Severe Mid Portion Achilles Tendinopathy

Severe Mid Portion Achilles Tendinopathy

April 23rd, 2019

In our experience of diagnostic musculoskeletal ultrasound we have scanned hundreds of Achilles tendons, but we have never scanned an Achilles which measures nearly 22mm. The tendon is grossly thickened with multiple tendon defects and significant vascularity on power doppler likely representing neovascularisation. Normally, an Achilles tendon only measures…

Low Back Pain

April 4th, 2019

Low back pain (LBP) can be an extremely painful condition and significantly affecting quality of life. In a survey published in 2000 nearly 50% the adult population of the UK reported LBP lasting for at least 24 hours at some time in the year. In addition, it is estimated…

Avulsion Fracture

March 25th, 2019

Last week in the clinic a 42 year old male patient suffering with pain on the lateral ankle following twisting it 4 months ago came to see us. An x-ray discovered an avulsion fracture to the base of the fifth metatarsal.

An ultrasound was…


March 19th, 2019

Have you been told you have Tendinopathy?

Tendinopathy, is an umbrella term to encompass different tendon disorders. Tendinopathy, also known as tendinitis or tendinosis, is a type of tendon disorder that results in pain, swelling, and impaired function.

Extracorporeal shockwave therapy is excellent tool for tendinopathy treatment, check out our ESWT…

Knee Osteoarthritis

March 5th, 2019

Concise Guide!

Osteoarthritis (OA) is the most common type of arthritis in the UK and one of the leading causes of disability. Symptomatic knee OA in people over 60 years affects 10-13% of the population. In one reported year, 25% of people over 55 years may demonstrate persistent episode of…


February 10th, 2019

Hip Pain
In recent years, lateral hip pain has been termed greater trochanteric pain syndrome (GTPS), but is often called trochanteric bursitis.

GTPS is relatively common and affects 10-25 % of the general population, between 40-60 years, and there appears to be a higher prevalence of GTPS in women, and in…

Skiers Thumb

January 7th, 2019

The winter season has arrived, when all the skiers start practicing their skiing squat position and snow boarders their 180’s in preparation for fun times on the slopes. A story I often chuckle about occurred 10 years ago when my brother-in-law persuaded me to try snowboarding on the Andorra…


December 10th, 2018

Today, Neil Liffen, director of East Coast Physio Ltd (ECP) discusses FOOSH, which is an acronym for ‘fall onto outstretched hand’. FOOSH is commonly documented in patients’ medical notes at this time of year due to trips and or slips, especially slipping on ice.

Injury can occur when you fall down and try to break…

Tennis Elbow

November 12th, 2018

Neil Liffen, Director of East Coast Physio, discusses a common soft tissue injury to the elbow. It is a misconception that to have tennis elbow, also known as lateral epicondylitis, you have to play tennis! Tennis elbow is a common musculoskeletal condition and it’s estimated that as many as one…

Wrist Anatomy and Tenosynovitis

October 25th, 2018

This time, Neil Liffen, director of East Coast Physio Ltd (ECP) discusses the wrist anatomy with particular emphasis on the back of the hand and common sites of tenosynovitis.

In completing a BSc Physiotherapy and MSc Diagnostic Musculoskeletal Ultrasound, Neil has always been fascinated by the human anatomy and learning…