Orthopaedic

INTRODUCTION

Joint and muscle pain affects people of all ages and can keep  you from enjoying life and doing the things you love. We help diagnose and treat injuries of bones, joints, ligaments, tendons and muscles. Find out how you can get your life back on track using our non-surgical techniques and treatments.

  • Joint reconstruction
  • Particular anatomical region (eg arm)
  • Spine (alongside neurosurgeons)
  • Bone tumour surgery
  • Rheumatoid surgery
  • Sport surgery
  • Complex trauma surgery

Our Specialist | Prof Dr John George

Consultant Musculoskeletal
Radiologist, Orthopaedic Diagnostic
and Regenerative Medicine

Our Orthopaedic Care is for you if:

  • You have suffered a soft tissue injury or sprain due to a sports injury.
  • Your range of motion has become limited.
  • You have trouble performing everyday tasks.
  • You suffer from chronic pain that has lasted several weeks or months.
  • You experience instability while walking or standing.

Why Us for Orthopaedic Diagnosis and Regenerative injections?

  • Experience 70%-100% reduction of pain and improved mobility after treatment.
  • Established track record of providing relief to patients with sustained musculoskeletal pain despite rehabilitation.
  • Modern proven injection treatments and techniques for faster recovery without the need for surgery.
  • Diagnosis by our expert Consultant Musculoskeletal Radiologist with over 22 years of experience in diagnosing joint & muscle injuries.
  • Post-treatment follow-up with pre and post pain and function scores to validate improvement.
  • High-end top of the range equipment and unique consumables for accurate treatment and diagnosis.
  • Comprehensive report to referring doctors with recommendations for treatment – conservative, regenerative injection or orthopaedic consultation.

State of the Art Equipment – Ultrasound

  • Latest high-end ultrasound machine with new technology ultrasound probe to pick up the smallest tears in ligaments.
  • Ultrasound sensitive needles for accurate needle localisation and positioning during musculoskeletal interventional procedures.
  • High resolution diagnosis of sprains, strains, tears, arthritis and other musculoskeletal conditions.
  • Non-invasive diagnostic technique that is fast, safe and painless.
  • More cost-effective than an MRI for superficial lesions and does not use radiation. Safe to use on children, individuals with pacemakers, and pregnant women. Non-claustrophobic.
  • Ultrasound is performed in real time and can provide unique information for superficial ligament, tendon and muscle pathology that cannot be detected by any other imaging method.

Joint Relief Solution

Knee Pain

Knee pain is a common complaint and is most often associated with general wear and tear from daily activities like walking, bending, standing and lifting. It can also be triggered by sporting activities that cause stress on the knee ligaments and tendons.

About one-third of the world’s population experience knee pain. The risk increases further if you have obesity, heart disease and hypertension.

Whether your knee pain is caused by aging or injury, it can be a nuisance and even debilitating in some circumstances. Do not let knee pain interrupt your life. By employing the appropriate treatment, you can help keep your knees as young as you feel.

Shoulder Pain

The shoulder has a wide and versatile range of motion. When something goes wrong with your shoulder, it hampers your ability to move freely and can cause a great deal of pain and discomfort.

Shoulder pain impacts up to 5% of the world’s population and is a common condition that arises from muscles, tendons, ligaments, cartilage, bursae, and joints of the shoulder. Accurate diagnosis and focused treatments are critical to aid complete recovery from shoulder pain.

By employing the appropriate treatment, you can relieve yourself from shoulder pains so that you can move freely and do the things that you enjoy without worry.

Ankle & Feet Pain

Most people experience pain in and around their feet or ankles at some point in their lives. It is one of the most complex and hard-working regions of your body.

Pain in the ankle can result from inflammation or injury to any of the structures in this region, including the bones, joint space, cartilage, ligaments, tendons, or muscles.

By employing the appropriate treatment, you can work towards pain-free ankles.

Hip & Groin Pain

The hip is a very important joint as it is the largest and most active joint in your body. It is highly flexible, providing you with stability, weight-bearing, and strength you need when walking, running, or jumping. Also, the hips are the lower body’s most shock-absorbing joints when brisk walking.

Hip pain is a common condition caused by problems in the hip’s cartilage, hip muscles, hip ligaments, and hip bursae. Pain can also result from nearby structures such as the groin, buttocks, spine, and even the knees.

Groin pain is usually due to injury to the adductor muscles and adductor tendon inflammation insertion to the pubic bone.

If you’re experiencing hip and/or groin pain, it’s crucial to act on it rather than ignoring it. By employing the appropriate treatment, you can solve your hip and groin pain and be active again.

Back Pain

Back pain can affect people of any age, for different reasons.

Back pain can range in intensity from a chronic, constant ache to a sudden, sharp or shooting pain. It can begin suddenly as a result of an accident or by lifting something heavy, or it can develop over time as we age. Getting too little exercise followed by a strenuous workout also can cause back pain.

There are two types of back pain; Acute/ short-term back pain that lasts a few days to a few week or Chronic back pain that continues for 12 weeks or longer.

By employing the appropriate treatment, you can treat back pain successfully.

Elbow & Wrist Pain

Elbow and wrist pain is a common condition with various causes. When pain occurs, it can interfere with day-to-day activities and even impact a person’s quality of life.

Most cases of elbow pain are due to strained or inflamed soft tissues such as tendons or ligaments. Repetitive movements from everyday work, household chores, golf, or tennis can affect the muscles above and below the elbow.

Wrist pain can develop due to a sudden impact or injury. For example, a wrist sprain can cause pain if a ligament is overstretched.

By employing the appropriate treatment, you can treat elbow and wrist pain successfully.

Sport Injury

Sports injuries are injuries that occur when engaging in sports or exercise. An estimated 8.6 million sports injuries occur each year. Exercise and weight training accounts for the leading cause for injury, followed by cycling, basketball and football.

About one-third of all sports injuries occur in a sports facility, gym, athletic field or playground. The most common sports injuries are sprains and strains, followed by fractures.

Sports injuries can occur due to overtraining, lack of conditioning, and improper form or technique. Failing to warm up increases the risk of sports injuries. Bruises, strains, sprains, tears, and broken bones can result from sports injuries.

Arthritis Screening

This is a very unique service offered as there are times when gouty crystals are detected as the cause of the joint pain with or without high uric acid levels. Confidence it is gout despite normal uric acid levels is high with multiple site screening of typical sites affected by gout and typical findings.

In patients suspected of having Rheumatoid Arthritis but are Rheumatoid factor or anti CCP blood test negative, Musculoskeletal Ultrasound can be used to confirm it is Rheumatoid Arthritis and drug treatments can commence with confidence. This is based on original and published research by Prof. Dr. John George.

Joint Relief Treatments

PRP Treatment

The Orthopaedic Diagnostic and Regenerative Medicine Centre at Beverly Wilshire is at the forefront of research and usage of Platelet Rich Plasma (PRP) therapy. The PRP kits are carefully chosen based on proven results over two years.

Our specialist will give as much PRP as needed to ensure full coverage of the pathology. This will enable maximum injection coverage of the injured site to promote better healing and recovery.

To ensure successful treatment, we use the guidance of special ultrasound needles and our in-house top-of-the-range ultrasound machine which can show individual collagen fibres of tendons, and tendon and ligament tears. Special software for guidance on the ultrasound ensures the needle tip is in the centre of the injured site so that the PRP is well-distributed without any wastage.

Inaccurate injection of PRP is probably the leading cause of failure of PRP injections, as such the ability to ensure accurate localisation of the PRP into the pathology is very important.

Prolotherapy Treatment

Prolotherapy is an injection that contains a natural irritant, such as a dextrose solution. The irritant is injected into the soft tissue of an injured joint which triggers the body’s healing response. Once activated, the body will start to strengthen and repair damaged ligaments in the joint. The strengthening of the ligaments, over time, helps to stabilize the joint. Once the joint is better supported, the pain can disappear.

Prolotherapy usually requires 1 or 2 injections per site. The injection must be precise so that the irritant is placed at the area or areas requiring ligament repair. Our specialist does this procedure under ultrasound guidance to ensure the accuracy of the injection. Needling may also be performed at the same time. Our patients have shown marked improvement with regards to reduced pain, increased mobility and better sleep.

Steroid Treatment

Steroid injections are often recommended for people with rheumatoid arthritis and other types of inflammatory arthritis. They may also be recommended for osteoarthritis if your joints are very painful or if you need extra pain relief for a time. The injection can reduce inflammation, which in turn will reduce pain.

When you have a cut or wound on your skin, inflammation usually occurs as the body’s natural reaction to infection or bacteria and your immune system produces extra fluid to fight this infections or bacteria, which causes swelling, redness and heat in the affected area.

In some conditions, such as rheumatoid arthritis, the immune system produces inflammation in the joints or other parts of the body by mistake, which can cause permanent damage if left untreated. Steroids can be used to reduce this immune reaction.

Local steroid injections are less likely to cause serious side effects than other forms of steroid medications. Steroid injections often ease inflammation in a joint so it can work better and avoid the need for oral steroids or higher doses of oral steroids, which could have stronger side effects.

HA Treatment

Hyaluronic acid (HA) injections are sometimes recommended for people with osteoarthritic condition (wear and tear of joints).

Hyaluronic acid occurs naturally within the body and is a gel-like substance in the synovial fluid that helps lubricate and cushion your joints and keeps them working smoothly. Because arthritis patients lose hyaluronic acid as their joint wears away, injecting the man-made substance through a process called viscosupplementation would make using the joint less painful.

A range of hyaluronic acid injections exist. Our specialist performing your injection will choose the most appropriate hyaluronic acid for your condition and symptoms. HA will be injected directly into the area where you have the pain, such as a joint.

An ultrasound is used to find out more about where the pain and osteoarthritis is, and also to deliver the injection more precisely. This is important as the effectiveness and safety of the procedure may be reduced if HA is not injected in the correct area.

This is a good treatment to try if conservative therapies have not worked and you are not keen to get a total knee replacement surgery.

MSC Treatment

Mesenchymal stem cells (MSC) are stem cells that can change to other cell types such as the nerves, muscle, blood vessels, bone and soft tissues. These cells secrete growth factors and cellular signals that can help regenerate new cartilage cells, tendon or ligaments according to where it is injected.

The Mesenchymal Stem Cells (MSC) used for treatments are processed from cGMP Certified Laboratories with the highest standards of isolation of the stem cells from Umbilical-Cord Wharton Jelly.

Elbow & Wrist Pain

Elbow and wrist pain is a common condition with various causes. When pain occurs, it can interfere with day-to-day activities and even impact a person’s quality of life.

Most cases of elbow pain are due to strained or inflamed soft tissues such as tendons or ligaments. Repetitive movements from everyday work, household chores, golf, or tennis can affect the muscles above and below the elbow.

Wrist pain can develop due to a sudden impact or injury. For example, a wrist sprain can cause pain if a ligament is overstretched.

By employing the appropriate treatment, you can treat elbow and wrist pain successfully.

Sport Injury

Sports injuries are injuries that occur when engaging in sports or exercise. An estimated 8.6 million sports injuries occur each year. Exercise and weight training accounts for the leading cause for injury, followed by cycling, basketball and football.

About one-third of all sports injuries occur in a sports facility, gym, athletic field or playground. The most common sports injuries are sprains and strains, followed by fractures.

Sports injuries can occur due to overtraining, lack of conditioning, and improper form or technique. Failing to warm up increases the risk of sports injuries. Bruises, strains, sprains, tears, and broken bones can result from sports injuries.

Arthritis Screening

This is a very unique service offered as there are times when gouty crystals are detected as the cause of the joint pain with or without high uric acid levels. Confidence it is gout despite normal uric acid levels is high with multiple site screening of typical sites affected by gout and typical findings.

In patients suspected of having Rheumatoid Arthritis but are Rheumatoid factor or anti CCP blood test negative, Musculoskeletal Ultrasound can be used to confirm it is Rheumatoid Arthritis and drug treatments can commence with confidence. This is based on original and published research by Prof. Dr. John George.

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