Dr Iain Duncan
PRP for osteaoarthritis

Updates on PRP (platelet rich plasma) injections for osteoarthritis

Order of updates is newest to oldest Iain Duncan Update July 2020 Based on a number of studies and our own experience there are benefits from doing repeated or cycling PRP injections for osteoarthritis of the knee. One such study showed PRP injections led to a significant reduction in pain and improvement in function after […]

PRP tendon research updates

PRP therapy for tendinopathies and tendon tears

Newest updates first Update 2020 To see lots more information about PRP go here. There are a number of recent PRP studies that challenge the accepted dogma that corticosteroid injections are the first choice when conservative management fails. One such from Jane Fitzpatrick and colleagues (an Australian study -see here) showed that patients with chronic […]

Shearwave elastography selection box

Liver SW Elastography 2019

Liver SW elastography has become increasingly available and more frequently performed over the last 5 years. We were one of the first and all GMI sonographers and I have gained significant experience performing and interpreting the test. Having a good relationship and getting valuable feedback from our local hepatologists has been very helpful. The test/scan […]

Tablet and injection therapy

Osteoporosis screening

LINKS Editorial JAMA, June 26, 2018: Screening for Osteoporosis. Jane A. Cauley, DrPHJAMA. 2018;319(24):2483-2485. doi:10.1001/jama.2018.5722 Screening to Prevent Osteoporotic Fractures: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force 2018.JAMA. 2018;319(24):2532-2551. doi:10.1001/jama.2018.6537 ToolsFracture Risk Assessment Tool Osteoporosis Risk SCORE (Simple Calculated Osteoporosis Risk Estimation)

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 […]

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 […]