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) for Osteoarthritis of the Knee

Iain Duncan February 2018 We have now successfully undertaken a series of platelet rich plasma (PRP) injections in OA knee and most have had more advanced disease than is ideal (the best responders have the least radiological changes), but ~80% have had longer and better responses to PRP than earlier intra-articulator corticosteroid treatments. This is […]

PRP (platelet rich plasma) injections for osteoarthritis

Iain Duncan February 2016 I understand the rationale and use of platelet rich plasma (PRP) for tendon problems but I am continually asked about PRP injections for osteoarthritis.  It is less intuitive than its use for tendon pathologies, where the PRP can be seen to simulate a normal healing response. PRP is not “normal” in joints […]

A modern approach to Back pain

Resources for Doctors

This website has several resources for doctors that may be of interest to you: For a list of website resources for medical practitioners For a list of services available Sports Medicine topics Updates and research Abstracts on various musculoskeletal, nuclear medicine, and ultrasound publications of clinical importance Basic guide to nuclear medicine tests Information about online […]

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 […]

Links for referring doctors

Glossaries including common reporting terms and current classifications used can be found here: Nuclear Medicine or Ultrasound. Below is a  list of useful links on this website. LINK CLINICAL ULTRASOUND NUCLEAR IMAGES Aortic aneurysm screening YES YES – – Back pain and bone scans YES YES YES Basic description of tendinopathy YES YES – YES Bone scans and the use […]