Dr Iain Duncan

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 Basic guide to nuclear medicine tests Information about online image and report access at Garran Medical Imaging. What about Iain’s clinical practice? […]

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 […]

PRP therapy for tendinopathies and tendon tears

Iain Duncan October 2015 PRP (platelet-rich plasma) therapies have been used for over a decade for a whole number of clinical problems (see PRP wikipedia entry). PRP is blood plasma that has been enriched with platelets and contains (and releases through degranulation) several different growth factors and other cytokines that stimulate healing of bone and soft tissue. […]

Best Practice Guide to Conservative Management of Patellofemoral Pain

The ‘Best Practice Guide to Conservative Management of Patellofemoral Pain’: incorporating level 1 evidence with expert clinical reasoning Christian John Barton, Simon Lack, Steph Hemmings, Saad Tufail, and Dylan Morrissey. Br J Sports Med 2015;49:923-934. Patellofemoral pain is a chronic and prevalent condition that  has complex aetiology and multiple treatment options.T his is a well thought out review […]