Ultrasound Canberra Archives

About Dr Duncan

Iain was a founder of Garran Medical Imaging in 2015 which remains a Canberra diagnostic imaging practice. It was designed to deliver the best possible service and provide diagnosis using advanced imaging technology. Garran Medical Imaging opened for business in July 2015 and set new quality benchmarks for Canberra.

Iain has also worked as a Diagnostic Imaging Physician in Bega, Bowral, and elsewhere in Canberra over the last 25 years. He is passionate about finding new and better ways to improve diagnosis and management for rural areas. People are always the focus so that every step of the patient journey has become a part of Iain’s paradigm for improving patient care.

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PRP Therapy Ongoing Updates

Latest updates first Update Late 2021 The PRP literature expands constantly, which is good because we all need more precise data. An important paper published in Arthroscopy July 2021 did a network meta analysis. Zhao et al. from Guangzhou University of Chinese Medicine included 43 randomized controlled trials in patients with knee osteoarthritis (level II evidence […]

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 […]

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+ […]

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 […]

Recent News and Updates

Dr Iain Duncan June 2024 I am taking leave for an extended period and I apologise to those that may be affected. At this stage I cannot give a date for a return but will post an update when the situation changes. May 2024 The year marches on. I was pleased to see an article […]

PRP (Platelet rich plasma) and viscosupplementation (hyaluronic acid) for Osteoarthritis of the Knee

More recent updates about PRP here Iain Duncan last updated 2018 We have now successfully undertaken a series of platelet rich plasma (PRP) and hyaluronic acid injections for OA knee and many have had more advanced disease than is ideal (the best responders have the least radiological changes), but ~80% have had longer and better […]