There is no doubt obesity is on the rise. According to the NHS website obesity affects 1 in 4 adults and 1 in 5 children. Not only can it have an effect on musculoskeletal pain, but significantly increases your risk of diabetes, coronary heart disease and cancer! Patients will often say that they have put weight on because the pain they are experiencing has reduced their ability to exercise, makes sense right!  The real conundrum here is that many musculoskeletal conditions are affected by weight gain and if you are really overweight it can prevent you from having the surgical treatment you need until you lose weight! Of course its understandable that patients will then say; “well I can’t lose weight as I can’t exercise” so around and around we go in a vicious cycle. Ever heard the phrase “a six pack is made in the kitchen not the gym?” well its true! Of course you can put weight on if your exercise ability is reduced… but here is the truth:-Calorie surplus is what causes weight gain not lack of exercise. Of course the more you exercise the higher threshold for your calorie  surplus will be. Therefore the balancing act is to reduce your calorie intake to balance the level of exercise you can do. Although this is a simple fact, its far more complicated to execute for a number of reasons, which may be psychological or be linked to an underlying medical complaint. If you are really struggling with weight, you should see your GP for professional help. The key to weight loss is knowing  exactly how much you eat and drink each day including alcohol, which is a huge source of hidden calories. In fact 1 pint of beer can contain the same calories as a chocolate bar! you can find your calorie deficit point by multiplying your weight in pounds by 10, this is a rough guide however. If you track your food and drink daily by using an app such as MY Fitness Pal, it will help you to understand where you are. Often people feel they eat well and the portion size or the unknown calories in each food is the issue. Hopefully by doing this you will lose weight and you never know, your pain may naturally improve!  Remember no matter what diet plan you choose, whether it is  keto, 5:2, intermittent fasting, slimming world, weight watchers; Track your calories and watch the weight fall off. #weightgain

I have now completed a number of these procedures which have been challenging to say the least. The one step procedure involves breaking the metatarsal and inserting a bone graft. All of the patients experience some stiffness post op which is difficult to avoid. One particular challenge is tendon balance The tendons require a tenotomy to allow for lengthening. The EDL is easy, but the FDL is more difficult. I have attempted to cut at the osteotomy interface, but locating it here is quite difficult. Cutting more distally means that the toe may be unstable. I have been able to reduce the incision size with experience and have made the incision more proximal-this should improve the cosmetic appearance. Generally, the patients do well, however should be cautioned over risks, especially stiffness and plantarflexion of metatarsal. The external fixator technique is simple to apply, but requires patient involvement. This is more protracted and can be frustrating for patients. It seems most patients want the one step procedure. Is this due to their lack of understanding, thinking that it’s much easier!! I have done one case involving a double osteotomy of 3 and 4. The patient did well, but needed a lot of support post op. The fixator bar came loose and had to be replaced under local anaesthetic. Reflection Patients must be cautioned regarding the risks of surgery Expectations need to be managed carefully Time will tell how good the procedure is- there are some issues with gaining length with the one step I intend to visit Dr Lamm, in Florida, at some point to learn his technique #footandankleproblems

Diabetes is certainly on the increase. Type 2 diabetes and its link to obesity is in particular increasing, but what does this have to do with feet? Well, you might be surprised to know that according to NHS England, diabetics with foot ulceration creates an 80% chance of foot amputation, and has a five year mortality, and by that I mean death! of 50%. That means that the mortality rate is similar, or, in some circumstances worse than cancer! That is a very worrying statistic and you should be worried. As a member of the foot protection team in Doncaster and Bassetlaw hospitals, I have first hand experience of helping diabetics. The only problem with this situation is that the condition has usually deteriorated significantly by the time I see a patient. Education and prevention is far better than cure! In fact, if you are diabetic, you should be treating your feet like little princesses with the upmost protection they deserve. The problem is that over time you can loose feeling in the feet and the blood supply can diminish to such an extent that the toes can literally go black and drop off. That’s not good at all! One patient literally found a toe in their sock. The key is to take steps (excuse the pun) to prevent problems. Firstly take control of your glucose management. This will help to prevent some of the foot complications, but the sooner you do this the better. Exercise and watch your diet to lose weight. In some cases, this can reverse early diabetes. Stop smoking, yes, I know you’ve heard it all before, but this without a doubt this will save your circulation! Top tips for better foot health 1. Inspect your feet daily-Do not rely on feel as this may be diminished. 2. Seek attention to any blister or abrasion soon-these can turn into ulcers very quickly 3. Moisturise daily- use ointment like Hydromol. This softens the skin and provides a barrier to infection. 4. Avoid tight shoes or shoes with prominent stitching around the toes- Any area for abrasion may not be felt and can cause damage. 5. Check inside the shoes-remember the sock story above! 6. Do not check bath water with your feet or walk barefoot on hot surfaces- you will burn! 7. Don’t walk bare foot-if you stand on something you might not feel it. 8. Get your feet checked regularly-at least once per year. So I hope that helps and I hope I never see you in the foot protection clinic, but if you need us – call! #diabetes

“The Care I received was the best” “I have received the very best care after numerous operations on both my feet all successfully operated on by Mr Wilkinson. He has completely transformed my feet into what I call Cinderella feet. Not only did I have my operations done by the wonderful NHS but also I paid privately for toes shortening and again the care I received was the best, even I received curtesy calls after to make sure everything was well. I felt very reassured knowing if anything went wrong I could and I did phone park hill hospital and straight away I was reassured and worry resolved. Mr Wilkinson has transformed that part of my life and I am very happy with the results and I will be forever grateful to him.so thank you very much Mr Wilkinson.”

Our client presented with knee problems that resulted in knee replacement surgery “Mr. Haslam was recommended to me by one of his former patients.  At my first consultation I was made very welcome and immediately felt at ease. He was well prepared and fully explained the problems my knee presented. He informed me most professionally and I was very sure of his expertise. He guided me throughout the whole procedure and encouraged and praised my progress. I have never received this level of reassurance from previous joint replacement surgeons. His extended staff provided additional care and guidance of high quality. I had a good hospital experience  and would recommend Mr. Haslam to anyone needing knee replacement surgery” #kneereplacement #kneetreatments

Coriel is supporting Dearne Valley Personal Development Centre(DVPDC) to help young people in our community . We are proud to help fund the great work being undertaken by DVPDC through the acquisition of bikes and laptops for use by the young people attending the centre. Great work being done by the hardworking team at DVPDC in this challenging economic, health and social environment.

Coriel Orthopaedic Group are the only centre to offer this treatment in South Yorkshire. Check out the nStride treatment section of our website and reference the links below to see whether this treatment can help you too. Adventurer Steve Backshall shares his story https://nstride.zimmerbiomet.com/uk/stevebackshall/ The Daily Mail also features a story about his treatment, read it there https://www.dailymail.co.uk/health/article-10105313/An-injection-blood-fixed-agonising-knee-pain-says-Strictlys-STEVE-BACKSHALL.html #nStride

The BOA Clinical Examination Course was set up almost a decade ago with the aim that trainees will attend on an annual basis whereby skills could be learnt at an early stage of training and repetition would result in perfecting a technique and consequently improvement in patient care and examination success. It is taught by an experienced group of lecturers on clinical examination techniques. The format includes a morning of lectures covering all regions of the body. This is followed in the afternoon by a hands-on session where participants rotate in groups of similar skill level. In these tutorial groups there is a demonstration by an experienced consultant followed by practice in pairs of the techniques learnt. This year Coriel specialists Mr Haslam ( Knee Specialist) Mr MacInnes ( shoulder specialist) and Mr Thiagarajah ( Hip specialist ) all attended to ensure that Coriel continue to offer the latest medical techniques and highest levels of expertise. #coriel

Team Coriel Shoulder and Elbow specialist Scott MacInnes has been awarded Trainer of the Year for South Yorkshire! Scott MacInnes is a Consultant Orthopaedic Surgeon who specialises exclusively in shoulder and elbow conditions. He undertook 2 fellowships in Perth, Western Australia, working with internationally renowned Shoulder and Elbow Surgeons. He was awarded a PhD by the University of Sheffield for research examining the genetic contribution to failure of orthopaedic joint replacements. He is employed by Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust as an NHS consultant. In other news we are thrilled to announce we have been announced as Finalists for Business Start Up of the Year in the Doncaster Chamber Business Awards …. what a great tribute to our first year in business. The outline for this category says: This award will go to an organisation that has been trading under 2 years by March 2021. The organisation must be able to demonstrate continued growth since start-up whilst meeting and overcoming challenges. It will take into consideration market awareness, vision for the future of the business, strong commercial performance and financial results. #coriel

What is Carpel Tunnel Syndrome? Carpal Tunnel Syndrome is a really common condition which can cause pins and needles in your palm, thumb, index, middle and ring fingers. Often this is worse at night, waking you up, and can only be relieved by hanging your arm over the edge of the bed or shaking it around. Some cases are mild and only cause occasional discomfort, whilst in others, the pain can be constant and very debilitating. What Causes it Carpel Tunnel? The condition is caused by a compression of the median nerve at the wrist where it passes through a space shared with nine tendons called the carpal tunnel. Not all cases of carpal tunnel require surgery. In more mild cases, a splint can be used or a steroid injection given into the carpal tunnel itself. However, if the compression is causing you to lose power and function in your hand, it is best managed with a small operation. The procedure is carried out under local anaesthetic without a tourniquet and takes about fifteen minutes to complete. Surgery around nerves is very delicate and so special microscopic glasses are worn to ensure the best result possible. The wound usually heals within 10-12 days and during that time you won’t be able to drive. Carpal tunnel surgery is very successful and most patients return back to their usual activities within a few weeks. If you would like to discuss this further please give us a call at Coriel Orthopaedic Group on 07946 396194 #handampwristtreatments

Mr Haslam has been a Consultant Knee Specialist working at Parkhill Hospital in Doncaster for over 15 years, during that time he has treated thousands of patients with knee Injuries. We discuss skiing and snowboarding injuries with Paul, tapping into his experience. Q. As an Orthopaedic Surgeon you must be anti-skiing surely? A. Absolutely not I am a very keen skier (although not as good as I think I am) I get into trouble for venturing off-piste a bit and taking the kids with me! Having a knowledge of and passion for skiing helps as I’m keen to get my patients back on the slopes and would hate to say you can’t ski again. Q. How common are skiing/snowboarding injuries? A. For experienced skiers the odds are very favourable as recent evidence suggests you have to ski for 447days before a significant injury occurs. However less frequent and learner skiers are more susceptible to injury. It also depends and what you do on the slopes, snow parks, off-piste skiing and skiing after visiting the bar obviously increase the risk! Q. How can I reduce the risk of injury? A. Use common sense and get fit before going skiing. Just some simple exercises before you go will help. The use of braces to prevent injury is controversial although I do recommend them for people who have had a previous injury or surgery. Whilst on the slopes avoid skiing when tired and take extra care in poor visibility. Make sure your bindings are not on too tight. Interestingly a lot of the injuries I have seen have been relatively low speed as at higher speeds the ski is released from the binding. Q. What happens if I do injure my knee? A. twisting knee injury, a pop or snap followed by severe pain and then swelling is the usual scenario. You will need help to get down from the slopes and be taken to the local medical centre. Usually an x-ray will be taken to make sure there are no broken bones. Q. What structures are likely to be damaged? A. With the history above the most likely diagnosis is rupture of the Anterior Cruciate Ligament (ACL). A strong ligament (string) deep inside the knee. The ACL usually does not heal and can lead to instability (wobbliness) of the joint. The cartilage shock absorber in the knee called the meniscus can also be damaged. Q. If I have torn my ACL what is the best way to treat this? A. Some people can manage without surgery so physiotherapy as soon as possible is always recommended. Patients who are active and those that complain of instability usually have surgery to reconstruct (rebuild) the ACL. Q. What do I do if they recommend immediate surgery? A. Current evidence does not support immediate surgery for knee injuries. It is almost always better to let the knee calm down and swelling reduce before having a big operation. Q. Can I make contact whilst I’m out of the country? A. Yes during the COVID crisis we have become very accustomed to telephone and video consultations. We understand how upsetting it can be to be left in the ski chalet with a pair of crutches so if you contact our team we can organise a phone call to reassure and make plans for your return. Q. I injured my knee last year and saw a doctor who said it was ok but it doesn’t feel quite right should I pursue this further? A. Yes. Unfortunately serious knee injuries like ACL rupture can be missed if you are concerned after a significant injury ask your GP for a referral. You could damage your knee further. Even MRI scans can be misleading and a thorough examination by a specialist knee surgeon is recommended. It is definitely best to get it checked out by a specialist in knee injuries just to be on the safe side. Read all about the conditions that we treat right here. Book an appointment today Book Treatment #kneeinjuries #kneetreatments #privatesurgeons

All About Orthopaedics in Sheffield We all know someone that has been affected by bone, muscle or joint pain, and that someone might even be ourselves! Whether its arthritis, a sprained ankle or knee pain, we have all searched the internet for the magical treatment that is meant to miraculously help us. But the truth is, we need to be visiting real specialists for these kinds of injuries and conditions. Luckily, we have private orthopaedic surgeons in Sheffield that can help treat us. What is Orthopaedics? Orthopaedics is a branch of medicine that focuses on the care of the musculoskeletal system. This system is made up of muscles, bones and joints, as well as ligaments, and tendons. The study of orthopaedics is truly fascinating and it offers doctors the opportunity to treat patients with conditions that are affecting the muscles and bones, allowing patients to live fuller and more mobile lives. A person who specialises in orthopaedics is known as an orthopaedist or orthopaedic surgeon. On average an Orthopaedic surgeon does a 5-year degree in medicine (recognised by the General Medical Council), a 2-year foundation programme of general training, 2 years of core surgical training in a hospital and up to 6 years of specialist training. These surgeons are devoted to the prevention, diagnosis, and treatment of disorders of the bones, joints, ligaments, tendons and muscles. Some orthopaedists are generalists, while others specialise in certain areas of the body, such as: Hip and Groin Foot and Ankle Hand and Wrist Shoulder and Elbow Knee Here at Coriel Orthopaedic Group, our surgeons have over 100+ years of combined experience ensuring that we provide our patients with world-class expertise, patient care and treatment. What can our Orthopaedic Surgeons Treat? Orthopaedic surgeons can treat a wide variety of musculoskeletal conditions. Our Surgeons in Sheffield will explore both nonsurgical and surgical treatment options, depending on the severity of the condition and the amount of pain that it is causing. Whether these conditions have been present since birth, have occurred as a result of injury or are age-related, our orthopaedist will work hard to understand and treat the condition accordingly. Orthopaedic Surgeons are skilled doctors and that can treat broken bones, and replace painful joints, but did you know that orthopaedic surgeons also treat patients for sports injuries such as dislocated shoulders and damaged tendons in the knee? As well as this they can treat: Tennis Elbow Carpal tunnel Syndrome Hand injuries and Sprains Back pain, ruptured disks and spinal stenosis Flat feet Hip dysplasia Achilles tendon injuries, bunions and foot/ankle injuries Osteoporosis Arthritis What to expect in an appointment with us… Not sure what to expect in an appointment? Here is a little more information. Our surgeons in Sheffield are specialists in their chosen field and are extremely patient focused and caring. One of our Orthopaedic surgeons will work with you to diagnose the condition of that may be causing you discomfort and pain. This normally includes conducting a physical examination as well as taking X-rays if there is a need to do so.  At times we may need to use other methods such as an injection, to help make the diagnosis or treat the condition, additional testing may also be necessary to confirm the diagnosis. Diagnosing a patient In order to help diagnose a patient’s condition, the surgeon will: carry out a physical examination ask about the patient’s symptoms review their medical record to gather more information about their medical history and overall health review any X-rays that may have been conducted before the appointment The orthopaedist may also order additional diagnostic tests if necessary such as: an MRI scan a bone scan an ultrasound blood tests nerve conduction studies Our surgeons will work alongside you and your GP to provide the best possible treatment and patient care. Therefore if you are looking for private orthopaedic surgeons in Sheffield that can help treat you simply contact us. We look forward to helping you get back to doing the things that you love. Book Treatment Important Healthcare Providers in Sheffield In Sheffield we are so fortunate to have a great range of healthcare providers and here at Coriel Orthopaedic Group we take pride in being a part of this. It is important to know who these providers are and where you can find them. Whether you are looking for general or specialist care you use the links below to get the help that you need. Sheffield Teaching Hospital Sheffield Children’s Hospital Royal Hallamshire Hospital Other important healthcare providers #specialist #privatesurgeonssheffield #corielorthopaedic #orthopaedic #sheffield #surgeon