Non Surgical Orthopaedics

Detailed below are the “cutting edge” treatments that we are able to offer in an out-patient setting thus avoiding the need for a formal hospital admission. The treatments will be discussed with your Consultant ,once a diagnosis has been made, and they will be able to advise on their suitability based upon each patient’s own case, as not all treatments are suitable for all conditions and patients.

Platelet Rich Plasma

This is used in the treatment and healing of tendinopathies

The body’s natural reaction to an injury is to send platelets from the blood to damaged tissues to initiate healing.  Platelets store a vast array of growth factors which are released at the site of injury through cell signals received from the injured tissue to mediate healing.

To perform this treatment we place a small amount of your blood in a filtration system, which separates your red blood cells from the platelets. The high concentration of platelets is then injected into your injured tissue, which initiates your body’s natural healing response

The autologous PRP treatment, therefore, uses your own concentrated platelets and growth factors to stimulate and enhance the body’s own healing response to treat acute injury, inflammation or chronic degenerative disease.

This results in minimal discomfort.  Since PRP is prepared from your own blood, there is no risk of rejection or disease transmission and virtually no risk of infection.

What is Alpha-2 Macroglobulin (A2M)

A2M is sometimes known as PRP plus

The root cause of Osteoarthritis (OA) is the presence of damaging chemicals in the joints. Catabolic proteases work by degrading cartilage and damaging your joints by breaking down the cells. This causes the pain, stiffness, swelling and restricted range of motion. A2M, which is found naturally in the blood, captures these chemicals produced in the damaged joint and neutralises their degenerative effects. A2M can protect your joints and will create an environment where cartilage cells can thrive.

A significant research study out of Brown University in America, in collaboration with the National Institute of Health, found that a joint injection of concentrated A2M provides cartilage protection in OA by stopping the progression of arthritis.

The results of this groundbreaking study suggest that an injection of concentrated A2M may stop the breakdown of cartilage and shut down the destructive inflammatory proteins in the joint. The study also found that early intervention could be critical for minimising the development of OA. An injection of A2M during the early phase of an injury is proving to be a powerful tool in preventing progressive arthritis in the affected joints. This can be especially powerful in preventing arthritis after an ACL repair.


Lipogems is cutting-edge technology that harnesses the powerful healing capacity of your own adipose tissue to support your body’s natural regenerative process. The cells removed from your body are used to create an injectable tissue made from your own adipose tissue reserves that can be used to provide cushioning and support as your body heals.

It is a suitable treatment for patients with moderate osteoarthritis and those with sports injuries or other tendon and soft tissue injuries and where physiotherapy or steroid injections have not provided significant relief and daily life is still limited

Sometimes PRP injections are also administered at the same time to enhance recovery


Coolief is short for Cooled Radiofrequency, it is the natural evolution of radiofrequency treatment (RF). It is a targeted pain relief procedure for chronic knee and back pain

It is a minimally invasive, non-surgical procedure that gets right to the source of the pain and nullifies it before it can have an impact. Thermal radiofrequency energy is transmitted through a small probe heating the tissue directly to stop the nerves causing the pain. The medical advancement with Coolief is that water is circulated through the device while it treats an area of nervous tissue around five times larger than with the original RF method.

Cooled radiofrequency is more precise, while allowing your doctor to target exactly the right nerves with a higher degree of flexibility – something that wasn’t always possible with standard RF.

Coolief gives you:

  • up to 24 months of pain relief
  • improved physical movement
  • less need for pain relief drugs

Cooledrf London


Developed in collaboration with the world-renown MAYO Clinic, Tenex Health’s minimally invasive technology is an effective and innovative breakthrough for the treatment of chronic tendon pain and tendinopathy.

The Tenex procedure is a trademarked, minimally invasive non-surgical procedure that helps patients who are suffering from chronic tendon pain by precisely targeting and removing damaged tissue on the tendons. This procedure, developed by Tenex Health, is particularly effective on the tendons of the elbow, shoulder, knee and ankle.

Extra-Corporeal Shockwave Therapy (ESWT)

Extracorporeal Shockwave Therapy is a new non-surgical procedure for soft tissue. Used in orthopaedics and sports medicine it is recognised as a treatment for a number of musculoskeletal conditions such as

Heel Pain ,Tennis and Golfer’s Elbow, Hip Pain , Shin Splints , Shoulder Pain, Achilles Pain, Jumper’s Knee Patella Tendonitis, Neck and Lower Back Pain (Trigger Points)

ESWT uses shock waves to stimulate healing. It offers advantages over surgery as it is non-invasive with fewer potential complications and a faster return to normal activity.

Three treatments are performed at weekly intervals. Each treatment is simple with no injections. Your affected area is positioned against the head of the ESWT machine and a shockwave is delivered to the area. This is felt as a pulse.

To Book An Appointment or Request More Information

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