October 22nd, 2019

What do we offer which is unique to other similar services? Neil Liffen combines his working week working as a specialist musculoskeletal physiotherapist and as a diagnostic musculoskeletal sonographer. He performs in excess of 5000 diagnostic examinations per year in radiology departments at several NHS and…

Calcific Tendonitis

October 3rd, 2019

Calcific tendonitis (CT) refers to a deposit of calcium (bone) in a tendon. Commonly, CT is associated with the rotator cuff (tendons at the shoulder), but is not uncommon in the Achilles (heel), Patella (knee) and Gluteal (lateral hip) tendons.

The literature describes two types of CT; degenerative and reactive…

Patella Tendinitis

August 27th, 2019

Pain at the front of your knee or anterior knee pain, commonly affects people of all ages and abilities. Your pain maybe caused by patella tendinitis, also known as jumpers knee, or patella tendinopathy. The patella tendon attaches your knee cap (patella) to your shinbone (tibia). Frequently, patella tendinitis…

Groin Strain

August 20th, 2019

Groin strains are very common in multi-directional sports, such as football, particularly at the start of a football season. Some of the risk factors are multi-directional movements and sudden increase in tissue loading, especially at the start of a football season.

In this figure we demonstrate, the common adductor tendon,…

Carpal Tunnel Syndrome

July 19th, 2019

Carpal tunnel syndrome (CTS), a relatively common condition that causes a tingling sensation, numbness and sometimes pain in the hand and fingers. Usually, symptoms develop gradually and start off being worse during the night or early in the morning. They tend to affect the thumb, index, middle and half…

Osteoarthritis Base of Thumb

June 18th, 2019

In this month’s article, Neil Liffen, Clinical Director of East Coast Physio Ltd, focuses on osteoarthritis (OA) of the thumb.

What is osteoarthritis?
A condition which results in destruction of a joint is termed arthritis. Osteoarthritis is the most common type of arthritis and it is often referred to as degenerative…

What is Bursitis?

June 3rd, 2019

People often get diagnosed with bursitis as a cause for their injury. In this picture we demonstrate what a bursitis looks like from an ultrasound perspective. Bursa are commonly found around joints and associated tendons to allow gliding of tissues during joint movement. Bursa are not normally visible. However,…

Patella Tendinopathy

May 28th, 2019

Pain at the front of your knee?

There are numerous injuries to the front of your knee, otherwise known as anterior knee pain. Patella tendinopathy can be a painful condition which may cause pain and weakness to loading your leg, particularly during sport, on lounging, jumping and ascending/descending hills.

Diagnostic ultrasound…

De Quervain’s Tenosynovitis

May 20th, 2019

Wrist pain – De Quervain’s Tenosynovitis

De Quervain’s Tenosynovitis (DQT) is a painful condition in the first dorsal wrist extensor compartment. In this compartment, there is abductor pollicis longus and extensor pollicis brevis tendons. Normally, these two tendons slide smoothly through a fibrous sheath (i.e. a small tunnel, sometimes known…


May 2nd, 2019

Back pain comes in all shapes and sizes and sometimes difficult to pinpoint the precise source of pain. Sciatica has a more distinct pattern of pain and is defined as pain associated with the sciatic nerve, which can run from the lower back, into the buttocks and down the…