Ingrowing toenails (onychocryptosis) can cause significant discomfort and disrupt daily life. This blog aims to provide a comprehensive overview of ingrowing toenails, the surgical procedure to address them, and postoperative care based on information from a patient information leaflet. What is an Ingrowing Toenail? An in-growing toenail occurs when the edge of the nail grows into the surrounding skin, causing pain, redness, and sometimes infection. In severe cases, it may lead to pus formation and bleeding. A curved or involuted nail pressing against the skin, while not technically ingrowing, can mimic the symptoms and result in discomfort. Is It Serious? If left untreated, an ingrowing toenail can cause infections that may spread to the rest of the toe, leading to more severe complications. What Causes Ingrowing Toenails? Several factors contribute to ingrowing toenails, including: Posture and Gait: Improper foot positioning or walking patterns. Foot Deformities: Conditions like bunions, hammer toes, or excessive pronation. Improper Nail Growth: Nails that naturally curl or splay. Tight Footwear: Shoes, hosiery, and socks that exert pressure on the toes. Excessive Sweating: Moist skin increases vulnerability to nail penetration. Poor Nail Care: Incorrect trimming or picking at nails. Brittle Nails: Sharp edges or breakage can contribute to the problem. Why Surgery? The primary goals of surgery for ingrowing toenails are: Reducing pain and discomfort. Preventing infection. Facilitating easier footwear choices. Potential Risks of Surgery Like any medical procedure, nail surgery comes with some risks, including: Regrowth: Occurs in about 5% of cases and may require a repeat procedure if it becomes problematic. Delayed Healing: Healing may take 4–12 weeks, influenced by factors like age, overall health, and adherence to aftercare instructions. Reaction to Phenol/Radiolase: The chemical or laser used to prevent nail regrowth may occasionally cause localized redness and delayed healing. Infection: Following aftercare instructions can help prevent this. Bleeding: Minimal bleeding is expected, but elevating the foot after surgery minimizes this risk. Anaphylaxis: A rare but serious reaction to the local anesthetic or phenol. Preparing for Surgery Here’s what to keep in mind on the day of your procedure: Eat beforehand to ensure stable blood sugar levels. Wear open toed shoes or sandals to accommodate post surgical dressings. Arrange transportation home, as driving is not permitted for 12 hours after surgery. Inform podiatry staff of any recent changes in medication or health conditions. Remove nail varnish before the procedure. Plan for time off from work, school, or college. PostSurgery Pain Management Once the anesthetic wears off, mild pain is expected. Over-the-counter painkillers like paracetamol are typically sufficient to manage discomfort. Aftercare Instructions Proper aftercare is critical for healing. Follow these steps: Removing the Dressing: If it’s stuck, soak your foot in a warm saltwater solution (1 part salt to 4 parts water) for 2–3 minutes to loosen it gently. Cleaning : After soaking, allow the foot to air dry naturally. Redressing: Use a clean homemade plaster as demonstrated by clinical staff. Replace the dressing daily until there’s no discharge. Ending Dressing Use: Once the toe remains clean and dry for three consecutive days, the dressing can be left off. Key Takeaways Ingrowing toenails, though common, can become serious if untreated. Surgery provides an effective solution, but understanding the risks and following aftercare guidelines is essential for optimal recovery. If you’re experiencing the symptoms of an ingrowing toenail, consult a healthcare professional to explore treatment options and regain comfort.

A ganglion, a ballooning of the joint capsule or tendon sheath, can cause pain and discomfort, particularly when it becomes large or presses on surrounding tissues. Ganglion excision surgery is a straightforward procedure designed to remove the ganglion and provide relief. This guide will walk you through the procedure, its benefits, and the recovery process. What is Ganglion Excision Surgery? Ganglion excision surgery involves the complete removal of the ganglion, addressing the root cause of pain or discomfort. This procedure is typically performed on the top of the foot, with an incision placed over the space between the metatarsal heads. Absorbable stitches are used whenever possible, and plaster is generally not required. The surgery usually lasts between 30 to 60 minutes and does not involve bone healing or fixation, making the recovery relatively quick. Why Consider This Surgery? The primary goals of ganglion excision surgery are: To alleviate pain caused by the ganglion. To remove troublesome or enlarging ganglions. To improve mobility and comfort in footwear. Advantages: A relatively short procedure. The lesion is excised completely. No bone healing required. Minimal recovery time. Risks and Considerations While ganglion excision surgery is generally safe, specific risks include: Thickened or tender scars, which may improve over 12 months. Areas of numbness, which may also reduce over time. Recurrence of the ganglion. Circulation disturbances in the affected area. Your consultant will discuss these risks with you in detail and provide guidance on how to minimise them. Who is a Candidate for This Procedure? This surgery is recommended for individuals experiencing: Painful or troublesome ganglions that interfere with daily activities. Numbness or pressure-related symptoms caused by the ganglion. Difficulty fitting into sensible footwear due to the size or location of the ganglion. Alternative treatments: Altering activity levels. Using painkillers or anti-inflammatory medications. Changing footwear or using extra-width shoes with protectors. Drainage of the ganglion without excision (may be less effective long-term). What to Expect During Surgery The procedure is typically performed under local anaesthesia, which is administered around the base of the toe. Most patients find this more comfortable than a dental injection. If preferred, sedation or general anaesthesia can also be considered. Although the surgery itself is brief, you will spend some time in the day surgery unit before and after the operation to rest. A responsible adult must accompany you home and assist you for the first 24 hours. Recovery Timeline First 2-4 Days: Pain is typically most intense during this period, but painkillers will help manage discomfort. Rest is crucial. Keep your foot elevated and minimise movement. Use crutches as instructed to avoid putting weight on the operated foot. One Week After Surgery: Attend a follow-up appointment for dressing changes. Gradually increase activity within pain limits. Swelling or pain indicates overexertion. Two Weeks After Surgery: Sutures will be removed unless located on the sole of the foot (these are removed after three weeks). Bandages are no longer required, and you may no longer need crutches. You can get the foot wet and start wearing regular shoes if comfortable. 2-6 Weeks After Surgery: The foot begins to feel normal, though swelling may persist, especially at the end of the day. You may return to work, although manual labour may require additional recovery time. Driving can resume if you can safely perform an emergency stop. Confirm with your insurer. Avoid sports and high-impact activities during this period. 8-12 Weeks After Surgery: Swelling decreases significantly, and the foot feels more natural. You may consider returning to sports or other activities based on recovery progress. Six Months After Surgery: A follow-up review will evaluate your recovery. Swelling should be minimal, and most patients experience the full benefits of the procedure. Twelve Months After Surgery: Complete healing is achieved, with stabilisation of any remaining improvements. Planning for Recovery To ensure a smooth recovery: Arrange for assistance with daily tasks during the initial weeks. Follow all post-operative care instructions provided by your consultant. Attend all scheduled follow-up appointments to monitor healing progress. Ganglion excision surgery is a reliable solution for removing problematic ganglions and improving foot comfort. With proper care and adherence to recovery protocols, most patients experience significant relief and return to normal activities. If you’re considering this procedure, consult your healthcare provider to determine if it’s the right option for you.

While knee injuries in skiing are common, there are several strategies skiers can adopt to reduce their risk: 1. Strengthen the Muscles Around the Knee Strengthening the muscles around the knee joint is one of the most effective ways to prevent knee injuries. The quadriceps, hamstrings, and calf muscles all play important roles in stabilizing the knee. Skiers who have strong legs are less likely to suffer ligament tears or strains. Exercises: Focus on exercises that strengthen the legs and improve flexibility, such as squats, lunges, and leg extensions. Core exercises that improve balance and stability are also beneficial for knee protection. 2. Proper Warm-up and Stretching Skiing places significant strain on the body, particularly on the knees, so it's essential to warm up and stretch before hitting the slopes. A proper warm-up increases blood flow to the muscles, prepares the joints for the movements required in skiing, and reduces the risk of injury. Warm-up Routine: Start with light aerobic activity (e.g., jogging or brisk walking) to get your heart rate up, followed by stretching to improve flexibility in the legs and hips. Pay special attention to stretches for the quadriceps, hamstrings, calves, and hip flexors. 3. Use Proper Ski Equipment Ski equipment, including boots, skis, and bindings, plays a key role in preventing knee injuries. Ensure your equipment is properly fitted, as ill-fitting boots or skis can increase the risk of falls and collisions. Bindings: Ski bindings should be set correctly based on your weight, skill level, and skiing style. Properly adjusted bindings can help prevent knee injuries by releasing the ski when excessive force is applied. Boots: Make sure your boots fit snugly and comfortably. Boots that are too tight or too loose can affect your control and stability, increasing the likelihood of falls and knee injuries. 4. Take Ski Lessons Whether you're a beginner or an experienced skier, lessons with a certified instructor can significantly improve your skiing technique. Proper skiing form can help you avoid twisting motions and sudden movements that place stress on your knees. Focus on Technique: Ski instructors teach proper turning, stopping, and body positioning. They can help you learn how to control your speed and body movements, reducing the strain on your knees. 5. Know Your Limits It's important to ski within your ability level. Skiing on slopes that are too difficult for your skill set can increase the risk of falls and injuries. If you're feeling fatigued or out of control, it's best to take a break and reassess. Pace Yourself: Skiing for extended periods without resting can lead to exhaustion and poor technique, which in turn increases the risk of injury. Take regular breaks to hydrate and recover. 6. Wear Protective Gear While knee pads and braces are not commonly worn in skiing, some skiers who have had prior knee injuries may benefit from using knee braces for added support. These braces can provide stability and protect the knee from further damage, particularly if you're prone to ligament injuries. Knee Braces: Consider using a knee brace if you're recovering from an injury or if you want additional support for your knees while skiing. Knee injuries are a common concern for skiers, but with proper preparation, technique, and equipment, they can often be prevented. Strengthening your legs, warming up properly, and skiing within your limits are key to protecting your knees while enjoying the slopes. By following these tips, you can reduce your risk of injury and enjoy a safer, more enjoyable skiing experience. So, gear up, stay cautious, and keep your knees in top shape for a fantastic season on the mountain!

I am a keen skier but as you get older the risk of injury tends to play on your mind a bit. Among the most common and potentially serious injuries that skiers face are knee injuries. The knee joint, which bears a significant amount of force during skiing, is highly vulnerable, especially during twists, falls, and sudden movements.  Understanding the types of knee injuries associated with skiing and the preventive measures you can take can help ensure a safer, more enjoyable time on the mountain. The 3 most common skiing knee injuries are listed below. They can occur on isolation or together Types of Knee Injuries in Skiing 1. Anterior Cruciate Ligament (ACL) Tears  The ACL is one of the four major ligaments in the knee, and it plays a crucial role in stabilizing the joint. ACL injuries are among the most common knee injuries in skiing, particularly among intermediate and advanced skiers. These injuries typically occur when a skier twists or pivots on a fixed foot, especially during a sudden stop, fall, or collision. Symptoms: Severe pain, swelling, a feeling of instability in the knee, and difficulty bearing weight on the injured leg. Treatment: ACL tears often require surgery, followed by extensive rehabilitation to restore full function and strength to the knee. 2. Medial Collateral Ligament (MCL) Sprains  The MCL runs along the inner part of the knee and helps stabilize it during side-to-side movements. Skiers may injure the MCL if they experience a sudden blow to the outside of the knee or if they make a sharp, forced turn. MCL sprains are less severe than ACL tears but can still cause significant pain and instability. Symptoms: Pain on the inner side of the knee, swelling, and difficulty with side-to-side movement. Treatment: Most MCL sprains can be treated with rest, ice, compression, and elevation (R.I.C.E.) and physiotherapy but rarely severe sprains may require. 3. Meniscus Tears  The meniscus is a piece of cartilage that acts as a cushion between the thigh bone and the shin bone. Skiing, particularly high-speed skiing or skiing on uneven terrain, can put a lot of pressure on the knee, leading to tears in the meniscus. A meniscus tear often occurs when a skier twists or rotates their knee in an awkward position. Symptoms: Pain, swelling, and a sensation of the knee “locking” or “catching” during movement. Treatment: Meniscus tears can sometimes be treated conservatively with rest and physical therapy, but in most cases, surgery may be needed to repair or remove the damaged cartilage. Of course you won’t know what has happened to your knee. SO if you do suffer a ‘knee sprain’ whilst skiing it is very important to get this checked out properly and see a specialist  with an MRI scan to avoid further damage to your knee.

A large baker’s cyst What is a Baker’s Cyst? A Baker’s cyst is also known as a popliteal cyst and is a collection of fluid at the back of the knee. A lump develops behind the knee. They are very common. Keep reading to find out about Baker’s Cyst treatment, as well as common causes. We offer specialist orthopaedic treatment in Doncaster & Sheffield to get you back to feeling like yourself. What Causes a Baker’s Cyst & when should I get treatment? There is a gap in the capsule (joint lining) that allows the synovial fluid to escape from the joint. The small gap acts as a one-way valve so the cyst can increase in size. I’m worried about the cyst – is it nothing to worry about? It’s normal to be concerned about any lump in your body so it’s worth getting it checked out to make sure that’s what it is. An Ultrasound or MRI scan can confirm the diagnosis. A Baker’s cyst is nothing to worry about. MRI showing a baker’s cyst What happens to the cyst over time? Most patients live happily with their cyst and have no treatment for it. Occasionally the cyst may burst, and this causes intense pain and swelling on the calf. Sometimes patients present with a ruptured Baker’s cyst for the first time. The cyst can develop again over time as the valve at the back of the knee is still present. What symptoms does a Baker’s cyst cause? Swelling and pain at the back of the knee. Large cysts can make it difficult to fully bend your knee and produce pressure effects on the local structures. Pain radiating into the calf and a dragging sensation can be due to the cyst. What is the treatment for a baker’s cyst? Most cysts can be left alone especially if they don’t cause problems. Treatment for the cyst depends on whether there is damage inside the knee joint that needs addressing. If there is a cartilage problem or osteoarthritis this may take priority over the cyst. Addressing the knee problem may reduce the cyst but it may be advisable to remove the cyst surgically. An aspiration (removal of fluid with a needle) tends to give only temporary relief. What happens during surgery for a Baker’s Cyst? Most surgeons will make a big incision at the back of the knee to try to remove the cyst that way. It is very difficult to get deep enough to remove the valve so the recurrence rate with surgery is high. Mr Haslam has developed a keyhole method for removal of the Baker’s cyst from the inside, three small incisions are made, and the valve is removed from the back of the knee. The cyst then cannot form. In over 40 cases Mr Haslam has shown this is a reliable and safe technique. I have seen an Orthopaedic Surgeon for Baker’s Cyst treatment & they advised me to leave it alone? Most surgeons don’t like operating on cysts as the success rate from open surgery is low and operating at the back of the knee has a small risk of damage to nerves and blood vessels. The surgeon may not know about a keyhole way of performing the surgery so if you are not happy then ask to see a specialist with an interest in keyhole surgery for Baker’s Cysts. Mr Haslam has 15 years of experience in the surgical treatment of Baker’s Cysts. Get in touch with us to get professional treatment today: Get In Touch

What did I do on my orthopaedic surgeon sabbatical? I’ve been a consultant orthopaedic surgeon in Doncaster since 2006; I’ve however been an officer in the Royal Army Medical Corps (RAMC) reserves since 1992. I’ve managed to balance work, home and military commitment fairly successfully throughout training and consultant practice. I’ve deployed on operations to Camp Bastion, Afghanistan in 2007 and 2012 and again this year as part of a small surgical team in support of operations in the wider middle east. The deployment process Pre-deployment These deployments don’t happen overnight, there’s a fairly lengthy process – from nomination to confirmation to preparation to mobilisation to deployment and finally demobilisation. This involves discussion with employers to get their support for you to be away from work for 6 months or more, to support time for training, and more importantly for discussion with family to get their support, as it would be impossible to deploy without family support. Once nominated (up to a year in advance) and confirmed, the first job is to meet the team you are part of, in my case one of 4 individuals to join a team from a formed unit. Work-up training then took place over 7 months prior to mobilisation in January 2022. This consisted of a number of weekends at various military areas honing military skills (Weapons Handling and Marksmanship, first aid, fitness, CBRN etc) to the required standard, as well as working together as a small medical team and honing required skills to cover all eventualities whilst deployed, including specialist courses required for deployment to an austere environment. The inevitable plethora of vaccinations required occurred: covid, flu, hep B, and anthrax to name a few. Time for deployment Mobilisation occurred in early January 2022; there followed 2 ½ months of pre-Deployment training to tick all the boxes. Paperwork was collated for each member of the team to confirm registration, health status, dental fitness and readiness. This culminates with 2 medical training exercises, each of 2-3 days, where the medical and team working capabilities are tested using simulated casualties that may be expected on operational deployments. Finally, the day for deployment arrives and the team meet at RAF Brize Norton for check-in for the flight to Cyprus, and then onward transfer to the operational theatre. During the tour, which unfortunately remains confidential and non-discussable, I had to return home on compassionate grounds as unfortunately my mother died whilst I was deployed. I returned to theatre after a week to complete my duties. The end of my orthopaedic surgeon sabbatical After 3 months deployed (including the platinum jubilee) and handing over to our replacement team, the return from operations occurs once again through Cyprus and Brize Norton. A brief welcome home and demobilisation, after which all leave accrued during mobilisation must be taken before return to normal work in the NHS. After nearly 2 months leave spent with the family the day arrives when the real world crashes in and “Normal Life” resumes at work with the inevitable questions, most of which have to remain unanswered for security reasons. A somewhat difficult transformation from Military to Civilian life with a formal return to practice programme to mitigate any skill fade whilst deployed. Once again I am grateful for the support received from my employer and colleagues to allow my deployment to have occurred. More importantly, I am eternally grateful to my wonderful wife, Pamela, and my children, Charlotte, Ollie, Eddie and Henry – without whose support and love my military activities would not have been possible. Contact Us For Treatment

Mr Tony Wilkinson, Lead Consultant Podiatric Surgeon at Doncaster and Bassetlaw Teaching Hospitals (DBTH), has been elected to the Council of the Royal College of Podiatry. The Royal College of Podiatry, representing registered chiropodists and podiatrists in the United Kingdom, has chosen Mr Wilkinson for a three-year term on its Council. Sitting on the Board of Directors, he will contribute to strategic planning, advocate for diversity and inclusion, and encourage membership engagement within the podiatric profession. With over 25 years of experience in podiatry, Mr Wilkinson’s expertise and skill has benefited countless patients, conducting over 15,000 surgical procedures during his career to-date. After gaining his fellowship in Podiatric Surgery in 1997, Tony continued his training as a Specialty Registrar in Podiatric Surgery before being appointed as a Consultant Podiatric Surgeon in 2002. No stranger to a leadership role in the podiatry community, Tony was later elected Dean of the Faculty of Podiatric Surgery in 2009, a post which he held for three years. During this time, he was responsible for leading the strategic development of the profession on behalf of the College of Podiatry. With a strong passion for continual development, Tony has built a solid reputation for clinical excellence and is committed to providing the best care possible at DBTH as Clinical Head of Podiatric Surgery. In his role at the Trust, the Podiatric Surgeon conducts both elective surgeries and conservative treatments (non-surgical) to the foot and ankle including injection therapy and diagnostic ultrasounds. Mr Wilkinson also lends his skill to other departments in the Trust, supporting colleagues in the diabetic foot protection team by performing provide limb salvage surgery for diabetic patients. In 2019, Tony was awarded Fellowship of the Faculty of Podiatric medicine within the Royal College of Physicians and Surgeons of Glasgow for outstanding contributions to the profession. Speaking about his appointment, Mr Wilkinson said: “I am delighted to be elected by my peers to sit as a council member. I have passion for driving the profession delivering high standards of advanced practice for all. I’m looking forward to working with stakeholders to secure the future of Podiatry.” Heather Jackson, Director of Allied Health Professions at the DBTH, said: “It is fantastic to see our Allied Health Professionals representing and influencing at a national level and is testimony to Tony’s dedication and hard work. I am sure he will add huge value to the Royal College of Podiatry.”

Coriel Orthopaedics, the leading orthopaedic practice in Doncaster, is delighted to extend a formal invitation to esteemed medical professionals for an exclusive networking event. Set against the backdrop of our state-of-the-art facility, this event aims to foster collaborative partnerships and strengthen referral networks within Doncaster's medical landscape. Event Details: Holistic Health Network Date: Thursday, 25th of April Time: 1:00 PM - 2:00 PM Location: 138 Beckett Rd, Doncaster DN2 4BA Tickets: Click here Who Should Attend: This event is tailored for medical practitioners across various disciplines, encompassing mental and physical health sectors. We welcome professionals ranging from holistic therapists and mental health practitioners to physiotherapists, and representatives from public health organizations, hospitals, private clinics, and health insurance companies. Essentially, anyone dedicated to enhancing the well-being of individuals through healthcare services is encouraged to participate. Highlights: The event promises an unparalleled opportunity to engage with distinguished consultants from Coriel Orthopaedics, including renowned experts like Tony Wilkinson. Through insightful conversations and networking opportunities, attendees will have the chance to forge meaningful connections and explore collaborative avenues within the medical community. Recent Developments: At Coriel Orthopaedics, we remain committed to elevating our standards of care and service delivery. Recent investments include the launch of informative content through podcasts and video series, along with substantial enhancements to our reception area and the introduction of a cutting-edge private theatre. These initiatives underscore our unwavering dedication to providing exemplary care to our clientele. About The Clinic: Our facility serves as a hub for a diverse range of businesses beyond orthopaedics. With versatile rooms and modern amenities, we offer opportunities for organizations to utilize our spaces for various purposes. For inquiries regarding room rental or utilization of our facilities, please don't hesitate to contact us. In Partnership with The Charity Hub: We are proud to collaborate with The Charity Hub, an esteemed organization dedicated to supporting and advancing the third sector in and around Doncaster. Their partnership brings added depth and breadth to this networking event, allowing attendees to benefit from their extensive network and expertise. Join us for an enriching afternoon of networking and collaboration as we strive to cultivate a robust medical community in Doncaster. Save the date, spread the word, and embark on a journey towards enhanced collaboration and mutual support within our healthcare ecosystem. We look forward to welcoming you to this prestigious event. For further details and RSVP, please contact [Contact Information]. Get Free Tickets Here: https://www.thecharityhub.org.uk/event-details/coriel-orthopaedics-networking-event-building-a-holistic-health-network

Mr. Madhavan Papanna, Shoulder and Elbow Specialist What is Comprehensive Arthroscopic Management (CAM)? Comprehensive Arthroscopic Management (CAM) is an arthroscopic procedure to treat osteoarthritis of the shoulder. It is most common in patients over fifty, but also in younger patients including athletes, who have osteoarthritis arthritis of the shoulder of varying degrees. The aim of the technique is to preserve the joint and delay the need for joint replacement. It alleviates pain and improves shoulder function. What does Comprehensive Arthroscopic Management entail? Comprehensive Arthroscopic Management procedure aims to remove loose cartilage flaps and damaged tissue around the arthritic shoulder joint. Scarred ligaments and capsule of the shoulder joint are released to restore mobility and improve function. In addition, any bony spurs or scar tissues that may be trapping the axillary nerve are debrided to decompress the nerve and relive pain. The operation involves making a small incision/portals in the joint and an arthroscope is inserted. Surgical instruments is inserted through a second portal. Arthroscopic surgery results in less damage to the tissue around the shoulder than conventional open surgery, resulting in faster recovery times and reduced scarring. Indications for Comprehensive Arthroscopic Management? The Comprehensive Arthroscopic Management may be offered to you, if you are suffering from severe osteo-arthritis of the shoulder, particularly if you are too young to have a full joint replacement or if you are an athlete involved in active sports and are restricted by the loss of movement in your shoulder. The purpose is to preserve the joint and enable it to function fully again. Recovery after the operation? Because it uses minimally invasive techniques, recovery times for this procedure are quicker than with full joint replacement surgery. Usually, the skin wounds will heal by 7-10 days and the surgical pain will improve in two to four weeks. Following this, you will undergo physiotherapy to help regain the function of the shoulder joint, which can take between 6 to 12 weeks. What is the long-term outcomes of Comprehensive Arthroscopic Management? The CAM is less invasive, with a faster recovery time and a lower risk of complications than joint replacement surgery. Delays joint replacement surgery for up to five years. Achieve high patient satisfaction rates, with reduced pain, and improves function in majority of the patients. As a relatively new technique, long-term outcomes remain unknown but initial results are promising.

Introduction: Meet Mr. Paul Haslam, Knee Surgery Specialist In the realm of knee surgery, expertise and experience play a pivotal role in ensuring successful outcomes. Mr. Paul Haslam has over 17 years of specialized experience in knee surgery. As a seasoned surgeon, he has garnered a reputation for his commitment to patient care and his proficiency in employing advanced techniques for treating various knee conditions. Mr. Haslam's expertise is particularly noteworthy in the realm of Baker's Cyst, having successfully operated on over 50 patients with this condition. Mr Haslam uses his extensive experience and dedication to refine surgical approaches for optimal patient outcomes. His emphasis on utilizing arthroscopic techniques has proven instrumental in achieving low recurrence rates for Baker's Cyst—a testament to his commitment to advancing the field of knee surgery. Pioneering Arthroscopic Techniques for Baker's Cyst With a focus on innovation and patient-centric care, Mr. Paul Haslam has been at the forefront of adopting arthroscopic techniques for Baker's Cyst excision. This minimally invasive approach allows for precise visualization and targeted removal of the valve that creates the cyst while minimizing trauma to surrounding tissues. The results speak for themselves, with Mr. Haslam consistently achieving low recurrence rates in his patient cohort. Having successfully operated on numerous cases, Mr. Haslam's approach encompasses not only the removal of the cyst but also addressing underlying issues contributing to its formation. This comprehensive strategy is integral to reducing the likelihood of recurrence and ensuring a swift and effective recovery for his patients. Most Surgeons do not offer a patient arthroscopic excision of a Bakers cyst and some don’t know it is even a possibility. You may have been told there is nothing that can be done or offered and big open procedure. Open surgery uses very big scars and has a high failure rate. If you feel you have been fobbed off then it is worth asking for a second opinion. A Legacy of Patient-Centered Care Beyond his surgical expertise, Mr. Paul Haslam is recognized for his patient-centred approach. His empathetic demeanour and commitment to thorough pre-operative consultations ensure that patients are well-informed and comfortable with their treatment plans. This dedication to holistic patient care has contributed to the trust and confidence that many individuals place in his capable hands. As we delve into the realm of Baker's Cyst in this Q&A guide, it's invaluable to acknowledge the contributions of specialists like Mr. Haslam, whose expertise continues to shape and elevate the field of knee surgery Q1: What causes Baker's Cyst? Baker's Cyst is often caused by the accumulation of synovial fluid, which lubricates the knee joint. When there's an excess of this fluid, it can bulge into the back of the knee, forming a cyst. Q2: What are the common symptoms of Baker's Cyst? Symptoms include swelling behind the knee, stiffness, and sometimes pain. In severe cases, the cyst may rupture, causing fluid to move down the calf and resulting in sharp pain and swelling. Q3: Who is at risk of developing Baker's Cyst? Individuals with knee conditions like osteoarthritis, rheumatoid arthritis, or meniscus tears are at a higher risk. Additionally, it can occur in people who have had a knee injury or surgery. Q4: How is Baker's Cyst diagnosed? A physical examination and imaging tests such as ultrasound or MRI are commonly used to diagnose Baker's Cyst. These tests help confirm the presence of the cyst and identify any underlying knee issues. Q5: Can Baker's Cyst go away on its own? In some cases, the cyst may resolve on its own, especially if the underlying cause is treated. However, persistent cases may require medical intervention. Q6: What are the treatment options for Baker's Cyst? Treatment may involve managing the underlying knee condition, using anti-inflammatory medications, or draining the cyst through aspiration. In severe cases, surgery might be recommended. Q7: Can Baker's Cyst be prevented? Prevention involves addressing and managing the underlying knee conditions. Regular exercise, maintaining a healthy weight, and avoiding prolonged periods of knee stress can also help reduce the risk. Q8: Is Baker's Cyst common in children? While less common in children, Baker's Cyst can still occur. It's typically associated with juvenile arthritis or other inflammatory conditions affecting the knee. Q9: Are there any complications associated with Baker's Cyst? Complications are rare, but if the cyst ruptures, it can cause pain, swelling, and mimic symptoms of a blood clot. Seeking medical attention promptly is crucial in such cases. Q10: Can Baker's Cyst be treated through arthroscopic excision? Yes, arthroscopic excision is a viable treatment option for Baker's Cyst. This minimally invasive surgical procedure involves using a small camera (arthroscope) and specialized instruments to remove the cyst. Q11: How does arthroscopic excision work? During arthroscopic excision, small incisions are made around the knee, and the arthroscope is inserted to visualize the cyst and surrounding structures. The surgeon then uses miniature instruments to carefully excise the valve that causes the cyst, at the back of the knee. Q12: What are the advantages of arthroscopic excision for Baker's Cyst? Arthroscopic excision offers several advantages, including smaller incisions, reduced postoperative pain, quicker recovery, and less scarring compared to traditional open surgery. It allows for a targeted approach to remove the cyst while minimizing disruption to surrounding tissues. Q13: Who is a suitable candidate for arthroscopic excision? Candidates for arthroscopic excision are individuals with persistent Baker's Cyst symptoms that do not respond to conservative treatments. The procedure is often considered when the cyst is large, causing significant discomfort, or when other treatment options have proven ineffective. Q14: What is the recovery process after arthroscopic excision? Recovery after arthroscopic excision is generally faster than with open surgery. Patients may need a period of rest and physical therapy to regain strength and flexibility. Full recovery time varies but is typically shorter compared to traditional surgical approaches. Q15: Are there any risks associated with arthroscopic excision? While considered a safe procedure, arthroscopic excision, like any surgery, carries some risks, such as infection, bleeding, or injury to surrounding structures. However, these risks are minimized due to the minimally invasive nature of the procedure. Q16: Does arthroscopic excision prevent the recurrence of Baker's Cyst? Arthroscopic excision aims not only to remove the cyst but also to address underlying issues contributing to its formation. While it significantly reduces the likelihood of recurrence, successful prevention may also involve managing the root cause, such as arthritis or meniscus tears. In summary, arthroscopic excision is a modern and effective surgical option for treating Baker's Cyst. Consultation with Mr Haslam can help determine the most appropriate treatment plan based on individual circumstances and the severity of the condition. Understanding Baker's Cyst is crucial for proper management and timely treatment. If you suspect you have a Baker's Cyst or experience persistent knee symptoms, consult a healthcare professional for an accurate diagnosis and appropriate care.

Mr. Paul Haslam's Reflective Orthopaedic Journey in November 2023 I think Its fair to say I’ve had a fairly hectic few months! In early September I was fortunate enough to be involved as faculty on the knee day, for the first Sheffield Paediatric Masterclass. I really enjoyed the interactive discussion with faculty and delegates from all over the UK and the rest of the world on topics including all epiphyseal ACL reconstruction, OATS and Root and Ramp Meniscal tears. Later in September, I attended The British Orthopaedic Association (BOA) and gave a talk on Meniscal Root/Ramp tears in the BOSTAA session. In October I then nipped off to Abu Dhabi to visit my colleagues at Tarmeem Orthopaedic Hospital. In November I attended the Warwick Knee meeting in Birmingham, visited Copenhagen for a football match and just made it back in time for the BOSTAA annual conference at Lords Cricket Ground. The following week, along with my colleagues Mr Nicolaou, Mr Ali and Mr Symons I launched the first ever Paediatric Knee Cadaveric Course at the Arthrex Lab in Birmingham. It was a great course, well received and hopefully the first of many! A big thanks to all my colleagues for their help with all of the above!

Top 5 Conditions a Podiatric Surgeon in Doncaster Can Help With by Mr Antony Wilkinson Are you looking for a Podiatric Surgeon in Doncaster? Here are the top 5 conditions that we can help with. 1. Hallux valgus (Bunion) What is it? A bunion is a joint deformity affecting the big toe joint. The big toe bends outward towards the second toe and the joint becomes prominent and painful. It is a very common condition affecting both sexes although more prevalent in females. What causes it? It is believed to be hereditary. As the deformity develops, footwear fitting becomes more of a problem, leading to irritation and pain. The deformity can start in childhood and progresses, as you get older. What is the treatment? Good fitting footwear can help along with pads and insoles to help foot function and protect the prominent joint. Surgery can offer a permanent solution, which involves breaking the bone around the joint and fixing it in a new position with tiny screws. Recovery generally takes around 6 weeks, although modern techniques mean there is no need for a plaster cast. How successful is surgery? In an audit of 970 patients at 6 months post op 94.7% were better off following surgery 2. Hallux rigidus (Osteoarthritis of the big toe) What is it? A joint deformity of the big toe, caused by wear and tear. Usually, there is reduced joint motion and a bony lump over joint. The joint becomes painful and the lump irritates on shoes. What causes it? Often trauma can be involved e.g. stubbing the toe. Changes then occur in the joint over time. What is the treatment? Stiff-soled shoes and insoles can often help. Injections of steroids or natural lubricants can help but may have short-lived effects. Surgery involves either cleaning up the joint, sometimes with small implants to replace damaged cartilage. In later stages fusion of the big toe joint can provide permanent relief. Recovery is similar to bunion surgery. How successful is surgery? In an audit of 224 patients divided equally either having the joint cleaned up or fusion 83% was better with clean up and 90.2% with fusion. 3. Hammertoe What is it? A deformity of the small toes, often the one next to the big toe. The middle joint becomes abnormally bent and causes pressure on the shoe. Corns and calluses then develop over the joint, which is painful. What causes it? Hammertoes often develop with bunions. As the big toe bends inwards the pressure shifts to the second toe causing damage to ligaments and buckling of the joints. What is the treatment? Shoes with a deeper toe box can help along with pads and chiropody care. Surgery usually involves. Fusion the deformed joint either with a small implant or surgical pin, which is removed after 4 weeks. Recovery takes between 3 and 6 weeks, depending on the type of surgery. How successful is surgery? In an audit of 641 patients, 92.4% were better following surgery. 4. Mortons Neuroma What is it? A swollen nerve, which develops in the ball of the foot. Usually causing shooting and burning pain up into the toes. What causes it? Often pinching and pressure from the knuckle joints in the ball of the foot lead to thickening of the nerve. Pain then starts to develop which can come and go, often affected by the type of foot wear, with tighter closed-in shoes increasing the problem. Often patients feel they need to remove the shoe and massage the foot to relieve pain. Numbness can develop over time along with a feeling of “rumpled up socks” under the toes. What is the treatment? Wider shoes and insoles as a first line, along with steroid injections to reduce inflammation and alcohol injections to shrink the nerve can help. Surgery involves cutting out the swollen nerve, and takes around 3 weeks to recover from. How successful is surgery? In an audit of 129 patients 86% were better following surgery. 5. Plantar fasciitis What is it? Inflammation of the ligament in the heel. It gradually develops with patients complaining of pain after rising from bed or from sitting. The pain can improve after 5 or 10 minutes, and return after periods of standing and walking. Often bony spurs develop which can be seen on X-rays, but this in itself is not the cause of the pain. What causes it? Injury to the heel, which may be innocuous, is often the cause. Shoes with harder heels can aggravate the problem. Sometimes, especially if it affects both heels it can be associated with inflammatory arthritis. The plantar fascia ligament becomes thicker and less stretch leading to micro tears and thickening with inflammation. What is the treatment? Treatment should focus on stretching tight foot and leg muscles, along with ice and insoles. Add-on treatments include steroid injections, night splints, shock wave therapy and in rare cases surgery to release the ligament. Supportive softer heeled shoes or trainers can help. The condition can resolve naturally in 18 months, but treatment speeds up the process. Your trusted podiatric surgeon in Doncaster Coriel Orthopaedic Group is a renowned medical institution dedicated to providing exceptional orthopaedic care and services. With a team of highly skilled and experienced orthopaedic surgeons, physicians, and healthcare professionals, the group specialises in the diagnosis, treatment, and rehabilitation of various musculoskeletal conditions. Whether it’s bone fractures, joint replacements, sports injuries, or chronic orthopaedic disorders, Coriel Orthopaedic Group employs state-of-the-art technology and evidence-based approaches to deliver personalised and comprehensive care to patients. Committed to excellence, compassion, and patient-centred care, Coriel Orthopaedic Group is widely recognised for its expertise, innovation, and positive outcomes in the field of orthopaedics. Contact us today to book an appointment with a podiatric surgeon in Doncaster.