driainduncan, Author at Dr Iain Duncan

Relative efficacy and safety of topical non-steroidal anti-inflammatory drugs for osteoarthritis: a systematic review and network meta-analysis of randomised controlled trials and observational studies

Chao Zeng, Jie Wei2, Monica S M Persson et al.View post Objectives To compare the efficacy and safety of topical non-steroidal anti-inflammatory drugs (NSAIDs), including salicylate, for the treatment of osteoarthritis (OA). Methods PubMed, Embase, Cochrane Library and Web of Science were searched from 1966 to January 2017. Randomised controlled trials (RCTs) comparing topical NSAIDs […]

PRP (Platelet rich plasma) and viscosupplementation (hyaluronic acid) for Osteoarthritis of the Knee

More recent updates about PRP here Iain Duncan last updated 2018 We have now successfully undertaken a series of platelet rich plasma (PRP) and hyaluronic acid injections for OA knee and many have had more advanced disease than is ideal (the best responders have the least radiological changes), but ~80% have had longer and better […]

Patient booklets and information

The following patient booklets and information are pdf files for my patients (and others) that are free to download for your personal use: Ankle Anatomy Elbow Anatomy Hip Anatomy Knee Anatomy Shoulder Anatomy Lateral Epicondylitis (tennis elbow) Medial epicondylitis (Golfer’s elbow) Achilles Tendinopathy Plantar fasciitis Morton’s Neuroma and intermetatarsal bursitis Tarsal Tunnel Syndrome Posterior tibial tendon problems […]

The Thyroid Gland

Thyroid Disease in Australia At least 2% of Australian have known disorders of thyroid gland (500,000 people). The true number is almost certainly higher and is more prevalent in certain regions, depending often on iodine intake. The number of older Australian that suffer from a clinically relevant thyroid disorder is much higher at 14% with […]

Efficacy and Treatment Response of Intra-Articular Corticosteroid Injections in Patients With Symptomatic Knee Osteoarthritis

keywords: knee osteoarthritis, corticosteroid injections, osteoarthritis, injection therapy Authors: Elizabeth G. Matzkin, MD; Emily J. Curry, BA; Qingwu Kong, MD; Miranda J. Rogers, MD; Michael Henry, MD; Eric L. Smith, MD (c) J Am Acad Orthop Surg. 2017;25(10):703-714. Introduction: Intra-articular corticosteroid injections are often used for short-term pain relief in patients with knee osteoarthritis (OA). This […]

Lateral Epicondylitis: A Therapy Update

Background Definition: Lateral epicondylitis is a common, painful condition characterized by pain at the lateral side of the elbow, that increases during gripping or squeezing. Though sometimes referred to as “tennis elbow” it occurs mostly in middle aged adults regardless of sporting activity. Light microscopy reveals both an excess of fibroblasts and blood vessels that […]

The clinical value of xSPECT bone versus SPECT in bone scanning. Iain Duncan 2017*

xSPECT bone v SPECT bone in hybrid imaging A head to head comparison of 200 cases* ” template=”/nas/content/live/driainduncan/wp-content/plugins/nextgen-gallery/products/photocrati_nextgen/modules/ngglegacy/view/gallery-caption.php” order_by=”filename” order_direction=”ASC” returns=”included” maximum_entity_count=”500″] xSPECT bone is a new reconstruction algorithm** which integrates information from the CT scan with the raw data from the bone SPECT acquisition to produce a higher resolution SPECT image, known as […]

Back pain and Bone scans (updated 2017)

Bone scans of the spine have become a clinically useful part of the evaluation of back pain. Uptake seen on a SPECT-CT correlates with metabolic activity in bone and the increased resolution and specificity of SPECT-CT has allowed a greater number and variety of clinically relevant findings. Most patients with back pain will have an […]