SEM doctors fill the care gap between general practitioners and surgeons.
If you have any musculoskeletal concerns, it makes sense to see us first. Typically, your first consultation will include imaging if it is necessary. A quick and accurate diagnosis of the problem will put you on the road to recovery sooner. Additionally, consider that 80% of MSK conditions do not require surgery. In essence, the solution is right here.
Sports Medicine doctors take a holistic approach to diagnosing and managing any musculoskeletal condition. They are able to assess your musculoskeletal disorder, perform on-site MSK ultrasound and arrange other imaging to ensure a correct diagnosis of your injury in a time-efficient manner. Sports Medicine doctors can plan your rehabilitation with members of your rehabilitation team including physiotherapists, podiatrists and personal trainers. They will take control of your care ensuring your musculoskeletal disorder is heading in the right direction at the right speed.
Dr Masci has expertise in managing the following musculoskeletal conditions:
DIAGNOSTIC ULTRASOUND
Dr. Lorenzo Masci is an expert in the use of diagnostic ultrasound. In many cases, MSK care, services, and treatments involve imaging. Generally, ultrasound imaging is an effective tool for viewing the entire area causing pain, including joints, ligaments, and tendons. In short, the technique uses sound waves to relay a detailed picture of the site in question. One of the essential advantages of ultrasound is that it does not expose the patient to radiation. In addition, ultrasound images can detect blood flow abnormalities in a muscle or tendon. These essential details enable a doctor to understand the problem or reason for pain better.
If an ultrasound scan is necessary, it can be performed during your first visit. Our goal is to provide a One-Stop Solution for musculoskeletal disorders. Some of the most common musculoskeletal disorders that are visible during an ultrasound include:
- Muscle tears or injuries as a result of sport or activity
- Tendon disease including Achilles, knee, pelvis, shoulder, tennis elbow, golfer’s elbow, and wrist
- Ligament injuries, including ankle ligament sprains and knee ligament injuries
- Joint swelling, including knee, ankle, and wrist swelling
ULTRASOUND-GUIDED INJECTIONS
Building on his diagnostic ultrasound skills, Dr. Masci also has extensive expertise in ultrasound-guided injections. Injections are an essential part of MSK treatment. Depending on the condition, an injection may provide pain relief and restoration of movement in a joint, ligament, or tendon. Also, injections enhance patient rehabilitation and recovery. Using ultrasound during the procedure enables direct visualisation of the area to be injected. A clear, live view of the structure during the injection allows precision placement of the material (or injectate). In essence, ultrasound guidance dramatically improves the overall effectiveness of the treatment.
Dr. Masci performs a range of ultrasound-guided injections, including cortisone and Hyaluronic acid (Durolane, Synvisc, Ostenil). In addition, platelet-rich plasma (PRP) injections to treat tendonitis or arthritis are also available. Finally, our One-Stop Injection Clinic streamlines three procedures into one consultation whenever possible.
Click on the location of your pain to find out if an injection is an option:
SHOULDER INJECTIONS
ELBOW INJECTIONS
- Tennis elbow
- Golfer's elbow
- Elbow biceps tendonitis
- Radial tunnel syndrome
- Cubital tunnel syndrome
- Triceps tendonitis
- PRP tennis elbow
- Nerve hydrodissection for elbow nerve entrapment
- Percutaneous needle tenotomy for elbow tendonitis
- Elbow Plica Syndrome
- Tenex procedure for tennis and golfer's elbow
WRIST AND FINGER INJECTIONS
HIP AND GROIN INJECTIONS
- Osteitis pubis
- Adductor tendonitis
- Hip arthritis
- Hip impingement
- Greater trochanteric pain syndrome
- Iliopsoas tendonitis
- Groin nerve pain
- High hamstring origin tendonitis
- Proximal hamstring tendon tear
- Piriformis syndrome
- Ischiofemoral impingement
- Meralgia Paraesthetica
- Sacroiliac joint pain
- Hyaluronic acid hip joint
- Nerve hydrodissection for nerve entrapments in the hip and groin
- Percutaneous needle tenotomy for hip tendonitis
- Barbotage for calcific Rectus Femoris Tendonitis
- Tendonitis of Gluteus Maximus
KNEE INJECTIONS
- Knee arthritis
- Meniscal tear
- Pes bursitis
- Pellegrini-Stieda syndrome
- Patellar tendonitis
- Low hamstring tendonitis
- PRP for knee arthritis
- Hyaluronic acid for knee arthritis
- Baker's cyst drainage
- Nerve hydrodissection for saphenous nerve entrapment
- Percutaneous needle tenotomy for knee tendonitis
- Tenex procedure for patellar tendonitis
- Injection for Painful Bipartite Patella
- Biceps femoris tendonitis
FOOT AND ANKLE INJECTIONS
- Ankle arthritis
- Arthrofibrosis ankle
- Tibialis posterior tendonitis
- Mid-foot arthritis
- Sub-talar joint arthritis
- Insertional Achilles tendonitis
- Mid-portion Achilles tendonitis
- Achilles Paratenonitis
- Baxter's nerve entrapment
- Plantar fasciitis
- Morton's neuroma
- Big toe arthritis
- Ankle sprain
- Posterior ankle impingement
- Arthrofibrosis ankle joint
- Tarsal coalition
- Os peroneum
- Accessory navicular syndrome
- Sinus tarsi
- Nerve hydrodissection for ankle nerve entrapments
- Percutaneous needle tenotomy for ankle tendonitis
- Tenex procedure for plantar fasciitis
SHOCKWAVE THERAPY
Shockwave therapy is a relatively new and innovative musculoskeletal treatment. Overall, the procedure works by sending a mechanical sound wave to the affected tissue. However, there are many theories and claims for micro and cellular science. Soundwave stimulation of the affected tissue benefits the organism and indirectly affects pain nerve fibres.
Several types of sports injuries respond well to shockwave therapy. Treatment can provide pain relief for various sports injuries and musculoskeletal disorders, including:
- Shoulder tendonitis, including such as calcific tendonitis
- Tennis and golfer’s elbow
- Patellar tendinopathy or Jumper’s knee
- Hamstring tendonitis
- Hip tendonitis, iliopsoas tendonitis
- Achilles tendinopathy
- Plantar fasciitis
Typically, 3-5 sessions of shockwave therapy at weekly intervals are required. Therefore, shockwave therapy is best combined with an exercise program.
