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 […]

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…  November 2020 The holiday season awaits. Are we rushing to get there or hesitantly moving forward? I’m in two minds, having got into a comfortable routine and staying close to home all this year.  This month I was introduced to a new and exciting therapeutic program by Tina McIntosh at Brainchanger.io. […]

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 […]