Custom-made knees and The Clavadel Rehab Centre
On Thursday 9th Feb 2023 our Specialist Knee Surgeon, Mr Ian McDermott, gave a talk to members of the public at The Clavadel Rehab Centre in Guildford on "Cutting-edge modern knee surgery and the benefits of a bespoke custom-made knee." The room was packed full...
What structures in your hand are working hardest when you play the violin?
Mark Phillips, our hand surgeon with a specialist interest in musicians’ hand and wrist problems, continues his series of illustrated talks on the functional anatomy of the hand and wrist when playing musical instruments. https://youtu.be/cS5rVvu1E3M This talk is...
Functional anatomy and the hand when playing musical instruments.
So, how do the tendons work when playing drums with different grips? When drummers play, they use either ‘Traditional Grip’ or ‘Matched Grip’. Traditional Grip is only used in the left hand, with the palm upwards (more supinated) and the stick held between the...
Dorsal wrist impingement in city workers.
Here’s an odd thing. This has never been discussed in a scientific article to my knowledge, nor in a scientific meeting relating to hand surgery. Every week, almost without fail, a patient comes in and tells me that, for a number of years (or months) they have been...
5 ways to help patients waiting for knee replacement surgery.
For patients needing knee replacement surgery, the NHS waiting lists are getting longer. We now have over 5 million patients waiting for treatments on the NHS, with over 500,000 patients waiting specifically for orthopaedic surgery alone: of these, 67,000 have...
‘Home Gym’ shoulder injuries – common causes and best treatment options
What are the two most common shoulder injuries? In recent months, due to lockdowns and gym closures, creating your own ‘Home Gym’ has become commonplace, but has this resulted in an increase in shoulder injuries? The shoulder is particularly prone to injuries due...
Rotator cuff repair surgical innovation achieves 85% success rate in clinical trial.
Rotator cuff repair using Arthroscopic Superior Capsular Reconstruction (SCR) of the Shoulder Using Dermal Allograft Mr Daoud Makki, Consultant Upper Limb Surgeon wins a Blue Ribbon Article Award for his article Arthroscopic Superior Capsular Reconstruction (SCR)...
A unique approach to treating musicians’ hands is achieving exceptional patient outcomes. Mr Mark Phillips, Consultant Hand & Wrist Surgeon explains how ….
Many of my patients are musicians. About half of them present with same conditions/problems as everyone else (e.g. ganglions, trigger finger). However, about half of them present with conditions that are instrument specific. What I’ve found is that there’s a need...
Forced rest. Is it good for injured hands? Mr Mark Phillips, Consultant Hand & Wrist Surgeon, shares his observations from lockdown.
A large number of my patients are musicians. I also see a lot of patients who enjoy sport and like to go to the gym. Since lockdown, live performances have ceased and gyms have closed. So, lockdown has been an interesting scientific experiment for me, to see what...
Patients remain patients, red flags remain red flags, but how do we ensure we don’t miss them with the restrictions of lockdown?
Last week, a patient in her early fifties presented with a 5-month history of progressive left mid-anterior thigh pain after performing lunges and squats in January. She saw a therapist, who gave her some exercises and started Pilates classes, and initially she...
The unexpected benefits of video consultations for patients – particularly musicians!
Mr Mark Phillips, Consultant Hand & Wrist Surgeon at London Sports Orthopaedics explains how switching to video consultation has benefited his patients & why he's going to continue with them in the future. The lockdown that came as a result of the...
Coccydynia – symptoms, causes & treatments for a real ‘pain in the butt’!!
Lockdown has meant more and more people sitting around at home. This prompted Dr Simon Paul, Consultant Rheumatologist to do a webinar about Coccydynia for GPs and therapists. Here he shares a summary of the session. To view the webinar in full, see link at the...
Top tips for foot health
How to keep your feet heathy - foot health advice from our experts It's National Feet Week! Mr Suresh Chandrashekar, Consultant Foot & Ankle Surgeon and Dr Simon Paul, Consultant Rheumatologist provide their top tips for foot health. Tip No. 1 Our feet go...
The LSO Knee Team present at the 2020 UK Biological Knee Society in Cambridge
On 30th and 31st January, the Knee Team from LSO attended the 6th Annual Meeting of the UK Biological Knee Society, in Cambridge. The setting for this year's meeting was spectacular, at Downing College, and the meeting was hosted by Mr Joel Melton,...
Ian McDermott presents at the OPN Knee Conference in Leeds on his use of Vivostat PRF to improve outcomes after Knee Replacement surgery. 1st November 2019
This blog is a summary of the presentation that was given by Mr Ian McDermott at the OPN Knee Conference in Leeds on 1st November 2019. Background Knee replacement surgery is a major surgical procedure, with not-insignificant risks and requiring extensive...
Video Gait Analysis: out of the lab and into your clinic! The London KneeKG Meeting with London Sports Orthopaedics at Quebec House, Weds 4th September 2019.
On Wednesday 4th September we were very kindly and generously hosted by Mr Pierre Gabriel Côté, the Agent-General du Québec, and his team at Quebec House on Pall Mall for The London KneeKG Meeting with Emovi. The KneeKG is a state-of-the-art video gait analysis...
Frozen shoulder – top tips for diagnosis, treatment & management by Miss Verona Beckles, Consultant Shoulder Surgeon
Shoulders and caring for patients are my passion! Over the years I’ve cared for patients who have had a frozen shoulder (also known as adhesive capsulitis). This is a particularly difficult condition for patients to deal with, as the recovery time can take so long....
RESEARCH WATCH – ACL Repair vs Reconstruction
ACL repair: it may sound 'attractive', but is it sensible?! ACL Repair With Suture Ligament Augmentation Is Associated With a High Failure Rate Among Adolescent Patients. Gagliardi AG, Carry PM, Parikh HB, Traver JL, Howell DR, Albright JC Am Journal...
RESEARCH WATCH – The management of 1st-time patella dislocation.
What's the correct management for someone with a 1st-time dislocation of their patella? The answer is easy and really quite indisputable: the answer is send them for imaging! Risk of Redislocation After Primary Patellar Dislocation: A...
Major milestone as Mr McDermott tops his 250th Vivostat PRF case at London Bridge Hospital
Our Knee Surgeon and Managing Partner, Mr Ian McDermott, has passed yet another major milestone at London Bridge Hospital, having now done over 250 cases where Vivostat PRF® autologous platelet-rich fibrin glue has been used in knee surgery. Ian was the first...
There’s no such thing as ‘Patellofemoral Pain Syndrome’! True or false?
Is it just a made up term for people who have failed to identify the specific pathology that is the actual cause of the patient’s patellofemoral symptoms? In a packed room, at our recent CPD meeting, with c. 20+ of our physiotherapist colleagues in attendance, Mr...
A huge step forward in knee replacement surgery
“Listening on Saturday, I felt we were at the edge of something truly remarkable. It is through products like this, and progressive practitioners like yourself that medicine will advance.” Mark Parkhouse, Physiotherapist, Marylebone Physiotherapy & Sports...
Knee injuries in the Olympics
Knee injuries in the Olympics are more common than you think. A serious injury to the knee can be a real life changer not only for the body but also for an athletic career. Many athletes over the years have succumbed to knee injuries, some of which have gone on to...
Award Winning Research by Henry Atkinson
Henry and his team authored a Systematic Review of Level 1 Randomised Controlled Trials looking at the optimal time to initiate weight-bearing and movement after ankle fracture surgery. Their analysis found that the optimal time to permit range of motion exercises...
The 5 most common lower limb injuries during UEFA
The UEFA Europa League is back in full force. Once again, we can enjoy (hopefully) sun-drenched evenings with our friends and families watching our favourite clubs. These competitions are not only extremely exciting to watch unfold, but we also get a front-row seat...
LSO’s London Marathon advice – don’t neglect the niggle!
With around 50,000 runners in 2023, this year is set to be the biggest marathon to date. Many of those who sign up will find themselves amid an exhilarating and community-driven event, full of people passionate about raising money for charities close to their...
Calf Muscle Tears
Calf Muscle Tears: Diagnosing and Grading. Calf muscle tears, also known as calf strains, are a common injury that can significantly impact your daily life and physical activities. Whether you're an athlete or someone leading a more sedentary lifestyle, calf muscle...
Plantar Fasciitis: Symptoms, diagnosis and treatment options
What is Plantar Fasciitis? Plantar fasciitis is the inflammation of the plantar fascia, a thick band of tissue that runs across the bottom of your foot, connecting your heel bone to your toes. This crucial ligament supports the arch of your foot and absorbs shock...
Survivorship of 157 Arthroscopic Meniscal Allograft Transplants Using Bone Fixation at a Mean of 7 Years and Prognostic Factors Analysis
Husen et al The American Journal of Sports Medicine 2024; 52(1): 96-108 DOI:10.1177/03635465231212667 More good news about meniscal allograft transplantation… In a study from the surgeons at the world-renowned Mayo Clinic,...
Stress Fractures – What are they and how can they be treated?
Stress fractures are a common yet often misunderstood injury that can significantly impact a person's daily life and physical well-being. While they may seem inconspicuous at first, stress fractures can lead to severe complications if not properly addressed. In...
The Conformis iTotal custom-made knee – the very best knee prosthesis on the market!
Conformis: ‘You’re simply the best!’ (Told you so!) 😉 Great news (for some of us and our patients) – the 20th annual report of the National Joint Register has recently been published, and this shows that the Conformis iTotal custom-made knee replacement...
Is there really such as thing as metal allergy with knee replacement prostheses?
A Comparison of Clinical Outcomes After Total Knee Arthroplasty in Patients With Preoperative Nickel Allergy Receiving Cobalt Chromium or Nickel-Free Implant Siljander BR. HSS New York J Arthroplasty 2023 Jul; 38(7 Suppl 2): S194-S198 doi:...
Are remote consultations still the way forward?
Mr Ian McDermott, Consultant Orthopaedic Surgeon, explains his thoughts on remote consultations Over the last few years, particularly because of the recent various government-imposed lockdown periods, the medical profession has changed significantly in many ways....
10 Steps to prevent injury when playing the guitar
Mark Phillips, our hand surgeon with a subspecialist interest in treating musicians, has just interviewed Paul Anders Sogaard (BAPAM guitar technique pedagogue) about how we can prevent injury when playing guitar. These are ten basic areas to consider:
An audit of Mr Phillips specialist musicians hand clinic
Mark Phillips, our dedicated Hand Surgeon with a specialist interest in treating musicians, has audited his work over the last 7 years, since he inherited a large musicians’ hand practice. Here is some interesting data to show what kind of instruments feature most...
The anatomy of the fingers when playing the trumpet
Mark Phillips continues his series of illustrations of how the hand works when playing musical instruments... In this talk, the two main common postures of the index, middle and ring fingers of the right hand when playing trumpet are discussed, and how the anatomy...
The natural history of DeQuervain’s tenosynovitis
I have noticed something that I have never seen talked about in Hand Surgery Society meetings. And I don’t quite know how to research it. Something that is very well recognised is that DeQuervain’s is very common in people who pick up small children. It used to be...
De Quervain’s tenosynovitis – why is it on the increase?
In the past four months, I've noticed a significant increase in the number of patients presenting with De Quervain's tenosynovitis. This has made me ask 'why?' I believe it's not just caused by the current backlog of patients who have delayed seeking treatment,...