Author Archives: Peter Sweeney

Ligament Injury: Especially at The Knee & Ankles

Ligaments are a tough band of tissues that connect our bones together. They play a significant role in facilitating smooth movement of the bones, as their function is to give a buffer when moving that safeguards the joint from any kind of damage. They are made of collagen fibres and they look like bundles. A ligament forms the joint of two bones, unlike tendons, which join bones with muscles. Ligament injury is very common; especially at the knee and ankles. This is one of the most common sports injuries, meaning there are a number of specialised clinics in London that can provide treatment for this.

What is a Ligament Injury?

Ligament injuries are quite common and can happen to anyone anytime, though athletes are prone to it. Sometimes a joint is stressed beyond its level of sustenance. This may cause it to snap. A direct heavy contact, like sudden twisting of a joint or landing in awkward posture can cause ligament injury. The knee and ankle joints bear the weight of our body and are always under high pressure. This makes them highly susceptible to injury.

There are three grades of ligament injury:

  • Mild range tear
  • Moderate range tear
  • Complete tear

Symptoms of a Ligament Injury:

In the case of a severe trauma where a joint has been overstressed beyond its capacity, you may experience a ligament injury with the following symptoms:

  • Sudden pain with swelling
  • Unstable joint
  • Joint functioning is hindered; manifesting as an inability to walk, run or make any movement.

Treatment of Ligament Injury:

There are world class clinics and facilities in London for treatment of ligament injury’s. But before going to the doctor, you should follow the basic rules when dealing with any kind of sprains, strains and tears. You can remember these rules using the acronym, RICE:

  • R stands for rest, where you have to give rest to the affected area
  • I is for ice, which means apply an ice pack in the injured part for 30 minutes every three to four hours
  • C means compression, where you need to wrap the affected area with elastic or crepe bandage. This bandage will give warmth, which is needed for a quick recovery
  • E which means elevation. The injured joint is given elevation with the help of traction.

These procedures are to be followed while you wait for doctor’s appointment. If the pain gets worse, you can use a non-steroidal anti-inflammatory pill like asprin or ibuprofen.

In case of a mild to moderate grade of injury, medicines, self care and physiotherapies will be recommended. However, in severe cases ligament injury clinics may recommend surgery.

There are two kinds that are most common:

  • Arthroscopy
  • ACL reconstruction

Whether or not you undergo surgery, rest is very important when recovering from such injuries. The more you rest, the less time it will take to heal. Proper care and therapies are very important to get back the same posture and gait.


Common Sports Injuries to Be Aware Of

Sports activities offer excellent ways to enhance our physical flexibility and endurance. They keep our bodies highly active and boost our energy levels. Whether you are someone who takes an active part in professional and amateur sports activities or not, it is always a good idea to practice a number of different sports activities as they can benefit your overall health.

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Acupuncture Therapy: Lead to Numerous Health Benefits

Acupuncture is a traditional alternative therapy that is thought to be two millennia old. It originates from China with the earliest known instance of the therapy dating back to about 400 BC. However, it is only recently that the western world has begun to appreciate this therapeutic method.

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Meniscal Tear: Damage to The Meniscus

Our knee joint is formed when three bones – femur (thigh bone), tibia (shin bone) and patella (kneecap) – meet. The tough and rubbery cartilages act as cushions or shock absorbers for the femur and tibia, which keep the joint stable and movements smooth. These cartilages are called the Meniscus.

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Elbow Injury Arising from Sporting Activities

“Live life to the fullest” is a maxim that is easy to say but difficult to follow, as exerting ourselves through sports and play can lead to injury, sprain and long term chronic conditions.

Causes of elbow injury:

Injury to the elbow is one of the main concerns a sportsperson faces, and may necessitate treatment with surgery. Injury and inflammation may happen due to overuse but may include other causes such as bursitis, arthritis, or trauma. At times, it may occur due to a pinched nerve.

Surgical Options for Elbow Conditions:

You need surgery when your medical condition does not respond to conservative treatment and rest.

Below are some of the common types of elbow surgery:

Distal biceps tendon surgery:

This procedure is appropriate when the tendon supporting the bicep is torn. It involves re-attaching the tendon (called the distal biceps tendon) through surgery. The surgeon removes all the damaged portions.

Cubital tunnel surgery:

This procedure involves release of the compressed ulnar nerve through surgery. This may involve making room for the nerve, or transposition of the nerve to a new place. It could also involve removing the epicondyle as this will allow more room for the nerve.

Tennis elbow surgery:

As the name suggests, this surgery is for sportsmen who suffer elbow injury due to sporting activity. Inflamed tendons give rise to elbow pain. The surgeon removes these inflamed tendons and reattaches the remaining healthy tendons.


The Leading Medical Facility for Musculoskeletal Specialist Treatment

Harley Street Medical Centre is the leading medical facility for musculoskeletal specialist treatment. Home to the best surgeons and consultants, their equipment is state of the art and modernized in full. Their multidisciplinary team of medical professionals and paramedical support offer the highest standard of care, providing timely assessment, diagnosis, and treatment.

Treatment for knee, wrist, hand, shoulder, and elbow:

One must take care to avoid wearing out the joints and tissues. This is one of the cornerstones of pain management in the ligaments, tendons, muscles, and bones. Any routine movement can result in pain eventually, and in these cases physiotherapy is used to halt the pain and improve the healing process.

Conditions for treatment

A painful condition may occur due to external injuries or diseases. The pain and distress vary according to the type of the ailment and the age of the patient.

Some of the conditions that need treatment include the following:

  • De Quervain’s tendinitis
  • Carpal tunnel syndrome
  • Dupuytren’s contracture
  • Fractures and joint injuries
  • Rotator cuff tears
  • Dislocated wrist
  • Mallet finger
  • Repetitive motion syndrome
  • Trigger finger
  • Tendon Ruptures

Each condition needs separate diagnosis by a specialist in that field. For instance, to look into the causes of and cures for shoulder pain, you need the services of an orthopedic surgeon. If the pain is due to swelling in the tissues of the shoulder joint, you must refer to a rheumatologist.

Treatment:


The treatment begins with the assessment by the team of professionals at Harley Street Medical Centre. The diagnosis includes a series of tests and scans, which may include clinical examination, blood tests, medical imaging, and gait analysis. The treatment includes guided injections, PRP treatment, and shockwave therapy among others.

Non-invasive treatment for a variety of medical conditions:


Immobilization is a manual therapy useful for bone injuries and spinal alignment problems.
Minimally invasive procedures may include a guided injection. The ultrasound-guided injection is a useful treatment for a variety of ailments such as bursitis, tendonitis, and others. You need not undergo hospitalization to have a guided injection.

Another non-invasive treatment process is shockwave treatment. It does not involve anesthetics, surgery, or pain. This is a proven musculoskeletal treatment procedure and it gives fast relief from pain. The PRP method uses platelet-rich blood and the bodies natural healing capabilities to enhance the regenerative process.

Medical imaging for studying the internal structure:


To get a thorough picture of a patient’s internal musculoskeletal state, your consultant will use imaging techniques. These include MRI, X-Ray, Ultrasound, and CT scanning, all available at Harley Street Medical Centre.

Gait analysis:


Gait analysis is used to analyze the condition of the feet and lower limbs. This involves making a video of how you walk or run and then slow the video down to identify issues or inefficiencies and is especially useful for those who are involved in sporting activities.


Orthopedic Physiotherapy Deals with Our Body’s Musculoskeletal Systems

Physiotherapy is an integral part of the recovery process. Surgeries that involve the nervous, muscular and skeletal systems often require physiotherapy sessions to help with patient rehabilitation.

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Musculoskeletal Clinic: The Best Placed to Return You to Health

Health is a gift we ought to treasure. Everyone has the right to remain healthy, but even our fitness activities can cause breaks, sprains, injuries and more. Sports can result in our bones, joints and ligaments falling into poor health. If this happens, a Musculoskeletal Clinic, London is best placed to return you to health.

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Advancements in Treatment Methods Using PRP Treatment

Platelet-rich plasma (PRP) therapy is a cutting-edge medical technology that avoids the need for complicated methods and equipment. PRP treatment forms a part of the prolotherapy methods of treatment that deals with the healing of wounds and soft tissues. Prolotherapy is a regenerative treatment therapy used at Harley Street Medical Centre

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Winter Sports: Skiing & Foot Pain

“The human foot is a masterpiece of engineering and a work of art”, Leonardo da Vinci

With winter having arrived I thought it appropriate to provide some helpful advice for this season.

The one thing that winter comes with in this part of the world is cold weather, which often brings ice and snow. These are both potentially dangerous as they change the friction levels of the ground we are used to interacting with. Reduced friction increases the likelihood of us slipping and falling where we can sustain impact injuries and fracture bones. However, more common are soft tissue injuries where ligaments and tendons are stretched beyond their normal range of motion and become damaged. Ligaments connect bones together and once torn or stretched, the relevant joint will usually have increased range of motion. A previous bony injury on the other hand could also limit range of motion.

The foot contains 26 bones, 33 joints and more than 100 muscles, tendons and ligaments. These make the foot a complex structure allowing the endurance of high amounts of stress from high impact activity. The foot therefore plays an important role in skiing.

Skiing is a complex sport which relies on pronation to control the inside edge of the ski. Most common complaints experienced by skiers are pain in the arches, which is often found in individuals whom have flat feet and more flexible foot types. This could however also be secondary to poor fitting boots or lack of support inside of the ski boot.

Importance of stability and the intrinsic muscles of the foot:

It has been reported that pain and lack of stability in skiers may also be due weakness or dysfunction in the muscles at the bottom of the foot, which are called intrinsic foot muscles. The intrinsic foot muscles are comprised of four layers that have both their origin and insertion within the foot. The most superficial layer has been reported to aid in stabilizing the arch. It has been suggested that loss of strength and dysfunction of these structures contributes to foot conditions, such as plantar fasciitis and flat feet.

As the intrinsic muscles start working harder to increase stability, this may eventually lead to overloading, overuse and increased stress with eventual pain and pathology. This falls into a field known as the Tissue Stress Theory.

Ideally the amount of stress and strain should be within a certain limit, referred to as the Elastic Limit, where tissue may undergo tolerable degrees of stress without failure or damage. However, when the amount of stress and strain increases above the elastic limit due to instability of the foot, this would shift soft tissues from the elastic region to the plastic region, which is essentially where the structure undergoes more stress than tolerable. This leads to microtrauma, overuse and pain.

Treatment for the skier’s foot pain is focused on three approaches:

  • Strengthening of the intrinsic muscles of the foot
  • Support and the use of a stabilizing orthotic device to reduce further stress on the foot
  • Ensuring proper boot fit via a professional without any pressure points on the foot

See a professional podiatrist who can assess your range of motion and foot type. A good skiing position relies on correct boot fitting and sufficient biomechanical movements of the lower limb, particularly pronation and supination of the foot. You may benefit from a custom pair of skiing orthotics.

Written By Mr. Steven Thomas & Amir Saipoor

Please get in Contact to book an appointment with either Mr. Amir Saipoor or Mr. Steven Thomas


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Testimonials

Back on the dance floor

Mr Kaser Nazir was my second opinion foot specialist after not being happy with the "verdict on my future before". I had a plantar plate injury. For a full time professional dancer teacher this was devastating. After meeting Mr Nazir I felt instantly reassured and I knew this is all going to be good. He Continue Reading

Monika Molnar

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Recent Posts: London Musculoskeletal Centre | Orthopedic & Sports Medicine

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