Tennis elbow, Achilles problems and gluteal tendinopathy — rarely surgical.
What you may notice
Adults in their forties and fifties, and anyone who has increased activity quickly
Tendon problems are load problems, and the treatment with by far the best evidence is a progressive loading programme rather than an operation. Injection can help in the short term but does not change the tendon, and repeated injections do harm. Surgery is reserved for the small proportion who fail a properly executed programme over many months.
Procedures
What each procedure involves, what recovery actually looks like, and how long before you are back.
A full examination with a consultant, imaging reviewed on the day, and a written plan.
Radiographs, MRI, ultrasound and gait analysis, reported and explained.
Ultrasound-guided injections for diagnosis and for symptom relief.
Keyhole surgery for the knee, shoulder, hip and ankle, as a day case.
ACL and other ligament reconstruction, with rehabilitation planned from the start.
Total or partial replacement for arthritis that has stopped responding to everything else.
Replacing the worn ball and socket — among the most reliable operations in surgery.
Carpal tunnel, trigger finger, bunion correction and tendon procedures.
Supervised, criteria-based recovery after injury or surgery.
Appointments
Consultations are with a consultant orthopaedic surgeon. Bring any imaging you have already had — it often saves repeating it.