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 of the ankle to the large deltoid ligament. So, how does a sprain of the deltoid ligament occur, and how do we manage it? What is the deltoid ligament? The deltoid ligament is a large triangular structure containing superficial and deep fibres. It starts at the tip of the medial malleolus and fans outwards to various bones on the inside of the ankle. Its primary function is to provide stability to the inside of the ankle and medial arch. The de ..read more

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 does an intra-articular shoulder injection, such as cortisone, help with the pain, and should the injeciton be done with ultrasound? What is the shoulder joint? The shoulder joint is a ball and socket connecting the upper arm with the shoulder blade. The joint has more movement than any other joint in the body. The cartilage and ligaments of the shoulder provide more stability. What type of shoulder arthritis do you have?   O ..read more

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 exercise-based. Sometimes, however, we use a subdeltoid bursa injection to help with exercise. When should we use a bursa injection? What is the rotator cuff? The rotator cuff is a group of four tendons surrounding the shoulder’s ball and socket joint. They provide strength to lift the arm in all directions. However, they also provide stability to the shoulder to firmly hold the ball of the shoulder (head of th ..read more

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 to heel pain and difficulty running. Sometimes, the plantar fascia rips leading to a rupture. What is a plantar fascia tear, and how do we treat it? What is the plantar fascia? The plantar fascia is a thick fibrous band passing along the underside of the foot connecting the heel with the toes. It is composed of a large central and a smaller lateral band. Generally, we see swelling and tears where the plantar fascia attaches close to the h ..read more

Arthritis occurs when the cartilage of the joint wears away, exposing bone. This bone exposure leads to pain, swelling, and reduced function. Generally, simple treatments such as exercise, medications, and weight loss have the best effect on arthritis. However, we use knee injections for arthritis in London to help these simple treatments in complex cases. So, what are the options for knee joint injections, and how do you decide? Knee injections for arthritis in London: What is available? We can use different types of medications to inject. Anti-inflammatory injections for arthritis  ..read more

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 forearm is tennis elbow. One rare cause of lateral elbow and forearm pain is radial tunnel syndrome, also known as posterior interosseous nerve syndrome. What is radial tunnel syndrome, and what can you do about it? What is radial tunnel syndrome?  Radial tunnel syndrome describes a compression neuropathy of the radial nerve branches passing through the outside of the elbow. The radial nerve starts high up in the brachial plexus. It ..read more

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 the most success in improving tendonitis pain, many people struggle to return to their sport. Recently, an exciting rehab approach – Tendon Neuroplastic Training – has shown promising signs of improving the effectiveness of exercise for tendonitis. What is Tendon Neuroplastic Training, and how do you add this treatment to your current programme? How do we currently treat tendonitis?  Gen ..read more

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 of the ankle to the large deltoid ligament. So, how does a sprain of the deltoid ligament occur, and how do we manage it? What is the deltoid ligament? The deltoid ligament is a large triangular structure containing superficial and deep fibres. It starts at the tip of the lateral malleolus and fans outwards to various bones on the inside of the ankle. Its primary function is to provide stability to the inside of the ankle and medial arch. The d ..read more

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