1. Sports and exercise-related injuries
Sports injuries could be either due to an acute injury while playing a sport and exercising (e.g., ankle sprain) or due to chronic injury which is related to overuse such as tennis elbow. Our Consultant Physician in Sport and Exercise Medicine has extensive experience in treating elite athletes in various sporting disciplines over a decade and transfers the wealth of knowledge and experience in diagnosing and providing a specific management and rehabilitation program to your needs. He will discuss treatment options and involve you in the decision making in each step of your journey.
2. Overuse and over-training conditions
A holistic approach by our sports medicine consultant allows identifying the causes of the problem which allows to improved recovery and success in treatment. A particular aim is to identify any biomechanical issues which might be predisposing to the problem. Occasionally the problem might lay elsewhere or be inflammatory in nature.
3. Work-related conditions and injuries
Work-related problems are usually due to overuse, poor technique and posture. Typical examples of work-related conditions are wrist pain due to constant use of the keyboard in an office worker and constant use of tools and equipment in a manual worker. Poor posture related to sitting long hours at a desk can lead to neck strain, low back pain, shoulder and elbow symptoms. Like in athletes and recreational enthusiasts, work-related injuries will be addressed by our Consultant in Sport and Exercise Medicine in a holistic manner.
4. Exercise prescription, health and wellbeing
Physical activity is a key element of a healthy life. Our consultant in Sport and Exercise Medicine is experienced in prescribing exercise to anyone even when they have existing medical conditions.
5. Conditions affecting the tendons:
a. Tendinopathy/tendinitis: This is inflammation of the tendons resulting in pain and reduced function.
b. Calcific tendinitis: This is a form of inflammation characterised by calcium deposits in the tendons. This mainly affects the shoulder but occasionally affect other regions.
c. Enthesitis: inflammation of the tendon where it inserts into the bone. Usually due to overuse or an underlying inflammatory condition. A common site is where the Achilles tendon attaches to the heel bone)
d. Tears and ruptures: These are either due to sudden (acute) injury or long term (chronic) degenerative changes
e. Tenosynovitis: inflammation surrounding the tendon and its sheath with or without involvement of the tendon itself (most common: de Quervain’s, biceps tendon, peroneal tendon, tibialis posterior tendon and Achilles tendon)
6. Conditions affecting the joints:
a. Osteoarthritis: Osteoarthritis is a slowly progressive chronic condition affecting joints. Joints can be painful and swollen with effusion.
b. Inflammatory arthropathy: includes several inflammatory conditions that affect the joints, tendons and connective tissue.
c. Acute injury: sprains during sports and activities of daily living
d. Chronic pain: niggling pain and instability usually due to an old injury
e. Septic arthritis: joint infection
7. Conditions affecting the ligaments:
a. Sprain: usually classified into grade 1 to 3 depending on the severity. Grade 3 sprains involve tears to the ligament.
b. Rupture: complete tear usually due to an acute injury resulting in instability of the joint.
8. Conditions affecting the muscles:
a. Contusions: muscle injury due to blunt trauma resulting in pain, swelling and shortening of the injured muscle.
b. Tears: usually due to acute trauma or injury. This could be near the tendon or the muscle belly.
c. Inflammation (myositis): either due to injury, infection or inflammation
9. Conditions affecting the nerves
Trapped nerves: this is usually due to arthritis in a joint which encroaches the space where the nerve travels resulting in pins and needles, numbness and weakness.
This can occasionally happen due to an injury such as a shoulder or elbow dislocation causing swelling or injury to the nerve
10. Neck and Back Pain with radicular pain
Back pain is very common in adults. Some present with nerve pain due to trapped nerves in the neck or lower back radiating into the limbs. Expert assessment by our consultant allows identification of the structures involved and performing timely investigations to plan treatment options.
Conditions treated by regions
1. Shoulder:
a. Rotator cuff tendon: tendinopathy/ (calcific) tendonitis and tears & ruptures
b. Biceps tendon: tendinopathy/tenosynovitis, tears & ruptures
c. Bursitis (subacromial/subdeltoid/subcorocoid)
d. Shoulder impingement (internal and external)
e. Labral tears (lining of the socket of the shoulder joint)
f. Osteoarthritis of the shoulder joint and acromioclavicular joint
g. Acromioclavicular joint separation
h. Shoulder instability (chronic subluxation, multidirectional instability)
2. Elbow:
a. Overuse injuries: tennis and golfers elbow (lateral and medial epicondyle pain)
b. Chronic medial elbow instability (valgus instability)
c. Cubital tunnel syndrome (Ulnar nerve entrapment)
d. Osteoarthritis of the elbow joint
e. Olecranon bursitis
f. Distal biceps tendinopathy/tendinitis
3. Wrist and hand
a. De Querveins tenosynovitis
b. Intersection syndrome
c. Flexor carpi radialis tendinopathy
d. Extensor carpi ulnaris tendinopathy
e. Triangular fibrocartilage injuries
f. Osteoarthritis of the wrist
g. Osteoarthritis of the carpometacarpal and metacarpophalangeal joints of the thumb
h. Osteoarthritis of the small joints of the hands
i. Trigger fingers and trigger thumb
j. Carpal tunnel syndrome
4. Hip and groin
a. Greater trochanter pain (trochanteric bursitis)
b. Gluteal tendinopathy
c. Iliopsoas tendinopathy
d. Psoas bursitis
e. Hamstring tendinopathy
f. Ischial bursitis
g. Osteoarthritis of the hip joint
h. Lateral cutaneous nerve entrapment (meralgia paraesthetica)
i. Hip labral pathology
j. Femoroacetabular impingement
5. Knee and calf
a. Patella tendinopathy
b. Quadriceps tendinopathy
c. Iliotibial band pain (ITB)
d. Infrapatellar fat pad impingement
e. Suprapatellar fat pad impingement
f. Pre-patella bursitis
g. Pes anserine bursitis
h. Medial collateral ligament sprain
i. Osteoarthritis of the knee joint
j. Osteoarthritis of the patellofemoral joint
k. Bakers cyst
l. Calf sprain
6. Ankle
a. Achilles tendinopathy/tendinitis (mid portion)
b. Achilles Enthesitis (insertion)
c. Retrocalcaneal bursitis
d. Ankle impingement
e. Tibialis posterior tendinopathy
f. Peroneal tendinopathy
g. Ankle sprain (ATFL sprain)
h. Osteoarthritis of the ankle
i. Osteoarthritis of the subtalar joint
j. Sinus tarsi syndrome
k. Tarsal tunnel syndrome
7. Foot
a. Planter fasciitis
b. Morton’s neuroma
c. Interdigital bursitis
d. Osteoarthritis of the big toe (metatarsophalangeal joint)
e. Osteoarthritis of the midfoot joints (tarsometatarsal joints)
