and front parts of the thigh. It is caused by trapping the lateral femoral [...]
CRPS: Causes, Symptoms, and Treatment Options
CRPS, also known as chronic regional pain syndrome, is a condition thought to be due to an abnormality in the nerves in the spinal cord or [...]
Pinched Nerve: How do We Treat It
A pinched nerve occurs when surrounding tissue, such as tendons, muscles, and bone, puts pressure on a nerve. This usually causes pain, pins and needles, numbness, [...]
Most Common Orthopaedic Procedures: How Good are They?
In general, most common orthopaedic procedures are done for soft tissue pathology (joint, tendon, and nerves). In the UK alone, 25% of all surgeries performed in [...]
Plica Syndrome: What You Should Know and How to Treat It
Synovial tissue lines the knee joint and produces fluid to lubricate the joint. Plica is a thickening of the synovium lining separating the knee joint into [...]
Knee Cartilage Damage: Treatment Options
Knee cartilage starts to wear away as we get older. Knee pain and swelling symptoms develop as the cartilage cushioning begins to fail. So what happens [...]
Understanding and Treating Second Toe Pain
Pain in the second toe is a common complaint among runners and active sportspeople. There are many possible causes of second toe pain and various treatment [...]
Exploring the Causes of Collarbone Pain
The collarbone, also known as the clavicle, connects the shoulder with the chest wall or sternum. Collarbone pain can be caused by an injury such as [...]
Everything You Need to Know About Olecranon Bursitis
Olecranon bursitis, also called elbow bursitis, is a collection of fluid in the sac behind the elbow. This condition can appear out of nowhere or triggered [...]
How Long Does It Take for Ibuprofen to Start Working? Find Out Here
Ibuprofen is a common non-steroidal anti-inflammatory drug (NSAID) used to relieve pain from musculoskeletal disorders such as arthritis, ligament tear, and tendon inflammation. We answer frequently [...]
Effective Frozen Shoulder Treatments: A Comprehensive Guide
Frozen shoulder is a widespread problem that causes shoulder pain and stiffness. Generally, it is more common in women between 40 and 60. This blog outlines [...]
Running After Cortisone Injection: What You Should Know
Marathons are gruelling events. Often, for many contestants, the hard work of training starts early. The goal is to develop fitness slowly and gradually without getting [...]
CrossFit elbow pain: what could it be?
Crossfit is an exercise program that aims to enhance fitness by using functional exercises: running, gymnastics, rowing, and plyometrics. Generally, exercises are varied, so one day, [...]
Understanding and Managing Crossfit Wrist Pain
CrossFit is a high-intensity program of functional exercises. Typically the program incorporates running, gymnastics, weights, rowing, and plyometrics. So, it is no surprise that the wrist [...]
What is Weightlifter’s Shoulder? Causes and Solutions
Weightlifter's shoulder, also known as distal clavicular osteolysis, is pain arising from the end of the collarbone. The bone undergoes swelling and breakdown, leading to pain [...]
Common Crossfit Injuries and How to Avoid Them
We can all pick the Crossfit participants from a mile away: a lean and fit group of like-minded fitness devotees who are enthusiastic and work hard. [...]
Exploring the Benefits of Amitriptyline for Pain Conditions
Amitriptyline is an old-style antidepressant that we sometimes use for pain conditions at lower doses than for depression. Because it works on the nervous system, it's [...]
Understanding Climbers Finger and Common Climbing Injuries
Climbing is becoming more popular with those who enjoy a challenge and the thrill of adventure and risk-taking. Generally, indoor and rock climbing tests the climber's [...]
Managing Jones Fracture: Treatment Options
A Jones fracture is a crack in the bone at the 5th metatarsal or little toe. The 5th metatarsal fracture occur at the base of the [...]
How to Identify and Treat a Torn Pec Muscle
A torn pec muscle is a relatively common injury in bodybuilders and gym enthusiasts. In addition, we see torn chest muscles in certain contact sports such [...]
What is Sesamoiditis and How to Treat It
Sesamoiditis, also known as inflammation of the sesamoid bone of the big toe, is a common cause of big toe pain in runners. Generally, it is [...]
Arthritis in the Foot Arch: Diagnosis and Management
Midfoot arthritis is a common cause of foot pain in middle-aged and elderly patients. The midfoot connects the heel to the front of the foot. Arthritis [...]
Understanding Pain Behind the Knee: Causes and Diagnosis
In general, pain behind the knee is one of the more challenging musculoskeletal problems. There are many possible causes, including muscle tears, tendon injuries, nerve damage, [...]
Osteitis Pubis Cortisone Injection: When should you use it?
There are many causes of groin pain in athletes. One of the more common causes of groin pain is osteitis pubis, also known as pubic symphysitis. [...]
Why are Cortisone shots are bad for You: Debunking the Myths
More than 500,000 cortisone injections are performed for musculoskeletal conditions such as arthritis and tendonitis. Although cortisone effectively reduces inflammation in these conditions, it is often [...]
Quadriceps Tendonitis: Everything You Need to Know
Although less common than patellar tendonitis, quadriceps tendonitis is an important cause of quad pain above kneecap. So, how do we diagnose quadriceps tendon pain, and [...]
Injections for Hip pain: What are Your Choices
The most common hip arthritis is osteoarthritis. This condition is characterised by the progressive loss of cartilage in the joint. As the cartilage is worn, bone [...]
Wrist Arthritis: Causes, Symptoms, and Solutions
Arthritis in wrist is a common cause of wrist pain as we age. This is because the cartilage in the radiocarpal joint wears away in wrist [...]
Understanding and Managing Hip Pain After Running
Hip pain is common after running. The most common cause of hip pain after running is overload syndrome, but other factors, such as hip joint arthritis, [...]
Sacroiliac Joint Injection: Exploring Treatment Options
Sacroiliac joint pain is an under-recognised cause of buttock or groin pain. Generally, treatment consists of exercise therapy and modification of activity. However, not all cases [...]
Treating a Knee Meniscus Tear: Surgery vs. Physical Therapy
A torn meniscus in knee is a common cause of knee pain affecting active sportspeople and the elderly. Previously, we would treat a torn meniscus with [...]
Patellar Tendonitis: Symptoms and Treatment
What is jumper's knee? Jumper's knee, also known as patellar tendinitis, is an overuse patellar tendon injury causing pain below the kneecap. This tendon connects the [...]
Treating Kneecap Arthritis: Options and Pain Relief
Arthritis of the knee cap, also called patellofemoral arthritis, is a common cause of pain at the front of the knee. The cartilage behind the knee [...]
Elbow Tunnel Syndrome: What You Need to Know
Cubital tunnel syndrome is a nerve pressure syndrome causing pain, numbness, and pins and needles. Many people have heard of carpal tunnel syndrome, a nerve pressure [...]
Exploring Piriformis Syndrome: Symptoms and Diagnosis
Piriformis syndrome is a chronic condition arising from the piriformis muscle. This muscle causes pain locally in the buttocks. However, given its closeness to the sciatic [...]
Exploring the Effectiveness of PRP Injections for Knees
The most common cause of arthritis in the knee is osteoarthritis. The progressive wearing of the cartilage characterises this condition. As the cartilage wears away, bone-on-bone [...]
Diagnosing Sinus Tarsi Syndrome: A Comprehensive Guide
Sinus tarsi syndrome is a relatively common condition causing pain at the front and outside of the ankle. Generally, it is often confused with other ankle [...]
Diagnosing Fat Pad Impingement: Symptoms and Treatment
Fat pad impingement of the knee, also called Hoffa's syndrome, is a common cause of pain in the front of the knee. However, we should differentiate [...]
SL Ligament Tear: A Guide to Symptoms and Treatment
A wrist sprain is a diagnosis we give to persistent wrist pain after a fall. There are many potential causes of wrist pain after injury, with [...]
High Ankle Spain: The Hidden Danger of Ankle Sprains
Syndesmosis injury, also known as a high ankle injury, is more common than thought. Generally, these injuries occur with other injuries, such as ankle sprains and [...]
Does PRP for Tennis Elbow Really Work?
Tennis elbow or lateral epicondylitis is among the most common causes of elbow pain. It does not solely occur in tennis players but in anyone active [...]
Painful lump on the Side of My Knee: what is it?
A lump on the side of knee - either inside or outside- is most likely a meniscal cyst. A meniscal cyst is a collection of thick [...]
Haglund’s deformity Demystified
Posterior heel pain is a common condition affecting the general population. When doctors talk about posterior heel pain, they mean pain at the back rather than [...]
Cortisone Vs Hyaluronic Acid for Knee Pain
Overall, exercise therapy is the best form of medicine for knee arthritis. Other factors, such as weight loss and reducing cholesterol and sugar, are also essential. [...]
Private Cortisone Injection UK Cost
Cortisone Shot London is a new low-cost service for private insurance and self-pay patients. Given the current wait times in the NHS, this service meets the [...]
Managing Elbow Bursitis: Symptoms and Solutions
Elbow bursitis, also called olecranon bursitis, is swelling in the sac of fluid at the back of the elbow. It often presents as a soft lump [...]
The Impact of Hip Dysplasia in Adults: What You Need to Know
Hip dysplasia in adults is a medical term that describes an abnormal hip joint shape. Usually, the socket of the joint is too shallow for the [...]
Triangular Wrist Cartilage Tear: What Are the Options?
The wrist joint contains cartilage known as the triangular fibrocartilage complex, or TFCC. This cartilage is located on the inside or ulnar aspect of the wrist. [...]
Understanding Pulled Muscle in Calf: Causes and Treatments
Sudden calf pain during sport is often due to a calf tear or pulled calf muscle. A calf tear, also known as a calf strain or [...]
Os Trigonum Syndrome: An Expert’s Perspective
The os trigonum is a small extra bone that sits at the back of the ankle joint. This extra bone is present in 5-15% of the [...]
Understanding Peroneal Tendonitis: Causes and Treatment
The peroneal tendons connect the muscles outside the lower leg with the outside of the foot. These tendons can cause ankle problems through tendonitis, tears, and [...]
Posterior Tibial Tendonitis: Common Causes and Effective Relief
Posterior tibial tendonitis causes pain on the inside of the ankle. Generally, treatment consists of exercises, orthotics, and injections. So, how long does posterior tibial tendon [...]
Ultrasound Guided Ankle Injection for Ankle Arthritis
Ankle arthritis is less common than knee or hip arthritis. The most common joint affected is the ankle joint between the leg (tibia) and the ankle [...]
Is Nstride PRP the Future of Regenerative Injection Therapy?
Platelet-rich plasma, also known as regenerative injection therapy, treats common musculoskeletal conditions, including knee arthritis. We produce PRP from whole blood taken from your arm. The [...]
Everything You Need to Know About Navicular Stress Fractures
A navicular stress fracture is a common overuse injury in active athletes. We see this injury in runners, basketballers, track and field athletes, and soccer players. [...]
Long Head of Biceps Tendon Injury and Shoulder Pain
Shoulder pain may be due to many causes, such as rotator cuff tendinosis, shoulder joint arthritis, and frozen shoulder. However, in some less common cases, shoulder [...]
Hip Stress Fracture: A Common Injury for Active Runners
A stress fracture of the hip is an injury close to the ball and socket hip joint. Stress fractures are injuries to the bone caused by [...]
Calcaneal Stress Fracture: A Common Injury in Runners
Heel pain is common in runners. While plantar fasciitis is the most frequent cause of heel pain in runners, a calcaneal stress fracture can also occur. [...]
Subacromial Bursa Injections For Rotator Cuff Tendonitis
Rotator cuff tendon problems are the most common cause of shoulder pain. Problems with the rotator cuff tendons include tendonitis, calcification, and tears. Generally, treatment is [...]
Expert Insights: Cortisone Shot in Hand for Arthritis
Your hand and wrist consist of a complex set of bones, joints, tendons, nerves, and muscles that work perfectly to bring seamless coordination to fine motor [...]
Hip Impingement Explained: Causes and Treatment
Hip impingement, or femoroacetabular impingement, is associated with an abnormal ball-and-socket joint shape. It is common among active sportspeople and even more prevalent among elite athletes. [...]
Understanding Baker’s Cyst on Ultrasound: Causes and Symptoms
A Baker's cyst, also known as a popliteal cyst, arises from the knee joint and causes a lump at the back of the knee. Generally, we [...]
Ganglion Cyst Drainage: How to Do It
Ganglion cysts are fluid-filled capsules that commonly form on the tops of wrists. However, these cysts can form around any joint or tendon. Removing the fluid, [...]
Exploring the Effectiveness of Intra-Articular Shoulder Injections
Shoulder arthritis causes pain and stiffness. It occurs in people older than 50 and is more common after an injury. Shoulder joint injections can help. But [...]
Acromioclavicular Joint Pain: When to Use an Injection
AC joint injection is used to treat pathology such as AC joint arthritis. When is an AC joint effective, how do we do it, and what [...]
Quick Solutions for Immediate Gout Pain Relief
Gout is an inflammatory joint disease commonly affecting men in their 40s and 50s, sometimes younger. It causes severe pain and swelling. Most people want immediate [...]
Baxter’s Neuropathy: A Rare Cause of Heel Pain
Plantar fasciitis or heel spurs are the most common cause of chronic heel pain. However, not all cases of heel pain are due to plantar fasciitis. [...]
Lateral ligament ankle sprain: how to treat it properly?
A lateral ligament ankle sprain occurs when the ligaments outside the ankle are stretched beyond their limits. Injury to these ligaments causes pain and swelling in [...]
Understanding Housemaids Knee: Causes and Treatments
Housemaid's knee, also known as prepatellar bursitis or kneecap bursitis, causes swelling and pain at the front of the knee. So, why is it called 'housemaid's [...]
How long does it take for a cortisone shot to work: FAQs
We use cortisone injections for arthritis and tendonitis. Commonly asked questions include how long does it take for a cortisone shot to work. In this blog, [...]
Iliopsoas tendon injection: will it help iliopsoas bursitis?
Iliopsoas bursitis/tendonitis is a vague term relating to symptoms arising from the iliopsoas tendon, which bends your leg at the hip. It is an overuse condition [...]
Meniscus Injections: An Option for Knee Relief
Most meniscal tears in the knees are degenerative and get better with exercise. However, some cases are more challenging and don't improve. Previously, we would offer [...]
Hyaluronic Acid and PRP injection together: Is it Better for Knee Arthritis?
Knee arthritis is a common disease in the general population. A recent study found that twice as many people have this condition as 10 years ago. [...]
Antibiotics and Achilles Tendon Injuries: Harmful or Helpful?
Achilles tendonitis is common in middle-aged runners and elite and amateur sportspeople. The most common cause is too much load on the tendon. However, obesity, diabetes, [...]
Steroid Injection in Big Toe Joint
Arthritis of the big toe, also known as hallux rigidus, is a common condition that causes pain and reduced movement. If other treatments for arthritis fail, [...]
Exploring the Benefits of Injection for Frozen Shoulder
Adhesive capsulitis hydrodilatation is a special type of frozen shoulder cortisone injection to treat pain and restriction of movement. But what is a frozen shoulder hydrodilatation [...]
Expert Tips for Relieving Bicep Tendonitis Elbow
One of the more common gym injuries is biceps tendonitis of the elbow. Excessive exercise or overload can lead to swelling of the biceps tendon and [...]
Is a Golfers Elbow Injection Beneficial? Treatment Options Explored
Golfers elbow injections are helpful in complex cases that fail other treatments. But how do you correctly diagnose Golfer's elbow, and what treatments are available apart [...]
Understanding and Treating Trochanteric Bursitis
Our hip joints are one of the largest and strongest in our bodies. They provide strength and flexibility during walking, running, and jumping. However, the hip [...]
Proximal Hamstring Tendinopathy: Tips and Tricks
If you are a runner who has been experiencing an ache in the back of your upper thigh or buttock – close to your ‘sit bones’- [...]
Hyaluronic Acid Viscosupplementation Injection: Expert Advice
Arthritis and tendonitis are common in the general public. For those actively involved in sports or running, arthritis and tendonitis can cause pain and swelling that [...]
Everything You Need to Know About Pes Anserine Tendinitis
Knee pain is common in runners. However, if your pain is inside your knee, you might have pes anserine bursitis or lower hamstring tendonitis. What does [...]
Calcific Tendonitis in Shoulder: How do we manage it?
Shoulder pain is a common complaint affecting up to a third of the general population. One cause of shoulder pain is calcific tendonitis shoulder, a very [...]
Should you have a cortisone injection in thumb joint?
Thumb arthritis is the most common arthritis of the hand and wrist, affecting the joint at the base of the thumb, also known as the carpometacarpal [...]
De Quervain’s Tenosynovitis Injection: Do You Need It?
De Quervain's tenosynovitis is a painful condition affecting the tendons of the thumb and wrist. So, it is unsurprising that patients ask about a cortisone injection [...]
Trigger Finger Injection: How effective is it?
Trigger finger is a common overuse condition affecting one or more fingers or thumbs. One of the more effective treatments for trigger finger is a steroid [...]
Who Benefits from Ultrasound Carpal Tunnel Injection?
Carpal tunnel syndrome is a common wrist condition in the general population that we treat well with an ultrasound carpal tunnel injection. So, do you need [...]
Adductor Tendonitis Injection: Options for Complex Groin Pain
Adductor tendonitis is just one of the many possible diagnoses for groin pain in runners or athletes. In a previous blog, Dr Masci discussed the causes [...]
Expert Advice from a Tendonitis Specialist Doctor
What is tendonitis? Tendons are rope-like collagen proteins bundled together to form fibrils. The primary function of tendons is to transmit forces from muscle to bone [...]
Groin pain in runners: what are the causes?
Groin pain in runners is often referred to as a pulled groin or groin strain. These terms suggest that pain is due to a muscle tear. [...]
Is an IT Band Injection Effective? Find Out Here
Some conditions in sports medicine are relatively easy to diagnose but are challenging to manage. A good example is a condition often seen in runners called [...]
Pars Defect in Active Teens: A Closer Look
We are always on guard when an active young teen presents with low back pain. Unlike adults who experience general low back pain, many active teens [...]
Scraping Tendons: An Alternative to Surgery for Tendonitis
Most cases of patellar or Achilles tendonitis improve with exercise therapy that strengthens the muscles above and below the affected tendon. In addition, we occasionally use [...]
Knee Shots for Arthritis: Exploring Your Options In London
Arthritis occurs when the cartilage in a joint wears away, exposing the bones. This bone exposure leads to pain, swelling, and reduced function. Generally, simple treatments [...]
Tendon specialists: Tales from the Tendon clinic
This innovative webinar takes listeners through top tips on how to manage lower limb and buttock tendinopathy. Dr Lorenzo Masci, a [...]
Understanding Plantaris Tendon and Its Role in Achilles Tendonitis
Achilles tendonitis is one of the most common causes of ankle pain among active individuals, including walkers, runners, and team-sport players. The cause is complex, but [...]
The Truth about Stem Cell Therapy for Arthritis
Not a day goes by without a reference to the magical effects of stem cell therapy for the regeneration of nerves and muscles for diseases such [...]
Ultrasound Guided Injections in London
We use injections in sports medicine to reduce pain. Drugs injected include cortisone, hyaluronic acid, and platelet-rich plasma (PRP). In most cases, we perform these injections [...]
Steroid Injections in Shoulder: Pros and Cons
Overall, exercise is the most effective treatment for shoulder pain. However, severe shoulder pain sometimes limits the amount of exercise that can be done. In these [...]
Plantar fasciitis injection: Is it effective?
The plantar fascia is a strong, fibrous band that connects the heel to the forefoot. It helps support the ankle and arch of the foot. Injury [...]
Tennis leg: New Study suggests Ultrasound is useful
Tennis leg is a common cause of calf pain in professional athletes and weekend warriors. Although 'tennis leg’ occurs in middle-aged tennis players, it also occurs [...]
Choosing the Right Tendon Injection
The most effective treatment for most tendonitis is a rehabilitation program that includes strengthening exercises. The key to improving tendons is to engage in exercise and be [...]
Extracorporeal Shockwave Therapy for Common Injuries
Extracorporeal shockwave therapy treats common MSK conditions such as Achilles tendonitis, plantar fasciitis, tennis elbow, and stress fractures. Additionally, there is substantial scientific evidence that shockwave [...]
GTN Patch for Tendonitis: The Solution for Pain Relief
Managing Tendonitis is always tricky. We know that exercise therapy is the best treatment for Tendonitis. However, some people struggle with exercise and require other treatments. [...]
The Cost of Cortisone Injections in London
Over 500000 cortisone injections are performed annually on patients in the UK for joint and tendon problems. But is a cortisone injection cost in London worth [...]
Sports Doctor: Your Go-To Specialist for Musculoskeletal Injuries
You Need to See a Sport Doctor... When someone suffers a musculoskeletal injury, knowing how to get help to ensure a quick recovery can be difficult. [...]
Finding the Best Treatment for Arthritis: Expert Advice
The American College of Rheumatologists has released guidelines for the best treatment for arthritis pain. These recommendations are based on a review of current evidence for [...]
Hip Joint Injections for Pain Relief: Everything You Need to Know
Why would someone have a hip injection? Hip joint injections relieve pain from joint diseases such as arthritis. Hip arthritis is among the most common causes [...]
Platelet-Rich Plasma Injection: Effective for Arthritis and Tendonitis?
Platelet-rich Plasma or PRP injections for joints and tendons are becoming more popular. They form part of the new field of regenerative medicine, used in joints [...]
Frozen Shoulder Injection: What You Need to Know
Frozen shoulder, also known as adhesive capsulitis, is an inflammatory condition affecting the shoulder joint capsule. It occurs in approximately 5% of the population and is [...]
Morton’s Neuroma Injection: What You Need to Know
Morton's neuroma is a thickening or swelling of the nerve between the small bones of your forefoot. The nerve becomes swollen because it is trapped between [...]
Injection for Tennis Elbow: Is it the Right Choice for You?
Tennis elbow is a painful condition affecting the outer part of the elbow joint. It is common in athletes and ordinary people who perform repetitive elbow [...]