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Can I not just get the same treatment on the NHS?
No.... Initial assessment: Whether you are seen in the Emergency Department or your GP surgery, point of care musculoskeletal ultrasound (POCUS) is virtually never used. POCUS is excellent in visualising muscles, tendons and many ligaments. It can also be used dynamically to see how these tissues react when your joints move. This allows for more accurate diagnoses. Steroid injections: These are commonly available on the NHS, although not all GP practices offer them. In
andrewdeeley
Feb 31 min read
Evidence That Hyaluronic Acid (Including Ostenil®) Can Delay the Need for Joint Replacement Surgery
Large U.S. health-claims data show hyaluronic acid injections significantly delay total knee replacement. Non-users had surgery at 0.7 years, those with one course at 1.4 years, and five or more courses delayed surgery by 3.6 years. Source: PLOS ONE study (Altman et al., 2015). A 2024 Korean national database study reported that hyaluronic acid users delayed total knee arthroplasty by about one year and had a 39% lower risk of needing surgery. More cycles led to further de
andrewdeeley
Jan 231 min read
Understanding the Ostenil® Range: What Each Product Is Used For
Ostenil® injections contain high‑purity hyaluronic acid used to improve lubrication in joints and reduce pain associated with osteoarthritis. Ostenil® Mini: Designed for small joints such as thumb, fingers and toes. Relieves pain and improves mobility. Standard Ostenil®: Used for medium to large joints including knee, hip, and shoulder. Helps improve lubrication and reduce pain. Ostenil® Plus: A higher‑strength version containing more concentrated hyaluronic acid and mann
andrewdeeley
Jan 231 min read
What is Point‑of‑Care Musculoskeletal (MSK) Ultrasound? A Guide for Patients
Musculoskeletal (MSK) problems such as joint pain, tendon injuries, and soft‑tissue swelling are extremely common. One tool I may use during your appointment is point‑of‑care ultrasound (POCUS) — a portable ultrasound machine used right in the clinic. This guide explains what POCUS is, what it can help with, and what its limitations are, including an important note about how it differs from hospital (radiology‑department) ultrasound. What Is Point‑of‑Care MSK Ultrasound? POCU
andrewdeeley
Jan 231 min read


A new sport doctor clinic coming soon!
In 2025 I decided to take the leap and started the process of opening Stirling Sports Medicine clinic . I must confess I significantly underestimated how long and complex the process would be, but hopefully Health Improvement Scotland (HIS) will give me the green light in 2026. Until then, Stirling Private Medical Group, have kindly offered me Practicing Privileges. Thank you so much Caroline
andrewdeeley
Jan 211 min read
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