Sports Medicine Specialists
Optimising your recovery, improving your performance and preventing future injuries.
Capital Orthopaedics offers clinical and diagnostic services with innovative treatments for all sports medicine conditions.
Led by renowned orthopaedic surgeon Mr Simon Moyes, the Capital Orthopaedics team includes highly experienced consultant surgeons, radiologists, nurses, anaesthetists and physiotherapists.
Treatment for Sports-Related Injuries
We provide specialist diagnosis and treatment for people in sports and exercise at every level – from Olympic athletes to weekend walkers, and from ballet dancers to recreational golfers.
We aim to treat sports injuries and conditions with minimal intervention. Many musculoskeletal conditions can be resolved with targeted physiotherapy. If needed, we provide injections to reduce inflammation and stimulate healing.
With more severe cases or ongoing symptoms, our consultant orthopaedic surgeons treat sports injuries with the most minimally invasive surgery possible.
Our work with professional athletes means we know exactly how to get you back to physical activity fast, with the ultimate resilience against future injury.
Sports Injury Diagnosis
Early diagnosis is key to better treatment results and quicker recovery. So if you have ongoing pain and swelling, restricted range of motion or discomfort during exercise – get in touch with Simon Moyes and the Capital Orthopaedics team here for an expert diagnosis.
Sports Injuries We Treat
Dancers require specialised diagnosis and treatment plans to respond to the rigours of their job. Common dance-related problems include:
Knee pain in dancers is usually caused by repetitive action, impact or a sudden twisting motion. Common problems we treat include:
- Patellofemoral pain syndrome: pain or swelling at the kneecap
- Meniscus tears: tears of the rubbery, shock-absorbing cartilage in the knee joint
- patellar tendinitis: the tendon attaching the kneecap to the shinbone becomes inflamed
- Bursitis: inflammation of the fluid-filled sacs cushioning the front of the knee joint
- Ligament sprains: fibrous tissues supporting the knee joint are stretched or torn
With early diagnosis, hip injuries can usually be treated non-surgically with physical therapy. We also offer ultrasound-guided injections to reduce inflammation and stimulate healing, as well as surgery for more serious conditions.
- Snapping hip syndrome (Dancer’s Hip): clicking or catching and pain due to displaced muscles, tendons or IT band.
- Hip impingement: pinching in the hip joint, usually due to abnormal bone growth.
- Labral tears: damage to the cartilage that lines the socket of the hip joint.
- Hip flexor tendonitis: inflammation of the tendon in the front of your hip.
- Hip bursitis: swelling of the fluid filled sacs that cushion your hip joint.
- Sacroiliac joint dysfunction: lower back pain and stiffness caused by imbalance in the SI joint at the base of your spine.
Foot and Ankle Injuries
We offer diagnosis and treatment for all foot and ankle conditions that affect dancers. Particularly common are:
- Achilles tendonitis: inflammation of the tendon that attaches your calf muscle to your ankle joint.
- Trigger toe: your big toe becomes permanently flexed due to a tendon injury.
Ankle impingement: pain at the front of your ankle due to compression of the soft tissue.
Any repetitive impact in sport can lead to stress fractures – tiny cracks in the bones.
Diagnosis may require bone or MRI scans, as the fractures can be too small to be seen on an x-ray.
It’s particularly common as a result of repeated impact activities, and mostly affects the following bones in dancers:
- Metatarsals: the bones at the base of the foot
- Tibia: the shin bone
- Sesamoids: pea-shaped bones embedded in tendons under the ball of your foot
- Lumbar spine: vertebrae in your lower back
- Osteoarthritis – degeneration of the joints – mostly occurs as a result of wear and tear or repeated injury. Dancers are particularly prone to arthritis in the knee, hip, ankle and foot.
With early diagnosis, arthritis can be treated conservatively with physiotherapy and injections to stimulate healing.
In later stages, our consultant surgeons offer minimally invasive surgery to:
- remove bony outgrowthssmooth joint surfaces
- repair soft tissue damage
- replace any joint parts that are severely damaged
The most common injury in football, an ankle sprain is caused by rolling over or twisting your ankle.
The supporting structures of ligaments and tendons can get stretched or torn, lead to long-term instability, pain, arthritis and damage to other tissues in your ankle.
With the right diagnosis, sprains can be treated efficiently and effectively, with more serious damage being resolved before it affects other structures of your foot and ankle.
The large muscles and tendons at the back of your thigh (hamstrings) can be injured due to quick changes of pace – particularly suddenly stopping or accelerating. They are most at risk if they haven’t been properly stretched before the game.
For ongoing problems with hamstring pain and weakness, MRI or ultrasound scans are used to assess the extent of the damage.
- Partial tears (hamstring strain): these can be treated with physiotherapy and anti-inflammatories.
- Complete tears / avulsion fractures: the tendon has torn away from where it inserts into the pelvic bones. If two or more tendons have been torn, it is usually necessary to reattach them surgically. Early diagnosis and treatment (within a few weeks of injury) yields far better recovery and rehabilitation results.
The adductor muscles and tendons in the inner side of your thigh are overstretched as a result of kicking, twisting to change direction while running, or jumping – making them a common injury in football.
We offer a range of non-surgical interventions for groin strain, including physiotherapy, shockwave therapy and injections.
More severe cases may require surgery to repair the torn fibres of your tendons.
The strong anterior cruciate ligament that helps stabilise the knee joint is often injured through sudden twisting movements, particularly pivoting on the spot. We provide expert diagnosis to assess the extent of the ACL damage and treatment plans for speedy recovery.
Minor ACL tears and strains are treated with physiotherapy and anti-inflammatories.
Complete tears usually require arthroscopic surgery to reconstruct or sometimes reattach the ligament.
The Achilles tendon that attaches your calf muscle to the ankle joint is most often damaged due to explosive movement from standing. Repetitive actions can lead to minor tears and inflammation of the Achilles tendon. Sudden acceleration can lead to a complete Achilles tendon tear.
For Achilles tendon pain and weakness in the calf muscle, the Capital Orthopaedics team offers a fast and accurate diagnosis, followed by non-surgical and surgical treatment plans to regain strength and pain-free mobility as quickly as possible.
Winter Sports Injuries
ome of the most common winter sports injuries we diagnose and treat include:
Torn knee ligaments
The stabilising ligaments in your knee are frequently injured in skiing.
Most common are ACL (anterior cruciate ligament) and MCL (medial cruciate ligament) damage – almost always the result of twisting your leg when you fall. These injuries cause instant pain, swelling and instability in your knee. They are often combined with damage to the cushioning, slippery layers of cartilage in the joint (meniscus tears).
Initial diagnosis includes MRI scans to assess the severity of the condition. Early treatment is key to recovery and prevention of ongoing instability and possible arthritis.
Minor knee ligament injuries are treated using physiotherapy and injections to reduce inflammation and stimulate healing.
More serious conditions require arthroscopic (keyhole) surgery to repair torn ligaments and menisci.
An injury to the ligament at base of your thumb. It can be damaged as a result of a fall on your outstretched arm, while you are gripping your ski pole. Symptoms include pain and swelling on the inside of your thumb joint and reduced grip strength.
A strain (stretching / partial tear) is diagnosed using an MRI or ultrasound, and treated with a brace and anti inflammatories followed by physiotherapy.
Complete tears and avulsion fractures (the bone breaks off at the attachment point of the ligament) may need to be surgically repaired.
Breaking a fall with an outstretched arm often leads to a wrist fracture. Most simple fractures can be treated with a stabilising cast and brace, followed by physiotherapy. More complex breaks that involve more than one bone and / or severe displacement usually require surgery to realign the joint parts and repair ligament and tendon damage.
The bone in the middle of your ankle joint (talus) can get broken when your foot is pointed upwards towards your shin, and you then roll over on the outside of your ankle. This is particularly common in snowboarding falls.
It results in pain and swelling on the bony lump on the outside of your ankle. Snowboarder’s ankle can be dismissed as a sprain – as these fractures don’t always show up on an x-ray.
If symptoms persist after a period of rest, our diagnosis may include a CT or MRI scan.
Treatment involves a non-weight bearing brace or cast while the fracture heals.
Surgery may be required if the bones are displaced or unstable, or if there is a risk of arthritis.
Damage to your back is common in winter sports. The impact of falls on your back or head can cause herniated or slipped discs, fractured vertebrae or . Many back injuries are purely muscular, but lead to ongoing pain and discomfort.
We will diagnose your back pain using our cutting-edge diagnostic equipment, with scans interpreted by our in-house radiologist and treatment managed by our highly experienced consultant orthopaedic surgeons.
Where possible, we provide physiotherapy and non-surgical intervention to help you recover.
More serious spinal injuries are treated surgically at The Cromwell Hospital.
Contact the Capital Orthopaedics team for a sports medicine appointment
Simon Moyes is an internationally renowned orthopaedic surgeon and leader in the field of arthroscopic (keyhole) surgery. His Capital Orthopaedics team works from The Cromwell Hospital in London, with its state-of-the-art diagnostic and surgical equipment, and top sports medicine professionals.
Contact Simon Moyes for an expert diagnosis and treatment of all your sports and exercise injuries.
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