Orthopaedics and Pain

Orthopaedic and Musculoskeletal Medicine

This is concerned with the diagnosis and no-surgical treatment of “soft tissue” lesions; abnormalities of the moving parts of the body; muscles, tendons. ligaments, bursae and joint. This also includes the joints and discs of the spine, as well as nerve entrapment.

Medical Conditions

Examples of medical conditions by the above specialities are:

  • Back Pain (including slipped discs and lumbago)
  • Sciatica
  • Neck Pain (including Whiplash and Cricked Neck
  • Shoulder, Elbow, Wrist Hip, Knee and Ankle Conditions
  • Bursitis
  • Sprains and Strains of Muscles
  • Tendons. and Ligaments
  • Neuralgia
  • Headaches and Migraines
  • Fibrormyalgia
  • Myofascial Pain and other Chronic Pain Syndromes

Diagnosis and Investigations

In most cases the medical history and a full physical examination is enough to establish clear cause of the pain or musculoskeletal problem and formulate an effective treatment plan.

In other cases Special Investigationsations may be necessary in order to confirm the physical findings, or to exclude other possible conditions. These investigations may include blood or urine analysis; Xrays, Ultrasound or MRI Scans.


Treatments vary according to the nature of the medical problem and range from simple physical methods to the appropriate use of medications and more interventive procedures.

Examples may thus include:

  • Physical Manipulation
  • Friction and Acupressure
  • Intramuscular Stimulation
  • Trigger Point Acupuncture
  • TENS and TSE machines
  • Pain Relieving Medications (both allopathic and homeopathic)
  • Injections to Joints, Soft Tissues
  • Facet Joint Injections
  • Nerve Root Injections
  • Epidurals
  • Prolotherapy

Choice of injected substances can include homeopathic solutions; prolotherapy mixtures; local anaesthetics, steroids; synthetic synovial fluid; botulinus toxin; as appropriate.

Mr Haroon Mann MBBS MD FRCS (TR & Ortho)

Consultant Orthopaedic Foot & Ankle Surgeon

  • Graduated from University College and The Middlesex School of Medicine, University of London
  • Fellowship Trained Orthopaedic Foot & Ankle Surgeon.
  • Honorary Senior Lecturer at the Royal Free and at UniversityCollegeLondonHospitalMedicalSchool.
  • Awarded both Membership and Fellowship to the RoyalCollege of Surgeons.
  • Fellowship training in the United States of America in 2009 at the Institute of Foot & Ankle Reconstruction, Baltimore, Maryland

His clinical and research interests include Trauma, Ankle cartilage preservation, Arthroscopy, Sports injuries, Neurological Foot disorders, Ankle Replacement Surgery and all types of forefoot surgery such as Bunions and hammer toe surgery.

Dr Max Horwitz MBChB FRCS (Orth) Dip Hand Surg

Consultant Orthopaedic Hand Surgeon

  • Medical School – University of Pretoria

His main interest in hand and upper limb surgery witjh a sub interest in children’s hand surgery.

He is working as a consultant at the Major Trauma Centre for the North West of London. Often working in conjunction with plastic and vascular surgery colleagues