The Oving Clinic
tel: 01243 773167
Open: 9AM-6PM
Tuesday: 9AM-9PM

Latest News

Platelet Rich Plasma injections – PRP – at Oving Clinic

Oving clinic is able to offer a new treatment for Regeneration of soft tissues and improving cartilage health in osteo arthritic joints. The benefits of a course of three injections seem to last on average about six months they do not work as well in elderly patients or females who are very overweight. We have […]

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Coccydynia – how we manage this at the Oving Clinic

After attending the Paris International Coccyx symposium recently I decided to post our revised approach in the light of the latest information from world experts. The system by and large follows that of JY Maigne and Doursanien who have researched this problem for many years. www.pariscoccyx2016.com Initial consultation After taking a comprehensive history, physical examination […]

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Weight loss – challenging chestnuts

Over the last 30 years anyone trying to lose weight will usually have been given the advice: Restrict calorie intake and maintain a balance of complex carbohydrates (60%) protein (25%) and fat (15%). Despite this advice the nation has been growing fatter and heavier with an increase in Type 2 diabetes. New research has shown […]

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UNDERSTANDING TENDON PROBLEMS

In sports and leisure chronic strain at the attachments of muscles to bone are common. Where muscles converge on bone at a common point:

e.g. lateral elbow – tennis elbow, lateral epicondylitis
the heel – plantar fasciitis, ‘heelspur’ pain

there can be a build up of excessive loading or strain causing the tendon fibres to degenerate, tear or develop cystic areas. The tendon tends to thicken become very tender and painful and attracts new blood vessels with additional nerve supply causing a “wind up” phenomenon. (The collagen or rope like structure deteriorates in quality and strength).

Common treatments for this include:

  1. Strengthening: The Scandinavian eccentric loading programme which takes three to six months to work. Gentle stretching and reduced impact loading.
  2. Glyceryl trinitrate patches also work gradually.
  3. Local Infiltration with corticosteroid: Traditional method that works but causes temporary weakening and 50% tend to relapse within a few months.
  4. In the Achilles Tendon – we use a “volume strip” of the sheath around the tendon – under ultrasound guidance. This can also be used around the patella tendon.
  5. Autologous blood injections are used where there are small cysts or tears in the thickened tendon. 2-3mls of your own blood which contains growth factors for healing under local anaesthetic are injected under image guidance into the tissue defect.
  6. Platelet rich plasma injections are the latest development to promote tendon healing if delayed or prolonged. 30mls of your own blood is collected, centrifuged and the platelet fraction rich in growth factors is separated. This portion is injected under local anaesthesia into the tendon defects. This way growth factors that promote collagen healing are multiplied by a factor of five increasing the chance of a speedy recovery.

N.B. We have five years experience of Extracorporeal Shockwave Therapy the non invasive way of healing tendons and dispersing calcification. We can help 50% of cases who might otherwise be facing surgery.

If you have further questions please contact us.

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