At Home with Dr Christian Jessen - 318

Staying
mobile
Whether it's injury, wear and tear
or an age-related condition, you
needn't be stuck with limited
mobility and joint pain. Consult the
experts at BMI hospitals for the
latest techniques and treatments

MR JAY SMITH

Consultant trauma and
orthopaedic surgeon
at The Hillingdon
Hospitals NHS
Foundation Trust, Mr
Smith (pictured, left)
has expertise in
lower limb reconstruction, specialising in
primary and revision joint replacement
surgery of both the hip and knee. He
practises at BMI Bishops Wood Hospital,
BMI Clementine Churchill Hospital and
at The London Clinic.

Osteoarthritis

The most common cause of joint pain,
osteoarthritis is caused by the 'wear and
tear' of the cartilage (lining of the joint),
leading to thinning of the cartilage and,
eventually, the bones rubbing together.
Osteoarthritis commonly affects the
hip and knee, as they are weight bearing
joints, and is more common in patients
over 40 years of age. Patients can
experience pain, stiffness, crepitus
(grinding), swelling and deformity. The
initial treatment is conservative and
consists of pain killers, walking aids,
activity modification, physiotherapy and
bracing. When conservative treatments
fail to control symptoms and they become
more severe, partial or full replacement
of the joint can be considered. Relief of
pain, combined with increased mobility,
significantly improves the quality of life
for those patients who have undergone
joint replacement surgery.

21100-104945David Ahearne DPS.indd 10

Revision surgery

Joint replacements should enable patients
to enjoy many years of pain-free activity.
Approximately 80% of hip and knee
replacements will last for 20 years or
longer. Some joint replacements, such
as metal-on-metal hip replacements/
resurfacing, have a higher failure rate and
may require revision surgery earlier. Revision
surgery is more complex than the original
operation, and often hospital stay and
rehabilitation time is longer when compared
to a first-time joint replacement. Results are
slightly less favourable with each revision,
but, overall, 80% patients have a successful
outcome for 10 years or longer.
FOR MORE INFORMATION

Contact his private secretary, Angie Pope,
on 07775 624107 or 01923 381110, or
email secretary@smithorthopaedics.co.uk
For appointments at BMI Bishops Wood
Hospital, call 01923 834211, and for
appointments at BMI Clementine Churchill
Hospital, call 020 8872 3872.

MR HTWE ZAW

Consultant orthopaedic
surgeon at The Hillingdon
Hospitals NHS Foundation
Trust, Mr Zaw (pictured,
left) has specialist
expertise in foot and
ankle surgery, sports
injuries and lower limb trauma. His private
practice is based in north London at BMI
Bishops Wood Hospital and BMI
Clementine Churchill Hospital.

Ankle pain and Arthroscopy

Persistent pain in the ankle often relates to
injuries that do not show up on an X-ray.
Simple sprains that fail to resolve after two
weeks may need specialist assessment to
confirm possible damage to ligaments,
cartilage, bone or tendons. Arthroscopy,
or 'keyhole surgery', is operating on a joint
using an arthroscope (fibreoptic camera)
through small incisions. Mr Zaw uses it in
the treatment of arthritis, cartilage lesions,
ligament injuries, removal of inflamed tissues
and tendon injuries (tendoscopy).
As a minimally-invasive technique, most
arthroscopies are carried out as a day case
procedure. The advantage over open surgery
is that the joint is not fully exposed, reducing
scarring, recovery time and return to sports.

Heel pain and Shockwave Therapy

The plantar fascia is a band of fibrous
connective tissue from the heel to the
forefoot, supporting the arch and acting as
a shock absorber. In daily life, pressure on the
heel damages the plantar fascia leading to
inflammation, called plantar fasciitis. It can
occur if you are overweight or put on weight
suddenly as in pregnancy. Long-distance
runners and those who work long periods
on their feet are also susceptible.
Classically, the pain occurs on the bottom
of the heel during the first few steps in the
morning. Treatment is mainly non-surgical
for at least three months, including targeted
physiotherapy, insoles, night splints,
anti-inflammatory medication and steroid
injections. Recent research shows
Extracorporeal Shock Wave Therapy
(ESWT) to be beneficial, where high-energy
shock waves help stimulate healing of
the fascia. The advantages are that it is
non-invasive, quick to administer and
performed in the clinic.
.
FOR MORE INFORMATION

Contact his private secretary, Angie Pope,
on 01923 381116, or email
secretary@northlondonfootclinic.co.uk
For appointments at BMI Bishops Wood
Hospital, call 01923 834211, and for
appointments at BMI Clementine Churchill
Hospital, call 020 8872 3872.
Patient information on common foot and
ankle conditions can be found at
www.northlondonfootclinic.co.uk

27/01/2015 16:51
http://www.northlondonfootclinic.co.uk
At Home with Dr Christian Jessen

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