Knee arthroscopy – what is involved?

What is involved in knee arthroscopyKnee arthroscopy is one of the most commonly performed operations. It involves using a high-definition camera to see inside the joint. This is done through small puncture wounds in the skin. In addition to the camera, other instruments can be used to work inside the knee. Arthroscopy has gained popularity over the years. It is has a faster recovery time, minimal scarring and low levels of post-operative pain…

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De Quervain’s synovitis – a cause of wrist pain

De Quervain's synovitis causing wrist pain may require surgeryDe Quervain’s synovitis is a common cause of pain in the wrist. The pain is located on the thumb-side of the wrist.  It can cause significant functional impairment, and in severe cases even a simple handshake may become impossible. The condition usually responds to simple treatment modalities such as rest, splinting, anti-inflammatories or a cortisone injection. In resistant cases, a small surgical procedure may be required…

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What does shoulder impingement surgery involve?

Surgery may be needed for shoulder impingementShoulder impingement is a condition that I see and treat regularly. It is a common cause of shoulder pain. The pain is usually located in the front and the side of the shoulder. It can radiate towards the side of the arm. The pain is made worse when trying to lift the arm. Any work above shoulder height causes discomfort. There is a painful arc of movement when elevating the arm. Often there is a history of overuse…

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Performing surgery for carpal tunnel syndrome

Carpal tunnel syndrome is a common condition affecting the handSurgery for carpal tunnel syndrome is one of the commonest orthopaedic procedures. The most common presentation is altered sensation or pins and needles in the fingers. Usually the thumb, index, middle and ring fingers are involved. One or all the fingers may be affected. The symptoms are usually worse night. Often the patient is woken from sleep and needs to shake his or her hand to get rid of the symptoms…

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What do I do if my Achilles tendon is torn?

An Achilles tendon tear may require surgeryThe Achilles tendon is the largest and strongest tendon in the body. It is the cord-like tendon that you can feel at the back of your ankle just above your heel. Normal function of the Achilles is essential to walk and run properly. An Achilles tendon tear is often referred to as an Achilles tendon rupture. Once you have seen what a ruptured Achilles tendon looks like at surgery, you will understand why – it looks a bit like spaghetti!..

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I have shoulder pain – could this be shoulder bursitis?

Shoulder pain may be caused by bursitisShoulder bursitis could certainly be the cause of your pain. It is one of the more common causes of shoulder pain that I see and treat on a daily basis Waterfall Hospital in Waterfall/Midrand and Morningside Mediclinic in Sandton. An accurate diagnosis can be made through examination and simple, non-invasive investigations. The good news is that it is treatable and, in many instances, does not require surgery…

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Two signs that may mean you have a rotator cuff tear

A rotator cuff presents with shoulder pain and weaknessAs a shoulder surgeon, I notice most people have never heard the term “rotator cuff”. This refers to the tendons of a group of four muscles in the shoulder which attach to the top of the humerus. They give you the ability to lift and rotate the arm. A rotator cuff tear can be caused by trauma, such as a fall, or as a result of a degenerative process over time. Early diagnosis is essential for correct treatment…

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Do I need to have ACL surgery?

ACL surgery is needed for active individualsThe ACL (anterior cruciate ligament) is one of the four major stabilising ligaments in the knee. It is commonly injured in sporting activities such as netball, basketball, rugby and soccer. It can also be torn in non sports-related injuries. The ACL has poor healing potential and a tear usually results in an unstable knee. Instability can result in further injury to important structures in the knee. This may have negative effects in later years…

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