Osteoarthritis Base of Thumb

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…

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…