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.

Common Causes of Hip Pain in Young Adults Wondering what the common causes of hip pain in young adults are? this blog will provide you with the information that you need to understand possible causes and will recommend when to seek treatment. Signs & Symptoms Hip pain tends to present with a variety of symptoms including: Clicking or “locking” of the hip joint Pain in the groin which may be made worse by various positions such as sitting or prolonged walking Difficulty putting on shoes and socks Pain in the buttocks Hip pain in older individuals can be caused by osteoarthritis (“wear and tear”) of the ball and socket joint. In younger individuals, a myriad of reasons for hip pain exist.: Simple groin strains – which respond well to physiotherapy Inflammation of the tendons around the hip Subtle hip shape deformities such as Dysplasia, and Impingement. Early osteoarthritis. This blog will be delving further into hip pain caused by subtle deformities of the hip joint that give rise to either Dysplasia and/or Impingement. What is Hip Dysplasia? Dysplasia quite simply means “abnormal development”.  Thereby hip dysplasia indicates that in a certain individual, their hip (the ball and socket joint) has not developed normally.  There is usually a genetic cause for this, and it frequently runs in families. Most commonly, hip dysplasia is characterized by a “shallow” socket that does not adequately cover the femoral head. When the femoral head is not completely covered by the socket, the hip is unstable, may become painful and eventually develop osteoarthritis.  Patients often feel like the hip may dislocate, and it may click on occasion. In its severest form, it presents in newborns with a dislocated hip. This is picked up at birth and treated.  In its mildest form, it may not become symptomatic until the patient is in their 20’s or 30’s. How is Hip Dysplasia Diagnosed? Hip Dysplasia is diagnosed with a combination of clinical history, examination findings and imaging.  Dysplasia is often seen on a standard radiograph (“X-Ray”) of the Pelvis and both hips.  Additional investigations which help guide treatment options include CT and MRI scans. Finally, a diagnostic injection of local anaesthetic into the hip joint may be performed to ensure the correct diagnosis is reached. What is the treatment of Hip Dysplasia? As with most hip conditions, we would always advise non-operative treatment initially. This includes physiotherapy and painkillers.  However, if non-surgical treatment fails, hip dysplasia is corrected by surgery. If hip dysplasia goes untreated, arthritis is likely to develop. Symptomatic hip dysplasia is likely to continue to cause symptoms until the deformity is surgically corrected. Many patients benefit from a procedure called a periacetabular osteotomy or PAO. The medical term “periacetabular” means “around the acetabulum” or “around the hip socket.” The term “osteotomy” refers to any procedure in which bone is cut. Thus, a PAO is a procedure where the bone is cut around the hip socket. The socket is placed into the optimal position and secured using 3 or 4 bone screws. The surgery is performed under a general anaesthetic, through a minimally invasive surgical incision (about 10cm) in the bikini-line region of your upper thigh.  The surgery itself can take up to 3 hours.  After surgery, the patient would be required to walk with crutches for up to 3 months. By correcting the patient’s anatomy, the procedure has been shown in numerous studies to relieve hip pain and delay the progression of osteoarthritis within one’s hip. What is Hip Impingement? Hip impingement, or femoroacetabular impingement (FAI), is a condition where the bones in the hip joint are abnormally shaped. Either the hip socket has too much bone along the rim of the socket. Or the femoral head on the leg bone isn’t sufficiently rounded. This abnormal shape of the joint leads to uneven wearing, friction and pinching of the soft tissues around the hip. It is possible to have both socket and femoral head deformities at the same time. Hip impingement can affect anyone of any age. The causes of hip impingement include many sporting activities including martial arts, weight training, golf and football, but also lifestyle and occupational causes. Often there may be a genetic cause and it may run in families. The impingement often occurs when the hip is flexed or “bent up”.  This may occur when sitting for long periods, squatting, or running. How is Hip Impingement Diagnosed? Hip Impingement is diagnosed with a combination of clinical history, examination findings and imaging. Impingement is often seen on a standard radiograph (“X-Ray”) of the Pelvis and both hips.  Additional investigations which help guide treatment options include CT and MRI scans. How is Hip Impingement Treated? As with most hip conditions, we would always advise non-operative treatment initially. This includes physiotherapy and painkillers.  This being said, if non-surgical treatment fails, hip impingement is often corrected by surgery. If hip impingement goes untreated, arthritis is likely to develop. Surgical treatment is directed to the aspect of the hip, which is not normal.  Often this is either due to excess bone on the socket and/or femoral head (ball) of the hip joint.  In this case, a keyhole operation to the hip (hip arthroscopy) can be beneficial.  This procedure is performed under general anaesthesia and may take up to 3 hours to perform fully.  During this procedure, the leg is attached to a specialised traction device and table which enables a small gap between the ball and socket to be achieved.  Once the gap is opened, we are able to insert a camera through a small incision to the side of the hip.  A second small opening is made adjacent to that to allow us to insert further equipment such as a small shaver/burr to remove the excess bone and tissue.  This is usually a day case procedure and the patient is expected to make a full recovery within 6 weeks. If there is an issue with the rotational alignment of the socket and/or ball of the femur, then we may advocate a procedure to correct this.  Correcting the rotational malalignment of the socket would involve performing a periacetabular osteotomy (as described above).  Rotational malalignment of the ball of the femur would involve an osteotomy (cut to bone) to the femur (thigh bone) and fixation with a metal plate on the side of the bone. Book an Appointment Hip Dysplasia and Impingement are relatively common conditions that are amenable to treatment if identified early. The majority of patients with the condition, once diagnosed, may be treated with good results.  Do not delay in seeking specialised orthopaedic assessment if you suspect you may suffer from either of these conditions.  Early treatment avoids progression to arthritis and the inevitable hip replacement. Book an appointment at Coriel Orthopaedic Group today or contact us to find out more.Book Treatment

Get Painful Heel Treatment in Doncaster Heel pain can have a significant impact on one’s quality of life. We will try to explore the causes of painful heel, symptoms, diagnosis and various ways to cope with this condition. Amongst the many bones in the foot, the heel bone is the largest. It is prone to overuse and injuries resulting in mild to disabling pain. What are the causes of Painful Heel? There are several causes of painful heel but to list a few, these are: Plantar fasciitis: This is the most common cause for painful heel. It is an inflammation of the plantar fascia, which is a thick band of tissue in the sole of foot. Heel spurs: These can form around the heel bone. The spurs at the back of heel can be quiet troublesome. Repetitive stress & strain: Excessive running, jogging and walking can predispose to stress injuries and inflammation. Bursitis: Inflammation of the fluid sac at the back of the heel can lead to painful heel Achilles tendonitis: The Achilles tendon attaches to the back of the heel and recurrent inflammation can lead to chronic pain in this region. Foot structure: People with high arches sometimes are prone for painful heel while others, having flat feet can also have pain in the sole and arch of foot. Medical causes: High uric acid and low vitamin D and other inflammatory conditions can predispose to heel pain too. Referred pain: Pain around the heel can come from the lower back or nerves. Symptoms of Painful heel The common symptoms are early morning stiffness and pain. Pain can also be at the end of the day which is mainly activity related. The pain can remain constant and can get very chronic making it challenging to deal with. Diagnosis and Treatment of Painful Heel in Doncaster It is crucial to consult your doctor and a specialist to arrive at an accurate diagnosis and management plan. The specialist will take a detailed medical history, perform a physical examination, and order some investigations like x-rays and ultrasound scan before making a definitive management plan. The treatment of painful heel generally involves non-operative measures and this depends on the cause of painful heel. Rest: You need to avoid activities that cause pain. Ice: Inflammation may settle by the application of ice packs to the affected heel. Footwear modification: Cushioning the insoles and proper support can ease of the discomfort. Physiotherapy: This is beneficial for tight muscles at the back of the leg. Orthotic insoles: These are beneficial for improving your foot alignment and can give good relief in symptoms. Anti-inflammatory medications: For the relief of inflammation these medications can help, but please get in touch with your doctor. Local injections: In some cases, corticosteroid injections are necessary. Preventing and Coping with Painful heel Painful heel can be very disabling. You can cope with the condition by following certain strategies: Avoid overexertion by avoiding repetitive activities Take proper care of your feet by practising good foot hygiene. Soaking feet in warm water can help some symptoms. Have a healthy lifestyle by eating a balanced diet and regular exercises. Reducing body weight (speak to your doctor). You may like to get in touch with other people suffering from similar conditions for emotional support and coping mechanisms. Get Painful Heel Treatment in Doncaster If you are experiencing pain in your heel that is not improving by simple measures, please get in touch with your doctor for help and onward referral to a specialist for proper evaluation and management.Book Treatment #orthopaedicsurgeons #coriel #corielorthopaedic #surgeonsindoncaster #privatesurgeonsdoncaster

Get Trochanteric Bursitis Treatment in Doncaster By Andrew Bruce What is Trochanteric Bursitis? Trochanteric Bursitis (TB) is also known as Greater Trochanteric Pain Syndrome (GTPS). It is characterised by inflammation of the bursa near the Greater Trochanter of the Femur (the bony prominence at the outer aspect of the hip) What is a bursa? A bursa is a small, fluid-filled sac that acts a cushion between bones, muscles, and tendons, reducing friction and allowing smooth movement. Symptoms The main symptom is pain at the outer aspect of the hip / thigh, which often radiates down towards, and just below, the knee. The pain can often be exacerbated by activities including, walking, running, climbing stairs, and lying on the affected side. It is common, when rising from a chair, to get pain which requires a few seconds of standing, before being able to walk normally. Who is affected? It can occur in people of all ages but is more common in middle-aged and older people. It can sometimes occur in people who have had surgery such as hip replacement. Common Causes Repetitive stress: Overuse or repetitive movements of the hip, such as running, standing for excessive periods, can lead to irritation and inflammation of the bursa. Poor Posture: Any activity that involves poor posture, or altered hip biomechanics can place extra stress on the area and cause inflammation. Trauma: A fall onto, or a direct blow to, the area can lead to inflammation within the bursa. Muscular Imbalance or Weakness: Weakness and tightness within the muscle groups around the hip are a leading cause of GTPS. Underlying Inflammatory Conditions: In some cases, conditions such as Rheumatoid Arthritis can contribute to the development of GTPS. How is it diagnosed? It is principally diagnosed on physical examination, but imaging, such as Ultrasound, X-Ray and MRI may be helpful, particularly to rule out other causes of pain. How is it treated? Treatment almost always starts with conservative measures such as: Rest: Avoidance of activities that aggravate the pain may help reduce the inflammation and symptoms Ice: Applying Ice packs to the affected area can help reduce the inflammation and pain Pain Relief: Over-the-counter anti-Inflammatory tablets, such as ibuprofen, have been shown to be helpful in reducing pain and inflammation. Massaging Anti-Inflammatory Gel into the area may also be helpful. Massage: Gentle massage around the affected area is helpful in some people. Physiotherapy: Targeted exercises, over 6 – 12 weeks, are designed to strengthen the muscles around the hip and are the mainstay of treatment. Graduated stretches may also help to relieve the pressure over the bursa. Use of Walking aids: The use of a walking stick or elbow crutches may be helpful in the early stages, to help offload the affected hip. Steroid Injection: If the measures above fail to improve symptoms, injection of local anaesthetic and steroid (cortisone) has been shown to be helpful. These can either be “blind” or with the assistance of ultrasound guidance. Others: If conservative measures fail to improve or resolve symptoms other more interventional options may be considered. These may include Platelet Rich Plasma (PRP) injections, Extra Corporeal Shockwave Therapy, and in rare cases surgery to remove the bursa. Summary GTPS is a common condition that is amenable to treatment. The majority of patients with the condition, once diagnosed, can be fairly easily treated with good results. Get Trochanteric Bursitis Treatment in Doncaster today from Coriel Orthopaedic Group.Book Treatment #doncaster #TrochantericBursitisTreatment #TrochantericBursitisTreatmentinDoncaster

What is Shoulder Osteoarthritis Shoulder Osteoarthritis Treatment in Doncaster In a healthy shoulder, the surfaces of the ball and socket are covered with cartilage, which allows the bones to move smoothly over each other and acts as a shock absorber. In osteoarthritis, this cartilage degenerates, becoming thin, rough and uneven. The fluid-filled space in the joint gets smaller and bone rubs against bone, which is uncomfortable and can lead to bony lumps or spurs forming. Shoulder arthritis refers to degenerative change in the joint, most commonly due to wear and tear. As we grow older, the cartilage lining of the bones in a joint slowly wears away. This thinning and loss of cartilage eventually leads to wear and tear of the bone itself and is called osteoarthritis. Other conditions such as inflammatory disorders (like rheumatoid arthritis), trauma and increased high-intensity use of the joint can also predispose to shoulder arthritis. Rotator cuff arthropathy is a specific type of shoulder arthritis, in which there is severe arthritis and a large tear in the rotator cuff muscles that stabilise the shoulder joint. The patients are mainly troubled by pain and stiffness affecting their quality of life. Symptoms of shoulder osteoarthritis Shoulder arthritis causes pain, stiffness and clicking or cracking during movement. The pain can be located on the side, front or back of the shoulder and may radiate into the neck or arm. In the early stages the pain may come on when using the arm, especially when lifting heavy objects or raising the limb. The pain can progress over time, until the shoulder is painful even at rest. Shoulder arthritis can make it difficult to dress, brush your hair or do up a seatbelt (Activities of daily living) and also can affect sleep. Management of shoulder arthritis Through assessment of your shoulder by a specialist orthopaedic surgeon, so as to tailor a treatment programme according to individual requirements. Investigations: X-rays, USS and CT scans are useful in diagnosis and planning treatment. Following treatment are available: Non-Surgical Specialist physiotherapy, anti-inflammatory medication and steroid injections can reduce the pain and stiffness of shoulder arthritis. If these conservative measures have not provided relief, Shoulder joint replacement surgery will help to relieve pain and restore shoulder mobility. Shoulder replacement The choice of surgery depends on the age of the patient, the severity of the disease and the presence of other associated shoulder problems. Shoulder replacement involves removing the arthritic joint surfaces and replacing them with a prosthetic device (ball and socket joint). This offers excellent relief pain relief and restores functional movement. There are several different types of shoulder replacement. Shoulder joint replacement could involve replacing both sides of the joint (total shoulder replacement) or the humeral bone alone (Partial shoulder replacement) Two types of total shoulder replacement are available: “Anatomic” and “Reverse”. The condition of the rotator cuff tendons within the shoulder determines which of these two types of shoulder replacement will be most appropriate – both types of shoulder replacement provide an equal degree of pain relief. In an anatomic replacement, a plastic socket is cemented in place and a metal ball is fixed to the humeral joint surface (arm bone) and this could be stemless or stemmed. In a “reverse” total shoulder joint replacement a metal hemisphere is implanted on the socket side of the shoulder joint and a plastic “socket” within a metal stem on the arm bone (humerus) side. This design of the total shoulder replacement is able to compensate for the lack of rotator cuff function by recruiting the large deltoid muscle to take on their work. Your consultant surgeon will recommend the best option for you following a full evaluation of your shoulder. Shoulder replacement surgery is carried out under general anaesthesia with a regional nerve block. Most patients who are admitted go home the next day. Following surgery, you will wear an arm sling for 3-4 weeks. Your surgeon will instruct you to do gentle range of motion exercises to increase your mobility and strength. They will recommend a formal physical therapy program to strengthen your shoulder and improve flexibility. You should be able to eat, dress, and groom yourself within a few days after surgery. Total shoulder replacement provides outstanding pain relief and patient satisfaction is typically very high. If you have any questions or simply want to find out more about Shoulder Osteoarthritis Treatment in Doncaster please get in touch with us.