We help you find lots of useful information about injuries, musculo-skeletal conditions and diseases as well as orthopaedic surgical procedures- what they are, benefits and potential risks and how the North London Orthopaedic and Injury Clinic can take care of you or your child.
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The London Orthopaedic and Injury Clinic is a multi-disciplinary clinic for the management of orthopaedic conditions, sports and other injuries and all musculo-skeletal diseases.
Supported by a team of surgical, medical and health care specialists we are able to offer a thorough and comprehensive diagnostic, surgical and rehabilitation service, including fitness assessment and personal training programs.
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For each condition or procedure start with any links you desire but if you wish to follow the treatment pathway we'll guide you along the way. You can always skip by using the fast links to the right.
LMA Clinic
Harley Street 1
4th floor 0208 342 1100
How to make an appointment
Contact the hospital directly:
My Secretary Lynne Martin will be happy to deal with and enquiries on: (44) 020 8362 3606
The King's Oak Hospital: (44) 020 8370 9505
BMI North London Hospital: (44) 020 8362 3614
Via our e-mail contact form.
Usually your GP would refer you and this letter would normally include any details of your medical history or any other relevant info such as previous treatments.
Please feel free to bring any relevant imaging studies with you to the Consultation such as X-Rays, radiographs, scans etc.
If you would like more information on any of the conditions or procedures described here please contact us and we will be in touch with you ASAP.
News articles:
Ponseti-method: the way forward to treat clubfoot.More...
Sophisticated ultrasound probes nowadays are able to pick up lots of conditions during pregnancy and it comes always as a shock if indeed your baby has been diagnosed with a clubfoot deformity. However, the Ponseti-method ideally started the 1st week of life after birth is a highly successful treatment based on weekly cast changes for 6-8 weeks, possibly a very small procedure at 2-3 months (Achilles tendon release) Ponseti treatment boots or sandals with abduction are worn at night time until 4-5 years of age because if stopped at 3 years of age there is a 30 percent risk for relapse. Occasionally, a tendon transfer is needed with 6 weeks of casting at the age 3-4 years. However, a good looking foot with a great ability to dance or play football is possible as has been shown in the last 50 years that this method has been used. Further Paediatric info
The North London Orthopaedic and Injury Clinic is a multi-disciplinary clinic for the treatment of orthopaedic conditions, sports and other injuries and all musculo-skeletal diseases.
You deserve to be cared for properly and professionally to the highest standards. Therefore our surgical, medical and healthcare team is ready to offer you a comprehensive diagnostic, surgical and rehabilitation service.
The most important (median) nerve to the hand runs in the middle of the forearm and dives into a tunnel at the level of the wrist. Like the Dartford Tunnel and the Thames, a strongly built construction on top keeps all lanes/tendons/nerves all well and safe. However, with congestion (traffic or fluid as in during pregnancy) or if and when - with age unfortunately - the top building becomes stiff and narrow and some blood vessels accompanying the median nerve are blocked off. If the nerve then does not get sufficient oxygen and nutrition the hand and fingers become painful or 'pins and needles' appear, especially at night (shaking hands to improve blood supply might help a bit). If these symptoms persist unabated for more than 2 years, permanent damage might be inflicted resulting in a de-sensate contracted hand. Do not wait that long to seek medical attention! Carpal tunnel syndrome affects up to 10% of the population ,can be picked up with an electro-myography (EMG a sort of low-current needle test) and might initially be treated with night splints, 'water tablets' or cortisone injections.
Surgery can offer a more permanent solution. A skilful incision of 4-5cm under local anaesthesia in a Day Care setting, in theatre, is made exposing the tunnel roof which is divided, thereby enlarging the capacity for the blood vessels to run without obstruction. Natural healing and repair of the damaged nerve branches takes place in the following months after surgery but pain usually and quite dramatically settles the night after surgery. Indeed, as with all surgery there are potential complications (e.g.scar hypersensitivity) but fortunately , these are rare. Risk assessment is to be balanced but usually turns out in favour of a surgical solution. In the end, who wants to end up with a painful hand and loss of sensation if the syndrome is allowed to run its course without any treatment ?
This food supplement has been claimed to modify progression of osteo-arthritis or the classic 'wear and tear'. The UK annual market for glucosamine is now estimated to be over £10 million. It is derived from shellfish or made synthetically and might cause allergic reactions (recommended dose is 1500mg). It is unclear how it works (preservation of joint space ?) because in the end this sugar molecule is partially broken down in the stomach before it is absorbed and extensively broken down by the largest organ in the body, the liver. There are no clinical data to confirm that it indeed reaches the joints but in some patients it appears to provide pain relief as some short-term follow-up studies have demonstrated (placebo-effect?). It appears it is worth trying it out for a couple of months as an alternative or add-on to painkillers. More studies and trials are however required to prove true efficacy in battling osteo-arthritis. Further Knee info
Sexy shoes, painful feet? This is not entirely correct but modern shoes and the hurried lifestyles (cramped, overcrowded, ill designed shoes) do not help. Yes! Bunions run in the family and they can affect the big toe as well as the little one (bunionette).
Usually, the forefoot diameter becomes wider than the midfoot one and pressure on the top and outside, forces the toe to drift off. Irritation and inflammation make the bone grow and the rough surfaces dig into the overlying skin. Taping, night splints and padding can relieve symptoms but after a while you might have had enough and surgery can be offered. It is crucial to understand that the recovery for fore-and midfoot surgery should not be underestimated - several months are needed. Foot Physiotherapy as well a consistent Home Exercise Programme provide the best chances for a painfree nice forefoot (with scars!) for years to come. However, wearing high heel shoes with a pointed toe box again on a daily basis will cause the foot architecture to change for the worse again.
Thanks to the amazing developments in anaesthesia, surgery of whatever kind is able to correct, take out or replace 'something problematic' inside. Surgeons used to be able to reach to the inside only by making large incisions thereby exposing the 'problem' to the eye and to the tools/instruments available.
Healing of these large incisions takes a long time making recovery so dreadfully long. However, thanks to high tech developments in glass fibre technology (passing light/image through a 1cm wide long tube), computerized imaging in theatre etc.. the soft tissue envelope around 'the problem' can be left mainly intact. Minimally invasive surgery indeed is 'sneaking inside' through some very small keyholes of less than 10cm incisions, do -skilfully- whatever is needed and then back out in a minimum of time.
These new approaches have revolutionized surgical care - hospital discharge after a couple of hours or days, little scar formation (cosmetically pleasing!), very speedy recovery etc.. And the sky is the limit - in the future surgeons might be able to 'smuggle in' tiny surgical robots or submarines that through remote control do exactly what is needed without damaging the surrounding tissues.
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DISCLAIMER: I am happy to see patients referred by their general practitioner but unsolicited medical questions or clinical advice will not be answered. Advice should always be sought from your own general practitioner or specialist. A full disclaimer can be viewed here
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