Surrey Orthopaedic Clinic offers a comprehensive dedicated specialist Orthogeriatric care service.
Our Orthogeriatrician, Dr Keefai Yeong works with our specialist surgeons to implement and improve care pathways for all elderly patients with fractures and general health issues in order to improve the patient experience, reduce morbidity and mortality and to reduce length of stay. This working partnership ensures secondary prevention measures for falls and fractures are in place and assesses on going rehabilitation needs.
The Falls clinic provides a comprehensive assessment for older people who fall and/or at a high risk of falling. To enquire about appointments please call a member of our team on 0203 1 30 40 50
Osteoporosis & Fracture Prevention
Osteoporosis – or “brittle bones” is a common condition affecting mostly postmenopausal women and less commonly men.
This condition can result in a fracture if you have a fall. It is now estimated that osteoporosis is more common than breast cancer in women and there are now effective treatment options available. It is important that osteoporosis is diagnosed in a timely fashion and treated accordingly to prevent future major fractures, such as a hip fracture. Osteoporosis assessment forms part of our falls assessment and can be easily diagnosed using a DEXA scanner.
Osteoarthritis Non-operative Treatment
The term arthritis means inflammation of a joint, but is generally used to describe any condition in which there is damage to the cartilage.
Inflammation is the body’s natural response to injury. The joint becomes inflamed causing
pain, swelling, stiffness, instability and often deformity.
Osteoarthritis or degenerative joint disease is the most common type of arthritis often due to ‘wear and tear.’ The smooth articular cartilage surface which covers the bone wears out or is damaged and becomes irregular, fissured and may fall off revealing the underlying bone. If this happens the underlying bones can rub together, producing the pain typical of arthritis. It causes pain in the joints and surrounding soft tissues and limits the range of movement of a joint.
There are several factors which contribute to the development of osteoarthritis including age, being overweight, heavy manual jobs, genetic factors, and joint damage from a previous injury.
Severe arthritis can interfere with activities of daily living and limits lifestyle. The severe pain of osteoarthritis can be very disabling.
Treatment of osteoarthritis focuses on decreasing pain and improving joint movement, and may include:
Education and understanding
Exercises to keep joints flexible and improve muscle strength
Joint protection, to prevent stress or strain on painful joints e.g. knee supports or braces, cushioned insoles, and orthotics
Weight control to prevent extra stress on weight bearing joints
Physiotherapy and / or heat or cold treatments
Medicines: e.g.anti-inflammatory gels, the use of non- steroidal anti-inflammatory tablets (e.g. neurofen), non narcotic analgesics such as Paracetamol. Alternative medicines include as Glucosamine and Chondroitin and cod liver oil
Injections of Hyaluronic acid or Steroids into the joint
Steroids improve symptoms by reducing the inflammation within the arthritic joint. Hyaluronic acid (HA) is a naturally occurring molecule that provides lubrication and cushioning in a normal joint. Hyaluronic acid preparations are available which can be injected into joints affected by osteoarthritis to relieve pain, restore lubrication and cushioning, improving joint function. A number of studies have shown that Hyaluronic acid injection may be more effective than steroid injection and may improve pain symptoms delaying the need for joint replacement surgery. In severe cases, surgery may be suggested, such as a hip or knee replacement which can give good results. The type of surgery will depend on your age and severity of the disease.