Orthopaedics (Bone and Joint Pain)
Orthopaedics is the diagnosis and treatment of problems of your skeleton and its attachments including: the joints, ligaments, tendons, muscles and nerves. Orthopaedic conditions can be present at birth or they can be the result of injury or ageing.
Our skilled and highly experienced orthopaedic surgeons will swiftly diagnose and treat musculoskeletal problems of the spine, shoulders, hips, knees, elbows, hands, wrists, feet and ankles.
They have access to a full onsite imaging service to support diagnosis and physiotherapy to assist in treatment and rehabilitation following surgery. We aim to offer the best treatment for your orthopaedic condition that will improve your quality of life as soon as possible.
Your ACL is a major knee ligament that joins your thigh and shin bones together at your knee joint. It offers stability to your knee especially when twisting or pivoting.
ACL Injuries are common, especially in collision sports such as football and basketball. They can feel like your knee gives out from under you. An ACL can be torn when you slow down quickly and change direction and turn.
ACL reconstructive surgery may be recommended for a badly damaged ACL. During ACL reconstruction or knee ligament reconstruction your knee surgeon will replace your torn ACL with a tendon from another area of your leg or from a donor whilst you’re under general or spinal anaesthetic. The procedure is performed arthroscopically and takes around an hour to an hour and a half. ACL reconstruction will improve the stability and function of your knee joint.Click for more information on ACL Reconstruction
Carpal Tunnel Release
Carpal tunnel release is surgery to release pressure on a nerve in your wrist.
Your carpal tunnel is a narrow passageway made of ligaments and bones that carries your median nerve to your hand. Carpal tunnel syndrome occurs when your median nerve becomes compressed at the wrist causing pain, numbness, tingling and a weakness in the muscles of your hand.
Carpal tunnel release surgery is performed under local anaesthetic and takes around 20 minutes. Your surgeon will divide your carpal ligament to relieve the pressure on your median nerve.
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Dupuytren's disease causes the thickening of palm tissue. If Dupuytren’s disease progresses, it may eventually lead to a contracture in one or more of your fingers, as this tissue contracts. This is known as Dupuytren’s contracture.
Dupuytren’s disease may cause little interference in your hand use and may not require treatment. However, if you can’t place your hand flat on a table top or if your hand function is significantly affected then treatment may be recommended.
Dupuytren’s fasciectomy is the most common treatment for Dupuytren’s disease and Dupuytren’s contracture, and has the best chance of long-term cure. A Dupruytren’s fasciectomy is surgery to cut the fibrous tissue in the palm of your hand or it may involve removing the abnormal thickened tissue in your hand.
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Forefoot reconstruction is an operation to correct severe toe deformities that occur in the feet of people with rheumatoid arthritis and similar conditions. Forefoot problems can include bunions, hallux ridgitus (stiff big toe joint), metatarsalgia (pain in the ball of your foot), and claw and hammer toes.
Forefoot reconstructive surgery may be recommended if conservative treatments such as modifying your shoes or using shoe inserts don’t work. The extent of surgery will be determined by your individual situation.
It is usually performed under general anaesthetic. Most often the main joint of your big toe is fused to make it straighter, stronger and more able to weight bear. Your small toes may also be straightened.
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A ganglion is a benign, fluid-filled sac that can form in your wrist or hand. A ganglion often appears following trauma or degeneration of tissue.
Ganglions can usually be diagnosed by their location and shape. We may perform an x-ray or ultrasound examination to confirm the diagnosis. Ganglions are harmless and if you have no other symptoms, your orthopaedic hand and wrist specialist may recommend a period of observation to see if your ganglion disappears or reduces in size.
If your ganglion is causing you pain, impacting on the function of your hand, or restricting your hand movements your surgeon may recommend surgery to remove it. Ganglion removal surgery can be performed under local or general anaesthetic. Your ganglion can be removed using open or arthroscopic surgery. Your hand and wrist surgeon will discuss the best option for your individual needs.
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Hammer Toe Surgery
A hammer toe is a painful misshapen small toe that occurs due to an imbalance in your muscles, tendons or ligaments that normally keep your toe straight. It is recognisable as it is bent at the middle joint and it flexes downward at the end to create a hammer shape.
Moving a hammer toe can be difficult or painful. Corns and calluses are also common if you have a hammer toe as your toe rubs against the inside of your shoes.
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Hip arthroscopy is used to diagnose and treat a wide range of hip problems. These may include:
- loose bodies (bone or cartilage) inside your hip joint that can get caught between the bone surfaces and cause pain.
- a torn labrum (cartilage rim of the hip joint).
- hip impingement syndrome, also called femora-acetabular impingement (FAI) - bone spurs cause damage around your hip socket or femoral head.
- Synovitis – inflammation of tissue surrounding your hip joint.
- Snapping hip syndrome – damage of your tendon from repeated rubbing.
- Hip joint infection.
Also known as keyhole surgery, hip arthroscopy is a minimally invasive procedure that allows your hip surgeon to look inside your hip joint using a small camera and diagnose your hip problem.
If treatment is required, it is often performed at the same time as diagnosis. Treatment may involve removing loose bodies, bony spurs or synovium in your hip joint or repairing a torn labrum.
If you have a painful joint, yet your surgeon feels it isn’t damaged enough to warrant surgery, a joint injection may be recommended. A joint injection is a procedure to introduce medication into your joint. Medication is normally steroids and sometimes is accompanied by a local anaesthetic.
The injection of steroids will reduce inflammation and help reduce pain in your joint. It improves joint function allowing you to move it more easily. A local anaesthetic will numb the pain in your joint.
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A knee arthroscopy allows your orthopaedic surgeon to look inside your knee and to find out more about your knee pain. Knee arthroscopy is a type of keyhole surgery where small incisions are made around your knee to allow a thin metal tube with a camera and light source, called an arthroscope, to be inserted into your knee joint. It’s normally performed under general anaesthetic and takes around 45 minutes.
Your surgeon may take small tissue samples (biopsies) to help confirm the diagnosis of problems such as infection.
Treatment is sometimes performed at the same time. This might involve washing out any loose material caused by wear and tear of the joint surfaces and trimming or repairing a torn cartilage.
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Rotator Cuff Repair
Your rotator cuff is a group of four muscles and tendons that surround your shoulder joint and help to keep your shoulder stable. Overuse and injury can lead to tearing of one or more of these elements of your rotator cuff causing pain and a lack of shoulder movement.
If non-surgical treatments haven’t worked or you have a large rotator cuff tear, then rotator cuff repair surgery may be recommended. It aims to reattach the torn tendons and muscles to your arm bone.
Open surgery is often performed on large or complex tears. Keyhole or shoulder arthroscopy will otherwise be performed and as an outpatient procedure. Your orthopaedic surgeon will discuss your options in detail with you.
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Shoulder surgery is performed to repair your shoulder joint if it is degenerated, diseased or damaged and restore full use of your shoulder without pain.
It is a surgical procedure that uses arthroscopic or open surgery techniques to treat pain, stiffness, weakness, swelling and instability in your shoulder.
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Tennis elbow is a repetitive strain injury where an inflamed tendon causes pain around the outside of your elbow.
It is caused by overusing your forearm muscles and tendons and those around your elbow joint often whilst performing every day activities.
Typically, tennis elbow causes recurring pain around the outside of your elbow and may also be felt further down the arm, towards your wrist.
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Trigger Finger Release
Trigger finger is a condition that affects your tendons in your fingers and thumb. It limits your finger movement so that when you try to straighten your finger, it will lock or catch before popping out straight.
The decision to have trigger finger release surgery will depend on the severity of your symptoms, if non-operative treatments have not worked, and if your finger is stuck in a bent position.
Surgery will be performed on an outpatient basis under local anaesthetic and takes about twenty minutes. You may have open or percutaneous trigger release surgery. Both aim to widen the opening of the tight tendon tunnel to enable your tendon to slide through more easily.
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