Shoulder impingement refers to a painful limitation in shoulder movement due to either inflammation or injury of the shoulder rotator cuff tendons involved in shoulder movement, inflammation of a subacromial bursa (called bursitis) that separates the one of the tendons from the overlying bony arch and soft tissue structures, or a bony spur coming from the acromioclavicular joint(ACJ) joining the…

Tennis elbow and golfers elbow (known as lateral and medial epicondylitis) are painful conditions caused by repetitive loading of the forearm muscles either at work or during sporting activities including weight training and other sports not related to tennis or golf. This causes a painful limitation in elbow function around the elbow and the upper forearm muscles. These conditions are…

De Quervains Tenosynovitis is a condition related to repetitive strain of the wrist on the thumb side commonly associated with DIY gardening, using powerful handheld tools, and  holding infants in a fixed position for long during breast feeding. This conditions is easily confirmed with ultrasound and treated with a local injection. Osteoarthritis of the thumb joints can be quite painful…

Back pain isn’t usually a sign of arthritis or any other underlying medical condition. It’s much more likely that an awkward movement has pulled a muscle or sprained a ligament. Sometimes we don’t even remember a movement that might have triggered the pain. Unless the back pain is very severe you probably won’t even need to see your doctor.

Painful hip impingement can result in groin or buttock pain sometimes referring into the front of the thigh. Hip movements and certain activities usually bring on the pain The most common conditions that cause this are CAM deformities where the size of the head is too big for the joint socket, labral tears affecting a rubber like seal around the socket, and joint osteoarthritis. Most of these conditions can be managed without surgery.

Common knee conditions & injuries Osteoarthritis and the swollen knee Most patients that have osteoarthritis (various degrees of cartilage loss seen on X-ray or MRI) get acute flare-ups involving the knee becoming warm, swollen, and painful. Having osteoarthritis does not mean that you have daily pains. The flare-ups often relate to periods of joint overloading such as with overtraining, over-exercising,…

Plantar fasciitis is a painful condition affecting the sole of the forefoot and can be treated with Physiotherapy and exercises. In persistent cases, this condition is treated with shockwaves therapy or injections (see under).  Morton’s neurons and metatarsal bursitis are related conditions affecting the foot web spaces. They often occur due to discrepancies between foot and shoe size. It can…

Heel pain mostly relates to Achilles tendon injury and overload. Rarely does the tendon tear. Ultrasound can accurately confirm the degree of injury and local inflammation changes. Most tendon flare-ups recover with physiotherapy but some require a very specific injection called high volume distension that removes abnormal vessels formed within the tendon. Patches (Minitran nitrate oxide donor) applied over the…