Roger is a Consultant Orthopaedic Surgeon working at University Hospital of North Midlands NHS Trust. He has specific interest in sports injury in particular knee surgery and shoulder surgery more specific arthroscopic surgery and has been consulting in this area for the past 18 years. He has worked closely with local clubs during that time and has an understanding of the demands of professional and non-professional athletes.
The treatment of these conditions does not start and end with knee surgery and shoulder surgery. Often these conditions can be managed conservatively. We have strong links with experts in this field. If knee surgery or shoulder surgery is the only option then understanding recover is vital and better planned early.
It is possible to provide an extensive web resource describing knee injuries and shoulder injuries, how they can be treated and the likely recovery. This information exists and we have included links to many of these in the patient resource area. We believe your sport injury assessment should be bespoke and reflect all aspects of your lifestyle and expectations. Understanding your individual requirements is key to providing accurate and successful care.
Shoulder injuries commonly present with pain, stiffness and weakness. The initial presentation is key to making a diagnosis. Impingement is the most common condition usually presenting following minor trauma or overuse. Frozen shoulders are often spontaneous. Calcific tendonitis presents with agonising pain. Instability presents following an obvious traumatic event and ongoing shoulder dislocations. Examination in the clinic will confirm the working diagnosis and further tests such as an MRI help plan treatment.
Knee injuries make up 70 to 80% of sporting injuries. The most common injury is a meniscal tear. Trauma followed by localised sharp pain and locking follow. Ligament injuries again follow trauma but once the initial inflammation settles they leave a weak knee that gives way. Bearing surface damage cause on going dull ache often worse after activity. Examination will confirm the working diagnosis and further tests help plan treatment.
Overuse injuries are common, especially after a return to sporting activity after time out. Tendonitis presents with an ache that builds over time as activity continues. Typically they remain after the activity ceases. This is common in the hamstrings, quadriceps, patella and around the ankle. The treatment is almost always conservative. Physiotherapy being the mainstay. Sometimes injections are needed or less invasive shockwave therapy.
Injections when undertaken for the right reasons are very effective. This is often best used in conjunction with physiotherapy and needs us to make an accurate diagnosis using imaging techniques. They work well in shoulder impingement and a certain group of tendonitis conditions.
Shock-wave treatment is a non invasive technique which can replace the need for an injection or compliment this type of treatment in conjunction with physiotherapy. It is very effective on calcific tendonitis, tennis and golfer elbow and other tendonitis problems. The treatment is given weekly for 3 weeks. It is relatively painless and carries no real risks. Ideal of course if you are needle phobic!