What makes us different?

•    We have specialist knowledge about sporting injuries, musculoskeletal and occupational health problems.
•    We have worked in elite sport treating Professional sports, Olympic and Paralympic athletes and so understand the needs of athletes.
•    We have special knowledge about physical activity for health or for helping to manage medical conditions such as high blood pressure or osteoporosis.
•    We use diagnostic ultrasound in the clinic to help look at the injury right there with you helping to make the diagnosis. We can also perform ultrasound guided injections so that we can see the injection going into the right spot in real-time.
•    We have access to all other investigation types such as X-ray or MRI or CT scanning using local providers with negotiated competitive rates.
•    We have a variety of treatment options including manipulation, medications or exercise therapy.  Acupuncture is used extensively as part of the treatment process.

•    We work as a close-knit team and liaise and refer to physiotherapists, podiatrist and nutritionist when needed.

•    We have a network of surgical specialists to which we can refer if appropriate.
•    All our doctors are specialists in Sport & Exercise Medicine and are Fellows of The Intercollegiate Faculty of Sport and Exercise Medicine (FSEM), a Faculty of the Royal College of Physicians of London and the Royal College of Surgeons of Edinburgh.  
•    We are registered with the General Medical Council.  This means we have recognised qualifications, have professional liability insurance and are governed by a professional code of conduct.


What is involved in the first consultation?

•    You will have a 45-minute consultation to allow the doctor to take a detailed history and perform a physical examination to assess the problem.  From this a provisional diagnosis and treatment plan can be explained to you. An ultrasound examination may be performed during this time but will incur an additional charge. Treatment maybe carried out during the first assessment.
•    If the doctor thinks you need further investigation of the problem, e.g. x-ray or MRI, We will arrange this.

What should I wear to the consultation?

•    The doctor will need to examine the area of the body concerned but also may require to examine other areas e.g. pain in the leg can be referred from the back.  We can provide shorts but wear whatever you will feel most comfortable in.  

Treatments

•    Manual therapy including manipulation
•    Acupuncture
•    Advice on exercises and stretching
•    Injections – medications
•    Corticosteroids
•    Ostenil (hyaluronic acid) – for osteoarthritis
•    Traumeel – homoeopathic injections especially for muscle injury
•    Local anaesthetics
•    Injections – routes
•    Most joint or soft tissue injections can be performed on site e.g. plantar fascia, muscle, ligaments – using ultrasound where required
•    Caudal epidural injections for low back pain, sciatica or recurrent leg muscle strains
•    New techniques of High Volume Ultrasound Guided techniques for Achilles or Patella Tendons
High volume image guided injections in chronic Achilles tendinopathy, Chan et al. Disability & Rehabilitation. 2008 May 19:1-12

Diagnostic Ultrasound

We use the latest portable ultrasound technology, the Sonosite Micromaxx with multibeam technology, so that we can look the structures like the Achilles tendon shown below. We can then guide our injections in real–time to the right place.