De Quervain’s Tenosynovitis

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…

Bakers Cyst

April 25th, 2019

Bakers Cyst (also known as a Popliteal cyst), is a fluid filled lump located on the back of the knee on the medial side. A Bakers Cyst likely occurs with age and is most commonly associated with knee osteoarthritis, inflammatory arthritis or gout. However, a Bakers Cyst is sometimes…

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…