At Home with Chris Jessen 2018 - 159

MEET THE EXPERT
Mr Richard Heasley,
MBChB, MRCS,
FRCS (Tr & Orth),
is a consultant
orthopaedic
surgeon
specialising
in the shoulder.
He trained and
undertook his fellowship in the
north west of England.
Mr Heasley treats shoulder problems
including impingement syndrome,
rotator cuff tears, shoulder instability
(dislocation), arthritis and frozen
shoulder. He undertakes both
arthroscopic (keyhole) surgery and
shoulder replacement surgery.

that is most commonly involved in
shoulder dysfunction. Its role is to
abduct the arm, which essentially means
to lift the arm away from the body.
In impingement syndrome, the
supraspinatus tendon becomes irritated
and inflamed, causing painful symptoms.

How is impingement
syndrome diagnosed?

Typically, the diagnosis of impingement
syndrome is based on the pattern of
clinical symptoms described above.
However, the doctor will often request
an X-ray of the shoulder to look for any
other conditions that could be causing
the pain, such as arthritis. He or she
may also ask for the patient to have an
ultrasound scan to further assess the
rotator cuff and ensure there is no
tendon tear causing the symptoms.

How is it treated?

Initial treatment of impingement
syndrome involves basic measures,
such as painkillers, anti-inflammatory
medication and avoidance of any
actions or factors that produce the pain.
If these measures are unsuccessful,
the next step is a corticosteroid injection
into the space around the tendon,
to relieve the pain and inflammation,
and a course of physiotherapy. The
majority of patients will improve
with these measures and not require
any further treatment. However, a
proportion will only have temporary
or incomplete relief and may therefore
require surgery.

What does surgery entail?

The surgical procedure is called
arthroscopic subacromial decompression.
This is keyhole surgery to inspect the

SURGERY IS UNDERTAKEN THROUGH TWO OR
THREE INCISIONS, AS A DAY-CASE PROCEDURE
USUALLY UNDER GENERAL ANAESTHETIC
joint and increase the space for the
tendon to move in. It is achieved by
clearing any inflammation from around
the tendon, releasing a thickened
ligament and shaving away any
prominent bony spur.
The surgery is undertaken through
two or three small incisions, each of
which is less than 1cm in size, as a
day-case procedure and usually
under general anaesthetic.
Patients will typically wear a sling
for two or three days afterwards, before
mobilising the shoulder under the

supervision of a physiotherapist.
The vast majority of patients with
impingement syndrome who require
surgery experience good results
and significant relief of symptoms.

FOR MORE INFORMATION
Call (appointments/secretary)
01706 655121
Visit www.bmihealthcare.co.uk/
consultants/richard-heasley
Email info@richardheasley.co.uk


http://www.bmihealthcare.co.uk/

Table of Contents for the Digital Edition of At Home with Chris Jessen 2018

At Home with Chris Jessen 2018 - 1
At Home with Chris Jessen 2018 - 2
At Home with Chris Jessen 2018 - 3
At Home with Chris Jessen 2018 - 4
At Home with Chris Jessen 2018 - 5
At Home with Chris Jessen 2018 - 6
At Home with Chris Jessen 2018 - 7
At Home with Chris Jessen 2018 - 8
At Home with Chris Jessen 2018 - 9
At Home with Chris Jessen 2018 - 10
At Home with Chris Jessen 2018 - 11
At Home with Chris Jessen 2018 - 12
At Home with Chris Jessen 2018 - 13
At Home with Chris Jessen 2018 - 14
At Home with Chris Jessen 2018 - 15
At Home with Chris Jessen 2018 - 16
At Home with Chris Jessen 2018 - 17
At Home with Chris Jessen 2018 - 18
At Home with Chris Jessen 2018 - 19
At Home with Chris Jessen 2018 - 20
At Home with Chris Jessen 2018 - 21
At Home with Chris Jessen 2018 - 22
At Home with Chris Jessen 2018 - 23
At Home with Chris Jessen 2018 - 24
At Home with Chris Jessen 2018 - 25
At Home with Chris Jessen 2018 - 26
At Home with Chris Jessen 2018 - 27
At Home with Chris Jessen 2018 - 28
At Home with Chris Jessen 2018 - 29
At Home with Chris Jessen 2018 - 30
At Home with Chris Jessen 2018 - 31
At Home with Chris Jessen 2018 - 32
At Home with Chris Jessen 2018 - 33
At Home with Chris Jessen 2018 - 34
At Home with Chris Jessen 2018 - 35
At Home with Chris Jessen 2018 - 36
At Home with Chris Jessen 2018 - 37
At Home with Chris Jessen 2018 - 38
At Home with Chris Jessen 2018 - 39
At Home with Chris Jessen 2018 - 40
At Home with Chris Jessen 2018 - 41
At Home with Chris Jessen 2018 - 42
At Home with Chris Jessen 2018 - 43
At Home with Chris Jessen 2018 - 44
At Home with Chris Jessen 2018 - 45
At Home with Chris Jessen 2018 - 46
At Home with Chris Jessen 2018 - 47
At Home with Chris Jessen 2018 - 48
At Home with Chris Jessen 2018 - 49
At Home with Chris Jessen 2018 - 50
At Home with Chris Jessen 2018 - 51
At Home with Chris Jessen 2018 - 52
At Home with Chris Jessen 2018 - 53
At Home with Chris Jessen 2018 - 54
At Home with Chris Jessen 2018 - 55
At Home with Chris Jessen 2018 - 56
At Home with Chris Jessen 2018 - 57
At Home with Chris Jessen 2018 - 58
At Home with Chris Jessen 2018 - 59
At Home with Chris Jessen 2018 - 60
At Home with Chris Jessen 2018 - 61
At Home with Chris Jessen 2018 - 62
At Home with Chris Jessen 2018 - 63
At Home with Chris Jessen 2018 - 64
At Home with Chris Jessen 2018 - 65
At Home with Chris Jessen 2018 - 66
At Home with Chris Jessen 2018 - 67
At Home with Chris Jessen 2018 - 68
At Home with Chris Jessen 2018 - 69
At Home with Chris Jessen 2018 - 70
At Home with Chris Jessen 2018 - 71
At Home with Chris Jessen 2018 - 72
At Home with Chris Jessen 2018 - 73
At Home with Chris Jessen 2018 - 74
At Home with Chris Jessen 2018 - 75
At Home with Chris Jessen 2018 - 76
At Home with Chris Jessen 2018 - 77
At Home with Chris Jessen 2018 - 78
At Home with Chris Jessen 2018 - 79
At Home with Chris Jessen 2018 - 80
At Home with Chris Jessen 2018 - 81
At Home with Chris Jessen 2018 - 82
At Home with Chris Jessen 2018 - 83
At Home with Chris Jessen 2018 - 84
At Home with Chris Jessen 2018 - 85
At Home with Chris Jessen 2018 - 86
At Home with Chris Jessen 2018 - 87
At Home with Chris Jessen 2018 - 88
At Home with Chris Jessen 2018 - 89
At Home with Chris Jessen 2018 - 90
At Home with Chris Jessen 2018 - 91
At Home with Chris Jessen 2018 - 92
At Home with Chris Jessen 2018 - 93
At Home with Chris Jessen 2018 - 94
At Home with Chris Jessen 2018 - 95
At Home with Chris Jessen 2018 - 96
At Home with Chris Jessen 2018 - 97
At Home with Chris Jessen 2018 - 98
At Home with Chris Jessen 2018 - 99
At Home with Chris Jessen 2018 - 100
At Home with Chris Jessen 2018 - 101
At Home with Chris Jessen 2018 - 102
At Home with Chris Jessen 2018 - 103
At Home with Chris Jessen 2018 - 104
At Home with Chris Jessen 2018 - 105
At Home with Chris Jessen 2018 - 106
At Home with Chris Jessen 2018 - 107
At Home with Chris Jessen 2018 - 108
At Home with Chris Jessen 2018 - 109
At Home with Chris Jessen 2018 - 110
At Home with Chris Jessen 2018 - 111
At Home with Chris Jessen 2018 - 112
At Home with Chris Jessen 2018 - 113
At Home with Chris Jessen 2018 - 114
At Home with Chris Jessen 2018 - 115
At Home with Chris Jessen 2018 - 116
At Home with Chris Jessen 2018 - 117
At Home with Chris Jessen 2018 - 118
At Home with Chris Jessen 2018 - 119
At Home with Chris Jessen 2018 - 120
At Home with Chris Jessen 2018 - 121
At Home with Chris Jessen 2018 - 122
At Home with Chris Jessen 2018 - 123
At Home with Chris Jessen 2018 - 124
At Home with Chris Jessen 2018 - 125
At Home with Chris Jessen 2018 - 126
At Home with Chris Jessen 2018 - 127
At Home with Chris Jessen 2018 - 128
At Home with Chris Jessen 2018 - 129
At Home with Chris Jessen 2018 - 130
At Home with Chris Jessen 2018 - 131
At Home with Chris Jessen 2018 - 132
At Home with Chris Jessen 2018 - 133
At Home with Chris Jessen 2018 - 134
At Home with Chris Jessen 2018 - 135
At Home with Chris Jessen 2018 - 136
At Home with Chris Jessen 2018 - 137
At Home with Chris Jessen 2018 - 138
At Home with Chris Jessen 2018 - 139
At Home with Chris Jessen 2018 - 140
At Home with Chris Jessen 2018 - 141
At Home with Chris Jessen 2018 - 142
At Home with Chris Jessen 2018 - 143
At Home with Chris Jessen 2018 - 144
At Home with Chris Jessen 2018 - 145
At Home with Chris Jessen 2018 - 146
At Home with Chris Jessen 2018 - 147
At Home with Chris Jessen 2018 - 148
At Home with Chris Jessen 2018 - 149
At Home with Chris Jessen 2018 - 150
At Home with Chris Jessen 2018 - 151
At Home with Chris Jessen 2018 - 152
At Home with Chris Jessen 2018 - 153
At Home with Chris Jessen 2018 - 154
At Home with Chris Jessen 2018 - 155
At Home with Chris Jessen 2018 - 156
At Home with Chris Jessen 2018 - 157
At Home with Chris Jessen 2018 - 158
At Home with Chris Jessen 2018 - 159
At Home with Chris Jessen 2018 - 160
At Home with Chris Jessen 2018 - 161
At Home with Chris Jessen 2018 - 162
At Home with Chris Jessen 2018 - 163
At Home with Chris Jessen 2018 - 164
At Home with Chris Jessen 2018 - 165
At Home with Chris Jessen 2018 - 166
At Home with Chris Jessen 2018 - 167
At Home with Chris Jessen 2018 - 168
At Home with Chris Jessen 2018 - 169
At Home with Chris Jessen 2018 - 170
At Home with Chris Jessen 2018 - 171
At Home with Chris Jessen 2018 - 172
At Home with Chris Jessen 2018 - 173
At Home with Chris Jessen 2018 - 174
At Home with Chris Jessen 2018 - 175
At Home with Chris Jessen 2018 - 176
At Home with Chris Jessen 2018 - 177
At Home with Chris Jessen 2018 - 178
At Home with Chris Jessen 2018 - 179
At Home with Chris Jessen 2018 - 180
At Home with Chris Jessen 2018 - 181
At Home with Chris Jessen 2018 - 182
At Home with Chris Jessen 2018 - 183
At Home with Chris Jessen 2018 - 184
At Home with Chris Jessen 2018 - 185
At Home with Chris Jessen 2018 - 186
At Home with Chris Jessen 2018 - 187
At Home with Chris Jessen 2018 - 188
At Home with Chris Jessen 2018 - 189
At Home with Chris Jessen 2018 - 190
At Home with Chris Jessen 2018 - 191
At Home with Chris Jessen 2018 - 192
At Home with Chris Jessen 2018 - 193
At Home with Chris Jessen 2018 - 194
At Home with Chris Jessen 2018 - 195
At Home with Chris Jessen 2018 - 196
At Home with Chris Jessen 2018 - 197
At Home with Chris Jessen 2018 - 198
At Home with Chris Jessen 2018 - 199
At Home with Chris Jessen 2018 - 200
At Home with Chris Jessen 2018 - 201
At Home with Chris Jessen 2018 - 202
At Home with Chris Jessen 2018 - 203
At Home with Chris Jessen 2018 - 204
At Home with Chris Jessen 2018 - 205
At Home with Chris Jessen 2018 - 206
At Home with Chris Jessen 2018 - 207
At Home with Chris Jessen 2018 - 208
At Home with Chris Jessen 2018 - 209
At Home with Chris Jessen 2018 - 210
At Home with Chris Jessen 2018 - 211
At Home with Chris Jessen 2018 - 212
At Home with Chris Jessen 2018 - 213
At Home with Chris Jessen 2018 - 214
At Home with Chris Jessen 2018 - 215
At Home with Chris Jessen 2018 - 216
At Home with Chris Jessen 2018 - 217
At Home with Chris Jessen 2018 - 218
At Home with Chris Jessen 2018 - 219
At Home with Chris Jessen 2018 - 220
At Home with Chris Jessen 2018 - 221
At Home with Chris Jessen 2018 - 222
At Home with Chris Jessen 2018 - 223
At Home with Chris Jessen 2018 - 224
At Home with Chris Jessen 2018 - 225
At Home with Chris Jessen 2018 - 226
At Home with Chris Jessen 2018 - 227
At Home with Chris Jessen 2018 - 228
At Home with Chris Jessen 2018 - 229
At Home with Chris Jessen 2018 - 230
At Home with Chris Jessen 2018 - 231
At Home with Chris Jessen 2018 - 232
At Home with Chris Jessen 2018 - 233
At Home with Chris Jessen 2018 - 234
At Home with Chris Jessen 2018 - 235
At Home with Chris Jessen 2018 - 236
At Home with Chris Jessen 2018 - 237
At Home with Chris Jessen 2018 - 238
At Home with Chris Jessen 2018 - 239
At Home with Chris Jessen 2018 - 240
At Home with Chris Jessen 2018 - 241
At Home with Chris Jessen 2018 - 242
At Home with Chris Jessen 2018 - 243
At Home with Chris Jessen 2018 - 244
At Home with Chris Jessen 2018 - 245
At Home with Chris Jessen 2018 - 246
At Home with Chris Jessen 2018 - 247
At Home with Chris Jessen 2018 - 248
At Home with Chris Jessen 2018 - 249
At Home with Chris Jessen 2018 - 250
At Home with Chris Jessen 2018 - 251
At Home with Chris Jessen 2018 - 252
https://europe.nxtbook.com/emp/AtHome/yourbusiness2021
https://europe.nxtbook.com/emp/AtHome/athomewithchrisjessen2018
https://europe.nxtbook.com/emp/AtHome/athomewithsarahbeenyautumn2017
https://europe.nxtbook.com/emp/AtHome/athomewithlorrainekelly2017
https://europe.nxtbook.com/emp/AtHome/athomeparentingwithJoFrost2017
https://europe.nxtbook.com/emp/AtHome/SarahBeenySpring2017
https://europe.nxtbook.com/emp/AtHome/AskTheDoctorWithDrJessenFebruary2017
https://europe.nxtbook.com/emp/AtHome/AtHomeWithTessDaly2016
https://europe.nxtbook.com/emp/Careers/YourBusinessWithJamesCaan2016
https://europe.nxtbook.com/emp/AtHome/AtHomeWithGloriaHunnifordOctober2016
https://europe.nxtbook.com/emp/AtHome/AtHomeWithSarahBeenyAutumn2016
https://europe.nxtbook.com/emp/AtHome/AtHomeWithLorraineKelly2016
https://europe.nxtbook.com/emp/AtHome/AtHomeWithJoFrostJune2016
https://europe.nxtbook.com/emp/AtHome/AtHomeWithSarahBeenySpring2016
https://europe.nxtbook.com/emp/AtHome/AtHomeWithDrChristianJessen2016
https://europe.nxtbook.com/emp/AtHome/AthomeWithTessDaly2015
https://europe.nxtbook.com/emp/AtHome/YourBusinessWithJamesCaanAutumn2015
https://europe.nxtbook.com/emp/AtHome/AthomeWithSarahBeeny2015
https://europe.nxtbook.com/emp/AtHome/AthomeWithGloriaHunniford2015
https://europe.nxtbook.com/emp/AtHome/AtHomeLorraineKelly2015
https://europe.nxtbook.com/emp/AtHome/JoFrost15
https://europe.nxtbook.com/emp/AtHome/SarahBennyMay2015
http://europe.nxtbook.com/emp/AtHome/OrthopaedicSupplementMarch2015
https://europe.nxtbook.com/emp/AtHome/DrChristianJessenFeb2015
http://europe.nxtbook.com/emp/AtHome/athomewithtessdaly
http://europe.nxtbook.com/emp/AtHome/jobsandcareers2014
https://europe.nxtbook.com/emp/AtHome/yourbusinesswithjamescaan
http://europe.nxtbook.com/emp/AtHome/athomewithsarahbeeny
http://europe.nxtbook.com/emp/AtHome/parentingjofrost
https://europe.nxtbook.com/emp/AtHome/drchristianjessen
http://europe.nxtbook.com/emp/AtHome/Athomelorrainekelly
http://europe.nxtbook.com/emp/AtHome/Athomesarahbeeny
http://europe.nxtbook.com/emp/AtHome/Cheers_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Christmas_New_year_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Exclusive_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Jo_Frost_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Carol_Vorderman_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Christian_Jessen_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Sarah_Beeny_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Lorraine_Kelly_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_James_Martin_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Jo_Frost_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Dr_Chris_Steele_Sept_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Sally_Gunnell_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Sarah_Beeny_Aug_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Lorraine-Kelly_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Christian_Jessen_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_James_Martin_2011
http://europe.nxtbook.com/emp/AtHome/At_Home_Sarah_beeny_winter_2011
http://europe.nxtbook.com/emp/AtHome/Lorraine_Kelly_Nov_2011
http://europe.nxtbook.com/emp/AtHome/At_Home_Marco_Pierre_White_2011
http://europe.nxtbook.com/emp/AtHome/AtHome/Jo_Frost_July_2011
http://europe.nxtbook.com/emp/AtHome/Lorraine_Kelly_June_2011/Lorraine_Kelly_June_2011
http://europe.nxtbook.com/emp/AtHome/Sarah_Beeny_May_2011
https://www.nxtbookmedia.com