I am seeing a growing interest and noting more research in both PRP (platelet rich plasma) and hyaluronate/viscosupplementation therapies for the treatment of both arthritis and tendon pathologies. In many of the earlier studies there was no control patients, but this has been improved in several recent studies. In particular I draw your attention to […]
Recent News and Updates
Dr Iain Duncan March 2024 The Maldives was a great place to spend a week at Christmas, but that was so long ago… Another year launched and already Summer has nearly finished and the deep delve into fiction and non-medical books is giving way to brushing up on latest findings. Meta-analyses are popular forms of […]
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: About Myocardial (heart) scans 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 […]
Dr Iain Duncan News Archive
MAY 2013 to DECEMBER 2015 NEWS ARCHIVE November & December 2015 Most of us are time poor and thinking on this recently I came up with a concept of 10 minute updates for our referrers. You don’t need an exhaustive lecture to get your head around something. We have now progressed the concept to reality and hopefully these short […]
What is xSPECT bone?
A mobile friendly slideshow of this post can be found here. I have noted elsewhere about the dramatic transformation between “the old” and “the new” nuclear medicine that has taken place over the last decade (see my post Nuclear Medicine = New Clear Medicine). The fusion between nuclear medicine and CT was given the description SPECT-CT -the SPECT […]
Nuclear Imaging in Prosthetic Joints
NUCLEAR TRACERS used in imaging prosthetic joints The tracers discussed in this article are: Tc-MDP: bone scintigraphy Tc-sulesomab: in vivo labelled Fab fragment of IgG1. While this also binds to neutrophils (5%) and therefore should mimic WBC labelled scans it has a non-specific accumulation at infected sites. 35% of activity at 24hrs is in the […]
Nuclear Imaging in Prosthetic Joints
NUCLEAR TRACERS used in imaging prosthetic joints The tracers discussed in this article are: Tc-MDP: bone scintigraphy Tc-sulesomab (trade name LeukoScan): in vivo labelled Fab fragment of IgG1. While this also binds to neutrophils (5%) and therefore should mimic WBC labelled scans it has a non-specific accumulation at infected sites. 35% of activity at 24hrs is […]
Information links for patients and practitioners
The following pdf files/booklets are free to download for your personal use: About Myocardial (heart) scans 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 (progressive flat feet). Peroneal tendon problems […]