All your questions answered…


Why is ECP unique? 

Do you like to know what’s going on? Well, so do we, and that’s why ECP’s Neil Liffen uses diagnostic ultrasound, if clinically indicated, to guide the client’s management. As we all appreciate, there are some conditions ultrasound is not helpful for. However, point of care ultrasound has a strong evidence base for early use in managing the client with soft tissue or joint injury/pain in combination with full orthopaedic examination – unique to ECP.

Accuracy and early diagnosis is vital to ensure musculoskeletal pain does not manifest, which studies have demonstrated:
74.5% reported any musculoskeletal pain during the past 12 months*
53.9% reported musculoskeletal pain during survey (point prevalence)*
44.4% reported musculoskeletal pain lasting longer than 3 months*

While traditional methods of performing a full orthopedic examination (physical examination tests) are of critical importance, tests are hindered by lack of research (i.e. physical examination tests, particularly in isolation they lack validity and reliability). Healthcare practitioners that become skilled in the use of point of care ultrasound become uniquely empowered to improve the management of the client by combining ultrasound with physical examination, in the same clinic appointment, to improve the diagnosis and injury management.

What is Point of care ultrasound?

What do we do differently from other private providers or the NHS? Other private providers and the NHS may offer diagnostic musculoskeletal ultrasound, and routinely performed by a Radiologist and/or Consultant/GP/Sports physician with a special interest and/or a sonographer. However, ultrasound is normally offered following several failed treatment sessions or following onward referral, all causing a time delay in most cases >3 months! Some may argue this is disjointed approach and inefficient use of the client’s injury management, therefore point of care ultrasound saves time, money and resources. Simply put, we combine diagnostic musculoskeletal ultrasound with full orthopedic examination on the client’s first consultation, if clinically indicated. ECP is taking the latest research and implementing it into practice, and leading the trend in injury management offering a unique service.

Why trust ECP with your injury?

Neil Liffen has published research in ‘International Musculoskeletal Medicine Journal (Article link)’ and performs in excess of 5000 diagnostic  musculoskeletal ultrasound examinations for NHS radiology departments and private organisations, provide specialist physiotherapy treatment, including Extracorporeal Shock Wave Therapy and in excess of 1200 corticosteroid injections (non-guided and ultrasound guided injections) per year on clients with sports injury, musculoskeletal and rheumatology conditions on behalf of orthopaedic consultants, podiatry surgeons, rheumatologists, GP’s and other healthcare professionals.

And what we don’t do?

We are not in the business of wasting your time, your money, with treatment which may be ineffective for your diagnosis. If you book an appointment with Neil Liffen he may perform an ultrasound examination on the first appointment to ensure your injury management is heading in the right direction from the outset ensuring an efficient service for the client and clinician. In some cases client’s are recommended for review with their GP or an onward referral to a Consultant and ECP can inform the client of the optimal route and/or arrange on their behalf.

* Source: Picavet HSJ, Hazes JMW. 2003. Prevalence of self reported musculoskeletal diseases is high.  Ann Rheum Dis 62(7):644-50. (Musculoskeletal Health in Europe)

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