Dr Iain Duncan
PRP tendon research updates

PRP Therapy Updates

Latest updates first Update 2021 The following data was collected from ~60 patients who undertook PRP therapy in the latter half of 2020, and is based on our updated PRP protocol and includes both tendons and joints (but 80% were joints). As you can see 86% achieved a >50% improvement in pain levels when measured […]

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 […]

shoulder pain

Recommendations for Management of Rotator Cuff Tears

There are extensive recommendations from the American Academy of Orthopaedic Surgeons about Management of Rotator Cuff Injuries Clinical Practice Guidelines, Published in March 2019. Some strong and moderate recommendations are listed below. Weaker recommendations have not been listed. STRONG = Evidence from two or more “High” quality studies with consistent findings for recommending for or […]

Muscle Injury Classification

This is the muscle injury classification that I generally refer to with expected return to sporting activity:     GRADE DESCRIPTION RETURN TO SPORT 0 Oedema/fluid around tendon/epimysium <2 weeks 1 Myofibril disruption without epimysial or myofascial changes 1-4 weeks 2 plus epimysial/myofascial interuption or delamination 3-6 weeks 3 intramusculat tendon or epimysial failure/tear 6+ […]

INJECTION SHOULDER

PRP and Visco-supplementation for rotator-cuff tears

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 […]

Dr Iain Duncan

Recent News and Diagnostic Imaging Updates

from Dr. Iain Duncan…  June 2021 We are proud to have (again) achieved full diagnostic imaging accreditation at Garran Medical Imaging for a further 4 years. The accreditation process takes a great deal of work and ensures you can expect all our scanning, professional, and diagnostic processes won’t let you down. I have also personally […]

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 […]