TRC

Mr Ali Noorani MBBs BSc (Hons) MRCS FRCS (Trauma and Orthopaedics), Medical Director and a leading orthopaedic consultant specialising in shoulder and…

The Mayo clinic reports that Chris Barr is back to walking and enjoying life on two feet after paralysis. It was only…

As England’s professional cricketers leave the British Winter for sunnier climes to tour the Southern hemisphere, a new report sheds light on the gentile sport of cricket. But rather than an enjoyable relaxed sport serious injury in cricket is on the rise.According to new data from the US National Library of Medicine and the National Institute of Health 41.3% of all cricket injuries are sustained during bowling with wicket keeping second with 28.6% of all injuries.Cricket is a popular global sport that requires a combination of physical fitness, skill, and strategy. Although a noncontact sport, overuse and impact injuries are common since players engage in a wide range of physical activities, including running, throwing, batting, bowling, catching, and diving.While the incidence of injuries is about the same, the prevalence of injuries has increased due to game format changes, increasing number of matches played, and decreased rest between matches. Bowling (41.3%), fielding, and wicket keeping (28.6%) account for most injuries.Acute injuries are most common (64%-76%), followed by acute-on-chronic (16%-22.8%) and chronic ones (8%-22%). The most common modern-day cricket injury is hamstring strain, and the most severe is lumbar stress fracture in young fast bowlers.Although cricket is a non-contact sport, overuse and impact injuries are common since players engage in a wide range of physical activities, including running, throwing, batting, bowling, catching, jumping, and diving.Projectile injuries occur despite protection, since the 5.5 oz hard ball is bowled at the batsman at speeds of up to 160 km/h and can bounce off the pitch in an erratic fashion or swing through the air.Younger players (less than 24 years old) sustain more overuse and bowling injuries than older players. Lower limb injuries form nearly 49.8% of injuries, followed by back injuries (22.8%), upper limb injuries (23.3%), and neck injuries (4.1%).Hamstring and quadriceps strains formed the majority of lower limb injuries sustained primarily during bowling and fielding. Injuries to fingers primarily during batting and fielding predominate upper limb injuries (35.4%), and shoulder injuries (21.7%) occurred during throwing and bowling. Players in the West Indies sustained 40% of injuries during test matches, 32% during 1-day matches, and 28% outside of match play.The definition of a significant or match time-loss cricket injury is one that either prevents a player from being fully available for selection in a major match, or during a major match, causes a player to be unable to bat, bowl, or keep wicket when required by either the rules or the team’s captain.These injuries have been further differentiated based on the mode of onset: sudden-onset non-contact injuries (e.g., anterior cruciate ligament [ACL] tear during knee twisting while fielding, ankle sprain during bowling run-up, rectus tear during sudden evasive action during batting), impact/traumatic injury (e.g. mallet finger during catching, fractured rib due to player collision during fielding), gradual onset associated with bowling/running/throwing/batting practice/weight-training (e.g. gradual onset low back pain in fast bowlers secondary to lumbar pars stress fracture), insidious (gradual and no identifiable mode of onset) (eg, anterior knee pain secondary to patella-femoral chondral degeneration in bowlers, posterosuperior shoulder pain during overhead throwing secondary to superior labral anteroposterior [SLAP] lesions), and medical illnesses (e.g. flu, gastroenteritis). These types of injuries have been included in the definition of cricket injuries since 2016 as these had the potential to affect cricket training or playing.Cricket is a global sport traditionally popular in the commonwealth nations but now being played in 105 member countries of the International Cricket Council. Cricket is the world’s second-most popular spectator sport after football and has captivated people of every age, sex, background, and ability for more than 400 years. A bat-and-ball game with complex rules, cricket involves physical fitness, skill, and strategy.Data was collected from peer-reviewed articles (obtained via PubMed search) published from November 2016 to 2018 that involved the medical, biomechanical, and epidemiological aspects of cricket injuries. Significant or match time-loss injuries were defined as those that either prevent a player from being fully available for selection in a major match, or during a major match, cause a player to be unable to bat, bowl, or keep wicket when required by either the rules or the team’s captain. This review describes the various region-wise injuries sustained in cricket along with their epidemiology, biomechanics, treatment, and prevention.Cricket was one of the first sports to publish recommended methods for injury surveillance in 2005 from England, South Africa, Australia, the West Indies, and India.New formats are blamed for the increase in severe injury: There are now 3 formats of cricket at the professional level based on the duration of the game: T20, 1-day, and test matches. T20 are intense, short-duration matches involving 20 overs (of 6 balls each) bowled by each team. One-day matches have each team bowling 50 overs each, whereas test matches last 5 days and have each team batting twice, with approximately 90 overs being bowled in a day.The full study can be found here https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958448/

Over 35,000 patients have been treated worldwide with Lipogems® since it was patented in 2010 and it is now being widely used to treat injuries, lower levels of arthritis and degenerative conditions. We’d like to invite interested clinicians to attend an evening of education, networking and drinks where our leading orthopaedic consultants will outline how we use stem cell treatments, such as Lipogems®, and platelet rich plasma to treat sport injuries, arthritis and other degenerative conditions to avoid joint replacement or invasive surgery. Consultant Knee Specialist Professor Adrian Wilson will be joined by Shoulder and Elbow Specialist Mr Ali Noorani, Foot and Ankle Surgeon Mr Nima Heidari and Plastic Surgeon Mr Miles Banwell to outline the history, science and outcomes for Regenerative Treatments. To book your place, visit https://www.eventbrite.co.uk/e/the-history-science-and-outcomes-for-regenerative-treatments-tickets-84126493607. AgendaThe History of Lipogems – Professor Adrian Wilson, Consultant Orthopaedic & Specialist Knee SurgeonThe Science behind Platelet Rich Plasma (PRP) – Mr Ali Noorani, Consultant Orthopaedic & Trauma Surgeon, Shoulder, Elbow & Upper LimbOutcomes for Regenerative Treatments – Mr Nima Heidari, Consultant Orthopaedic & Specialist Foot & Ankle SurgeonThe Power of Fat – Mr Miles Banwell, Consultant Plastic SurgeonDateThursday 16th January 2020From 6.00pm (presentations start 7.00pm) until 9pmLocationQueen Anne Street Medical Centre18-22 Queen Anne StreetLondonW1G 8HA

Around 4 in 5 adults (that’s a whopping 80 per cent) of adults experience low back pain at some point in…

As reported in the Daily Mail the stem cell revolution may prove to be as, “significant as antibiotics and organ transplantation”.In a major piece of reporting Daily Mail journalists, Jo Waters meets four people whose lives have been transformed by various applications of stem cell technology; to treat Crohn’s disease; multiple sclerosis (MS);Jo Waters writes; “Stem cells are the human body’s raw material for repairing itself. They can self-renew or turn into a specific type of cell, such as blood or muscle cells, and offer huge potential for treating a range of conditions, from worn-out knees to damaged hearts.”“They are not all the same: embryonic stem cells, sourced from human embryos, can become any type of cell in the body; adult stem cells, which are harvested from (your own or donor) bone marrow or fat tissue have more limited use; and a third group called induced pluripotent stem cells are produced by reprogramming normal adult stem cells so they act like embryonic cells.”Multiple sclerosisReema Sandhu, is an account manager, lives in Bracknell, Berkshire, with husband and young son. She was diagnosed with multiple sclerosis (MS) in November 2015 after burning her face on a lamp. She was unaware she was touching it as her cheek had gone numb. An MRI scan showed lesions on her brain and spine. A lumbar puncture confirmed MS — where the immune system attacks the protective fatty myelin sheath that surrounds nerves. It causes muscle spasms, stiffness, bladder problems and memory problems. I also had a rash and felt so tired.After unsuccessful medical treatments and being rejected from clinical trials she raised £70,000 through savings, money from family and a GoFundMe website. Immediately brain fog improved and she could concentrate better. By the second month, her vision was back to normal and since then she has been able to go back to the gym, run after her son and even go to work. She still has spasticity in her right side but all the signs so far are that stem cells have halted the progression of her MS.Repairing a failing heartDave Randle, 49, a tour bus driver for rock bands, lives in Willenhall, West Midlands, and had stem cell treatment after having a heart attack in March 2016. Having been fit and active, the heart failure he felt so weak that he could barely walk upstairs. If he lay flat, fluid would build up in his lungs and he would struggle to breathe.After refusing a ventricular assist device (LVAD), a surgically implanted heart pump, his consultant warned him that he would be dead by Christmas that year.After reading about stem cells for damaged hearts, his consultant said such treatment was years away so he rang the Heart Cells Foundation charity and after assessment it paid for him to have treatment at St Bart’s Hospital in London.The stem cells were reinfused back into his heart and he started to feel better within weeks. Before he was preparing to die and now, instead, he is planning an 800-mile bike ride to raise money for others to have the treatment.CancerGeorge Norton, 37, a web content strategist, lives in Streatham, South London, with wife and son Emanuele. George was diagnosed with acute lymphoblastic leukaemia (ALL), a form of blood cancer, in 2005 and received a stem cell transplant in March 2014 after a relapse. He says:When he relapsed doctors gave him only 30 per cent of surviving. It was devastating after getting married and restarting his career after being ill initially. He was put onto chemotherapy followed by immunotherapy with the aim of then having a stem cell transplant from a donor found through the Anthony Nolan charity, which runs a bone marrow donor register.On the 100th day after treatment, his wife took him to Brussels on Eurostar for a celebratory lunch. His donor, Tim, who had registered as a donor at university was a similar age to me and lived nearby and they have since become godparents to each other’s children.Crohn’s diseaseDeepan Shah, 31, a telecoms engineer, who lives in Hounslow, West London tells Jo that after having Crohn’s disease since childhood, leaving him permanently fatigued and suffering from diarrhoea, cramping and mood swings. Aged 20 he had part of his bowel removed and a stoma bag attached to collect waste. Medicine never worked and his weight plummeted. He is 5ft 2inches tall so the disease also affected his growth.In 2010 he began a trial at the Royal London Hospital testing stem cell as a way of rebooting the immune system. The treatment involved chemotherapy to destroy faulty immune cells and injections of growth factors to make stem cells in bone marrow spill out into the blood stream. He still has Crohn’s, but can lead a normal life. His body now reacts to medication and his condition can be treated.This piece was first published in its original form at https://www.dailymail.co.uk/health/article-7674229/Patients-reveal-reaped-remarkable-benefits-stem-cells.htm

The Regenerative Clinic celebrates a good CQC rating across five crucial areas.In The Regenerative Clinic’s first ever inspection, which took place on the 23rd September 2019, services across the clinic were found to be of ‘good’ quality. Inspectors, who gave only 24 hours notice of their full rigorous inspection, gave the rating across all categories assessed.The Care Quality Commission (CQC) is the independent regulator of health and social care in England. As a body it sets and assesses standards of care across the healthcare industry in England and is run by a board of independent experts.Using detailed methodology and interviews the assessment asked: are services safe?; are services effective?; are services caring?; are services responsive?; and are services well-led?Their assessment states that The Regenerative Clinic meets and exceeds their standards in all of these crucial areas, and that The Regenerative Clinic is a good healthcare clinic overall in its performance.Simon Checkley, CEO, The Regenerative Clinic says; “This is an incredible endorsement for our team. I am so proud of the work they have done over the last two years to establish our clinic, and in doing so establish a global centre of excellence for regenerative treatments. We have gone out of our way to provide an outstanding service for our patients, and in rigorously recording their experiences are innovating an entire new treatment pathway for conditions like osteoarthritis in the future. The Clinic is only as good as the world-class team that we have assembled, and our thanks and congratulations go to our team of surgeons, clinicians, nurses and administrators for the part they have played in our success to date. Here’s to a great future.”The Regenerative Clinic has pioneered rejuvenating therapies and orthobiologics around the world, providing pioneering treatment for healing, pain relief and rejuvenation of joints and other tissues to restore mobility and function. The Clinic is led by Professor Adrian Wilson and his team of specialist Harley Street consultants, each one an expert in their own field (orthopaedic, radiology, gynaecological, spine, maxillofacial and cosmetic).The Clinic offers a variety of treatments from its Harley Street Area clinic on Queen Anne Street. Treatments include Lipogems, which has now been conducted on over 40,000 patients worldwide. The Lipogems® technology prepares fat cells to trigger a healing response when injected directly into the affected area. The cells detect injury and attach themselves to damage where they react and regrow tissue. These pre-cursor stem cells have a pro-antibiotic effect that reduces pain and inflammation.The clinic also offers Platelet Rich Plasma (PRP) which involves drawing blood from a vein in the arm and processing the blood in a centrifuge to extract the platelet rich part of the blood; AMPP is a combination treatment of Lipogems® and PRP which is then injected into the area or areas causing pain under ultrasound guidance.For further information, hi res images, interviews with Simon Checkley and case studies please contact Helen Trevorrow or Vicky Hague at Green Row on 0794 000 9138 or email helen@greenrow.co.uk

It is great to be featured in the Daily Mail today on new treatments and approaches to traditional knee arthroplasty (replacement). The article discusses treatments such as Platelet Rich Plasma Therapy (PRP) as well as our Lipogems® procedure. Perhaps you have seen the article and have questions or if you have not and want to know more, contact us today on 0330 2233332.Simon Checkley, CEO, The Regenerative Clinic “Thanks to Victoria Lambert and Angela Raynes for talking about our ground breaking treatments. We are delighted to be helping so many people now in the UK, and in other countries too. Though our records only go back 2 – 3 years to 2016, we expect that our treatments will last much much longer than that, and are working hard to record the data to prove it.The story was originally reported by The Daily Mail: https://www.dailymail.co.uk/health/article-7724751/Achy-joint-treatments-bees-knees.html

Al Murray’s six-year-old nephew Finley Relf has been diagnosed with a rare and aggressive form of leukaemia and needs a transplant before Christmas.Murray has appealed for people to sign the blood stem cell register. Finley has a rare and aggressive form of the disease and his only hope is a bone marrow transplant.Finley’s parents Ben and Nicky Relf became alarmed when their son started losing weight and sought medical advice. Doctors diagnosed juvenile myelomonocytic leukaemia (JMML), a rare type of blood disorder that occurs in young children.Finley, from Haywards Heath, West Sussex, is undergoing chemotherapy at Great Ormond Street Hospital in London.Murray, famous for his Pub Landlord character, told Sky News: “Finley is undergoing chemotherapy but his best chance of fighting the disease is a bone marrow transplant. He has JMML, a super-rare leukaemia and 12 kids a year get it probably, and he needs a blood stem cell transplant.”Murray said Finley was undergoing “gruelling” treatment but was a “chirpy six-year-old who wants to run around and go swimming. He’s critically ill, there is a 50/50 chance of him surviving and without the transplant, there is no cure for JMML.”“We are looking for something as precise as a fingerprint. Someone out there is your genetic twin which is kind of what we are looking for. Go to the website, put your info in, find out if you are eligible and then the charity will send you a pack. You run a swab around the inside of your cheek, you send it back and then you are on the register. It really is as simple as that. You could be saving someone’s life by doing something that is so quick and easy to do.”Murray said Finley needs a transplant “before Christmas, this has got to happen right away”.Jonathan Pearce, chief executive of the blood stem cell charity DKMS, which is looking for a donor for Finley, said: “Even though we are working with Al Murray in very sad and serious circumstances, he is doing fantastic work with us to highlight that only 2% of the UK population are on the blood stem registry.“We desperately need more people to come forward as donors if we’re to find a match for every person with blood cancer.“Blood cancer is the third most common cause of cancer death in the UK, and at any one time there are around 2,000 people in the UK in need of a blood stem cell transplant. I would urge anyone between 17 and 55 and in general good health to request a swab kit from dkms.org.uk so we can help find a match for Al’s nephew Finley and all the other people that need one.”The story was originally reported by Sky News : https://news.sky.com/story/al-murray-appeals-for-people-to-sign-stem-cell-register-after-nephew-is-struck-by-rare-blood-disorder-11863254

Orthopaedic specialists at NHS Golden Jubilee have carried out a study which could give elite cyclists a competitive edge by using a shorter pedal crank.Golden Jubilee’s Orthopaedic Research Team used a state-of-the-art motion capture system to collect data on patients who have had hip or knee replacement surgery.This 3D motion capture system is commonly used in Hollywood to transform actors into superheroes and create other special effects but it can also be used to measure and examine human motion, helping to improve orthopaedic care for future patients.The trail successfully determined if the length of the bike’s crank – the stem which leads from the pedal to the chain cog – can have an effect on power production in an aerodynamic time trial position and whether it impacted on speed.The results collected saw an average power increase of 4.33%, and an average gain in theoretical speed of 2.07% for all participants who used shorter cranks.In addition to this, subjects who took part said they felt a reduced strain on hamstrings, hip flexors and gluteal muscles, aiding recovery and reducing overall strain.Golden Jubilee Consultant orthopaedic surgeon, Jon Clarke, who was involved in the research, said: “The results of this trial have shown that using shorter bicycle cranks when cycling in an aerodynamic time trial position improves sustainable power output and final race speed.”“Therefore, shorter cranks may be used to obtain a competitive advantage while, from an injury prevention perspective, shorter cranks may also be beneficial as subjects reported feeling more comfortable in the aerodynamic position with the shorter cranks.”The trial included three 20-minute maximal cycling tests on three separate days. Power output and heart rate data was recorded for each of the tests and the frontal area of the subject was measured to calculate theoretical speed in a different position.